Niva Bupa vs Care Health Insurance: Which is Better?

When comparing Niva Bupa vs Care Health Insurance, both are strong standalone health insurers with feature-rich plans and a customer-first approach. However, they cater to slightly different audiences.

Niva Bupa offers innovation, flexibility, and a digital-first experience, which makes it a top pick for those who want customizable, value-packed coverage. Care Health Insurance, on the other hand, stands out for its affordability and simple, comprehensive plans that suit families and those with pre-existing conditions.

Introduction

Are you struggling to decide between Niva Bupa and Care Health Insurance? You’re not alone. Both Niva Bupa and Care Health are trusted names in the health insurance segment. However, while they may seem similar, subtle differences in claim handling, pricing, and plan features can make one a better fit for your specific needs. Let’s break it down.

Do you need help in choosing which insurer suits your specific requirements? Book a free consultation call with us and our advisors will help you out.

About Niva Bupa Health Insurance

Niva Bupa, founded in 2008, is a standalone health insurance company in India, meaning it focuses solely on health insurance, unlike general insurers that also cover home, fire, motor, travel, etc. It has over 200+ offices across the country. 

Key Note: Niva Bupa rebranded from Max Bupa in 2021 and has since expanded its health portfolio significantly.

What this means for you: Being a standalone health insurer, Niva Bupa is wholly focused on health insurance. This often translates into more innovative, feature-rich plans designed with a health-first mindset.

About Care Health Insurance 

Care Health Insurance, founded in 2012, is a subsidiary of Religare Enterprises and also a standalone health insurer with over 260 branches across India

What this means for you: The premiums for Care’s health insurance plans are the most affordable in the industry because they do not have any loading charges. The plans are especially beneficial for those with pre-existing conditions like Asthma, high Blood Pressure, Diabetes, etc.

Niva Bupa vs Care  Health Insurance: Key Differences

Metric/ InsurerNiva Bupa Health InsuranceCare Health Insurance
Claim Settlement Ratio (Avg 2022-2025)92%93%
Incurred Claim Ratio (Avg 2021-2024)58%59%
Complaint Volume (Avg 2022-2025) (per 10,000 claims)4342
Network Hospitals10,000+11,400+
Annual Business Volume (Avg 2022-2025)₹5,481 crore₹6,775 crore

Note: We’ve taken this information from IRDAI’s reports as well as Niva Bupa and Care Health’s public disclosures.

Claim Settlement Ratio: Niva Bupa vs Care Health Insurance

The Claim Settlement Ratio (CSR) measures how many claims an insurer settles out of total claims received. A higher CSR indicates smoother claim experience and reliability. Both Niva Bupa and Care Health Insurance fall in the ideal range of 90-100%. 

Verdict: Care Health has a slight edge with a 1% higher ratio, suggesting marginally quicker and more consistent claim processing. However, there are other insurers with better claim settlement ratios, such as HDFC ERGO and Aditya Birla.

Incurred Claim Ratio: Niva Bupa vs Care Health Insurance

The Incurred Claim Ratio (ICR) of a company indicates the proportion of claim amounts paid relative to total premiums collected. The ideal ICR range is between 50% and 80%.

Verdict: Both insurers have excellent ICRs, meaning they’re financially sound and pay claims responsibly.

Complaint Volume: Niva Bupa vs Care Health Insurance

The complaint volume indicates the number of grievances raised per 10,000 claims. A high complaint volume may point to ongoing issues in customer service or claim handling. 

Verdict: While Niva Bupa and Care Health’s numbers are nearly identical, they are still higher than some of the other insurers in the market. For example, Bajaj and HDFC Ergo have a complaint volume of 3 and 9, respectively. 

Now that we have a clear idea of how both insurers perform on key metrics, let us compare them based on their plan offerings.

