Niva Bupa Senior First Plan
Niva Bupa Health Insurance
6.4/10
OneAssure Rating
6.4/10
OneAssure Rating
Highlighted Features
Advanced Treatments
The Niva Bupa Senior First Gold plan covers advanced treatments like robotic surgeries, stem cell therapy, cyberknife, and proton therapy.
Room Rent (Normal & ICU)
This policy includes room rent coverage, offering a single private room for normal hospitalization and no cap on ICU stays.
Brochure
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Our Verdict
The Niva Bupa Senior First Health Insurance Plan offers extensive coverage for seniors aged 60+, with benefits like hospitalization, daycare treatments, and AYUSH. Add-ons enhance flexibility, but co-payment may be high. Ideal for senior citizens seeking comprehensive health protection.
About the Plan
The Niva Bupa Senior First Health Insurance Plan is tailored specifically for individuals aged 60 and above, offering comprehensive health coverage designed to address the unique medical needs of senior citizens. The plan provides high sum insured options, ensuring financial security during medical emergencies. Key features include coverage for hospitalization expenses, pre- and post-hospitalization care, daycare treatments, and alternative therapies like AYUSH. It also includes provisions for domiciliary treatment and ensures a hassle-free claim process with cashless treatment available across a vast network of hospitals. With wellness benefits and options for lifelong renewability, this plan empowers seniors with robust protection and peace of mind.
About the Plan
Product Stats
Rating
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
Including robotic surgeries, stem cell therapy (for specific conditions), and modern procedures like laser treatments and bariatric surgery.
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 in India.
Day Care Treatments
covered by the policy.
AYUSH Treatment
Covered under the policy.
Exclusions
Admissions primarily for diagnostics and evaluation purposes are excluded.
Expenses for enforced bed rest and custodial care are not covered.
Treatments for obesity, unless meeting specific medical criteria, are excluded.
Expenses for procedures to change body characteristics to those of the opposite sex are not covered.
Treatments aimed at altering appearance, unless medically necessary due to accident, burns, or cancer, are excluded.
Injuries resulting from participation in professional hazardous or adventure sports are not covered.
Exclusions
Safeguard Add-on - Provides inflation protection, covers non-payable hospital items, and ensures small claims do not impact the No Claim Bonus.
Co-payment Modification - Allows reduction of the default 50% co-payment to 40%, 30%, or 20% by paying an additional premium.
Annual Aggregate Deductible - Enables policyholders to bear a fixed amount of medical expenses yearly, waiving co-payment except for higher room categories.
Add-ons
Looking for a Specific Hospital ?
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We help you maximize your coverage over time for stronger protection.
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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