Niva Bupa Aspire Titanium+
Overview
Niva Bupa’s (formerly known as Max Bupa) latest offering, Aspire, is a feature-rich plan available in multiple variants. Niva Bupa Aspire Titanium+ is the most premium variant in the Aspire lineup. It offers age lock, unlimited restoration, bonus up to 10 times of base cover, maternity benefit after a short waiting period of 9 months and much more. You also have multiple add-ons to customise your cover. The plan is fairly priced.
The rich and innovative features in the plan may pose challenges for the insurer to service effectively in the future. Also, aggressive pricing can push the insurer to keep the cost of claims tightly under control. Niva Bupa already faces a lot of service and claim-related issues that reflect in its high volume of claim complaints. Will the insurer be able to resolve service issues and be a customer champion? Only time will tell.
Pros and Cons
- Lock the Clock+ – The premiums you pay at renewals get locked as per your entry age.
- 2+ hour hospitalisation – Covers all hospitalisation expenses if you are hospitalised for 2 hours or more. Includes all day care treatment too.
- Modern treatments – Listed modern treatments are covered up to the sum insured.
- Booster+ accumulates unutilised sum insured up to 10X.
- Maternity coverage with a waiting period of 9 months.
- Disease Management Rider – Get day 1 coverage on diabetes and hypertension with this add-on.
- Get treatment anywhere in the world with Borderless add-on.
- OPD benefits are available with an add-on.
- The plan is fairly priced.
- Room rent limit – Room category coverage limited to standard single room. If you pick a higher category room, a 15% copay on the claim applies.
- Higher waiting period on PEDs of 36 months.
- Benefits like Safeguard+ (covers non-medical items) come at extra cost.
- High Complaint Volumes – Niva Bupa faces a high volume of claim-related complaints indicating operational challenges faced by the company.
Plan Benefits
Pay premiums as per entry age till 1st claim
The plan offers Lock the Clock feature, which locks your age at entry until you make your first claim under the policy. Until then, there is no age-related increase in the premium at each renewal.
2+ hour hospitalisation covered
The plan covers in-patient hospitalisation expenses if you are hospitalised for 2 hours or more. A minimum 24-hour hospitalisation is not mandatory. It includes coverage for all day care treatments too.
Room rent limit
You can choose either a single standard room or a shared room at policy purchase. Your room coverage is restricted to the room type you choose. In case you pick a higher category room during hospitalisation, a copay applies as per the terms of the policy. ICU charges are covered at actuals.
Alternative treatments covered
Want to consider an alternative line of treatment like Ayurveda or Homeopathy? Your insurer covers the cost of treatment provided you are hospitalised for more than 24 hours.
Modern treatments covered at actuals
Expenses related to modern treatments are covered at actuals up to the sum insured. A list of modern treatments covered is provided in the policy document.
Cover available for pre and post-hospitalisation expenses
You get cover for treatment-related expenses up to 60 days before hospitalisation and 180 days after hospitalisation. These include diagnostic tests, follow-up consultations, medications and other related expenses.
Carry forward your unutilised sum insured with Booster+
Carry forward your unutilised base sum insured into the future with Booster+ feature. Aspire Titanium+ variant allows up to 10X carry forward, depending on your entry age.
Cover available even if you are forced to be hospitalised at home
Are you forced to be hospitalised at home when hospitalisation is medically necessary? Your insurer covers the treatment cost if hospitalisation happens under the supervision of a medical practitioner.
Organ donor cover is available
Your insurer pays for the medical expenses related to organ harvesting when you are the organ recipient. Your insurer also covers the cost of organ harvesting when you are the donor.
ReAssure+ provides unlimited restorations after 1st claim
After you make the first claim in your policy, you unlock unlimited restorations forever. There is no requirement for the first claim to re-trigger unlimited restorations after each renewal.
Get free health check-up every year
Annual health check-ups are available for all insured lives once every policy year. Only listed tests are included which can be taken on a cashless basis with pre-booking via the insurer’s mobile app.
