Max Bupa Health Insurance

• No. of members - The Max health insurance plan covers maximum 4 members of your family with up to 2 children and 2 adults.

• Lifelong Renewal – The Max health insurance plans offered are lifelong renewable hence it saves you from the financial burden and stress caused by a medical emergency and keeps you well prepared to handle any situation.

• Pre & Post hospitalization cover - The Max health insurance plan covers medical expenses for 30 days prior to hospitalization and 60 days post hospitalization only for related medical expenses.

• Pre-existing diseases - Max health insurance covers Pre-existing diseases after 4 years of waiting period.

• Room-rent- There are zero or no sub-limits on room rent in Max health insurance.

Some Important Facts

• Convenience of quick and easy online purchase of Max Bupa health insurance policies.

• Health insurance policies offer a sum insured of a maximum of Rs. 1 crore.

• Offers coverage for the entire family, including new born babies and senior citizens, through its range of individual and family floater plans.

• Covers maternity related expenditures for mothers and new born babies after the completion of 2-year waiting period since the purchase of a Max Bupa HeartBeat health insurance policy.

• Certain health insurance plans from Max Bupa cover pre-existing illnesses as well.

• Includes lifetime renewal option.

• Offers an attractive 12.5% discount on the premium amount during renewal for the second policy term.

• Covers medical expenses like hospital room rent, pre and post hospitalization, OPD expense cover, organ donation, and day care.

• Also includes home hospitalization and domiciliary hospitalization.

• Includes Restore Benefits that enables the policyholder to refill the base annual sum insured in case it has been totally or partially exhausted. This benefit is applicable on all plans except the Family First plan.

• Covers regular health check-ups once or twice annually.

• Max Bupa has an extensive list of 3,500+ network hospitals in India where the insured can avail cashless facilities on being hospitalized.

• Certain Max Bupa health insurance plans are designed to offer international cashless facilities for specific critical illnesses such as cancer, organ transplant, etc.

Max Bupa Health Companion

Health @ Companion plan offers the most basic coverage when compared to all the other plans by Max Bupa. It has option of individual or family floater coverage. There are two variants of this plan offered by Max Bupa Health Insurance. Given below are the details of coverage offered on individual or family floater basis under both the variants:

Health @ Companion - Silver

Individual Coverage:

• Max Bupa health insurance policy offers basic coverage in the range of Rs.2 lakh and Rs.4 lakh for individuals of between age 18 years and 65 years.
• Pre and post hospitalization expenses, day care procedures, etc., are benefits provided in the Max medical insurance plan.
• Co-payment of 20% (amount to be paid by the policy holder before claiming for the policy) is applicable for individuals above age 65 years in Max medical insurance plan

Family Floater Coverage:

• This is a basic family floater Max Bupa medical insurance plan, which covers health costs of the entire family in the range of Rs.2 lakh and Rs.4 lakh.
• A maximum of 2 adults (proposer & spouse) in the family between age 18 years and 60 years and 4 children between age 3 months and 23 years can be covered under this policy.
• Pre and post hospitalization expenses, day care procedures, etc., are benefits provided in this plan.
• Co-payment of 20 % (amount to be paid by the policy holder before claiming for the policy) is applicable for individuals above age 65 years.

Health @ Companion- Gold

Individual Coverage:

• This Max Bupa Mediclaim policy offers basic coverage of Rs.5 lakh for individuals between age 18 years and 65 years.
• Pre and post hospitalization expenses, day care procedures, etc are benefits provided in this plan. This plan offers higher expense cover than Health Companion @ Silver.
• Co-payment of 20 % (amount to be paid by the policy holder before claiming for the policy) is applicable for individuals above age 65 years. Family Coverage:
• This is a basic Max Bupa medical insurance family floater plan which covers health costs of the entire family in the range of Rs.5 lakh.
• A maximum of 2 adults (proposer & spouse) and 4 children in the family between age 18 years and 60 years and dependent children between age 3 months and 23 years can be covered under this health insurance policy.
• Pre and post hospitalization expenses, day care procedures, etc., are benefits provided in this plan. This plan offers higher expense cover than Health Companion @ Silver.
• Co-payment of 20 % (amount to be paid by the policy holder before claiming for the policy) is applicable for individuals above age 65 years.

