Niva Bupa Health Premia Review – Health Insurance for NRIs

Variants in Niva Bupa’s Health Premia Plan

There are three different Niva Bupa Health Premia policies: Silver, Gold, and Platinum.

Depending on your needs, you can buy it as a family floater to cover the whole family or just for yourself i.e. an individual. The Health Premia insurance policy is comprehensive and includes nearly all healthcare costs, including those associated with in-patient hospitalisation, daycare, and other expenses. To find the plans that best meet your needs, you can speak to NRI Money+ consultant to compare the health insurance packages.

At A Glance

• Covers costs of 90 days before you get hospitalized and 180 days post discharge.
• Coverage of day care treatment costs such as dental, ENT and others.
• Inbuilt travel insurance which includes coverage related to loss of checked-in baggage or trip cancellation and more.
• Under the gold and platinum plan, the insured gets international coverage of INR 30 lakh and INR 6 crore per person, respectively.
• Provides coverage for the treatment of new age diseases like laser or robotic surgeries and more.
• All policyholders are covered for maternity costs and are not required to pay an additional premium to cover their newborn until the first policy year. Maternity coverage for varied plans is as follows:

1. Silver Plan- Coverage up to INR 60,000 per person

2. Gold Plan- Coverage up to INR 1,00,000 per person

3. Platinum Plan- Coverage up to INR 2,00,000 per person (worldwide)

• Health check-ups and diagnostic tests are covered from day one of the policy. The limit of each plan are as follows:

1. Silver Plan- Coverage up to INR 1,875 per person

2. Gold Plan- Coverage up to INR 7,500 per person

3. Platinum Plan- Coverage up to INR 10,000 per person

Optional Features:

• Hospital cash coverage up to 30 days of hospitalization, if the insured is admitted for more than two days.
• Add-on coverage of the personal accident and critical illnesses.
• The insured can avail of insurance even in the U.S. and Canada.
• Option to increase the sum insured by 20% per year with a maximum limit of up to 200% of the expiring base sum insured, irrespective of the number of claims settled.

Eligibility of Niva Bupa Health Premia Policy

• There is no age limit on the minimum and maximum entry age
• The total number of 19 members in the family can be covered

Key Features of Niva Bupa’s Health Premia Plan

• Maternity and Newborn Benefits
  The Health Premia plan provides the insured with maternity benefits for up to two deliveries. This benefit is available if both you and your spouse have been covered under the health premia policy for two continuous years.

• Premium Waiver
  In case the insured person is diagnosed with a critical illness or specified illness, then the premium is waived for a period of one year.

• Pre and Post-Hospitalization Cover
  The plan covers all the expenses done by the insured person for 60 days of pre-hospitalization. Not just pre but also the expenses incurred post 90 days of discharge from hospitalization is taken care of through this plan.

• Refill benefit
  In case the insured has exhausted the base sum insured and loyalty additions offered under the health premia plan partially or completely, then the insured person is entitled to receive an additional sum insured equal to the base sum insured for an upcoming claim in the same year. The refill benefit can be availed for treatment of both, the same and different illnesses as well.

For example,
Mr. Jay has been renewing his Niva Bupa Health Premia plan for the past three years with a base sum insured of Rs. 5 lakhs. Having stated that, he has also received a loyalty cumulative addition. Let’s imagine that Mr. Jay needs to be admitted in a hospital owing to an unfortunate incident, and the whole cost is something like Rs. 10 lakhs. In this case, My. Jay will be eligible to receive an additional sum insured of Rs. 5 lakhs, which is equal to the base sum insured, if the base sum insured and the loyalty addition accumulated are depleted. This benefit is available for further claims made within the same year.

• Critical illness cover

​Niva Bupa Health Premia is a comprehensive health insurance plan that is enhanced to cover up to 20 critical illnesses such as heart surgery, cancer, kidney failure and more. The coverage is given as a lump sum payout on the diagnosis of the illness.

• In-Patient Hospitalization

The insured person under the Health Premia plan gets a cashless facility at all the network hospitals of Niva Bupa. They can avail this facility by just presenting their health card at the time of admission at the hospital. To avail of the cashless facility, the insured should be hospitalized for at least 24 hours.

• Loyalty Additions

Irrespective of your past claims, under the Niva Bupa Health Premia plan, you get a 10% p.a. increase on the expiring base sum insured, maximum up to 100% of base sum insured. This benefit is accumulated over the years when the insured person renews the policy without any breaks.

Say for example,
Mr. Rao buys a Rs. 5 lakhs health insurance cover Niva Bupa Health Premia Plan and chooses the Loyalty Addition feature. Without missing a beat, he has been renewing the insurance. He will be eligible for a loyalty addition of 10% on Rs. 5 lakhs above the No Claim Bonus if he doesn’t make any claims throughout the year.
However, he becomes ill while the policy is in effect and submits a claim for Rs. 3 lakhs. Regardless of his claims, he will receive a 10% increment on the 2 lakh rupee base sum insured that is about to expire.

• Enhanced Loyalty Additions

Whatever claims you might have made in the past years, with this additional feature, the sum insured increases by 20% p.a. Maximum up to 200% of the expiring base sum insured of the policy. This benefit is accumulated over the years when the insured person renews the policy without any breaks.

• Health Check up

One can avail a health check up for various diagnostic tests right from the day the policy is purchased. You can utilize the health check up facility on a cashless basis at any Niva Bupa Network Hospitals.

• Emergency assistance

Now the insured person can get emergency assistance even during his travel within India. If the insured is within 150 km distance from his residence and has been on trip for less than 90 days and requires medical assistance, evaluation, and diagnosis then, they can avail the service provided through this plan.

• Modern Age Treatments

Treatments like Robotic surgery, laser surgery, weight loss surgery are also covered under Niva Bupa Health Premia plan.

• Personal Accidental cover

Under this plan, the insured person can avail this additional cover. Personal accidental cover secures you and your family’s financial loss occurring due to accidents.

• Home Treatment Cover

Due to various circumstances such as unavailability of beds at the hospitals or due to not so severity of the medical condition, doctors might advise the insured person to take home medical treatment. In such situations, the expenses done by the insured in the treatment are reimbursed as per the Health Premia Insurance policy.

• AYUSH Cover

AYUSH stands for Ayurveda, Unani, Siddhi, and Homeopathy treatments, which are covered under this plan. Expenses related to any of such treatments are covered even if you are going through an in-patient treatment.

• Day care treatments cover

The expenses related to daycare treatments or even OPD treatments, diagnostic tests are all covered under the Niva Bupa Health Premia Plan.

• Daily Hospital Cash 

The insured can avail hospital cash for a period of 30 days if he/she is admitted in the hospital for more than 48 hours. Hospital cash is usually paid by the insurer to the insured person on account of loss of pay occurred during the time of hospitalization.

• Health Guide

One of additional features that you can avail in Niva Bupa Health Premia Health Plan is the virtual guide to track your health, and stay fit and illness free.