Niva Bupa ReAssure 2.0 (Bronze+)

Niva Bupa ReAssure 2.0 (Bronze) is a health insurance policy offered by Niva Bupa Health Insurance Company Limited. 

You'll be delighted to discover that Niva Bupa - ReAssure 2.0 (Bronze+) plan offers a range of appealing features and benefits that can be tailored to your specific needs. Not only that, it is also incredibly affordable. One standout feature is the ability to carry forward any unused base sum insured to the following policy year, up to three times the base sum insured. Furthermore, once you make your first claim, you'll enjoy an unlimited sum insured for the entire duration of the policy. Along with covering hospitalisation expenses, the policy also includes non-medical items such as gloves and oxygen masks. 

However, it is worth noting that the plan does not offer the flexibility of monthly premium payments, which may be a disadvantage for some individuals. In addition to this, our research also indicates that the insurer has received a higher number of complaints regarding claim settlements and policy purchases in the past. This suggests that the insurer has a less than satisfactory track record in both these areas.

What are the benefits offered by the Niva Bupa - ReAssure 2.0 (Bronze+)?

• Inpatient hospitalisation coverage: The Niva Bupa - ReAssure 2.0 (Bronze+) plan covers your inpatient hospital expenses, including costs for stays longer than 24 hours. In other words, the plan takes care of your hospital room, nursing care, consultations, prescription medications, ICU charges, and any other relevant expenses. Please note, expenses related to the automation machine for peritoneal dialysis will not be covered if you require hospitalisation for inpatient or day care treatments.
• Pre-hospitalisation coverage: Before you are admitted to the hospital, you may encounter certain medical expenses. These expenses, referred to as pre-hospitalisation charges, include costs for consultations, laboratory tests, checkups, and medical reports, among other services. It's crucial to remember that the insurance company will only reimburse your expenses if they are directly related to the medical condition that resulted in your hospitalisation and if the claim is approved as part of your inpatient hospitalisation expenses. With the Niva Bupa - ReAssure 2.0 (Bronze+) plan, you can have peace of mind knowing that your pre-hospitalisation expenses will be covered for up to 60 days before your hospitalisation, up to the sum insured.
• Post-hospitalisation coverage: Once you are discharged from the hospital, you may encounter certain medical costs known as post-hospitalisation expenses. These expenses usually encompass consultation fees, check-up charges, medical test costs, and other related fees. It is crucial to bear in mind that in order for these expenses to be covered, they must be directly associated with your hospital stay and approved as part of your inpatient hospitalisation coverage. With the Niva Bupa - ReAssure 2.0 (Bronze+) plan, you can enjoy the benefits of comprehensive coverage for post-hospitalisation expenses up to the sum insured for a period of 180 days following your hospital discharge.
• Daycare treatment coverage: With our Niva Bupa - ReAssure 2.0 (Bronze+) plan, you can enjoy comprehensive coverage for all your daycare treatments without any limit up to the sum insured. This means that you can have medical procedures or surgeries that used to require an extended hospital stay completed within 24 hours, thanks to advancements in medical technology.
