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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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Modification in Room Rent
Online Discount @ 12%
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We cover the cost of medical treatment when you or your insured family members are
hospitalised for treatment.
We cover the cost of hospital accommodation up to a single private room without
any capping on room rent charges (for Sum Insured of Rs.5 lacs and above).
We reimburse pre & post hospitalisation medical expenses incurred due to illness/injury.
The period of the treatment covered is60 days before you get admitted to the hospital
and 90 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 IV of the
policy document to know the day care procedures covered under the product.
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 that insured person could not be transferred to the hospital or the
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
Avail In-patient treatment under AYUSH (Ayurveda, Unani, Siddha and Homeopathy)
up to the base Sum Insured.
We also cover the ambulance expenses to transfer the insured following an emergency
to the nearest hospital. These expenses are paid up to Rs. 1,500 per hospitalisation
only if we have accepted the In-patient claim.
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. Please click here to avail these services.
If the insured person is diagnosed with an illness or is planning to undergo a planned
surgery or a surgical procedure, the insured person can obtain an e-consultation
during the policy period.
For each policy year, we offer an additional 5% of expiring baseSum Insured up to
at any time a maximum of 50% of base Sum Insured of that policy year.
Personal Accident coverage against accident death, permanent total and partialdisability.
Critical illness coverage against major illnesses like cancer, CABG, open heart
replacement, kidney failure, stroke, major organ/bone marrow transplant, etc.
If your room rent in the base plan is capped up to 1% of base Sum Insured per day,
you can bemodify it to a single private room; covered up to Sum Insured (available
only for deductible more than INR 50,000 and Sum Insured up to INR 4 Lacs).
Various Annual Aggregate Deductible options ranging from Rs. 10,000 to Rs. 10 lacs
are available in the product.
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 25 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 buya Max Bupa health insurance
policy. Tax benefits are subject to changes in the tax laws. Kindly 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 the claims are processed directly by our
customer service team.
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.
• The default policy term for all plans is one year. Two-year and three-year policy
term options are also available under the product. The level of discount is as below:
We shall not be liable to make any payment under any benefits under the Personal
Accident Cover if the claim is attributable to, or based on, or arise out of, or
are directly or indirectly connected to any of the following:
We shall not be liable to make any payment under Critical Illness Cover directly
or indirectly caused by, based on, arising out of or howsoever attributable to any
of the following unless specifically mentioned elsewhere in the policy.
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 Max Bupa Health Recharge’s deductible 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.
It makes sense when you want to increase your total coverage without paying much.
While anybody can buy our top-up option 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 purchase this policy:
Online:On buying 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 check-up.
Telephone:If you wish to know more about Max Bupa’s health insurance plans, feel free to get in touch with our trained sales team or your local advisor. Call us on: 1860 500 8888 (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
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 dependants. For senior citizens, this amount is Rs. 30,000. Please note: 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 80C). These benefits are as per applicable tax laws which can amend from time to time. We advise you to consult your tax advisor for further details or clarifications.
A medical check-up 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 deductible opting for. 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.
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.