Claim Settlement Ratio 96%
Claim Settlement Facility 100%
Network Hospitals 4500
COVID-19 Cover Yes
Incurred Claim Ratio 50.19%
Niva Bupa health insurance company was previously known as Max Bupa health insurance company limited. It was started as a joint venture between Max India Limited and Bupa, the UK based international healthcare group. Max Bupa has been a joint venture between Bupa and private equity firm True North when Max India sold its entire stake to True North in the year 2019. The company was then renamed to Niva Bupa health insurance.Readmore..
The plan is available in different sum insured options with a minimum sum insured of ₹3 lakhs and a maximum sum insured of ₹1 Crore in three variants. Hospital cash can be availed up to ₹4000 per day in case of hospitalization. No claim bonus of up to 20% extra sum insured can be availed for every claim free year subject to a maximum of 100%.
Niva bupa health insurance offers OPD consultations up to 10 times during the policy period. The request for OD consultation can be raised through the mobile application or website and the facility can be availed either through cashless or reimbursement mode. The number of consultations will be applicable for all the insured persons on a cumulative basis for the policy year. Any unutilized consultations cannot be carried forward to the next policy year.
Niva health insurance claim form can be downloaded from the website of the company or can be downloaded from here.
Niva Bupa health insurance has an in-house claim settlement team which takes care of all the claim related activities. The role of TPA is played by the in-house claim settlement team and the time taken to settle the claim and the quality of claim settlement can also be improved with an in-house claim settlement team.