If you are looking out for a health insurance plan to cover your basic hospitalization expenses then know more about Health @ Companion click here.

Max Bupa Heartbeat Policy

Heartbeat covers basic medical expenses along with offering a loyalty benefit for its customers. There are three variants under which different benefits offered. Given below are details of each variant of individual and family floater basis.

Heartbeat- Gold Policy

Individual Coverage:

• This Max Bupa Mediclaim policy offers coverage in the range of Rs.5 lakh and Rs.50 lakh for individuals of any age above 18 years.
• Pre and post hospitalization expenses, day care procedures, health check-up (every year), etc. are covered under this policy.
• Under loyalty program, the plan offers additional sum insured or earn and redeem benefit on every renewal irrespective of claims made.
• 10% or 20% co-payment is applicable above age 65 years.
• This is a family floater plan which covers health costs of the entire family in the range of Rs.5 lakh and Rs.50 lakh.
• A maximum of 2 adults and 4 children of any age in the family can be covered under this plan.
• Pre and post hospitalization expenses, day care procedures, health checkup (every year), etc. are covered under the policy.
• Under loyalty program, the plan offers additional sum insured or earn and redeem benefit on every renewal irrespective of claims made.
• 10% or 20% co-payment is applicable above age 65 years.

Heartbeat- Platinum Policy

Individual Coverage:

• This Max Bupa Mediclaim policy offers coverage in the range of Rs.15 lakh and Rs.1 crore for individuals of any individual above age 18 years.
• Pre and post hospitalization expenses, day care procedures, health checkup (every year), etc. are covered for higher expenses than gold under this policy. Additionally, this policy also has international coverage for 9 treatments specified in the document.
• Under loyalty program, the plan offers additional sum insured or earn and redeem benefit on every renewal irrespective of claims made.
• 10 % or 20 % co-payment is applicable above age 65 years.

Family Floater Coverage:

• This is a family floater plan which covers health costs of the entire family in the range of Rs.15 lakh and Rs.1 crore.
• A maximum of 2 adults (proposer & spouse) and 4 children of any age in the family can be covered under this plan.
• Pre and post hospitalization expenses, health checkup (every year), out-patient, maternity benefits and new born cover, etc. Are covered under this policy. Additionally, this policy also has international coverage for 9 treatments specified in the document.
• Under loyalty program, the plan offers additional sum insured or earn and redeem benefit on every renewal irrespective of claims made.
• 10% or 20% co-payment is applicable above age 65 years.

Heartbeat- Silver Plan

Individual Coverage:

• This is a top plan (these plans have an agreed upon deductible amount to be paid at the time of claim) for any individual above age 18 years.
• Pre and post hospitalization expenses, day care procedures, health checkup (every two years), etc. are covered under this policy.
• Under loyalty program, the plan offers additional sum insured or earn and redeem benefit on every renewal irrespective of claims made.
• 10% or 20% co-payment is applicable above age 65 years.

Family Floater Coverage:

• This is a top-up plan (these plans have an agreed upon deductible amount to be paid at the time of claim) which offers coverage of Rs. and INR 3,00,000 for all the family members.
• A maximum of 2 adults (proposer & spouse) and 4 children of any age in the family can be covered under this plan.
• Pre and post hospitalization expenses, day care procedures, health checkup (every two years), maternity benefit and newborn cover, etc. are covered under the policy.
• Under loyalty program, the plan offers additional sum insured or earn and redeem benefit on every renewal irrespective of claims made.
• 10% or 20% co-payment is applicable above age 65 years. If you any variant of Heartbeat is suitable as per your needs, know more about Heartbeat plan, please click here.

