Last Updated on: 08/07/2025
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Niva Bupa - New Group Critical Care:
M/s Niva Bupa Health Insurance has come up with New Group Critical Care (NGCC), loan linked product providing Critical Illness and Accidental Insurance cover for borrowers in the age group of 18 to 55 Years with policy tenure of 5 years. The product has been formulated with core features of existing Group Critical Care with enhanced features.
The plan intends to cover the borrowers on getting diagnosed with any of the 41 listed critical illnesses and death or disability due to accident. Sum insured will be equal to the amount of loan sanctioned. In the event of borrower getting diagnosed with any of the 41 listed critical illness, or death or disability due to an accident, the outstanding loan amount gets paid to the bank and the remaining amount goes to the family- hence protecting the interests of the bank and the customer.
The features of product are detailed below:
Policy Tenure
1 Year
Sum Insured
Sum insured will be different for every section and/or subsection/optional benefits.
Entry Age
Adult- 18 years to 55 yrs
Critical Illness Cover
Plan Type
Borrower & Co-borrower
Relationships Covered
Critical Illness Sum Insured (SI)
INR Up to 3 Crore (SI<= Loan Amount)
Age
Age band
18-50 Yrs.
1 Lac - 3 Cr.
51-55 Yrs.
1 Lac - 1 Cr.
Sub Sections
Illnesses Covered
41 listed critical illness*
Income Protector
INR 25,000/ month up to 3 months
Premium Waiver
Waiver of premium for each claim free year. Maximum for a block of 4 years Loan Tenure 1 Year ::No Premium Waiver Loan tenure 2 Year :Block of 1 Year Loan tenure 3 year :Block of 2 year Loan Tenure of 4 Year :Block of 3 Year Loan Tenure of 5 Year :Block of 4 Year
Pre-Existing Diseases (PED) waiting period
24 Months
Initial waiting period
60 days
Survival Period
Waived for the first diagnosis of Critical Illness
Accidental Cover
Accidental Cover Sum Insured (SI)
Equal to Critical Illness Sum Insured
Accidental Death (AD)
100% of Accidental Cover SI
Accidental Permanent Total Disability (PTD)
Comatose benefit
Deductibles of 3 months up to 40 weeks at the rate of 1% of Accidental Cover SI per week
Air Ambulance for Accidental Injuries
INR 1 lac
Air Accident Death
Up to 2x times of Accidental Cover SI
Education Allowance for children
INR 2.5 Lacs
Waiver of premium for each claim free year.Maximum for a block of 4 yearsLoan Tenure 1 Year :No Premium WaiverLoan tenure 2 Year :Block of 1 YearLoan tenure 3 year :Block of 2 yearLoan Tenure of 4 Year :Block of 3 YearLoan Tenure of 5 Year :Block of 4 Year
Safeguard (No impact on Premium Waiver)
Up to 5 admissible claims in a policy year (not applicable for Accidental Death / Air Accident Death Benefit)
* For Critical Illness Cover- will cover 3 Critical Illnesses in the life of the insured- The survival period (as mentioned above) will be applicable for each Critical Illness- There will be a cooling off period of 3 months (90 days) between two Critical Illness pay-outs (Date of Diagnosis for 1st Critical Illness and Date of Diagnosis for 2nd Critical Illness)- The Critical Illnesses are grouped in 3 separate groups. The insured would be able to claim one time, per group, with no repeat claims in the same group- The claim pay-outs will be as per the below grid- 1st Claim: up to 100% of the Critical Illness Sum Insured- 2nd Claim: up to 25% of Critical Illness Sum Insured, maximum up to INR 50 Lacs- 3rd Claim: up to 15% of Critical Illness Sum Insured, maximum up to INR 25 Lacs- The insured will have to pay the premium on Renewal to continue the policy post a claim is paid.
Income Protector - in the event of Insured Person losing his/her job due to Critical illness, mentioned in the Policy Schedule / Certificate of Insurance, the insurance company will pay Rs. 25000/- PM for a period of 3 months in addition to the critical illness Sum Insured, and the amount up to the limit and/or number of months as specified in the policy schedule/certificate of insurance as income to the insured person. This benefit is subject to a claim being accepted under Section 3.6.1 (Critical Illness Cover) for the insured person.
List of 41 critical illness:
The policy offers coverage for the following 41 critical illness. In case of diagnosis of this critical illness, the Sum Insured (SI) will be paid to Bank/Nominee as per the terms & conditions of policy:
1
Cancer of Specified Severity
2
Kidney Failure requiring Regular Dialysis
3
Major Organ /Bone Marrow Transplant
4
Benign Brain Tumour
5
End Stage Lung Failure
6
End Stage Liver Failure
7
Fulminant Viral Hepatitis
8
Aplastic Anaemia
9
Pneumonectomy
10
Progressive Scleroderma
11
Systematic lupus Erythematosus with Renal Involvement
12
Medullary Cystic Kidney Disease
13
Nephrotic Syndrome/glomerulonephritis
Group 2
14
Myocardial Infarction
15
Open Chest CABG
16
Open Heart Replacement or Repair of Heart Valves
17
Bacterial Meningitis
18
Primary (Idiopathic) Pulmonary Hypertension
19
Abdominal Aortic Aneurysm
20
Apallic Syndrome
21
Aortic Dissection
22
Severe Rheumatoid Arthritis
23
Uterine Rupture
24
Uterine inversion
25
Pituitary apoplexy in pregnancy
26
Cardiomyopathy including Peripartum and postpartum
Group 3
27
Coma of Specified Severity
28
Stroke resulting in Permanent Symptoms
29
Permanent Paralysis of Limbs
30
Motor Neuron Disease with Permanent Symptoms
31
Multiple Sclerosis with Persisting Symptoms
32
Blindness
33
Deafness
34
Loss of Speech
35
Loss of Limbs
36
Major Head Trauma
37
Third Degree Burns
38
Muscular Dystrophy
39
Loss of independent existence
40
Parkinson's Disease
41
Alzheimer's Disease
Premium Chart
18 - 25
0.99
1.82
2.62
3.38
4.10
26 - 30
1.38
2.56
3.72
4.82
5.85
31 - 35
1.76
3.49
5.34
7.21
9.04
36 - 40
3.29
6.38
9.58
12.76
15.81
41 - 45
5.21
9.99
15.00
20.09
25.19
46 - 50
9.88
18.57
27.82
37.69
48.32
51 - 55
20.91
39.68
58.97
78.20
97.13
Key Benefits:
Premium Waiver Benefit:
In case of no claim, the insurance company will offer complete waiver of renewal premium. The waiver will be applicable for a block of years (say 5 years). Post which the consumer will have to pay the premium as per your plan and waiver will again be applicable as per the mentioned block of years.
Safeguard Benefit:
In case of availing Premium Waiver benefit with safeguard, then if the claim is for up to count of claims in a policy year, there will be no impact on the Premium waiver benefit.
Critical Illness Cover:
In the present GCC scheme, the policy lapses once a claim is paid out for any critical illness. Under the revised New GCC, the customer would be able to claim a total of 3 times in the life of the policy. This would give additional financial coverage to the consumer from unexpected medical emergencies.
The new Group critical care product will supersede the existing Group Critical care product. Hence borrowers will be able to avail the benefits under the new GCC scheme only.