Niva Bupa (erstwhile Max Bupa)
Health Insurance
Niva Bupa (erstwhile Max Bupa)
Founded in 2008, Niva Bupa (erstwhile Max Bupa) is one of the leading health insurance companies in India. It offers a wide range of insurance policies with sum insured upto 3 Cr. It also has premium policies that offer international coverage for some critical illness like cancer, CABG etc. Some of the policies offer unlimited restoration of sum insured and health checkups right from Day 1.
Niva Bupa (Max Bupa) Health insurance plans
GoActive
GoActive is a decent policy with one other major selling point. It offers cover for outpatient consultations subject to certain conditions. And while you could find other policies with better features selling at a better price point, you could give it a go if you make frequent visits to a health clinic.
HeartBeat Gold
Heartbeat Gold is a great policy. It offers comprehensive protection. Its coverage is more than adequate. It doesn't have outrageous conditions. The only catch is that its much more expensive than other policies in its class.
Health Premia Platinum
Health Premia Platinum policy is for the Ultra rich. No, seriously. It offers a gigantic cover ranging from 1 Crore to 3 Crore. It pays for regular outpatient consultations when you visit the doctor (up to 50,000). And it does things no other policy does. It truly is one of a kind.
Health Recharge Super Top-up
A Super Top Up plan that does what you expect most super top plans to do. It covers most bases, allows you to top up your cover by 95 lakhs and it is one of the most economical options out there.
Health Pulse Enhanced
Health Pulse Enhanced is a good policy. It doesn't have too many outrageous conditions and it offers a few extra benefits. However, they will make you wait 4 years before they start covering pre-existing diseases (like diabetes). So you might want to consider other alternatives.
Health Premia Gold
Health Premia Gold covers most bases. If offers comprehensive protection. Its coverage is more than adequate. And if you travel internationally often, then they'll even cover you abroad. Also, you can avail international treatments for certain critical illnesses like Cancer. The only catch is that this policy is much more expensive than other policies in its class.
Senior First Gold
Niva Bupa Senior First Gold is an exclusive plan built for senior citizens (those above 60 and under 75) and as such, this is targeted at people who may not have the option to buy a health plan due to pre-existing conditions. The upside is that you may qualify for this plan when you may not qualify anywhere else. The downside is that like most senior citizen plans, they come with restrictions on room rent allocation, sub-limits on a few diseases and lack of bonus or restoration benefits. There's also the fact that Niva Bupa's complaints volume has been a bit of concern for prospective buyers.
Aspire Diamond +
Aspire Diamond+ is a feature rich variant within Niva Bupa's Aspire stable. The plan extends features like Age Lock, a new updated bonus structure, maternity benefits with a 2-year waiting and other new-age add-ons like Fast Forward, Future Protect, and Cashbag features (as described below). But that's not all, the plan is available at a reasonable price too. Unfortunately, this aggressive pricing means that Niva Bupa has the tough task of paying out ever larger claims while also managing to keep prices low. Can they do it? We don't know.
Aspire Platinum +
Aspire Platinum+ is an extremely feature rich variant within Niva Bupa's Aspire stable. It's very similar to Diamond+ in that it has some very cool features like age lock, Fast Forward, Future Protect, and Cashbag (as described below). But the big difference is that it extends maternity benefits with a waiting period of just 9 months as opposed to 24 months in Diamond+. Also the plan is fairly affordable. Which begs the question - Will the aggressive pricing mean that Niva Bupa has the tough task of paying out ever larger claims while also managing to keep prices low. Can they do it? We don't know.
ReAssure
On the face of it, ReAssure is the best policy in its class. Its economical. It covers most bases. It doesn't have outrageous conditions. And it offers a whole host of benefits including unlimited restoration. Meaning every time you're hospitalized they'll restore the cover amount in full. Unfortunately, the aggressive pricing means that Niva Bupa has the tough task of paying out ever larger claims while also managing to keep prices low. Can they do it? We don't know.
Health Companion
Health companion is one of Niva Bupa (Max Bupa)'s most popular product. And for good reason. It covers most bases. It's economical. It doesn't have any unsavoury conditions. And it offers a whole host of benefits that are particularly useful. The only downside - Niva Bupa (Max Bupa) might just have a better product now and its called ReAssure. You might want to check that out.
HeartBeat Platinum
Heartbeat Platinum is a great policy. If offers comprehensive protection. Its coverage is more than adequate. It pays for regular outpatient consultations when you visit the doctor (up to a certain limit). And you can avail international treatment for certain critical illnesses like cancer. The only catch is that this policy is much more expensive than other policies in its class.
ReAssure 2.0 Titanium+
Much like ReAssure, ReAssure 2.0 Titanium+ seems like it is the best policy in its class. Its economical. It covers most bases. It doesn't have outrageous conditions. And it offers a whole host of benefits including forever restoration (as described below), the best bonus cover package (among all ReAssure plans) and age-lock feature (as described below once again). Unfortunately, the aggressive pricing means that Niva Bupa has the tough task of paying out ever larger claims while also managing to keep prices low. Can they do it? We don't know.
Health Pulse Classic
Health Pulse Classic is a decent policy and it's fairly economical. However, they will make you wait 4 years before they start covering pre-existing diseases (like diabetes). So do read the full draft below.
Health Premia Silver
Health Premia Silver is a great policy. If offers comprehensive protection. Its coverage is adequate for most use cases. And if you are looking to cover maternity this can be an option. The only catch is that this policy is pretty expensive compared to other policies in its class.