Health Assurance

This is a unique plan which offers coverage for critical illness, hospital cash and personal accident at 4 different range/ levels of sum assured. It is available as individual and family floater coverage. Given below are the details:

Individual Coverage:

• Critical illness benefit- The policy would provide lump sum amount in case of critical illness and coverage in the range of Rs.3 lakh and Rs.10 lakh between age 18 years and 65 years.
• Hospital cash- This would additionally to cover miscellaneous expenses required on daily basis during hospitalization. It provides coverage in the range of Rs.1000 per day to INR 4000 per day between age 18 years and 65 years.
• Personal accident- It would provide lump sum amount in case of accidents. The coverage offered would be in the range Rs.5 lakh and Rs.25 lakh between age 18 years and 65 years.
• The plan also has 7 options having different combinations of benefits in it.
• Option I- Will have critical illness cover, Hospital cash benefit and personal accident cover.
• Option II- Will have critical illness cover and hospital cash benefit.
• Option III- Will have critical illness and personal accident cover.
• Option IV- Will have hospital cash benefits and personal accident cover.
• Option V- Will have critical illness cover only.
• Option VI- Will have hospital cash benefit only.
• Option VII- Will have personal accident cover only.

Family Floater Coverage:

• Critical illness benefit- It would provide lump sum amount in case of critical illness and coverage in the range of Rs.3 lakh and Rs.10 lakh between age 18 years and 65 years.
• A maximum of 2 adults can be covered for this benefit. Hospital cash- This would additionally cover miscellaneous expenses required on daily basis during hospitalization. It provides coverage in the range of Rs.1000 per day to Rs.4000 per day between age 18 years and 65 years.
• Proposer, spouse and 2 children can be covered for this benefit. Personal accident- It would provide lump sum amount in case of accidents. The coverage offered would be in the range of Rs.5 lakh to Rs.25 lakh between age 18 years and 65 years.
• Proposer, spouse and 2 children can be covered for this benefit.
• The plan also has 7 options having different combinations of benefits in it.
• Option I- Will have critical illness cover, Hospital cash benefit and personal accident cover
• Option II- Will have critical illness cover and hospital cash benefit
• Option III- Will have critical illness and personal accident cover
• Option IV- Will have hospital cash benefits and personal accident cover
• Option V- Will have critical illness cover only
• Option VI- Will have hospital cash benefit only
• Option VII- Will have personal accident cover only

In case Health Assurance provides all the benefits that you are looking out for know more about the plan, contact Coverfox.

Family First- Silver Policy Max Bupa has some very unique family floater options Family First is one such plan. There are three variants under this plan. Given below are the details of the coverage offered.

• This is a unique Max Bupa family health insurance plan specially designed for joint families which covers any number of family members from defined 14 family relations.
• The base sum insured is divided into two insured values such that all the members are covered on an individual as well as floater basis under same plan.
• The individual Sum insured value is the range of Rs.1 lakh and Rs.5 lakh.
• The family Sum insured value is in the range of Rs.3 lakh and Rs.15 lakh.
• The policy offers basic coverage like pre and post hospitalization expenses, day care procedures, health check-up (every two years), maternity benefit and newborn cover, etc.
• Under loyalty program, the plan offers additional sum insured or earn and redeem benefit on every renewal irrespective of claims made.
• 10 % or 20 % co-payment is applicable above age 65 years.

Family First- Gold Policy

• This is a unique family health plan specially designed for joint families which covers any number of family members from defined 14 family relations.
• The base sum insured is divided into two insured values such that all the members are covered on an individual as well as floater basis under same plan.
• The individual Sum insured value is the range of Rs.1 lakh and Rs.15 lakh.
• The family Sum insured value is in the range of Rs.3 lakh and Rs.50 lakh.
• The policy offers higher coverage values than the silver policy in case of pre and post hospitalization expenses, day care procedures, health check-up (every year), maternity benefit and newborn cover, etc.
• Under loyalty program, the plan offers additional sum insured or earn and redeem benefit on every renewal irrespective of claims made.
• 10 % or 20 % co-payment is applicable above age 65 years.

