Good For

OPD Coverage

Good For

Comprehensive Coverage

Max Bupa

3.83

Rated by Ditto Insurance

Sum Insured

₹3 L ₹1 Cr

Premiums

Moderate

Entry Age

Adult: 18 Years Onwards

Child: 91 Days - 30 Years

Exit Age

Adult: No Limit

Child: 31 Years

Overview

Niva Bupa ReAssure is a cutting-edge health insurance policy offering sum insured options ranging from ₹3 lakhs to ₹1 crore. Its standout features include the "ReAssure Forever" benefit, which provides unlimited reinstatement of the sum insured post the first claim, and a no-claim bonus that increases your base sum insured by 50% every claim-free year. With no room rent restrictions, coverage for modern treatments like robotic surgeries, and pre- and post-hospitalization coverage (60 and 180 days), the plan prioritizes flexibility and financial security.

Experts Review

Nikhil Nair

Written by Nikhil Nair

Senior Writer

Ishita Jain

Reviewed by Ishita Jain

Editor

IRDAI-Certified Expert
IRDAI Certified

The Niva Bupa ReAssure plan is a game-changer in the health insurance segment, offering innovative benefits that cater to evolving healthcare needs. The "ReAssure Forever" feature ensures policyholders never run out of coverage, making it ideal for families with recurring medical expenses. The "Booster+" benefit incentivizes claim-free years by significantly increasing the sum insured over time, providing unmatched financial preparedness. Additionally, features like no room rent caps and coverage for advanced treatments enhance its appeal for those seeking comprehensive care.

However, the plan has certain limitations. While it offers extensive coverage, premiums can escalate significantly for higher sum insured options or with add-ons like air ambulance cover. The waiting period for pre-existing diseases remains at 36 months, which may deter individuals requiring immediate coverage. Additionally, while technologically advanced, reliance on app-based services for discounts and health points may not suit less tech-savvy users.

Pros

Offers a wide range of features.

Premiums are relatively well priced.

Insurer has a solid track record with great claim and service metrics.

Cons

Maternity benefits not offered, which is a notable gap.

Max Bupa

Niva Bupa (erstwhile Max Bupa)

Key Insights

Founded

2008

Niva Bupa (erstwhile Max Bupa) was established 17 years ago and has built strong credibility over time, backed by its long-standing presence in the market.

Claims Experience

91% claims settled in 30 Days

Niva Bupa (erstwhile Max Bupa) settles 91% of all claims it receives demonstrating strong credibility.

Network Hospitals

10,000+

Niva Bupa (erstwhile Max Bupa) maintains a moderate network of 10,000 hospitals, offering reasonable coverage across key locations.

Complaints

43 complaints per 10,000 claims registered

Niva Bupa (erstwhile Max Bupa) has a relatively high volume of complaints, which may point to ongoing issues in customer service or claim handling.

Features

All

Great

Good

Co-payment

The insurer will bear the entire cost of treatment (up to the sum insured). You won’t have to pay a single penny. Meaning this policy has no co-payment.

Room Rent

Shared room, single room, deluxe room or any room that’s available. The insurer won’t nitpick on your choice of room since the policy has no restrictions on room rent.

Disease sub-limit

Your insurance cover won’t be fully available in case you are treated for few robotic surgeries, up to 1L and a few other diseases. Meaning the insurance company has a cap on the total amount they’ll pay out if you are treated for these specific illnesses.

Pre existing diseases waiting

If you’re already dealing with diabetes, cardiovascular problems or any such illnesses, the insurer will cover all costs arising out of these pre-existing problems after you wait for 3 years.

Customisable

For Hypertension & Diabetes: Pre existing disease waiting period is reduced from 3 Years to 0 Days.

Pre/Post hospitalization

No worries if the doctor had to run a host of diagnostic tests before or after hospitalizing you. The insurer has your back. They will cover this amount in full for a pretty reasonable duration - 60 days before you are hospitalized and 180 days after discharge. This includes the cost of medication by the way.

