Niva Bupa Senior First Platinum Plan
Niva Bupa Health Insurance
5.6/10
OneAssure Rating
5.6/10
OneAssure Rating
Highlighted Features
Room Rent and ICU Limit
Covers a single private room with no rent cap; ICU charges up to sum insured. Higher room categories require a 10% co-payment, ensuring flexibility and financial security.
Advanced Treatments
Covers robotic surgeries, stem cell therapy (specific conditions), oral chemotherapy, proton beam therapy, deep brain stimulation, and immunotherapy, providing senior citizens access to cutting-edge medical treatments for better recovery.
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Our Verdict
The Niva Bupa Senior First Health Insurance Plan offers comprehensive coverage for seniors, including hospitalization, AYUSH treatments, and wellness benefits. Ideal for seniors seeking robust health protection, it provides flexible co-payment and deductible options.
About the Plan
The Niva Bupa Senior First Health Insurance Plan is specially designed to meet the healthcare needs of individuals aged 60 and above, offering comprehensive coverage for senior citizens. The plan covers hospitalization expenses, pre- and post-hospitalization care, daycare treatments, and even alternative treatments like AYUSH. It also offers features like annual health check-ups and coverage for modern medical procedures. With high sum insured options and cashless treatment available at a wide network of hospitals, this plan provides financial security and easy access to quality healthcare. Additionally, it offers benefits like free medical check-ups and no upper age limit for renewal, making it a valuable choice for seniors seeking robust health protection.
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
Advanced treatments like HIFU, Deep Brain Stimulation, Robotic Surgeries, Immunotherapy, and Stem Cell Therapy enhance care. Minimally invasive options, including Prostate Vaporization and Bronchial Thermoplasty, improve outcomes with precision and safety.
Co-payment
The Niva Bupa Senior First Platinum plan offers flexibility in co-payment options, allowing policyholders to choose from 0%, 20%, 30%, 40%, or 50% at the time of policy inception. This selection determines the portion of admissible medical expenses the insured will bear during a claim.
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 conditions are not covered until 24 months of continuous coverage have elapsed since the policy's inception.
A 30-day initial waiting period applies, during which no claims are admissible, except for those arising from accidents.
Specific treatments, such as cataract, hernia, and spinal disorders, have a 12-month waiting period.
Mental disorder treatments and LASER surgery coverage have a 36-month waiting period.
HIV/AIDS coverage is subject to a 36-month waiting period.
Exclusions
Safeguard Add-on - This optional benefit covers non-payable items such as gloves and masks, ensuring a more comprehensive cashless treatment experience.
Modification in Co-payment - The default co-payment is 50%, but you can opt to reduce it to 40%, 30%, or 20% by paying an additional premium.
Annual Aggregate Deductible - By choosing a deductible (ranging from ₹1 lakh to ₹5 lakh, which is 1/5th of the base sum insured), you can eliminate the co-payment requirement. Once the deductible amount is exceeded in a policy year, the insurer covers the remaining eligible expenses.
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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