Get maternity expenses covered after a 9 month wait period
The plan covers maternity and related expenses after a waiting period of 9 months. This is an in-built benefit available at no extra cost. Also, this benefit has a separate limit over and above the base coverage.
Ambulance charges covered
The plan covers road and air ambulance charges up to sum insured. Air ambulance charges are covered only in case of emergencies.
Opt for Safeguard+ to get cover on non-medical items
The base plan does not cover non-medical items such as syringes, gloves, masks, etc. These usually form 10% to 20% of every hospital bill. Opt for Safeguard+ add-on to ensure that your insurer covers this cost.
Disease management rider provides day 1 coverage for diabetes and hypertension
Want immediate coverage for pre-existing illnesses such as diabetes or hypertension? Opt for the disease management rider and get day 1 cover on these conditions. An extra premium applies.
Combine multi-tenure sum insured with Fast Forward
With Fast Forward add-on, combine multi-tenure sum insured if you opt for a 2 or 3 year tenure. Use this combined coverage anytime during the policy tenure.
Get your future spouse covered with Future Ready
With this add-on, you get guaranteed coverage for your future spouse. Spouse coverage starts when you marry and add your spouse to your existing policy. Your spouse gets continuity benefits on waiting periods served by you.
Worldwide coverage with Borderless add-on
With borderless add-on, you can get emergency or planned treatment anywhere in the world. Your insurer covers the cost of hospitalisation.
Get OPD and wellness benefits with WellConsult add-on
With this add-on, you get tele and physical OPD consultations with specialists and general practitioners within the insurer’s network. Prescribed diagnostic tests, medicines and other wellness benefits are also included.
Get daily hospital cash benefit with an add-on
With this add-on, the insurer pays you a daily fixed cash benefit for each day of hospitalisation. Use this to manage other expenses incidental to hospitalisation.
Rewards for every claim-free year with Cash Bag add-on
This add-on gets you some rewards for each claim-free year in the policy. Use these reward points to get discounts on renewal premiums, avail of OPD benefits, and pay for copayments or non-payable items.
Opt for a deductible
If you find the plan expensive, choose a small deductible to lower the premium. But choose your deductible carefully. In case of a claim, you have to pay upfront an amount equal to your deductible for policy benefits to get triggered.
Opt for tiered network to get a discount on premium
If you opt for the tiered network at purchase, you get a straight 15% discount on your premium. If you take treatment in a non-tiered network hospital, a 20% copay on the claim applies.
Live healthy discounts
Walk daily and stay healthy to get up to a 30% discount on your renewal premium. Step tracking is through the insurer’s official health app.
e-Consultations
Unlimited online doctor consultations are available within network centres.
Policy Conditions
| Sum Insured Range | Rs. 3 Lakh – Rs. 1 Crore |
| Entry Age | 91 Days – 30 Years for dependent children; 18 Years onwards for adults |
| Policy Tenure Options | 1, 2 or 3 Years |
| Coverage Types | Individual, Multi-individual and Family Floater |
| Family Coverage | Up to 2 adults and 4 children under the family floater option, up to 4 adults and 5 children under multi-individual option |
| Premium Payment | Annual. EMI options are available. |
Exclusions
Waiting Periods
- Initial Waiting Period: 30 days (except accidents)
- Specific Illness Waiting Period: 24 months
- Waiting Period on Pre-Existing Diseases: 36 months
- Maternity Benefit Waiting Period: 9 months
Medical Exclusions
- Cosmetic surgeries (unless due to accident, cancer, etc.)
- Unproven therapies
- Obesity treatments (unless certain conditions met)
- OPD expenses
- Dental treatments
Non-Medical Exclusions
- Investigation and evaluation
- Self-injury or attempt to suicide
- Alcoholism, drug or substance abuse
- Expenses for treatment necessitated by committing breach of law with criminal intent
- Expenses for treatment taken by a medical practitioner outside his discipline.