Add-ons

Safeguard

Recommended

Increase your cover in line with inflation every year, your bonus amount will not be affected if the claim is less than Rs. 50,000 in the entire year and you also get extended coverage for generally excluded items like syringes, gloves, PPE kits etc as per List I.

Safeguard +

Recommended

Increase your cover in line with inflation every year, your bonus amount will not be affected if the claim is less than 1 Lakh in the entire year and you also get extended coverage for generally excluded items like syringes, gloves, PPE kits etc as per List I, II, III & IV.

Disease Management

Recommended

For Hypertension & Diabetes: Pre existing disease waiting period is reduced from 3 Years to 0 Days.

Acute Care

Get unlimited tele-consultations with Doctors (General Medical Practitioners, Specialists & Super Specialists) along with coverage for pharmacy and diagnostics up to a certain limit.

Hospital Cash

Hospital cash benefit paid out if hospitalization is at least 1 day, with a maximum payout of ₹2000 for up to 30 days.

Personal Accident Cover

Paid out as a lump sum of 500% of sum insured for Accidental Death, Total Permanent Disability, Permanent Partial Disability up to a limit of ₹10000000.

Permanent Exclusions

Conditions or treatments that the policy clearly says it will not cover.

RMO charges

Hormone Replacement Therapy

STD other than HIV

The condition which is not clinically significant or is related to anxiety, bereavement, relationship or academic problems, acculturation difficulties, or work pressure.

Expenses related to any admission primarily for diagnostics and evaluation purposes are excluded.

Disclaimer: For illustration purposes only - exact terms are in the policy wording.

Specific Illness

The following illnesses are not covered under the policy for 2 years.

Pancreatitis and stones in biliary and urinary system

Cataract, glaucoma and retinal detachment

Hyperplasia of prostate, hydrocele and spermatocele

Prolapse of uterus and cervix, endometriosis, fibroids, PCOD, hysterectomy (unless necessitated by malignancy), abnormal utero-vaginal bleeding

Hemorrhoids, fissure, fistula or abscess of anal and rectal region

Waiting Period

30 days Initial waiting period

2 years Specific illness waiting period

3 years Pre-existing disease waiting periodCustomisable

Ditto's Take

Ditto's Take

Excellent

Waiting periods on this policy are excellent. This policy also further allows to reduce the PED waiting period to 0 Days for certain diseases.

What's missing in the policy

Maternity benefits not offered.

Customer Reviews

M

Madhav Mishra

ReAssure Forever benefit is revolutionary! Unlimited reinstatement of sum insured is just wow.

M

Maya Iyer

No-claim bonus of 50% every claim-free year is amazing. My SI increased significantly.

M

Mihir Menon

No room rent restrictions is a big plus. Can choose room as per comfort.

P

Pranav Chandra

Reliance on app-based services for discounts might not suit everyone, especially older people.

O

Om Das

Premiums can get quite high for larger sum insured and with add-ons.

N

Neel Jain

The Booster+ benefit really incentivizes claim-free years. Great for long term.

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Frequently Asked Questions

Does ReAssure have waiting periods?

Yes. ReAssure imposes 3 kinds of waiting periods -
  • 30-Day Waiting Period: Hospitalizations won’t be covered for the first 30 days of the policy unless it’s an accident.
  • Specific Illness Waiting Period: There’s a 2-year waiting period for a list of diseases which is a mandate before you can start claiming.
  • Pre-Existing Disease Waiting Period: There's a 3-year waiting period for any pre-existing disease you may have while buying the policy.

Does ReAssure have room rent restrictions?

No. ReAssure lets you stay in any room available in the hospital - Single Private Room, Share Room, Deluxe Room, etc.

    Does ReAssure offer a restoration benefit?

    Yes, ReAssure does offer a restoration benefit. Your sum insured gets reinstated back to 100% any number of times you make a claim, in a policy year.