InsuranceScope India

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FeatureNiva Bupa - Health Premia (Gold)Niva Bupa - ReAssure 2.0 (Bronze)
Room Rent LimitNACapped
Initial Waiting (Days)NA30
Pre-existing Disease Waiting (Years)23
Organ Donor CoverNAYes
Modern TreatmentsNAYes (Covered up to: sum insured)
Refill on ExhaustionAvailableAvailable
Refill Illness ApplicabilityRelated and unrelated illnessRelated and unrelated illness
Refill TriggerPartial exhaustion of Sum InsuredPartial exhaustion of Sum Insured
Refill LimitOnce in a policy yearUnlimited times in a policy year
Refill Applicable ClaimSubsequent claimsFirst paid claim
ConsumablesNAYes
% Settled < 30 Days99.95%99.95%
% Complaints on Claims0.43%0.43%
Incurred Claim Ratio61.64%61.64%
Claim Settlement Ratio (No.)90.64%90.64%
Claim Settlement Ratio (Value)74.32%74.32%
Claim Rejection Ratio7.30%7.30%
Cashless Hospitals10,000+10,000+
Plan TypeIndividualIndividual / Family Floater