• All day-care treatments covered
• Pre-hospitalisation: 60 days
• Post-hospitalisation: 180 days
• Organ donor & domiciliary: covered up to SI
• Modern treatments: ₹1L limit (Classic/Select), no limit (Elite/Black)
📍Lock the Clock:
Under Elite & Black variants, your age gets locked at entry for premium calculation - until you make a claim.
⚠️Premiums may still change based on external factors like inflation, etc.
⌛ Waiting periods:
• For specific illnesses: 24 months (can reduce to 12 months or increase to 36 months, with a rider)
• For PEDs: 36 months (can reduce to 24/12 months, with a rider)
It also covers around 145 conditions covered from Day 1 if you choose to pay loading i.e. extra premium (check below image for the list of PEDs)
⚠️ Just note: Below list is tentative and final approval depends on underwriting.
🎁 There’s also “Surprise Benefit” - available only after policy issuance via their mobile app.
🧩 Then there’s Niva Bupa One - a membership offering:
✅ Priority claim handling
✅ Dedicated support
Interesting promise - we’ll need to see how it plays out during real claims.
💸 Copay & Deductible
There isn't any mandatory copay or deductible under the plan.
However, you can voluntarily opt for co-pay and deductible to lower your premium.
💊 OPD coverage with “Well Consult” add-on
You get OPD cover = 5x your premium (capped at ₹1L)
There are 10 benefits available under the OPD cover.
⚠️ If you claim via reimbursement, you’ll have to bear 20% of the approved claim amount as co-pay.
A life-changing surgery was questioned.
A genuine claim denied.
The insurer held on to a clause.
Nilesh held on to the truth.
Find out what happened next in today’s #ClaimStories S01E101 👇
Nilesh Gala, his wife and daughter were covered under a health insurance policy.
One day, Nilesh underwent an ear surgery to fix his hearing Left Ear Ossiculoplasty with Titanium Chain Prosthesis under general anaesthesia.
The surgery cost ₹42,431.
He filed a claim.
The insurer didn’t reject the claim entirely but they didn’t pay in full either.
They deducted ₹18,000 the cost of the Titanium Chain Prosthesis.
Their reason?
They pointed to a clause saying the policy doesn’t cover external aids like spectacles, contact lenses, wheelchairs, hearing aids or similar devices.
But here's the twist: He was still forced to pay ₹3.88 lakhs in compensation! 😱
The case went to High Court, and what they uncovered is a mistake 50% of Indian vehicle owners are making right now.
Catch the #Rerun of our famous #ClaimStories to see how it ended and learn from real-life cases so you don’t face the same nightmare.
Ever lent your vehicle, like your bike, to a friend?
Most of us have. But before handing over the keys, did you check if the vehicle has valid insurance?
And did you confirm if your friend has a valid driving license?
No, right? Who really thinks SO much before lending a vehicle casually?!
But the thing is… not asking such questions may put you in huge, huge trouble. 😟