Niva Bupa Heartbeat Gold Plan
Niva Bupa Health Insurance
8.0/10
OneAssure Rating
8.0/10
OneAssure Rating
Highlighted Features
Room Rent and ICU limit
Niva bupa heart beat gold 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 Heartbeat offers high sum insured options, maternity cover, and international treatment benefits. Ideal for families and individuals seeking extensive coverage, though premiums may be high, and some add-ons have coverage limits.
About the Plan
Niva Bupa's Heartbeat Health Insurance Plan is a comprehensive policy offering extensive coverage for individuals and families. It provides a range of sum insured options, from ₹5 lakh to ₹1 crore, catering to diverse healthcare needs. Key benefits include coverage for in-patient hospitalization, pre- and post-hospitalization expenses, and 536 listed day care procedures. The plan also offers maternity and newborn coverage, health check-ups, and international coverage for specified illnesses and emergencies.
About the Plan
Product Stats
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Features of the Product
Room Rent (Normal & ICU)
Normal: single A/C private room
ICU: no limit, expenses incurred would be covered by the policy.
Advanced Treatments
Uterine Artery Embolization and HIFU (High intensity focused ultrasound)
Balloon Sinuplasty
Deep Brain stimulation
Oral chemotherapy
Immunotherapy- Monoclonal Antibody to be given as injection
Intra vitreal injections
Robotic surgeries and many more.
Co-payment
This does not apply if the insured is 60 years of age or below. However, this condition will not be applicable if you were aged 45 years or below at the time of buying this policy for the first time and have renewed it continuously after that.
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.
Cashless Healthcare Providers
10675+ network hospitals in India.
Day Care Treatments
Covered under the policy.
AYUSH Treatment
Covered under the policy.
Exclusions
Pre-existing diseases are subject to a 24-month waiting period.
Ancillary hospital charges are not covered.
Hazardous activities leading to injury or illness are excluded.
Artificial life maintenance expenses are not covered.
Autoimmune disorders are excluded.
Behavioral, neurodevelopmental, and neurodegenerative disorders are not covered.
Exclusions
Hospital Cash - Receive a fixed daily cash benefit during hospitalization to cover incidental expenses. For the Gold plan, this amount is Rs. 3,000 per day.
Personal Accident Cover - Provides a lump sum payment in case of accidental death or permanent total disability. The coverage amount is up to 5 times the base sum insured, subject to a maximum of Rs. 50 lakh.
Critical Illness Cover - Offers a lump sum benefit upon diagnosis of specified critical illnesses such as cancer, heart attack, or stroke. The coverage amount is equal to the base sum insured, up to a maximum of Rs. 10 lakh.
E-Consultation - Allows unlimited telephonic or online consultations with medical practitioners, providing convenient access to medical advice.
Premium Waiver - Waives the premium for one policy year if the policyholder (who is also an insured person) passes away or is diagnosed with a specified illness during the policy period. This benefit is available once during the lifetime of the policy.
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.
About the Company
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