Health Companion Family Health Insurance Plan in India | Max Bupa
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MY POLICY GET A QUOTE

All Day Care Treatments

Your health insurance will cover host of dental, ENT procedures and more

Pre & Post Hospitalisation

We cover expenses 30 days before hospitalisation and 60 days post-discharge.

No Room Rent Cap

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

Health check-up

Pick tests based on your needs and avail cashless health check-ups

No Claim Bonus

Get 20% more sum insured at renewal for each claim free year; max up to 100%

Alternative treatment

Get cover for Ayurvedic, Unani, Siddha and Homeopathic treatments

Know what’s covered under Health Companion Plan

Simply search for your queries regarding the Health Companion health insurance plan or check out the features listed below

Hospitalisation
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In-Patient Care (Hospitalisation)

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

Hospital Accommodation

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Get coverage for all hospital accommodations except suite & above room category without any room rent capping under this policy

Pre & Post Hospitalisation Medical Expenses

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The policy covers expenses 30 days before hospitalisation and 60 days post discharge

All Day-Care Treatments Covered

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Your health insurance will cover a host of dental, ENT and other procedures

Emergency Ambulance

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The policy covers the cost of ambulance upto ₹ 3000/. These expenses are paid once we have accepted the inpatient claim

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 on the doctor's advice

Any Age Enrolment

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Get health insurance at any age. Newborn (at least 91 days) can also be added to your plan at the time of renewal.

Organ Transplant

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Medical expenses for an organ donor’s inpatient treatment for the harvesting of the organ donated is also covered
Standout Features
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Refill Benefit

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In case of exhaustion of the base sum insured, get 100% of your base sum insured as a refill for a different illness

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

Alternative Treatments

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Get cover for inpatient treatment under AYUSH (Ayurveda, Unani, Siddha, and Homeopathy) up to sum insured

Cashless Facility

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Avail services at our network hospitals on a cashless basis

Renewal For Life

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The policy assures you renewability for life with no extra loadings based on your claim history

Tax Benefit

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Save taxes under section 80D of the income tax act when buying your health insurance policy

No Claim Bonus

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Get 20% more sum insured at renewal for each claim free year; max up to 100%

Add-on Features
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Health Companion         
Optional Benefits Health Companion health insurance: Individual / Family Floater (variant 1) Health Companion health insurance: Individual / Family Floater (variant 2) Health Companion health insurance: Individual / Family Floater (variant 3) Health Companion health insurance: Family First
Hospital Cash Rs 1000/day Rs 2000/day Rs 4000/day Rs 1000/day or Rs 2000/day
Exclusions
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Permanent Exclusions

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Investigation & Evaluation

Expenses related to any admission primarily for diagnostics and evaluation purposes only are excluded.

Any diagnostic expenses which are not related or not incidental to the current diagnosis and treatment are excluded.

Rest Cure, rehabilitation and respite care

Expenses related to any admission primarily for enforced bed rest and not for receiving treatment. This also includes:

Custodial care either at home or in a nursing facility for personal care such as help with activities of daily living such as bathing, dressing, moving around either by skilled nurses or assistant or non-skilled persons.

Any services for people who are terminally ill to address physical, social, emotional and spiritual needs.

Obesity/ Weight Control

  • Expenses related to the surgical treatment of obesity that does not fulfil all the below conditions:
  • Surgery to be conducted is upon the advice of the Doctor.
  • The surgery/Procedure conducted should be supported by clinical protocols.
  • The member has to be 18 years of age or older and;
  • Body Mass Index (BMI);
  • greater than or equal to 40 or
  • greater than or equal to 35 in conjunction with any of the following severe co-morbidities following failure of less invasive methods of weight loss:
  • Obesity-related cardiomyopathy
  • Coronary heart disease
  • Severe Sleep Apnea
  • Uncontrolled Type2 Diabetes

Change-of-Gender treatments

Expenses related to any treatment, including surgical management, to change characteristics of the body to those of the opposite sex.

Cosmetic or plastic Surgery

Expenses for cosmetic or plastic surgery or any treatment to change appearance unless for reconstruction following an Accident, Burn(s) or Cancer or as part of medically necessary treatment to remove a direct and immediate health risk to the insured. For this to be considered a medical necessity, it must be certified by the attending Medical Practitioner.

Hazardous or Adventure sports

Expenses related to any treatment necessitated due to participation as a professional in hazardous or adventure sports, including but not limited to, para-jumping, rock climbing, mountaineering, rafting, motor racing, horse racing or scuba diving, hand gliding, sky diving, deep-sea diving.

Breach of law

Expenses for treatment directly arising from or consequent upon any Insured Person committing or attempting to commit a breach of law with criminal intent.

Excluded Providers

Expenses incurred towards treatment in any Hospital or by any Medical Practitioner or any other provider specifically excluded by Us and disclosed in Our website / notified to the Policyholders are not admissible. However, in case of life threatening situations or following an Accident, expenses up to the stage of stabilization are payable but not the complete claim.

The complete list of excluded providers can be referred to on our website.

Treatment for, alcoholism, drug or substance abuse or any addictive condition and consequences thereof.