• Domiciliary treatment coverage: You may be familiar with domiciliary treatments, which are medical treatments for illnesses or injuries that require immediate attention in a hospital. However, in certain cases where the patient's illness or injury is severe, it may not be safe to transport them to a hospital. In such situations, domiciliary treatments allow for these necessary medical interventions to be administered at home. This coverage is particularly beneficial when there are no hospital beds available nearby for the patient as well. With the Niva Bupa - ReAssure 2.0 (Bronze+) plan, all expenses related to domiciliary treatments are fully covered up to the sum insured. Peritoneal dialysis and chemotherapy administered at home are both covered under the Domiciliary Treatment Cover. Please note, that coverage will be ensured if a daily monitoring chart is maintained, which includes records of the treatment administered and is duly signed by the treating doctor. Also, any medical and ambulatory devices used at home, such as pulse oximeters, blood pressure monitors, glucose monitors, peritoneal dialysis automation devices, CPAP and BiPAP machines, crutches, wheelchairs, and others, will not be eligible for coverage. Please note, that expenses related to the automation machine for peritoneal dialysis will not be covered if you require hospitalisation for inpatient or day care treatments.
• Organ donor coverage: With the Niva Bupa - ReAssure 2.0 (Bronze+) plan , your organ donor expenses are covered. This comprehensive coverage takes care of all the inpatient costs associated with harvesting the organ, up to the sum insured, when you are the recipient. Additionally, should you choose to donate any of your organs, all expenses related to the organ harvesting process will be fully covered.
• Modern treatment coverage: With the continuous progress of medical technology, you can now benefit from groundbreaking treatments that were previously unimaginable. Innovative procedures such as stem cell therapy and radio surgeries are specifically crafted to address conditions that were once deemed untreatable. The Niva Bupa - ReAssure 2.0 (Bronze+) plan is meticulously designed to keep pace with these advancements, providing coverage for the expenses linked to these modern treatments up to the sum insured, with the only exception of robotic surgeries. Please note, there is a maximum limit of Rs. 1 Lakh for robotic surgeries, with the exception of robotic total radical prostatectomy, robotic cardiac surgeries, robotic partial nephrectomy, and robotic surgeries for malignancies.
• Non-medical expenses coverage: Non-medical expenses encompass consumables such as gloves, nebulization kits, oxygen masks, and other vital items required for your treatment. With the Niva Bupa - ReAssure 2.0 (Bronze+) plan, these non-medical expenses will be covered up to the sum insured, but only if you opt for this benefit as an add-on.
• No claim bonus: If you refrain from making any claims throughout the duration of your policy, the insurance company will graciously grant you a no claim bonus. With the Niva Bupa - ReAssure 2.0 (Bronze+) plan, you have the opportunity to receive a bonus equivalent to 100% of your sum insured, with a maximum limit of 300%. Even if you happen to make a claim during the policy year, rest assured that your bonus will remain unaffected.
• Super no claim bonus: The super no claim bonus is an upgraded edition of the no claim bonus, functioning in a similar manner. Unfortunately, the Niva Bupa - ReAssure 2.0 (Bronze+) plan does not include this feature.
• Restoration benefit: The restoration benefit is specifically designed to replenish your sum insured in the event that you fully utilise it within a policy year. By selecting the Niva Bupa - ReAssure 2.0 (Bronze+) plan, you can take full advantage of this benefit for both related and unrelated illnesses, as well as any associated complications. This valuable feature comes into effect once you have partially utilised both your sum insured and no claim bonus. The best part is that you can make use of this benefit multiple times throughout the policy year, beginning from the very first claim. Please note, once the restoration benefit is activated following the first-ever paid claim, it remains in effect indefinitely. As a result, there is no need for another initial claim to reactivate this benefit during renewals.

Please remember that the limitations and conditions mentioned in the benefits above apply to a sum insured of Rs. 10 lakhs. 

