Niva Bupa Health Premia Platinum Plan
Niva Bupa Health Insurance
7.2/10
OneAssure Rating
7.2/10
OneAssure Rating
Highlighted Features
Room Rent and ICU limit
Niva bupa my health premia platinum covers room rent and ICU charges without caps, ensuring full coverage up to the sum insured.
Advanced Treatments
Coverage includes advanced treatments such as coronary angiography, cancer radiotherapy, chemotherapy, and palliative care, ensuring access to essential medical support during critical times.
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Our Verdict
Niva Bupa Health Premia Platinum offers extensive coverage, including critical illness and personal accident benefits, with high sum insured options. Ideal for individuals and families seeking premium health protection with loyalty additions.
About the Plan
The Niva Bupa Health Premia Platinum Plan is a premium health insurance policy designed to offer extensive coverage for individuals and families, ensuring financial protection against medical expenses. It provides high sum insured options and covers a wide range of medical needs, including inpatient hospitalization, pre- and post-hospitalization, daycare procedures, and modern treatments. The plan also includes coverage for alternative therapies such as AYUSH, along with benefits like annual health check-ups, cashless treatment across a large network of hospitals, and wellness benefits. With options for add-ons like critical illness cover, the Health Premia Platinum Plan offers robust, comprehensive protection, ensuring peace of mind with easy renewability and no cap on age for renewals.
About the Plan
Product Stats
Rating
Features of the Product
Room Rent (Normal & ICU)
Normal: single private A/C room
ICU: no limit
Advanced Treatments
Covered up to Sum Insured with sub-limit of INR 1 Lac on few robotic surgeries.
Uterine Artery Embolization and HIFU (High intensity focused ultrasound)
Balloon Sinuplasty
Deep Brain stimulation
Oral chemotherapy
Robotic surgeries and many more.
Co-payment
A 20% co-payment applies for treatments in Zone 2. Additionally, policyholders can opt for a 10% or 20% co-payment, which does not reduce the sum insured.
Waiting Periods
Initial Waiting Period: A 30-day waiting period applies from the policy's inception, during which claims are not admissible, except for those arising from accidents.
Pre-existing Disease Waiting Period: For the Silver plan, pre-existing diseases are covered after 48 months of continuous coverage. For Gold and Platinum plans, this period is reduced to 24 months.
Specific Disease/Procedure Waiting Period: For individuals above 45 years of age, certain listed illnesses and procedures are covered after a 24-month waiting period from the policy's inception.
Cashless Healthcare Providers
10675+ network hospitals
Day Care Treatments
Covered by the policy.
AYUSH Treatment
Covered by the policy.
Exclusions
Pre-existing diseases are not covered for the first 24 months from the policy start date.
Any treatment within the first 30 days of the policy, except for accidents, is excluded.
Treatments related to alcohol, drug abuse, or substance addiction are not covered.
Cosmetic or plastic surgery procedures without medical necessity are excluded.
Injuries or conditions arising from hazardous or adventure sports are not covered.
Exclusions
Personal Accident Cover - Provides a lump sum payout up to ₹1 crore in case of accidental death or permanent total/partial disability for insured members aged 18 and above.
Critical Illness Cover - Offers financial protection against 20 major critical illnesses, including cancer, open heart surgery, kidney failure, and strokes, with coverage options of ₹25 lakh, ₹50 lakh, or ₹1 crore.
Hospital Cash - Provides a daily cash benefit of up to ₹7,500 per day for a maximum of 30 days per policy year, applicable after 48 hours of continuous hospitalization.
Enhanced Loyalty Additions - Increases the sum insured by 20% of the expiring base sum insured each policy year, up to a maximum of 200%, regardless of claim history.
Add-ons
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About the Company
Niva Bupa Health Insurance, formerly known as Max Bupa Health Insurance, is a prominent health insurance provider in India. It is a joint venture between Bupa, a UK-based healthcare services expert, and True North, an Indian private equity firm. The company offers a diverse range of health insurance plans tailored to meet the varying needs of individuals and families. Their policies are designed to provide comprehensive coverage, ensuring financial protection against unforeseen medical expenses.
One of their notable offerings is the ReAssure 2.0 Health Insurance Policy, which covers a wide array of medical expenses, including hospitalization, surgeries, doctor consultations, and post-hospitalization care. With a network of over 10,000 trusted healthcare providers across India, Niva Bupa ensures that policyholders have access to quality medical care when needed. Their commitment to customer satisfaction is evident through streamlined claim processes and wellness benefits, aiming to deliver peace of mind and financial security during medical emergencies.
In June 2024, Niva Bupa announced plans to raise $360 million through an initial public offering (IPO), potentially valuing the company at up to $2.5 billion.
This move underscores their growth trajectory and commitment to expanding their services in the Indian health insurance market.
Krishnan Ramachandran serves as the Managing Director and CEO of Niva Bupa Health Insurance Company Limited. With over 24 years of experience in the health insurance, healthcare, and life sciences industries, Mr. Ramachandran has previously held leadership positions at Apollo Munich Health Insurance Company Limited and Apollo DKV Insurance Company Ltd.