Family First- Platinum Policy

• This is a unique Max Bupa health insurance plan for family specially designed for a joint family, which covers any number of family members from defined 14 family relations.
• The base sum insured is divided into two insured values such that all the members are covered on an individual as well as floater basis under same plan.
• The individual Sum insured value is the range of Rs.5 lakh and Rs.15 lakh.
• The family Sum insured value is in the range of Rs.15 lakh and Rs.50 lakh.
• The policy offers higher coverage values than the gold policy in case of pre and post hospitalization expenses, health checkup (every year), maternity benefit and newborn cover, outpatient, etc. Additionally, this policy has international coverage for 9 treatments specified in the document.
• Under loyalty program, the plan offers additional sum insured or earn and redeem benefit on every renewal irrespective of claims made.
• 10 % or 20 % co-payment is applicable above age 65 years.

If you have a big joint family and family first is suitable as per your requirement then, know more about the terms and conditions under the policy, contact Coverfox.

Employee First Health Insurance Plan This is group health insurance plan suitable for business owners seeking health insurance policies for their employees. Given below are the details of coverage offered.

• This plan provides comprehensive health coverage to group of employees of any age in the range of Rs.1 lakh and Rs.50 lakh.
• The plan has benefit of opting for private room and health check-up to parents and parents in laws.
• This plan also provides maternity benefits and new born coverage.

If you want to buy health insurance plan for your employees you might want to know all the terms and conditions under the policy please contact us for any details.

Employee First Classic Health Insurance Plan This group health insurance policy is for employers who wish to cover entire family of their employees. The benefits under this policy are given below:

• This plan provides group health insurance to employees of any age in the range of Rs. 50,000 and Rs.5 lakh.
• This plan can be extended as corporate floater.
• It provides coverage to parents, maternity benefits and new born coverage.

In case group family floater policy for employees was something that you were looking for know more about the coverage offered, contact Coverfox.

Group Personal Accident This is personal accident disability plan which offers compensation to entire group in case of an accident related death or disability. Given below are details of coverage offered:

• This plan offers accidental coverage to the entire group and can be extended to cover family.
• The plan has provided lump sum amount in case of accident, permanent total disability, etc. and option to have corporate floater, educational allowance, etc.

Before buying this policy for entire group know more about the terms and conditions, contact Coverfox.

Max Bupa’s health insurance premium calculator generates the estimate for the premium you will have to pay, based on your chosen sum insured, unique needs and add-on riders that you may have selected. For instance, premium for an individual health insurance plan from Max Bupa health insurance will be lower than that of a family insurance plan.

Accessible on the insurance company’s website, all you need to do to check your premium eligibility is select your preferred health insurance plan from Max Bupa, choose the sum insured, followed by entering a few personal details like name, phone number, email ID, date of birth, city, etc. In case you are planning to opt for co-pay, you can get a clear idea about the percentage that you have to pay towards the total premium amount.

Online process:

• Visit the official website of Max Bupa health insurance and fill up the relevant form with required details like name, contact number, email ID, etc., and request for a call back. You can call Max Bupa health insurance customer service for assistance with the process.
• Max Bupa health insurance plans that are available online can be purchased through an online third-party aggregator or third-party website.

Offline process:

• Visit any branch of Max Bupa health insurance of your convenience for the executives to guide you through the process of purchase.

If you are looking to invest in a plan that has no age restrictions, no sub-limits on room rent, offers a decent No Claim Bonus up to 100% and Maternity and New Born Child benefits, Max Bupa is one of the top 5 picks. With no involvement of TPA, they claim to have a quicker resolution process including claims handling. The Max Bupa health insurance renewal is for life long. However, if you do not appreciate the element of co-payment, you may get disappointed. Overall, Bupa Health Insurance is one of the top players in India's health insurance market and its Max Bupa Mediclaim policy is worth considering if you are looking for a health insurance.