Niva Bupa Reassure 2.0 Bronze+
Overview
Niva Bupa ReAssure 2.0 Bronze+ plan offered by Niva Bupa Health Insurance is a regular health insurance plan that provides comprehensive coverage with almost no restrictions. It is loaded with innovative features like ReAssureX and Booster+. These are the industry-first features offered by Niva Bupa.
You can customise your coverage with a wide range of optional benefits such as Safeguard, Safeguard+, Personal Accident and Hospital Cash. Adding disease management rider provides day 1 coverage for pre-existing health conditions like diabetes and hypertension.
The plan is fairly priced for the benefits it offers. But, rich and innovative features in the plan may pose challenges for the insurer to service effectively in the future. 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
- ReAssureX – Unlimited restorations are available after you make your 1st claim.
- Booster+ Benefit – Carry forward unused sum insured up to 3X.
- No Room Restriction – Choose any room to suit your lifestyle.
- Health Check-up – Health check-up available once every year from day 1.
- Disease Management Rider – Get day 1 coverage on diabetes and hypertension with this add-on.
- Room Rent Modification – Option to choose a lower category room, reduces premium commitment.
- The plan is reasonably priced.
- Benefits like Safeguard+ (covers non-medical items) come at extra cost.
- Sub-limit of Rs. 1 Lakh on modern treatments like robotic ones.
- High Complaint Volumes – Niva Bupa faces a high volume of claim-related complaints indicating operational challenges faced by the company.
Plan Benefits
No Room Restriction
Choose any room you like as per your lifestyle. Your insurer will cover your hospitalisation expenses up to sum insured.
Pre and Post-Hospitalisation Expenses Covered
Covers treatment related medical expenses 60 days before and 180 days after hospitalisation making the coverage more comprehensive.
Unlimited restorations, once triggered, always available.
After you make the first claim, you unlock unlimited restorations for life. This means that there is no requirement of first claim to re-trigger unlimited restorations after each renewal.
Carry forward the unutilised sum insured
Carry forward your unutilised base sum insured into the future. ReAssure 2.0 Bronze+ variant allows up to 3X carry forward. .
Coverage even if you are hospitalised at home
If you are hospitalised at home under the supervision of a medical practitioner who monitors your treatment regularly, the insurer covers the treatment cost like normal hospitalisation..
Covers alternative medicine
Want to take alternative treatment like Ayurveda or Homeopathy? Your insurer still covers all your hospitalisation expenses.
Ambulance charges covered
Road ambulance charges are fully covered up to sum insured. Air ambulance is covered up to Rs 2.5 lakh per hospitalisation, only in case of emergencies.
Organ donor expenses covered
Your insurer pays for the medical expenses related to organ harvesting, when you are the organ recipient. Also, your insurer also covers the cost of organ harvesting when you are the donor.
Annual health check-up available
Annual health check-ups are available for all insured lives once every policy year, which can include preventive as well as diagnostic tests.
Modify room category for lower premium
Choose a lower category room such as a single private room or shared accommodation at policy purchase to suit your needs. This reduces your premium commitment. ICU charges remain covered at actuals.
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.
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. 5 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
Medical Exclusions
- Cosmetic surgeries (unless due to accident, cancer, etc.)
- Infertility treatments
- 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 Max Bupa) is a leading stand-alone health insurance company in India known for innovative plans. It was founded in 2008 as a joint venture between Max India and Bupa Singapore Holdings Pte Limited, a UK based healthcare services provider. In 2019, the entire 51% stake of Max India was acquired by Fettle Tone LLP, an affiliate of private equity firm True North and hence the name Niva Bupa.
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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