Niva Bupa Reassure
Overview
Niva Bupa Reassure is a one-of-a-kind health insurance plan launched by Niva Bupa Health Insurance Company Limited. It is an all-inclusive plan that covers all the basic benefits, apart from offering a good no-claim bonus and unlimited restorations. The plan also offers day 1 coverage for diabetes and hypertension with an add-on.
The plan was initially aggressively priced. However, the insurer revised the premium upwards a couple of times since its launch. Additionally, Niva Bupa faces a lot of service and claim-related issues, which 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
- No room restriction – Pick any room to get the treatment you deserve.
- Pre and post-hospitalisation expenses are covered by the insurer.
- Unlimited restorations – The insurer restores your sum insured multiple times during a year upon full or partial exhaustion.
- Free health check-ups – for all insured lives every policy year.
- Disease management rider – Get day 1 coverage for pre-existing diseases such as diabetes and hypertension with this add-on.
- Non-medical items coverage comes with an add-on.
- This plan is fairly expensive.
Plan Benefits
Inpatient hospitalisation expenses covered up to sum insured
Niva Bupa Reassure health insurance plan covers all hospitalisation and related expenses up to the sum insured with no copayment or limits. This makes it a comprehensive plan suitable for all age groups.
No room rent limit
The plan does not impose any room rent restrictions. Choose any room during hospitalisation, and your insurer covers the cost fully.
All day care treatments covered
Many treatments or surgeries done under anaesthesia now require less than 24 hour hospitalisation. The plan covers the cost of all such treatments fully.
Get coverage for pre and post-hospitalisation expenses
This is an all-inclusive plan that covers hospitalisation-related medical expenses up to 90 days before admission and 180 days after discharge. These expenses include doctor consultations, diagnostic tests, and medication, among others.
Modern treatments covered
The plan also covers the cost of some modern treatments (list included). However, some modern robotic surgeries include a capping of Rs. 1 Lakh.
Covers alternative treatments
Do you want to consider an alternative treatment for your ailment such as Ayurveda or Homeopathy? Now you do not have to worry. The plan covers the treatment expenses of alternative medicines such as Ayurveda, Yoga, Unani, Siddha and Homoeopathy on a hospitalisation basis.
Get cover even if you are forced to be hospitalised at home
Are you forced to be hospitalised at home? Think of a situation when hospital beds are unavailable or the patient’s medical condition does not allow him to be moved to a nearby hospital. This is called domiciliary hospitalisation. The plan still covers the expenses related to hospitalisation if done under the supervision of a medical practitioner and exceeds 3 consecutive days.
Home care treatment covered
Regular sittings required for Dialysis or Chemotherapy can be done at home. The insurer covers the expenses if the patient undergoes such sittings offered by a registered home care provider.
Covers organ donor expenses
Organ transplant surgeries are expensive. Moreover, the donor also requires surgery to harvest the organ. But you don’t have to worry anymore. The insurer covers the cost of harvesting an organ from a donor in case you are the organ recipient.
Unlimited restorations of sum insured available
You do not have to worry about coverage for the next claim if you have already made a claim. With the Reassure feature, your insurer restores your sum insured unlimited times during a policy year if your base cover is fully or partially exhausted. This feature comes in handy if you need to make multiple claims during any policy year.
Get no-claim bonus for claim-free years
With the Booster feature, you get a 50% no-claim bonus for every claim-free year. The bonus is capped at 100% of the base sum insured. Your no-claim bonus reduces by 50% of the sum insured in case you make a claim.
Get free health check-up every year
The plan offers free annual health check-up for all insured lives from day 1.
Get discount for healthy lifestyle
Maintain a healthy lifestyle by walking daily a set number of steps to earn reward points. Use these points to get a discount on your next premium. Step counting is done via the insurer’s mobile app.
Ambulance charges covered
You get coverage for road ambulance charges up to Rs. 2000 per hospitalisation. Air ambulance charges are covered up to the sum insured in case of emergency.
Get daily cash for shared accomodation
You get a daily cash benefit of Rs. 800 or Rs. 1000, depending on your base sum insured, if you choose to stay in a shared accommodation during hospitalisation.
Second medical opinion available
Do you need a second medical opinion for any illness? The insurer covers the expenses related to availing a second medical opinion from a medical practitioner if the hospitalisation claim for that illness has already been admitted.
