ClaimRatioIndiaCalculate

Niva Bupa Health Insurance

Est. 2008New Delhihealth insurer
CSR 2023-24
91.16%
Average
Complaints FY 2022-23
11.60
per 10K policies
98.6% disposal rate
Source: IRDAI Annual Report 2022-23
Formerly Max Bupa, Niva Bupa is a joint venture with Fettle Tone LLP and Bupa Finance PLC (UK). It is known for its ReAssure plan which allows unlimited restoration of sum insured.

Claim settlement ratio history

Financial YearCSR %Claims SettledRatingSource
2023-2491.16%23,421AverageIRDAI Annual Report 2023-24

Strengths

  • +91.16% claim settlement ratio (2023-24)
  • +Unlimited restoration of sum insured in ReAssure plan
  • +Direct claim settlement (no third-party administrator)
  • +Strong digital interface

Limitations

  • -Premiums are higher than Star Health for comparable cover
  • -Fewer network hospitals in tier-3 cities

How to file a claim

In-house claim processing without TPA. Cashless claim decisions given within 30 minutes at network hospitals.

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