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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
1860-3010-3333 | 1800-3010-3333
We cover the cost of medical treatment when you or your insured family members are hospitalized for treatment.
We cover the cost of all types of hospital accommodation (except suite or above room category) without any capping on room rent charges.
We shall reimburse pre & post hospitalizationmedical expenses, incurred due to illness/injury. The period of the treatment which we will cover should be 30 days before you get admitted to a hospital and 60 days after you get discharged from the Hospital. This is subject to Max Bupa accepting the Inpatient Care hospitalisation claim.
We cover all day care treatments, not a select few. However, such a procedure should not be in the outpatient department of a hospital.
Avail In-patient treatment under AYUSH (Ayurveda, Unani, Siddha and Homeopathy) up to the base sum insured.
You would be entitled to both the benefits post completion of 1st policy year:
When you take a policy for two years, you get a 12.5% discount on the second year premium.
We also cover the ambulance expenses to transfer the insured following an emergency to the nearest hospital. These expenses are paid up to Rs 3,000 only if we have accepted the In-patient claim.
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 Person.
In case a bed in the hospital is unavailable or on the advice of the attending medical practitioner, treatment is administered at home; we pay for medical treatment taken at home, which would otherwise have required hospitalization. Such treatment shouldcontinue 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
We will cover Medical Expenses of OPD Treatment up to Rs 5,000for vaccinations or immunizations for treating post an Animal Bite. This benefit is available only on a reimbursement basis.
A lump sum payment for each 24 hours of hospitalization in addition to the in-patient treatment benefits is made. To avail this benefit minimum 48 hours of hospitalization required. This benefit is over and above the sum insured. The benefit is payable for up to 30 days of hospitalization.No payment shall be made under this, in case of Domiciliary Hospitalization.
(Rs 1,000/Day or Rs 2,000/Day)
We cover families across life stages – from newborn (at least 90 days) to senior citizens of any age. There is no maximum age for enrollment.
You will 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 stayour 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,and not running after claim settlement. Therefore, all claims are processed directly by our own customer services team.
You can use cashless facility at your nearest network hospital.
We aspirefor transparency and complete satisfaction and therefore, our policies are transparent and easy to understand. If you are not satisfied, we offera 15 day free look period within which you can cancel your plan stating the reason.
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.
Top-upis important as it takes care of the gap between your existing coverage, and the actual cost incurred during the year.
It makes sense when you want to increase your total coverage without paying much. While anybody can buy our Top-upoption at any time, however, it is not advisable unless you have bought a base health insurance cover or the coverage offered by your employer is at least equal to the chosen deductible (threshold limit) amount of our Top-up.
Let us understand with an example:
There are various ways in which you can buythis policy: Online: On purchase of this plan online your policy will be generated instantly along with your policy kit and card. This is applicable for cases which do not require further underwriting or medical checkup.
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 1800 3010 3333 (Toll Free) between 9 am and 6 pm India time (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
You have the option of buying a health insurance policy for a period of one year or two years. You will be able to get a discount on purchase of a policy for two years. This discount is applicable on the premium for the second year only. At the end of your insurance period you need to renew your policy if you wish to continue being covered, without a break.
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. 25,000 from his/her taxable income for health insurance premium for self and dependents. For senior citizens, this amount is Rs. 30,000. Please note that you will have to show the proof of payment of premium. (Section 80D benefit is different from the exemption of Rs 1,50,000 under Section 80 C). Thesebenefits are as per applicabletax laws, which can amend from time to time. We recommendyou to consult your tax advisor for further details or clarifications.
A medical checkup may be necessary when you sign up for a new health insurance policy, depending upon the age of the proposed to be insured and the sum insured opting for.
For sum insured up to Rs.4 Lacs, if at all medical tests are to be conducted, then you will have to bear 50% of the total cost of the medical tests and pay at the Diagnostic Centre. In case your proposal gets rejected by us, we will deduct the balance 50% of the cost of medical tests from your premium and the balance premium would be refunded. For other sum insured options, in case your proposal gets rejected by us, we will deduct the full cost of medical tests from your premium and the balance premium would be refunded.
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. Your health insurance policy can be used by you all across India. For cashless facility, 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.