Niva Bupa Heartbeat Platinum Plan
92.02
Claim Settlement Ratio
10000
Network Hospitals
0
Customer Rating
Get a Quote
Get a Quote
92.02
Claim Settlement Ratio
10000
Network Hospitals
0
Customer Rating
Our Verdict
Expert Review: Niva Bupa Health Insurance
Final Verdict
About
About Niva Bupa Health Insurance
Inclusions and Exclusions
Inclusions and Exclusions of Niva Bupa Insurance Company Limited
Co-payment
Niva Bupa Heart Beat Platinum does not have a mandatory copayment for most claims. However, if the insured individual is a senior citizen or opts for treatment in a non-network hospital, a copayment clause may apply as per policy terms.
Room Rent
Normal: offers no room rent capping, meaning policyholders can opt for any hospital room, including private rooms, without any sub-limits. ICU charges are also fully covered up to the sum insured.
AYUSH Treatment
Covered under this policy
Cashless Healthcare Providers
10,000+ network hospitals.
Daycare Treatment
Covered under the policy.
Waiting Period
Initial Waiting Period: 30 days for all illnesses except accidents.
Pre-existing Diseases (PED): Covered after 24 to 48 months, depending on policy terms.
Specified Illnesses & Treatments: Subject to a 24-month waiting period for conditions like hernia, cataract, and joint replacements.
Maternity Benefits: Available after a 24-month waiting period (if maternity cover is opted for)
Advanced Treatments
Robotic Surgeries – Ensures access to cutting-edge minimally invasive procedures.
Stem Cell Therapy – Covered for approved medical conditions.
Organ Transplants – Covers donor and recipient hospitalization expenses.
Bariatric Surgery – Included for medically necessary weight-loss treatment.
Cancer Treatments – Covers chemotherapy, radiation, and immunotherapy.
Cardiac Care – Advanced heart procedures, including angioplasty and bypass surgery.
Co-payment
Niva Bupa Heart Beat Platinum does not have a mandatory copayment for most claims. However, if the insured individual is a senior citizen or opts for treatment in a non-network hospital, a copayment clause may apply as per policy terms.
Room Rent
Normal: offers no room rent capping, meaning policyholders can opt for any hospital room, including private rooms, without any sub-limits. ICU charges are also fully covered up to the sum insured.
AYUSH Treatment
Covered under this policy
Exclusions
Pre-existing diseases are not covered during the initial waiting period as specified in the policy terms.
Any illness or treatment arising within the first 30 days from policy inception, except for accidental injuries.
Expenses related to self-inflicted injuries, suicide attempts, or harm due to substance abuse.
Treatment for injuries or illnesses resulting from participation in hazardous or adventure sports.
Cosmetic or aesthetic procedures, including plastic surgery unless required due to an accident or medical necessity.
Treatment related to infertility, sterility, or any assisted reproductive procedures.
Expenses for obesity treatment, weight management procedures, or bariatric surgery unless medically necessary.
Treatment for mental disorders, psychiatric conditions, or behavioral issues unless specifically covered under the policy.
Insurance Premium Calculator
Insurance Premium Calculator
Our insurance experts are here to help you make the right choice. Get personalized recommendations based on your specific needs and budget.
About the company
About the company
Need to make a claim or understand your cover?
Chat with PolicyPal
Get a free policy review
No pressure. No product push. Just honest advice.
.png)


