Criticare Plan vs Care Group Health Insurance Health Insurance Plan 2026 | PolicyX

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CritiCare, a plan that provides health and financial protection to you and your family against 20 critical illnesses!

Critical illnesses can threaten life and financial security. To protect your finances in such times, Niva Bupa has developed the CritiCare plan, which provides coverage against 20 listed critical illnesses.

According to the Global Burden of Disease Research, heart-related diseases and strokes resulted in 2.5 million fatalities in India in 2019, with the younger generation bearing the brunt. Cancer has become one of the top five causes of untimely deaths in India, with a projected increase to 29.8 million in 2025 from 26.7 million in 2021, according to ICMR statistics. It is critical to be aware of these life-threatening diseases and take preventative actions.

Note: This report is quoted from a credible source of the BFSI article.

Niva Bupa CritiCare Policy is designed for people diagnosed with any of the listed 20 critical illnesses and also protects their savings from being wiped out due to expensive medical treatments. However, if a critical illness has been diagnosed before buying the policy, it’s considered a pre-existing condition that is covered after a waiting period of 4 years.

You can also buy this policy in combination with:

  • CritiCare + AccidentCare + HospiCash
  • CritiCare + AccidentCare
  • CritiCare + HospiCash
  • AccidentCare + HospiCash
  • CritiCare Only
  • AccidentCare Only

Which critical illnesses are covered under Niva Bupa CritiCare insurance?
Check below the list of 20 critical illnesses that are covered under Niva Bupa's critical illness policy:

  • Cancer of specified severity
  • Open chest CABG
  • First heart attack of specified severity
  • Open heart replacement or repair of heart valves
  • Stroke resulting in permanent symptoms
  • Permanent paralysis of limbs
  • Coma of specified severity
  • Kidney failure requiring regular dialysis
  • Major organ/bone marrow transplant
  • Motor neurone disease with permanent symptoms
  • End-stage liver disease
  • End-stage lung disease
  • Major burns
  • Loss of speech
  • Deafness
  • Aplastic anaemia
  • Bacterial meningitis
  • Fulminant viral hepatitis
  • Multiple sclerosis with persisting symptoms
  • Muscular dystrophy

In addition, the Niva Bupa CritiCare critical illness insurance plan has several other benefits which you can read further in this guide. We’ve also covered the eligibility options, specifications of coverage, exclusions, etc., so that you can make an informed decision.

PLAN DETAILS

Criticare Plan

Care Group Health Insurance

Product Type Critical Illness Health Insurance Group Health Insurance
Key Features
(Key features of the plan)
  • Enhanced Coverage
  • Eligibility
  • Sample Premium
  • Explore Care Health Group Plans
  • Care Claim Settlement Ratio
  • Benefits of Care Group Plans
OPD Details
(In some policies, OPD (Out patient department) expenses are also covered.)
Covered Not Covered
Room Rent
(A limit of room rent cover during hospitalization if any)
Covered Covered
Domicillary Hospitalization
(It is the expenses incurred on treatment of the patient at home)
Covered Not Covered
Pre-hospitalization
(Expenses before the insured is hospitalized)
Covered Covered
Post-hospitalization
(Expenses after discharge from the hospital)
Covered Covered
Day Care Treatment Covered
(Day care treatments refers to the treatments that do not necessarily require 24hrs of hospitalization like MRI.)
Covered Covered
Hospital_network
(Number of Hospital Network in city)
10000 11400+
Organ Donor Expenses
(Expenses incurred on organ donor in case of organ transplants)
Not Covered Not Covered
Hospital Daily Allowance
(Some plans offer daily allowance to take care of expenses like food, etc)
Covered Not Covered
Ambulance Charges
(Expenses incurred on ambulance charges)
Covered Covered
Maternity Benefits
(All Hospitalization cost covered at the time of pregnancy.)
Not Covered Covered
New Born Baby Covered
(Newborn babies can be covered under the insurance plan after a certain period)
Not Covered Covered
Health Checkup
(An added benefit of one time full health checkup of policy holder.)
Covered Not Covered
Sub Limit
(Sub-limit is a monetary capping that applies on specific diseases like cataract)
Not Covered Available
Co-pay
(Mentioned %, if any is to be borne by Insured and rest will be borne by insurer)
Not Covered Not Available
Plan Entry Age Adults - 18 -65 years Flexible eligibility
Plan Premium Entry Age and S/A 17,765 NA
Plan Waiting Period 90 days to 4 years Coverage from day 1
Plan Coverage AccidentCare cover, CritiCare cover, HospiCash cover Group Health
Plan Sample Premium 17,765 -
Plan Brochure Brochure URL Brochure URL
Policy Term 1 year, 2 year, 3 years 1 Year
ICU Charges Covered Not Covered
Covid-19 Treatment Not Covered Covered
Cataract Covered Covered
Automatic Restoration Not Covered Not Available
Ayush Treatment Not Covered Covered
Modern Treatment Not Covered Not Covered
E Consultation Not Covered Not Covered
Air Ambulance Not Covered Not Covered
Global Coverage Not Covered Not Covered
Claim Ratio 98 97
Solvency Ratio 3.03 1.74
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