Add-ons
Safeguard – To cover non-medical items
This add-on offers multiple benefits. Your sum insured increases every year in line with inflation. Additionally, your no-claim bonus does not reduce if your claim amount in a year is less than Rs. 50,000. Moreover, you get coverage for non-medical items, such as masks, syringes, gloves, etc.
Hospital Cash
With this add-on, you get a daily cash benefit of Rs. 1000, Rs. 2000, or Rs. 4000, depending on your sum insured, for each day of hospitalisation to cover incidental expenses related to hospitalisation. The benefit is available for a maximum of 30 days per policy year.
Personal Accident Cover
This add-on pays a portion of the sum insured in case of death or permanent disablement resulting from an accident. This benefit has a separate sum insured equal to 5 times the base sum insured, subject to a maximum of Rs. 1 Crore.
Disease Management Rider
This add-on offers day 1 coverage (zero waiting period) to the following pre-existing illnesses: Diabetes and Hypertension. It is a great add-on for those living with any of these diseases.
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
Medical Exclusions
- Cosmetic surgeries (unless due to accident, cancer, etc.)
- Maternity and 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+
Get In Touch
Looking for some insurance related advice? You can book a call with us. It’s absolutely FREE.
Frequently Asked Questions
What is the entry‑age eligibility for Niva Bupa ReAssure?
Adults aged 18 years and above and children from 91 days up to 30 years (for floater plans) are eligible for cover.
Can I include family members under this plan?
Yes, the plan covers self, spouse, dependent children, and parents/parents‑in‑law under individual or family floater cover.
What kind of hospitalisation is covered under Niva Bupa Reassure?
The plan covers inpatient hospitalisation (minimum 24 hours), including ICU, nursing, and other expenses.
Does it cover daycare treatments?
Yes, procedures requiring less than 24-hour hospitalisation (e.g. dialysis, cataract, chemotherapy) are fully covered.
Are pre and post‑hospitalisation expenses covered?
Pre‑hospitalisation expenses up to 60 days and post‑hospitalisation expenses up to 180 days are included within the sum insured.
Is domiciliary hospitalisation covered?
Yes, hospitalisation done at home under the supervision of a medical practitioner (if hospital beds are unavailable or the patient is too sick to move) is covered within the sum insured.
Are organ donor expenses included?
Yes, hospital expenses related to the donor for harvesting the organ for transplant are included.
Are modern treatments covered?
Yes, modern treatments like robotic surgeries, stem cell therapy, etc., are covered up to the sum insured. Robotic surgeries have a sub‑limit of Rs. 1 Lakh.
Are non‑medical consumables covered?
The base plan does not cover consumables. However, the optional add‑on Safeguard covers items like gloves, oxygen masks, nebulizers, etc., up to the sum insured.
What is the initial waiting period under Niva Bupa Reassure?
The plan includes a 30-day initial waiting period for all illnesses except accidents.
Waiting period for specified illnesses?
There is a 24-month waiting period for specific illnesses like hernias, cataracts, joint replacements, etc.
What is the waiting period for pre‑existing diseases (PED)?
Niva Bupa Reassure covers PEDs after a waiting period of 36 months.
Are there any room rent restrictions or sub-limits?
No, there is no room‑rent cap or sub‑limits imposed on treatments.
Is there a restoration benefit?
Yes, if the base coverage (including accumulated bonus) is exhausted during the policy year, it is reinstated unlimited times in that year.
How does the No Claim Bonus (NCB) work?
You get a bonus of 50% of the sum insured for each claim‑free year, up to a maximum of 100%. Claims may reduce this bonus. The Safeguard add-on helps protect NCB if claims are under Rs. 50,000.
Is annual health check-up included?
Yes, from day one, cashless health check‑ups are allowed up to specified limits.
Is there any health‑based discount?
The Live Healthy benefit offers up to a 30% discount on renewal premiums based on daily step count or health activity.
Does it offer tax benefits?
Yes, premiums paid are eligible for tax deduction under Section 80D of the Income Tax Act.
What is the sum insured range available?
The plan offers sum insured choices typically ranging from Rs. 3 Lakh to Rs. 1 Crore.
What treatments or services are excluded?
Standard permanent exclusions apply, such as cosmetic surgery, weight control, routine OPD, dental unless due to accident/cancer, maternity cover, gender-reassignment, etc. Please read the policy document for the complete list.
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