ReAssure 2.0 Platinum+
Much like ReAssure, ReAssure 2.0 Platinum+ seems like it is the best policy in its class. Its economical. It covers most bases. It doesn't have outrageous conditions. And it offers a whole host of benefits including forever restoration (as described below), a better bonus cover package and age-lock feature (as described below once again). Unfortunately, the aggressive pricing means that Niva Bupa has the tough task of paying out ever larger claims while also managing to keep prices low. Can they do it? We don't know.
Aspire Gold +
Aspire Gold+ is the most basic variant with Niva Bupa's Aspire lineup. Although it has a new-age maternity benefit, and an updated bonus feature, it also has its fair share of restrictions including limiting you to a single private room during hospitalization, a waiting period for pre-existing diseases that spans up to 4 years, and a maternity benefit that also comes with waiting periods of upto 4 years. We wouldn't recommend buying this plan unless you're really looking for a budget option.
Aspire Titanium+
Aspire Titanium+ is the most premium variant within Niva Bupa's Aspire stable. It's has some very cool features like age lock, Fast Forward, Future Protect, and Cashbag (as described below). And some of these benefits are slightly more comprehensive than Platinum+. The only problem here is that the aggressive pricing will mean that Niva Bupa has the tough task of paying out ever larger claims while also managing to keep prices low. Can they do it? We don't know.
Senior First Platinum
Niva Bupa Senior First Platinum is an exclusive plan built for senior citizens (those above 60 and under 75) and and it's slightly more robust than the Gold variant. The upside is that you may qualify for this plan when you may not qualify anywhere else. The downside is that like most senior citizen plans, they come with restrictions on room rent allocation, and sub-limits on a few surgeries. There's also the fact that Niva Bupa's complaints volume has been a bit of concern for prospective buyers.
ReAssure 2.0 Bronze+
Much like ReAssure, ReAssure 2.0 Bronze+ seems like it is the best policy in its class. Its economical. It covers most bases. It doesn't have outrageous conditions. And it offers a whole host of benefits including forever restoration (as described below). Unfortunately, the aggressive pricing means that Niva Bupa has the tough task of paying out ever larger claims while also managing to keep prices low. Can they do it? We don't know.
Niva Bupa (Max Bupa) Health insurance claim process
Niva Bupa (Max Bupa) claims can be of different types based on the hospital in which you are getting the treatment. If it’s part of Niva Bupa (Max Bupa)'s network hospitals, you can get a “Cashless claim” in which insurance company directly pays the bills to the hospital. But if your choice of hospital is not part of their network, then you have to pay the bills and apply for reimbursement claim. Here’s a brief process for both types of claims:
Cashless Claims
Inform the Hospital Desk
All network hospitals have an insurance desk. You can submit your policy copy (even soft copy works), ID proof, initial diagnosis report and the insurance desk will request the insurance company for “pre-authorization”. In case of planned treatments, you need to do this process 2 days before hospitalization
Insurer’s decision
Based on the provided documents, insurance company approve the claim and the hospital will start the treatment and they will co-ordinate with insurer for the treatment costs. In case of Cashless claim rejection, you can still go ahead with the treatment. In this case, you will need to pay the bills initially and can file for a reimbursement claim later
Discharge
If your cashless claim is approved, at the time of discharge, the insurance company will do the final settlement with the hospital and once that is sorted, you are good to go.
Reimbursement Claims
Inform the insurance company
For any planned treatments, you need to inform the insurance company 2 days before hospitalisation. In case of emergency, you can inform within 24 hours of admission. Insurance company will acknowledge the intimation.
Hospitalization
You need to submit a insurance claim form along with original copies of hospital bills, doctor consultation reports, and diagonstic reports.
File the claim
Within 30 days post discharge, you can initiate the claim online or at any of the registered offices of the insurance company. You need to fill a claim form and attach all the reports and bills.
Insurer’s decision
Based on the claim form and submitted documents, insurance company will settle the claims as per policy terms and conditions.
Niva Bupa (Max Bupa) Health Insurance Renewal
Firstly, if you’ve purchased the policy online, you’ll always receive an intimation e-mail from the insurer around 30 days before the renewal date. The e-mail will have a renewal link that will directly take you to the page where you can make the payment and check policy details. And it’s done. You’ll receive the policy document via e-mail.
However, in case you choose to do it on your own, here’s what you need to do:
Visit the website
Visit the Niva Bupa (Max Bupa) website and then go to the Renewal section here.
Enter details
You’d be asked to provide your current policy number which you can find in the policy soft copy. You may as well be asked to enter your mobile number, email ID, Date of Birth or policy expiry date.
Review and edit the policy details
Next, you’ll be able to see details of your new policy and the renewal premium you need to pay. Also, you’ll be given the option to make some changes related to sum insured, existing covered members, etc.
Complete the payment and it’s done
Once you confirm the details, you’ll be directed to the payment gateway. Once the payment is complete, you’ll receive your new policy soft copy via e-mail.
Few things to consider when renewing your Niva Bupa (Max Bupa) health insurance policy
- If you want to increase your Sum Insured, now is the time. You can’t do it anytime during the year.
- If you didn’t make a claim in the past year, make sure you have been given a no-claim bonus if your policy offers it.
- If you want to add members like your spouse or kids, you have the option to do so only at the time of renewal. So do give this a thought.
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