- War, terrorism, nuclear events
About the Insurer
Niva Bupa Health Insurance (formerly known as Max Bupa) is a leading stand-alone health insurance company in India known for its innovative health insurance solutions. It was founded in 2008. It is a joint venture between Bupa Singapore Holdings Pte Limited, a UK based healthcare services provider and Fettle Tone LLP, an affiliate of private equity firm True North.
Niva Bupa offers a wide range of feature-rich health insurance plans for young adults, families and senior citizens.
Performance Highlights (FY24)
Turnover – Rs. 5,608 Crore
Claim Settlement Ratio – 91.93%
Incurred Claim Ratio – 59%
Volume of Claim Complaints – 38.76 / 10,000 claims
Network Hospitals – 10,000+
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Frequently Asked Questions
What is Niva Bupa Aspire Titanium+ plan?
Niva Bupa Aspire Titanium+ is the most premium offering in the Aspire series, offering extensive health coverage. It includes features like age-lock, unlimited restorations, maternity benefits, worldwide coverage, and advanced treatment options.
Who is eligible to buy Niva Bupa Aspire Titanium+ plan?
Adults aged 18 years and above can purchase this plan. Dependent children aged 91 days to 30 years can be covered under the family floater option.
What is the 'Lock the Clock' feature?
Lock the Clock feature locks your premium based on your entry age, ensuring your renewal premiums remain entry age based until a claim is made in the policy.
What does 'M-iracle' benefit cover under Niva Bupa Aspire Titanium+?
The ‘M-iracle’ benefit covers maternity, IVF, adoption, surrogacy related expenses. This benefit has a separate sum insured, and the unused M-iracle sum insured gets carried forward up to 10 times.
How does the 'Booster+' feature work?
‘Booster+’ allows the unutilised sum insured to be carried forward to the next policy year, up to a maximum of 10 times the base sum insured, depending on the entry age.
Are there any copayments or sub-limits in this plan?
No, Niva Bupa Aspire Titanium+ does not include any copayments or sub-limits on specific treatments.
Does Niva Bupa Aspire Titanium+ cover alternative treatments like AYUSH?
Yes, treatments under Ayurveda, Yoga, Naturopathy, Unani, Siddha, and Homeopathy are covered up to the sum insured.
What is the waiting period for pre-existing diseases?
The waiting period for pre-existing diseases is 36 months.
Does Niva Bupa Aspire Titanium+ offer cashless hospitalisation?
Yes, the plan offers cashless hospitalisation across a network of 10,000+ hospitals in India.
Are daycare treatments covered under Niva Bupa Aspire Titanium+?
Yes, treatments requiring hospitalisation for less than 24 hours, such as cataract surgery, dialysis, and chemotherapy, are covered.
Does the plan cover maternity and newborn expenses?
Yes, ‘M-iracle’ benefit under the plan covers maternity and newborn baby expenses after a waiting period of 9 months.
What is 'ReAssure+' benefit under Niva Bupa Aspire Titanium+?
‘ReAssure+’ provides unlimited restorations of the sum insured after the first claim, applicable for the entire policy duration.
Are organ donor expenses covered?
Yes, expenses related to organ donation, including harvesting the organ, are covered up to the sum insured.
Does the plan cover domiciliary treatments?
Yes, medically necessary hospitalisation done at home due to the inability to get hospital admission are covered up to sum insured.
What is 'Cash-Bag' feature in Niva Bupa Aspire Titanium+?
‘Cash-Bag’ rewards you for every claim-free year, accumulating reward points that can be used for premiums, copayments, deductibles, or outpatient (OPD) expenses.
What is the free look period?
The free look period is 15 days, during which you can review the policy terms and cancel if not satisfied.
Does Niva Bupa Aspire Titanium+ offer international coverage?
Yes, with ‘Borderless’ add-on, the plan covers planned and emergency hospitalisations worldwide.
How can I file a claim under this plan?
For cashless claims, inform Niva Bupa 48 hours before planned hospitalisation or within 24 hours of an emergency. Submit a pre-authorisation form at the hospital’s insurance desk. For reimbursement claims, submit the required documents, including medical bills and the claim form, to the insurer.
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