Claim Settlement Ratio of Niva Bupa Health Insurance

Tagged as one of the most trusted health insurance providers, Niva Bupa, formerly known as Max Bupa offers an excellent claim settlement ratio. Read on to learn about the claim settlement ratio of Niva Bupa health insurance and whether you should consider buying a health insurance policy from this company, or not.

What is Health Insurance Claim Settlement Ratio?

Call it the Claim Settlement Ratio or CSR, it is the first and main thing that tells about the credibility of a health insurance company to settle insurance claims for a policyholder. CSR is the percentage of claims settled by the company during a particular financial year in ratio to the total number of claims filed by the customers. As per a general thumb rule, the higher the claim settlement ratio, the more reliable a health insurance company is for seeking claim compensation.

What is Niva Bupa Health Insurance Claim Settlement Ratio

Do you know that Niva Bupa health insurance claims settlement ratio comes in the top 5 health insurance companies according to the annual report 2021-22 presented by IRDAI (Insurance Regulatory and Developmental Authority)? Niva Bupa settled 99.99% of the total claims raised within 3 months. If you are planning to purchase a health insurance plan from Niva Bupa, then you will be glad to know that the company has set a benchmark in offering a claim settlement ratio that never went less than 90%.

How to Seek Niva Bupa Health Insurance Claim?

Niva Bupa Health Insurance Claims can be filed for cashless, as well as for reimbursement.

Here is the procedure to file for cashless claim settlement:

Step 1: 
To get cashless treatments, it is important to get admitted to one of the network hospitals of Max Bupa Health Insurance. This list of network hospitals is available on the official website of the company

Step 2: 
Show your identity proof along with the Niva Bupa Health Card when admitting to a network hospital

Step 3: 
Upon verification of your identity, the network hospital will proceed to submit the pre-authorization request form to Niva Bupa company

Step 4: 
Once Niva Bupa reviews the request, it will send a confirmation via email, text, or fax to the hospital and you

Step 5: 
Once all these formalities are completed, Niva Bupa will settle the claim with the hospital wherein you will not be required to pay a single penny to the hospital

Here is the procedure to file for reimbursement claim settlement:

Step 1: 
When you get admitted to a non-network hospital, it is important to inform the insurer within 48 hours of hospitalization. Make sure to inform them within 24 hours in case of an emergency hospitalization

Step 2: 
After making the payment for the treatment, make sure to collect all the necessary documents, medical reports, discharge certificates, and invoices during the discharge

Step 3: 
Fill out the Niva Bupa Claim Form available on the official website of Niva Bupa and send it to Niva Bupa along with some other required documents

Step 4: 
Once your form and documents are reviewed and verified, the company will settle the claim with a reimbursement

Niva Bupa Health Insurance Reviews by Customers

5 Star Rating – Madhav Arora, New Delhi

“Best company to get a health insurance plan with very cooperative staff that guided me throughout a claim process.”

4.5 Star Rating – Sutanu Dey, Kolkata

“Would recommend everyone to buy health insurance from Niva Bupa because it offers the best claim settlement ratio. Be it the sales team, customer care team or the general staff, everyone in this organization is extremely helpful and knowledgeable.”

5 Star Rating – Pallavi Iyer, Chennai

“I was new to health insurance and was short of funds. Thankfully I had Niva Bupa health insurance that helped me get hospitalized for cashless treatment in a network hospital after an accident and settled by claims without any hassles.”

Best Niva Bupa Health Insurance Plans for 2023

Here is a list of the top 5 Niva Bupa health insurance plans for 2023:

1. Niva Bupa Health Pulse
2. Niva Bupa Health Premia
3. Niva Bupa Health Companion V2022
4. Niva Bupa CritiCare
5. Niva Bupa Go Active