GoActive™ – Family Health Insurance Plan

A digital health insurance plan that works beyond hospitalisation and helps you access cashless OPD and diagnostic services.

Day Care Treatments

Get coverage for procedures that don't need hospitalisation

Early age AdvantAGE

Avail a lifetime discount of 10% if you buy at or before 35 years of age

OPD Consultations

Stay worry-free as we cover up to 10 doctor consultations

Health Coach(Optional benefit)

Talk to a personal health coach & achieve your health goals daily

No Room Rent sub-limit

Covered for rooms(except suite or above) for SI ₹ 5 lakhs & above

Diagnostic Tests

Book your diagnostic tests on a cashless basis

Know what’s covered under GoActive ™ Health Insurance Plan

Search for diseases covered in the GoActive™ health insurance plan or check out all the policy features

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Hospitalisation

IN-PATIENT CARE (HOSPITALISATION)

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Get cashless coverage for hospitalisation expenses for all insured members at network hospitals

PRE & POST HOSPITALISATION MEDICAL EXPENSES

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The policy covers expenses 90 days before hospitalisation and 180 days post discharge

HOSPITAL ACCOMODATION

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Get cashless coverage for all hospital accommodations (except suite or above) under this policy. (for Sum Insured of ₹ 5 lakh and above)

DOMICILIARY HOSPITALISATION

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The policy will reimburse you for the medical treatment taken at home on account of unavailability of a hospital bed or the doctor’s advice.

HEALTH CHECK-UP / DIAGNOSTIC TESTS

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Pick tests based on your needs and avail cashless health check-ups at any of Max Bupa network hospitals or clinics

EMERGENCY AMBULANCE

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The policy covers the cost of ambulance . These expenses are paid once we have accepted the In-patient claim

OPD CONSULTATION

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Choose the health insurance that pays for your doctor visits. Avail 10 OPD consultations within Max Bupa’s network either on cashless or reimbursement basis

Standout Features

REFILL BENEFIT

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In case of exhaustion of the base sum insured, get up to 100% of your base sum insured as a refill

EARLY AGE ADVANTAGE

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Get rewarded for starting early! If you are younger than 35, you will get a discount of 10% in the first policy year base premium and all subsequent renewals

I-PROTECT (OPTIONAL)

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Increase your sum Insured by 10% on every renewal. The benefit will be provided for every policy year as long as the policy is renewed or until you opt out

HEALTH COACH (OPTIONAL)

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Talk to a personal health coach for personalised services to reach your fitness goals

ORGAN TRANSPLANT

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Medical expenses for an organ donor’s In-patient treatment for the harvesting of the organ is also covered

DIRECT CLAIM SETTLEMENT

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There are no third-party agents involved. Get your claims processed painlessly by our customer service team directly

Add-on Features

Optional Benefits:
i-protect	Additional 10% of Base Sum Insured every policy year at renewal for policy lifetime.
Health Coach	Personalised Health Coaching
Personal Accident Cover -Accident Death -Accident Permanent Total Disability -Accident Permanent Partial Disability	Up to Rs. 50 Lac as per plan eligibility

Exclusions

Permanent Exclusions

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•Admission solely for the purpose of Physiotherapy, evaluation, investigations, diagnosis or observation services or not consistent with standard treatment guidelines (as defined by Clinical Establishments (Registration and Regulation) Act 2010 and amendments thereafter) or Evidence Based Clinical Practices.

•Artificial life maintenance

•Circumcision unless necessary for the treatment of a disease or necessitated by an Accident

•Any form of AYUSH Treatment, except as mentioned under Alternative Treatments

•Treatment for any Injury or Illness resulting directly or indirectly from nuclear, radiological emissions, war or war like situations (whether war is declared or not), rebellion (act of armed resistance to an established government or leader), acts of terrorism

•Screening, counseling or treatment related to external Congenital Anomaly

•Hospital accommodation when it is used solely or primarily for any services provided for the purpose of Convalescence, Rehabilitation and Respite Care

•Cosmetic and Reconstructive Surgery

•Dental/oral treatment

•Eyesight & Optical Services

•Experimental or Unproven Treatment

•Reproductive medicine & other Maternity Expenses

•Treatment received outside India

(Note: the above is a partial listing of the policy exclusions. Please refer to the policy clauses for the full list of exclusions)

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Why choose GoActive™?