Niva Bupa - ReAssure 2.0 (Bronze+): Financial Limits

• Room rent limit: The room rent limit represents the highest amount that your insurance provider will reimburse for your hospital room costs. By selecting a room within this limit, you can avoid any additional charges. However, if you opt for a more expensive room, you will be accountable for a proportionate share of the overall hospital bill, not solely the difference in room rent. With the Niva Bupa - ReAssure 2.0 (Bronze+) plan, you have the flexibility to choose any room without any limitations.
• ICU rent limit: With the Niva Bupa - ReAssure 2.0 (Bronze+) plan, there are no restrictions on your ICU accommodation. This ensures that your plan will fully cover the expenses of your stay in the intensive care unit, up to the sum insured. 
• Copayment: With the Niva Bupa - ReAssure 2.0 (Bronze+) plan, you can have peace of mind knowing that copayments are not a concern. Typically, a copayment requires you to contribute a portion of the approved claim amount from your own pocket. However, with this plan, once you've made your payment, the insurer will take care of the remaining expenses without any extra cost to you.
• Deductible: The deductible is the initial amount that you must pay before your insurance company begins to cover your medical expenses. With the Niva Bupa - ReAssure 2.0 (Bronze+) plan, as an option, you have the deductible limit available at Rs 20K, 30K, 50K, or 100K.
• Limits on surgeries/treatments: When considering your health insurance policy, it is vital to comprehend the restrictions on surgeries and treatments. These limitations indicate the maximum coverage amount that your policy will provide for specific medical procedures or treatments. Certain plans have pre-established limits on the coverage amount for certain procedures, while others do not. With the Niva Bupa - ReAssure 2.0 (Bronze+) plan, you can have peace of mind knowing that cataract treatment and joint replacement surgeries are fully covered up to the sum insured.

Please note that the above financial limits are taken for a 30-year-old individual opting for a sum insured of Rs. 10 Lakhs.

Niva Bupa - ReAssure 2.0 (Bronze+): Waiting Periods & Exclusions

👉Waiting period

A waiting period refers to a specific time frame during which certain illnesses and medical conditions are not immediately covered by your health insurance policy. It is crucial to understand that claims for these particular conditions can only be made once the waiting period has elapsed. Here are various types of waiting periods that you should be mindful of:

• Initial waiting period: There is a brief waiting period for all medical conditions, excluding accidents, which lasts for the first 30 days from the date of policy purchase. It's important to be aware that during this period, you will not be able to make a claim for any hospitalisation unless it is due to an accident.
• Waiting period for pre-existing conditions: If you have encountered any medical conditions or illnesses in the 36 months leading up to your health insurance application, they are considered as pre-existing diseases. With the Niva Bupa - ReAssure 2.0 (Bronze+) plan there is a waiting period of 48 months. During this waiting period, you will not be able to make claims for expenses related to your pre-existing disease.
• Waiting period for specific diseases: In addition to any pre-existing conditions you may have, insurers also have a list of specific medical conditions or illnesses that require waiting periods. These waiting periods apply regardless of whether you have had those diseases before or not, and they are determined by the insurer rather than your current health status. For the Niva Bupa - ReAssure 2.0 (Bronze+) plan, there is a waiting period of 24 months for specified illnesses.

👉Exclusions

Health insurance policies have certain exclusions, which refer to situations or medical conditions that are not covered. Some of the exclusions are as follows -

• Standard Permanent Exclusions: All insurance providers are required to adhere to the ‘standard permanent exclusions’ established by IRDAI. These include -

1. Investigation and evaluation: Hospital admission for observation or monitoring.
2. Rest, rehabilitation, and respite care: Admission to a facility for bed rest without active treatment. 
3. Obesity/weight control: Treatment or surgery related to weight control or obesity.
4. Gender reassignment: Treatments aimed at altering the body’s characteristics to match the opposite sex. 
5. Plastic/Cosmetic surgery: Treatment or surgery intended to modify body characteristics or appearance.
6. Profession in hazardous or adventure sports: Treatment expenses resulting from participating in adventurous activities such as river rafting, mountaineering, scuba diving, etc. as a professional.  
7. Breach of law: Expenses incurred in treating a person who has committed or attempted to commit a criminal act.
8. Excluded providers: Treatment received from medical practitioners or hospitals excluded by the insurance company.
9. Narcotics: Treating addiction to substances such as alcohol, drugs, etc.
10. Treatments in establishments arranged for domestic purposes: Expenses incurred due to the treatment received in health spas, nursing homes, or similar establishments arranged entirely or partially for domestic reasons. 
11. Dietary supplements, substances purchased without subscription: Vitamins, minerals, etc., that a medical practitioner does not prescribe.
12. Refractive error: Expenses associated with correcting refractive errors of up to 7.5 diopters to improve eyesight.
13. Unproven treatments: Surgeries, medical procedures, or treatments that are not proven to be effective.
14. Expenses related to birth control, sterility, and infertility: Contraception, sterilisation, artificial insemination, advanced reproductive technologies such as IVF, ZIFT, GIFT, ICSI, gestational surrogacy, etc. 
15. Maternity expenses: Pre/post-natal costs, childbirth-related hospitalisation expenses, etc.  

