Criticare Plus vs Niva Bupa Group Health Insurance Health Insurance Plan 2026 | PolicyX

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Star Criticare Plus Policy falls under a dual benefit plan, as policyholders can get the coverage of health insurance and as well as critical illnesses. Star Criticare Plus provides a lump sum payment for long-term diseases such as cancer, chronic kidney disease, brain tumor, major organ transplant, Cerebro-Vascualr Stroke causing Hemiplegia, Acute Myocardial Infarction, established irreversible coma, and many more critical diseases. One of the distinctive features of this policy is that it provides cover for non-allopathic treatments up to a certain limit.

Star Criticare Plus Policy offers a fair range of sum insured options from 1 Lakh to 10 Lakh with an age gap of 18 to 65 years. This plan provides policyholders coverage for themselves along with any one family member under Star Criticare Plus Policy.

PLAN DETAILS

Criticare Plus

Niva Bupa Group Health Insurance

Product Type Critical Illness Health Insurance Group Health Insurance
Key Features
(Key features of the plan)
  • Cover 1 family member
  • 30% Co-payment
  • Non-allopathic treatments
  • Explore Niva Bupa Group Plans
  • Niva Bupa Tax Benefits
  • Niva Bupa Eligibility
OPD Details
(In some policies, OPD (Out patient department) expenses are also covered.)
Not Covered -
Room Rent
(A limit of room rent cover during hospitalization if any)
Covered -
Domicillary Hospitalization
(It is the expenses incurred on treatment of the patient at home)
Not Covered -
Pre-hospitalization
(Expenses before the insured is hospitalized)
Covered -
Post-hospitalization
(Expenses after discharge from the hospital)
Covered -
Day Care Treatment Covered
(Day care treatments refers to the treatments that do not necessarily require 24hrs of hospitalization like MRI.)
Not Covered -
Hospital_network
(Number of Hospital Network in city)
14000 10000
Organ Donor Expenses
(Expenses incurred on organ donor in case of organ transplants)
Covered -
Hospital Daily Allowance
(Some plans offer daily allowance to take care of expenses like food, etc)
Not Covered -
Ambulance Charges
(Expenses incurred on ambulance charges)
Covered -
Maternity Benefits
(All Hospitalization cost covered at the time of pregnancy.)
Not Covered -
New Born Baby Covered
(Newborn babies can be covered under the insurance plan after a certain period)
Not Covered -
Health Checkup
(An added benefit of one time full health checkup of policy holder.)
Not covered -
Sub Limit
(Sub-limit is a monetary capping that applies on specific diseases like cataract)
Applicable -
Co-pay
(Mentioned %, if any is to be borne by Insured and rest will be borne by insurer)
Applicable -
Plan Entry Age 18 to 65 years Flexible eligibility
Plan Premium Entry Age and S/A 8400 NA
Plan Waiting Period 90 NA
Plan Coverage - Group Health
Plan Sample Premium - -
Plan Brochure Brochure URL Brochure URL
Policy Term 1 Year NA
ICU Charges Covered -
Covid-19 Treatment Not Covered -
Cataract Covered -
Automatic Restoration Not Covered -
Ayush Treatment Covered -
Modern Treatment Covered -
E Consultation Not covered -
Air Ambulance Not covered -
Global Coverage Not covered -
Claim Ratio 99.06 98
Solvency Ratio 2.21 3.03
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