Affordable Health Plans, Trusted by Millions

Niva Bupa Health Insurance

Affordable Health Plans, Trusted by Millions

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Overview of Niva Bupa Health Insurance

Niva Bupa Health Insurance, formerly known as Max Bupa Health Insurance, has established itself as a trustworthy standalone health insurance partner in the Indian health insurance market. Their range of affordable and comprehensive healthcare policies is designed to meet the diverse needs of their consumers.

Niva Bupa Health Insurance is committed to ensuring that all Indias have access to quality healthcare by offering health insurance plans tailored to individual needs. With their innovative and extensive health policies, they have established as a prominent provider of health and medical insurance in the country.

Niva Bupa Health Insurance has a substantial customer base of over 14 million individuals and an outstanding claim settlement ratio of 92%, having settled claims amounting to 1,141 crores since its establishment in 2008. Setting it apart is its direct claim settlement process, which removes the requirements for third-party administrators (TPAs). Additionally, Niva Bupa health insurance offers critical illness coverage across an extensive international network of 190 countries.

Niva Bupa offers cashless treatment through its extensive network of 10,000+ hospitals across the country, making it incredibly convenient for individuals to access medical services. They have also integrated digital solutions into their processes to ensure efficiency, shorter turnaround times and an exceptional consumer experience.

Niva Bupa, a joint venture between Bupa Singapore Holdings and Fettle Tone LLP, aims to be India’s top health insurance company. With strong backing from a well-established British healthcare services company and an experienced private equity firm, Niva Bupa offers customer-centric features that make it an ideal choice in the Indian health insurance sector.                   

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Key Features of Niva Bupa Health Insurance Company

Niva Bupa offers a range of benefits, making it a popular choice for those seeking health insurance. Customers can enjoy peace of mind knowing they have comprehensive coverage for their healthcare needs.

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Niva Bupa Health Insurance Contact Details

For any assistance or query regarding Niva Bupa health insurance, kindly use the following channels to get in touch with Niva Bupa representatives.

Website: Niva Bupa Health Insurance

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Fax - +91 11 41743397
Toll-Free Number - 1860-500-8888
Office Address - 14th Floor, Capital Cyberscape, Sector 59, Gurgaon

Niva Bupa Health Insurance Add-On Riders

Niva Bupa Health Insurance riders provide extra coverage options for policyholders, allowing them to enhance their base policy by paying an additional premium. These riders from Niva Bupa Health Insurance Company Limited enable policyholders to increase their coverage level based on their individual needs. They can be purchased at the time of policy purchase or renewal.

Niva Bupa Health Insurance Inclusions

  • Inpatient hospitalization
  • Pre and post-hospitalization care
  • Daycare procedures
  • Ambulance charges
  • Covid-19 coverage

Niva Bupa Health Insurance Exclusions

  • Dental treatment that is not related to cancer or acute trauma
  • Purchase of items like glasses, hearing aids, artificial limbs, crutches, false teeth and veneers are not covered
  • Self-inflicted injuries are not covered by Niva Bupa health insurance
  • Excluded cosmetic surgeries, except for burn or injury treatments and cancer surgeries.

Niva Bupa Health Insurance Claim Process

Below is the Niva Bupa health insurance claims procedure for your convenience.
               

Cashless Claims

Step 01

Admit yourself at a Niva Bupa network hospital

Step 02

Use the Niva Bupa Health Card or provide the policy number at the hospital with ID proof

Step 03

The Network hospital will verify your identity and submit the pre-authorization request to the insurer

Step 04

The insurer validates, reviews and confirms the network hospital by fax and email. You will be notified by text message and email. Niva Bupa usually responds within 30 minutes of filing the claim request

Step 05

Finalize the insurance claim settlement with the hospital after completing the formalities

Reimbursement Claims

Step 01

Notify the insurer within 48 hours of admission in its network or non-network hospital. Pay the amount directly to the hospital.

Step 02

Get your documents after leaving the hospital for reimbursement

Step 03

Send the completed and signed claim form along with your valid ID proof and age proof to the insurer. The claim form can be found on Niva Bupa’s website or in your policy document

Step 04

The insurer will review the claim request upon receipt of your documents and either approve, query or reject it based on the policy terms and conditions

Step 05

The insurer will settle and reimburse the approved amount according to the policy terms


OPD ReimbursementsDiagnostic Center Reimbursements
  1. Access “My Account” and then select “Raise a Claim” under the OPD tab
     
  2. Search for the doctor by entering the details
     
  3. Click “Raise a Claim” from the search results against the doctor who provided OPD services
     
  4. Complete the health claim form with accurate bill and bank details, along with the required documents uploaded. Submit after completion
     
  5. The insurer will review the insurance claim and approve, send a query or reject based on the policy terms
  1. Have a valid copy of the diagnostic claim reimbursement
     