• Additional permanent exclusions: Furthermore, insurance companies have the discretion to impose extra exclusions for particular illnesses and situations, in addition to the permanent exclusions required by the IRDAI. If an illness is deemed to be high-risk, insurers may opt to permanently exclude it from coverage. It is worth mentioning that insurers can only apply permanent exclusions for diseases that are included on the pre-approved list of illnesses established by the IRDAI.
• Non-standard exclusions (Specific exclusions): The Niva Bupa - ReAssure 2.0 (Bronze+) plan has some additional exclusions other than the standard exclusions set by the IRDAI. Please note that these exclusions may vary among insurance providers and are determined by the specific terms and conditions of the plan. Listed below are some specific exclusions that are applicable to this plan -

1. Injury or illness resulting from terrorism, nuclear incidents, radiological emissions, war, or rebellion.
2. Expenditures for screening, counselling, or treatment of external birth defects.
3. Dental treatment coverage other than caused by cancer or accidents.
4. Ventilator usage for patients in a vegetative state (brain dead) with no possibility of recovery.

What to expect in terms of claims experience if you buy from Niva Bupa Health Insurance Company Limited?

• Speed of claims: Niva Bupa Health Insurance Company Limited has settled  99.95% of its claims within 30 days.  This assures you of a smooth and timely claim settlement experience. 
• Claim-related complaints: As per our research, we found that Niva Bupa Health Insurance Company Limited has a complaint rate of  0.49% for claims in comparison to other insurance providers. This indicates that their claim settlement process is average.
• Claims incurred ratio: The claims incurred ratio is a measure of an insurer's financial performance. It shows the total claims paid out in relation to the premiums received in a specific fiscal year. Niva Bupa Health Insurance Company Limited has a claims incurred ratio of 65.44%.
• Claim settlement ratio: Niva Bupa Health Insurance Company Limited's claim settlement ratio stands at 85.18%. This figure reflects the proportion of total claims received to those successfully settled by the company in a specific fiscal year.
• Network hospitals: Niva Bupa Health Insurance Company Limited provides access to an extensive network of 10,000+ hospitals. This broad network allows customers to receive cashless treatment without any financial worry.

How is the customer service of Niva Bupa Health Insurance Company Limited?

• Policy purchase-related complaints: Based on our research, Niva Bupa Health Insurance Company Limited has received 0.01% of complaints related to its after-sales service, which is significantly lower than other insurance companies. 
• Response on Toll-Free: Our research suggests that Niva Bupa Health Insurance Company Limited’s response time on their toll-free is average, as compared to other insurers. 
• Response on Twitter: As per our research, Niva Bupa Health Insurance Company Limited has a slow response time on Twitter, as compared to others.

About Niva Bupa Health Insurance Company Limited

Niva Bupa Health Insurance Company Limited (previously known as Max Bupa Health Insurance Company Limited) is a joint venture between Fettle Tone LLP and Bupa Singapore Holdings Pte. Limited. Our company is dedicated to providing a wide range of health insurance products tailored to suit your specific requirements. Whether you are in need of individual health plans, family floaters, top-up policies, or other options, Niva Bupa is here to cater to your needs.Niva Bupa Health Insurance Company Limited was established in 2008 and is based in New Delhi, India. Mr. Ashish Mehrotra, serving as the CEO and MD, leads the company with expertise and dedication.