• 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.
🚨 Life insurance claim denied over a sore throat?!
A man passes away just 11 months after buying a policy.
Insurer blamed “non-disclosure” of a throat pain that started AFTER the purchase, and denied the wife's claim.
Here's how the wife fought back, in #ClaimStories S01E88 👇
In September, Mr. Chaudhari bought a life insurance policy to secure his family's future in his unfortunate absence.
But just 11 months later, he passed away unexpectedly. 💔
Amidst her grief, his wife turned to the life insurance policy for financial support, hoping it would ease her burden.
But when she filed the claim, the insurer rejected it.
Why? A 15-day throat pain and difficulty swallowing.
The least expected outcome? The insurer said this should have been disclosed on the policy form, despite no clear proof that it existed at the time of purchase.