What is Niva Bupa claim settlement ratio?

Niva Bupa Health Insurance's claim settlement ratio is 91.16% for FY 2023-24, sourced from IRDAI annual reports.

Is Niva Bupa reliable for claim settlement?

Niva Bupa Health Insurance has a 91.16% CSR (FY 2023-24), in line with the industry average of ~90%.

How to file a claim with Niva Bupa?

To file a claim with Niva Bupa Health Insurance: (1) Notify the insurer within the stipulated time frame, (2) Submit claim form with required documents, (3) The insurer must settle within 30 days per IRDAI guidelines. Contact the insurer's toll-free number or visit their branch for assistance.

ClaimRatioβCompare Insurers

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Health Insurance · IRDAI Data

Niva Bupa Health Insurance

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.

HEALTHICR 91.16% · FY2023-24New Delhi

ICR FY2023-24

91.2%

23,421 settled

Pros & Cons

Pros

✓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

Cons

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

Complaint Data

Complaints / 10K

11.6

FY2022-23

Grievance Disposal

98.6%

How does Niva Bupa compare?

Side-by-side CSR, complaints, and grievance data.

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