Doctors Speak

Max Bupa doctors are here to guide you

Check out our blog to find out what the doctors and experts have to say on health insurance and healthy living.

LIVEWELL BLOG

07 February 2020

Max Bupa Health Insurance

Factors that can impact your health insurance premium

Check out our blog to find out what the doctors and experts have to say on health insurance and healthy living.

Know More

03 February 2020

Max Bupa Health Insurance

Picking the right health insurance for you

Check out our blog to find out what the doctors and experts have to say on health insurance and healthy living.

Know More

Calculate Medical Expenses

Painless renewals

Assured plan renewal for life

Get up to 20% off on renewals for staying healthy

Get cashless health check annually

Assured policy renewal with no extra loading

Get 20% more coverage for every claim-free year

Add personal accident cover.

Click here>>

Hassle-free 5 minutes renewal process

Seamless renewal options.

Click here>>

Frequently Asked Questions

HOW CAN I BUY THIS POLICY?

WHAT IS HEALTH COACH AND HOW WOULD I BE ELIGIBLE FOR DISCOUNTS UNDER THIS BENEFIT?

IS THERE ANY TAX BENEFIT THAT ONE CAN AVAIL WHILE PURCHASING HEALTH INSURANCE?

IS A MEDICAL CHECKUP NECESSARY BEFORE BUYING A POLICY?

HOW CAN I BUY THIS POLICY? - +

There are various ways in which you can purchase this policy:

Online: On purchase of this plan online your policy will be generated almost instantly along with your policy kit and card. This is applicable for cases which do not require further underwriting or medical checkup.

Telephone: If you wish to know more about Max Bupa’s Health Insurance Plans, please speak to our specially trained sales team or your local advisor. Call us on Phone 1860 500 8888 (Toll Free) between 9 am and 6 pm IST (Monday to Saturday) or click on ‘Click to arrange a call’ to buy the policy over the phone or to fix up an appointment.

Branch: Please visit our branch in your city. The complete list of branch locations is available in the Contact Us section of the website

WHAT IS HEALTH COACH AND HOW WOULD I BE ELIGIBLE FOR DISCOUNTS UNDER THIS BENEFIT? - +

Health Coach is an option benefit under GoActiveTM product. This benefit is available either to the primary insured person or primary insured person along with his/her spouse (if covered in the policy).

This benefit provides personalised health coaching services through a personal coach connected via a mobile application to guide and motivate you to achieve your health goals. The health coach feature makes you realise that lifestyle plays an important role in maintaining your health and suggests you ways to shift these habits into a positive direction that will improve your overall wellness. In order to get access to the health coach facility, you will have to download the mobile application and register your specified details through the mobile application.

When your registration gets completed, your health coach will notify you through the mobile application to set up an introductory call where you can discuss your short and long term goals with the coach. Once these goals are recorded, the health coach will provide an on-going daily support, motivation and interpretation of your tracking data to help you stay on track and reach your goals. You can constantly be in touch with the health coach to review your progress and revise the existing goals or set new goals.

The mobile application will also keep a track of your steps taken, daily food logs, etc. which can be accessed by you, personal health coach and the empanelled medical practitioners under this benefit. A Health Score will be calculated as per the table below:

Health Score Model
Task Based	Tasks to be Completed	Complete and Win(Points and Task)
One time		500
	Sign up & Activation	500
	Selecting your own goals	500
	Taking your first Health assessment	750
	Completing your first tele-consultation with Our empanelled Medical Practitioner
Weekly	Coach engagement (>3 interactions / week)	250
	Walking - Steps count (5000 steps /day --- 5 times /week)	300
	Daily food logs (minimum 10 logs/ week)	250
Monthly	Habit tracking (minimum 15 check in)	500
	Monthly Coach review - Call	500
Quarterly	Health Assessment	500
Half Yearly	Tele-consultation with Our empanelled Medical Practitioner	1200
	Sharing your test reports / records	1500

Performance Based	Parameters for performance review	Score - based on your performance
		(Max points / review )
One time	Health Assessment at the time of on boarding	2000
Monthly	Monthly performance - Quality score by personal health coach	2000
Quarterly	On completion of goal set by personal health coach	500
	Based on health assessment results
Annual Health score	(Task based points + Performance based points)	Earn up to 1 lac points in a yea

