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We at Max Bupa are very keen to hear about the aspects of your Policy that you believe can be improved. If something does not go well and as expected or promised, here are some simple ways to ensure that your concerns are dealt with as quickly and effectively as possible. Know more
The scanning/Printing dimensions should be as follows:
At Max Bupa, we provide the best services to make claiming as simple and straightforward as it possibly can be. Just follow the simple steps given on the link to claim: Know more
To make a claim against your policy.
Fill and send the claim form with all the original bills at our below mentioned address:
Max Bupa Health Insurance Company Limited,
B-1/I-2, Mohan Cooperative Industrial Estate
Mathura Road, New Delhi-110044
Fax: 1800-3070-3333 Download
To view your claim status, please log on to the customer section. Know more
1860-500-8888 | 011-46096100
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(Early Age Discount - AdvantAGE)
Online Discount @ 12%
- Rs. 0
Rs. 0 Rs.0
Included in Your Policy
Doctor Visits Worth
upto Rs. 0
Diagnostic Tests Worth
We cover cost of medical treatment when you or your insured family members are hospitalised
We cover cost of all types of hospital accommodation (except suite or above room
category) without any capping on room rent charges (for Sum Insured of Rs.5 lacs
We reimburse pre & post hospitalisation medical expenses incurred due to illness/injury.
The period of the treatment covered is 90 days before you get admitted to the hospital
and 180 days after you get discharged from the hospital. This is subject to Max
Bupa accepting the In-patient Care hospitalisation, Day Care or Domiciliary hospitalisation
We cover day care treatments under the product. Please refer to Annexure VI of the
policy document to know the day care procedures covered under the product.
Home Health Care is a range of health care services and medically necessary treatment
that can be given at home for an illness or injury. These shall include services
such as nursing care, investigations, medication (including oral and intravenous),
chemotherapy, dialysis, transfusions, physiotherapy and postsurgical care.
The Home Health Care Services are covered only if we have accepted an In-patient
Care hospitalisation claim and Home Health Care Services are availed immediately
after that hospitalisation. The Home Health Care Services are provided through empanelled
service provider in selected cities only.
In case a bed in the hospital is unavailable or on advice of the attending medical
practitioner, treatment is administered at home; we pay for medical treatment taken
at home, which would otherwise have required hospitalisation. Such treatment should
continue for at least 3 consecutive days and confirmation from treating medical
practitioner/insured that insured person could not be transferred to the hospital
or hospital bed was unavailable, as the case may be.
Medical expenses for an organ donor’s In-patient treatment for the harvesting of
the organ donated is also covered provided the organ is for the use of the insured
We also cover the ambulance expenses to transfer the insured following an emergency
to the nearest hospital. These expenses are paid up to Rs3,000 per hospitalisation
only if we have accepted the In-patient claim.
You can avail health Checkup for yourself and your spouse (if insured under the
policy) annually so that you live a healthier and happier life. You can undergo
a Health Checkup through service provider on cashless basis. There shall be a pre-defined
list of tests basis the Sum Insured chosen as specified in Annexure III of Policy
terms and conditions.
Instead of undergoing the pre-defined list of tests under health checkup for Sum
Insured of Rs5 lacs and above, you can undergo the diagnostic tests of your choice
up to a fixed amount depending upon your Sum Insured either on cashless or reimbursement
basis. The cashless facility will only be available through empanelled service provider.
Please note that only one of either Health Checkup or Diagnostic Tests can be availed.
In case you have exhausted your Base Sum Insured and Increased Sum Insured under
I-Protect (if any) partially or completely, you are entitled for an additional sum
insured equal to the base sum insured for a subsequent claim in the same year, provided
it is for an unrelated illness.
You can obtain second medical opinion for specified illness / planned surgery /
Avail OPD consultations within a network either on cashless or reimbursement basis.
In case of reimbursement, the maximum amount payable per OPD consultation is Rs.600
(for Zone 1) and Rs.500 (for Zone 2). The number of consultations will depend on
the Sum Insured chosen. Please
click here to know the doctors for availing OPD consultation.
Please also note that the Out-patient consultation benefit under this product is
available within our network of doctors in selected cities only which gets updated
from time to time. The current list of cities where OPD service is available on
a cashless or reimbursement basis are given below for easy reference:
You can avail consultation/counseling from a psychotherapist/counselor over a call
to provide support on pre-marital counseling, nutrition, stress, child, parenting,
You may purchase medicines and diagnostic services from the empanelled service provider
through our mobile application or website. The cost for the purchase of the medicines
or diagnostic services shall be borne by you.