  2. Access “My Account” and select “Reimbursement Claim” in the annual health check-up tab
     
  3. Fill out the claim form with accurate bill and bank details and upload specified documents. Submit after completion
     
  4. The insurer will review your claim and then approve/send a query\reject it according to the policy terms

Documents Required to Buy Niva Bupa Health Insurance

  • Identification Proof
  • Address Proof
  • Age Proof
  • Income Proof
  • Medical Reports
  • Passport-size Photographs

Documents Required for Niva Bupa Health Insurance Reimbursement Claim Process

  • Completed and signed claim form
  • A discharge certificate from the hospital
  • Doctor's consultation notes and receipts
  • Hospital bills with proper stamps and signatures
  • Reports and diagnostics including X-ray films, blood tests, urine tests, etc.
  • Invoices for medications and any other relevant treatment documents.

Best Health Insurance Plans In India

When it comes to the best health insurance, there is no “one-size-fits-all” policy. It is like choosing a Netflix or OTT plan - different plans offer different benefits and have different costs. However, this age is designed to meet the diverse needs of most users, making it a versatile and comprehensive health insurance comparison page.

It is essential to conduct a thorough comparison to find the policy that best suits your needs. We have created a comprehensive table of how some of the top mediclaim policies in India compare to others in the industry.

Insurance Provider Plan Name Coverage Type Sum Insured Range Age Limit (Adults) Important Parameters
Care Advantage Health Insurance Plan Individual & Family Floater ₹2 Lakh - ₹6 Crore 18-65 years
  • Extensive network hospitals
  • Customizable coverage options
  • Wellness programs
Check Premium
ICICI Elevate Health Insurance Policy Individual & Family Floater ₹2 Lakh - ₹6 Crore 18-65 years
  • Extensive network hospitals
  • Customizable coverage options
  • Wellness programs
Check Premium
IFFCO Tokio Family Health Protector Policy Individual & Family Floater ₹2 Lakh - ₹6 Crore 18-65 years
  • Extensive network hospitals
  • Customizable coverage options
  • Wellness programs
Check Premium
Niva Bupa Aspire Policy Individual & Family Floater ₹2 Lakh - ₹6 Crore 18-65 years
  • Extensive network hospitals
  • Customizable coverage options
  • Wellness programs
Check Premium
Arogya Supreme Policy Individual & Family Floater ₹2 Lakh - ₹6 Crore 18-65 years
  • Extensive network hospitals
  • Customizable coverage options
  • Wellness programs
Check Premium
TATA AIG Medicare Lite Policy Individual & Family Floater ₹2 Lakh - ₹6 Crore 18-65 years
  • Extensive network hospitals
  • Customizable coverage options
  • Wellness programs
Check Premium

Frequently Asked Questions (FAQs)

A.

Niva Bupa provides health insurance plans with the cheapest premiums starting from 1,469 rupees per year. The final cost is determined by factors such as age, sum insured, plan type and optional add-ons. 

A.

Niva Bupa has a high claim settlement ratio of 92% and has successfully settled claims totalling 1,141 crore rupees since its inception. The company also prides itself on setting 9 out of 10 cashless claims within just 30 minutes. 

A.

Niva Bupa provides a range of health insurance plans catering to individuals across all age groups, from infants to senior citizens. The SeniorFirst plan is tailored specifically for seniors, offering comprehensive coverage and benefits to meet their unique healthcare needs. Each plan may have specific age limits and features, ensuring that individuals of different ages can find suitable coverage with Niva Bupa.

A.

Niva Bupa's 30-minute cashless claim settlement process is convenient for policyholders, who can easily access cashless treatment by presenting their health card at any of the network's 8,500 hospitals. This streamlined process ensures that policyholders can receive the necessary medical care without worrying about upfront payment and reimbursement procedures.

A.

To get a Niva Bupa health insurance policy, follow these steps:

  1. Visit the Niva Bupa website and click on the "Buy Now" button for your preferred plan
  2. Fill in the application form with personal details and select the desired sum insured and policy term
  3. Answer a few health and lifestyle questions
  4. Make the payment through net banking, UPI, debit or credit card
  5. Your policy document will be available for download instantly

A.

Niva Bupa Health Insurance Company Limited is a joint venture between True North private equity firm and Bupa, a global healthcare services company. It is an expansion of the previous joint venture between Max India and Bupa, which ended in 2020. Compared to Max Bupa, Niva Bupa has a larger network of over 34,000 agents and 8,500+ network hospitals.

A.

Key benefits of Niva Bupa health insurance plans include:

  • Cashless treatment at 8,500+ network hospitals
  • Coverage for pre-existing conditions after a waiting period
  • Coverage for pre and post-hospitalization expenses
  • Coverage for daycare procedures
  • No room rent sub-limits in some plans
  • Maternity and newborn cover in select plans
  • International coverage in some plans
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