Based on your health score, you will get a discount in Renewal Base Premium under this benefit as per the following table:

Health Score	Discount in Renewal Base Premium
0-9999	0%
10000-69999	5%
70000-79999	10%
80000-89999	15%
90000-100000	20%

The Health score of the primary insured person (higher of the health scores, if both primary insured person and spouse are covered under this benefit) will be considered for calculating the discount in Renewal Base Premium. For the first renewal, the Health Score at the end of nine policy months shall be considered and pro-rated to arrive at the twelve months’ score for calculating the discount in Renewal Base Premium. For subsequent renewals, Health Score for the next twelve policy months from the date of last annual Health Score calculation, will be considered for calculating the discount in Renewal Base Premium

IS THERE ANY TAX BENEFIT THAT ONE CAN AVAIL WHILE PURCHASING HEALTH INSURANCE? - +

Yes. You can avail a tax benefit available under Section 80D of the Income Tax Act 1961 by buying a health insurance policy. Every taxpayer can avail an annual deduction of Rs. 15,000 from his/her taxable income for premium for self, spouse and dependent children. For senior citizens, this amount is Rs. 20,000. Please note that you will have to show the proof of payment of premium. (Section 80D benefit is in addition to the exemption of Rs 1,50,000 under Section 80 C). Tax benefits are subject to changes in the tax laws, please consult your tax advisor for more details.

IS A MEDICAL CHECKUP NECESSARY BEFORE BUYING A POLICY? - +

A medical checkup may be necessary when you sign up for a new health insurance policy. However, medical checkups are not usually needed for renewal of policies. It is in your best interests to undergo a medical check-up at the time of enrollment so that when you need us, we‘re there to provide speedy and efficient support and faster settlement of claims.

Get the most value from GoActive™

The Max Bupa Promise

30 Minute cashless claims processing

Spend less time on paperwork and more with your family

Health network beyond hospitals

A cashless network of 4500+ hospitals & 2000+ doctors

No third-party agents! Direct claim settlement

No TPA involvement in processing your claim

Cashless OPD & Paperless reimbursements

No paper, no hassle. Get online reimbursements

Your everyday health partner

Max Bupa Health App

Track your health, manage your policy & renewals

Download App now>>

Health coach

Reach your fitness goals with a personalised health coach

Download App Now >>

Document locker

Store & access all your medical records with a few taps

Book Cashless OPD Online!

Doctor’s appointment through our cashless health network

Hassle-free claims

Get admitted

Visit us at one of our hospitals

Use your health card

Identify yourself with your MaxBupa health card

Get validated

After validation your request will be sent directly to us

We Review

No third party involved!

Claim Settled

In as less as 30 minutes!

Get a quote

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Download Resources

GoActive™
Brochure

Download the brochure to understand the GoActive™ plan better

GoActive™ Policy
Wordings

Find out all you need to know about the plan here

GoActive™
Claim Form

Download the form to make a hassle-free claim

GoActive™
Application Form

Download the application form here

GoActive™ – Family Health Insurance Plan

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Discounted Premium

What you get

What you get

Know what’s covered under GoActive ™ Health Insurance Plan

IN-PATIENT CARE (HOSPITALISATION)

PRE & POST HOSPITALISATION MEDICAL EXPENSES

HOSPITAL ACCOMODATION

DOMICILIARY HOSPITALISATION

HEALTH CHECK-UP / DIAGNOSTIC TESTS

EMERGENCY AMBULANCE

OPD CONSULTATION

REFILL BENEFIT

EARLY AGE ADVANTAGE

I-PROTECT (OPTIONAL)

HEALTH COACH (OPTIONAL)

ORGAN TRANSPLANT

DIRECT CLAIM SETTLEMENT

Permanent Exclusions

Why choose GoActive™?

Max Bupa doctors are here to guide you

Max Bupa Health Insurance

Factors that can impact your health insurance premium

Max Bupa Health Insurance

Picking the right health insurance for you

Get the most value from GoActive™

Get admitted

Use your health card

Get validated

We Review

Claim Settled

Get a quote

Compare plans

Download Resources

GoActive™ Brochure

GoActive™ Policy Wordings

GoActive™ Claim Form

GoActive™ Application Form

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GoActive™
Brochure

GoActive™ Policy
Wordings

GoActive™
Claim Form

GoActive™
Application Form