You will get a discount of 10% in the first policy year Base Premium and all subsequent
renewal Base Premiums, if age of the eldest insured person at the time of inception
of the first policy is less than or equal to 35 years.
Get an increase in Sum Insured by 10% of the Base Sum Insured for every renewal.
The benefit will be provided for every policy year as long as the policy is renewed
or until you request for opting out of this benefit.
You can opt for personalised health coaching services to keep yourself fit and healthy.
Based on your health core, a premium discount of maximum up to 20% of the base premium
may apply at the time of renewal.
Personal Accident coverage against accident death, permanent total and partial disability.
Top Up with Annual Aggregate Deductible option of Rs25,000, Rs50,000, Rs1 lac, Rs2
lacs, Rs3 lacs, Rs5 lacs & Rs10 lacs
You can opt for one of the following two zones.
The entry age for adults under this policy can be from 18 to 65 years. The entry
age for dependent children is from 91 days to 21 years.
The policy can be taken individually or for the family. The family floater policy
is available in any of the following combinations:
Save tax under Section 80D of the Income Tax Act when you buy a Max Bupa health
insurance policy. Tax benefits are subject to changes in the tax laws, please consult
your tax advisor for more details.
Once insured with us, you will always remain our customers subject to continued
payment of premium. We assure you renewability for life with no extra loadings based
on your claim history.
We believe you should focus on the treatment of your loved ones rather than running
after claim settlement. Therefore, all claims are processed directly by our customer
Cashless Facility can be availed only at our Network Providers or Service Providers.
Please contact us for more details.
We endeavor for transparency and complete satisfaction and therefore, our policies
are transparent and easy to understand. If you are not satisfied, we provide a 15-day
free look period within which you can cancel your plan stating the reason.
Get quick and easy access to your claims history, your health information, your
health profile, including records of tests and other details on our website.
a. Suicide or self-inflicted injury, whether the insured person is medically sane
b. 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
c. Service in the armed forces, or any police organisation, of any country at war
or at peace or service in any force of an international body or participation in
any of the naval, military or air force operation during peace time.
d. Any change of profession after inception of the policy which results in the enhancement
of our risk, if not accepted and endorsed by us on the policy schedule.
e. Committing an assault, a criminal offence or any breach of law with criminal
f. Taking or absorbing, accidentally or otherwise, any intoxicating liquor, drug,
narcotic, medicine, sedative or poison, except as prescribed by a medical practitioner
other than the policyholder or an insured person.
g. Participation in aviation/marine including crew other than as a passenger in
an aircraft/water craft that is authorised by the relevant regulations to carry
such passengers between established airports or ports.
h. Engaging in or taking part in professional/adventure sports or any hazardous
pursuits, such as speed contest or racing of any kind (other than on foot), bungee
jumping, parasailing, ballooning, parachuting, skydiving, paragliding, hang gliding,
mountain or rock climbing necessitating the use of guides or ropes, potholing, abseiling,
deep sea diving using hard helmet and breathing apparatus, polo, snow, ice sports,
i. Body or mental infirmity or any disease except where such condition arises directly
as a correspondence of an accident during the policy period. However, this exclusion
is not applicable to claims made under the Permanent Partial Disability benefit.
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
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
Health Score Model
Tasks to be Completed
Complete & win
Sign up & Activation
Selecting your own goals
Taking your first Health assessment
Completing your first tele-consultation with Our empanelled Medical Practitioner
Uploading your first health record
Coach engagement (>3 interactions / week)
Walking - Steps count (5000 steps /day --- 5 times /week)
Daily food logs (minimum 10 logs/ week)
Habit tracking (minimum 15 check in)
Monthly Coach review - Call
Tele-consultation with Our empanelled Medical Practitioner
Sharing your test reports / records
Parameters for performance review
Score - based on your performance
(Max points / review )
Health Assessment at the time of on boarding
Monthly performance - Quality score by personal health coach
On completion of goal set by personal health coach
Based on health assessment results
based points + Performance based points)
up to 1 lac points in a year
Based on your health score, you will get a discount in Renewal Base Premium under
this benefit as per the following table:
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.
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 health
insurance 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.
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.
Of course, you can cover your family residing in India under one policy. You can
use your health insurance policy across India. For cashless hospitalisation, all
you need to do is check for a Max Bupa network hospital near your place of residence.
You can also present your claim for reimbursement if you get treated at a hospital
which is not a Max Bupa network hospital.
Our Family Floater health insurance plan is affordable & comprehensive,
designed keeping in mind the nuclear family (you, your spouse and
up to 4 children). Direct claim settlement, cashless facility, and assured plan
renewal for life are some of the key benefits.