Niva Bupa (Max Bupa) Health Insurance vs SBI General Health Insurance

Health insurance has become the need of the hour after the chaos COVID-19 caused in India. While the states have put a cap on COVID-19 treatment costs, bearing private hospital costs without the help of health insurance can burn a hole in your pocket. Why take that risk at all when you can get health insurance to cover that and a bunch of other illnesses and eventualities? Take a look at this comparative guide of Niva Bupa (Max Bupa) Health Insurance and SBI General Health Insurance and see what all health insurance has to offer. 

Niva Bupa (Max Bupa) Health Insurance vs SBI General Health Insurance – Overview 

Parameter	Max Bupa Health Insurance	SBI General Health Insurance
No. of health insurance policies	10+	11
E-services	Policy salePolicy renewalClaim settlementOnline consultationBranch locatorAssistive chat services	Policy salePolicy renewalClaim settlementOnline consultationBranch locator 24×7 customer support
Branches	25+	22,000+
Claim settlement ratio (CSR)	92%	59.42%
Cashless claim settlement time	30 minutes	Unspecified
Hospital network	5,000+	6,000+

Source: The Insurance Regulatory and Development Authority of India’s (IRDAI) Annual Report – 2019-20. 

Health Insurance Policies: Niva Bupa (Max Bupa) Health Insurance vs SBI General Health Insurance

Max Bupa Health Insurance and SBI General Health Insurance are part of reputed and well-trusted corporate groups. Both insurers offer over 10 health insurance policies that cover diverse health needs.  But Max Bupa’s CSR is higher than SBI General Health’s, so your chance of getting your health insurance claim accepted is higher with Max Bupa. 

Top-up Policy: 

Max Bupa offers 2 top-up insurance policies for additional coverage: 

• Health Recharge 
• Money Saver 

These policies provide: 

• Sums insured (SI) up to Rs. 1,00,00,000

• Deductible options up to Rs. 10,00,000 for co-payment of the SI 
• Coverage for: 

• Pre and post-hospitalization 
• In-patient hospitalization 
• Domiciliary (home) hospitalization  
• Hospitalization accommodation expenses 
• Daycare procedures and treatments
• Organ donor expenses
• Ayurveda, Unani, Siddha, and Homeopathy (AYUSH) treatments 
• Mental illnesses and their treatment 
• HIV/ AIDS treatment 
• Pharmacy and diagnostic services 
• Modern technology treatments
• Artificial life maintenance equipment costs 
• Emergency ambulance costs 
• Daily hospital cash benefits 
• E-consultations and health check-up
• An optional personal accident and critical cover 

SBI General Health has a Top-up Policy called the Arogya Top-up Policy. It offers:

• SI up to Rs. 50,00,000
• Deductible options up to Rs. 10,00,000 for co-payment of the SI 
• Coverage for: 

• Pre and post-hospitalization 
• In-patient hospitalization  
• Nursing care expenses 
• Hospital accommodation expenses 
• Domiciliary hospitalization 
• 141 daycare procedures
• Organ donor expenses
• In-patient physiotherapy 
• AYUSH treatments 
• Maternity expenses after 9 months 
• 12 advanced technology treatments 
• HIV/ AIDS treatment
• Mental illnesses and their treatment 
• Internal congenital diseases
• Medicines and consumables 
• Ambulance costs up to Rs. 2,000

Critical Illness Policy: 

Max Bupa has a Critical Illness Policy called Criticare. It offers: 

• SI up to Rs. 2,00,00,000
• 100% payout of the SI on the diagnosis of a policy listed critical illness 
• Coverage for 20 critical illnesses such as: 

• Cancer 
• Major burns
• Loss of speech
• End-stage lung disease 
• Bacterial meningitis 
• Optional benefits that cover: 

• In-patient hospitalization expenses 
• Physiotherapy care expenses 

• Diagnostic tests costs
• Costs of prosthetic implants 
• Ambulance charges 

SBI General Health Insurance’s Critical Illness Policy provides:

• SI up to Rs. 50,00,000
• 100% payout of the SI upon the first diagnosis of a policy listed critical illness 
• Coverage for 13 critical illnesses such as: 

• Cancer
• Coma
• Stroke
• Hypertension
• End-stage kidney failure

Daily Hospital Cash Policy:

Max Bupa’s Daily Hospital Cash Policy called Hospi-cash offers:

• Daily cash benefits between Rs. 1000 and Rs. 4,000 
• Twice the benefit amount for intensive care unit (ICU) hospitalization up to 7 days only 
• 100% of the benefit amount for adults 
• 50% of the benefit amount for children 

SBI General Health’s Daily Hospital Cash Policy offers: 

• Daily cash benefits between Rs. 500 and Rs. 2,000 
• Twice the benefit amount for ICU hospitalization 
• Twice the benefit amount for hospitalization due to an accident 
• Up to Rs. 5,000 towards convalescence benefits