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Plan Comparison of Niva Bupa vs Care Health Insurance

Plan NameKey Features
Niva Bupa ReAssure 2.0 PlatinumReAssure Forever Benefit, Booster+ benefit, coverage for day-care treatments, annual health check-ups, no room-rent restrictions
Niva Bupa Aspire TitaniumLock the Clock+ feature, Fast Forward, enhanced cashback rewards via Cash-Bag, and comprehensive global healthcare access with Borderless.
Niva Bupa Health Recharge Super Top UpInpatient care, pre- and post-hospitalization expenses, domiciliary care, day-care treatment, AYUSH coverage, and organ donor expenses. 
Care SupremeDay-care and advanced treatments, pre- and post-hospitalisation, AYUSH, organ donor expenses, unlimited e-consultations
Care UltimateUnique benefits like Infinity Bonus and Loyalty Bonus, premium payback, and instant cover add-ons, no room-rent limits
Care Supreme Enhance Super Top UpUnlimited restoration of SI, cumulative loyalty bonus, and a mandatory no room-rent restriction add-on

Premium Comparison: Niva Bupa vs Care Health Insurance

For premium comparison, we’ve considered the profiles of healthy non-smokers with no PED, living in a tier-1 city like Delhi, covered for ₹15 lakhs. 

Note: We’ve added essential add-ons to make both plans on par with each other

    • Niva Bupa: Safeguard add-on
    • Care Health: Annual health check-up, Cumulative Bonus Super, Air Ambulance, Wellness Benefit, Care Shield
Profile/ InsurerNiva Bupa Health Insurance (ReAssure 2.0 Platinum)Care Health Insurance (Care Supreme)
Individual Plan (age: 25)₹11,864₹14,592
Family Floater, 2A (age: 31,32)₹20,185₹20,793
Family Floater, 2A, 1C (age: 35,34,5)₹26,343₹26,220
Family Floater, 2A (age: 62,63)₹71,830₹76,111
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Who Should Choose Niva Bupa vs Care Health Insurance?

01

You Should Choose Niva Bupa If

You value flexibility and customization in your health insurance. Niva Bupa’s innovative plans allow you to tailor coverage to your specific needs, making it ideal for those who want more control over their policy. Additionally, young families or those planning one can benefit from Niva Bupa’s extensive maternity benefits, including surrogacy, adoption, and fertility treatments.

02

You Choose Choose Care Health Insurance If

Affordability is your primary concern. Care Health Insurance is particularly beneficial for people with pre-existing conditions such as diabetes, hypertension, or asthma, as it offers add-ons to shorten the waiting periods, no loading charges, and more favorable terms for these conditions. Additionally, its family floater plans make it an excellent choice for families, as they provide no room-rent restrictions or disease-specific sub-limits.

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Conclusion

Niva Bupa and Care Health Insurance both deliver dependable coverage with decent claim performance and nationwide reach. However, the complaint volume is slightly higher than that of some competitors. 

Ditto’s verdict: Both Niva Bupa and Care Health Insurance are our partners and strong contenders, but the right one for you will depend on whether flexibility and innovation or simplicity and affordability matter more to you.

Frequently Asked Questions

Which is better for family floater policies: Niva Bupa vs Care Health Insurance

Both Niva Bupa and Care Health Insurance offer strong family floater policies. Care Health Insurance is more affordable, making it an excellent choice for families on a budget. On the other hand, Niva Bupa may appeal to those looking for customizable coverage with added benefits.

Does Niva Bupa Insurance offer better maternity benefits compared to Care Health?

Yes, Niva Bupa stands out for its excellent maternity benefits, including coverage for surrogacy, adoption, and fertility treatments in its Aspire plan.

Which one is better, Care Health or Niva Bupa?

It depends on your priorities. If affordability and a simple, broad coverage plan are most important to you, Care Health might be the better choice. If you want flexibility, customization, and additional benefits such as maternity and fertility coverage, Niva Bupa would be ideal.

Which is the top 5 health insurance in India?

Some of the top health insurance providers in India (as of now) are: HDFC Ergo, ICICI Lombard, Aditya Birla Health Insurance, Care Health Insurance, and Niva Bupa.

Which one is better, Niva Bupa or Star health?

Niva Bupa not only has better metrics but also offers greater innovation and customization, along with features such as maternity benefits and long-term stability.

What is the rank of Niva Bupa in India?

Niva Bupa Health Insurance ranks highly among standalone health insurers in India, thanks to its comprehensive product range and customer-first approach. It's one of the top choices for innovative health plans and strong customer service.

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