Treatments received in heath hydros, nature cure clinics, spas or similar establishments or private beds registered as a nursing home attached to such establishments or where admission is arranged wholly or partly for domestic reasons.

 

Dietary supplements and substances that can be purchased without prescription, including but not limited to vitamins, minerals and organic substances unless prescribed by a Medical Practitioner as part of Hospitalization claim or Day Care procedure

Refractive Error

Expenses related to the treatment for correction of eye sight due to refractive error less than 7.5 dioptres.

Unproven Treatments

Expenses related to any unproven treatment, services and supplies for or in connection with any treatment. Unproven treatments are treatments, procedures or supplies that lack significant medical documentation to support their effectiveness.

Sterility and Infertility

  • Expenses related to sterility and infertility. This includes:
  • Any type of contraception, sterilization
  • Assisted Reproduction services including artificial insemination and advanced reproductive technologies such as IVF, ZIFT, GIFT, ICSI
  • Gestational Surrogacy
  • Reversal of sterilization

Maternity

Medical treatment expenses traceable to childbirth (including complicated deliveries and caesarean sections incurred during Hospitalization) except ectopic pregnancy;

Expenses towards miscarriage (unless due to an Accident) and lawful medical termination of pregnancy during the Policy Period.

Ancillary Hospital Charges

Charges related to a Hospital stay not expressly mentioned as being covered. This will include RMO charges, surcharges and service charges levied by the Hospital.

Circumcision:

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

Conflict & Disaster:

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.

External Congenital Anomaly:

Screening, counseling or treatment related to external Congenital Anomaly.

Dental/oral treatment:

Treatment, procedures and preventive, diagnostic, restorative, cosmetic services related to disease, disorder and conditions related to natural teeth and gingiva except if required by an Insured Person while Hospitalized due to an Accident.

Hormone Replacement Therapy:

Treatment for any condition / illness which requires hormone replacement therapy.

Sexually transmitted Infections & diseases (other than HIV / AIDS):

Screening, prevention and treatment for sexually related infection or disease (other than HIV / AIDS).

Sleep disorders:

Treatment for any conditions related to disturbance of normal sleep patterns or behaviors.

Any treatment or medical services received outside the geographical limits of India.

 

Unrecognized Physician or Hospital:

  • Treatment or Medical Advice  provided by a Medical Practitioner not recognized by the Medical Council of India or by Central Council of Indian Medicine or by Central council of Homeopathy.
  • Treatment provided by anyone with the same residence as an Insured Person or who is a member of the Insured Person’s immediate family or relatives.
  • Treatment provided by Hospital or health facility that is not recognized by the relevant authorities in India.
  • Artificial life maintenance for the Insured Person who has been declared brain dead or in vegetative state as demonstrated by:
  • Deep coma and unresponsiveness to all forms of stimulation; or
  • Absent pupillary light reaction; or
  • Absent oculovestibular and corneal reflexes; or
  • Complete apnea.

AYUSH Treatment

Any form of AYUSH Treatments, except as mentioned in your policy document.

Why choose Health Companion?

Doctors Speak
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Live well with Max Bupa

Check out what the doctors and the  experts have to say about your health and health insurance

Calculate Medical Expenses
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Painless renewals
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Assured plan renewal for life

Get No Claim Bonus of 20% of base sum insured*

Get cashless health check-ups

Assured policy renewal with no extra loading

Get 20% more coverage for every claim-free year

Unlock annual health checks after each renewal

Hassle-free 5 minutes renewal process

Seamless renewal options.

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Frequently Asked Questions
WHAT IS TOP UP WITH ANNUAL AGGREGATE DEDUCTIBLE OPTION IN HEALTH COMPANION?
WHY IS A TOP-UP IMPORTANT?
WHEN DOES IT MAKE SENSE TO OPT FOR TOP-UP?
HOW DOES THE PLAN WORK?
HOW CAN I BUY THIS POLICY?
WHAT ARE THE MINIMUM AND MAXIMUM POLICY DURATIONS?
IS THERE ANY TAX BENEFIT THAT ONE CAN AVAIL OF WHILE PURCHASING HEALTH INSURANCE?
IS A MEDICAL CHECK-UP NECESSARY BEFORE BUYING A POLICY?
WHAT IS TOP UP WITH ANNUAL AGGREGATE DEDUCTIBLE OPTION IN HEALTH COMPANION? - +

It becomes really difficult to decide how much cover is adequate. A cover which we find sufficient today becomes irrelevant tomorrow due to the rising medical inflation. At the same time buying a large insurance cover in the current policy may not be affordable or available.

Our Health Companion Deductible Option acts like a stepney to your health insurance plan. It’s an additional coverage offered to you with a threshold limit. It comes into effect only when your total claim in the same year surpasses the threshold limit.

Get the most value from Health Companion

The Max Bupa Promise
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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

Your everyday health partner
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your everyday health partner-compressed

Max Bupa Health App

Track your health, manage your policy & renewals

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Document locker

Store & access all your medical records with a few taps

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Hassle-free claims
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Hassle-free claims
Get admitted

Visit us at one of our hospitals

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Identify yourself with your MaxBupa health card

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After validation your request will be sent directly to us

We Review

No third party involved!

Claim Settled

In as less as 30 minutes!

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