InsuranceScope

Niva Bupa

Health Premier (Gold)

NA /5

Expert Rating Snapshot

PLAN TYPEIndividual / Family Floater

AFFORDABILITYNot specified

PRE HOSPITALISATIONNot specified

POST HOSPITALISATION180 days (Covered up to: sum insured)

Plan & insurer snapshot

✅ Claims (No.)

90.64%

Latest disclosed settlement ratio by number of claims.

❌ Rejection Ratio

7.30%

Lower is generally better for policyholders.

🏥 Cashless Hospitals

10,000+

Reported size of network hospitals.

💬 Complaints

0.43%

Complaint incidence on claims experience.

✨ Expert Verdict

Health Premier (Gold) is a health insurance plan from Niva Bupa. Review policy wording and add-on details before final purchase.

Pros

  • Refill benefit available (Once in a policy year).
  • Day-care procedures are included in coverage.

Cons

  • Room rent has a cap, which may increase out-of-pocket costs.

Key Features

Room Rent

Capped

Co-Pay

Not specified

Disease Sub-limit

Not specified

Pre-Hospitalisation

Not specified

Post-Hospitalisation

180 days (Covered up to: sum insured)

Refill Trigger

Partial exhaustion of Sum Insured

Waiting Periods

Initial Waiting Period

30

Specific Disease Waiting

1

Pre-existing Disease Waiting

2