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Max Bupa Health Insurance

The company was formed as a collaboration between India Max Limited and the pioneer of the health services in the UK by the name of Bupa. Max Bupa has been in the healthcare industry for more than 60 years and has branches all over the world. Also, it is one of the leading health insurance companies in India.

It covers several services such as hospitals, life insurance and health-related medical research. One of the key motivators that propel the company to always be the best in terms of services as well as customer experience is its diligence to become one of the most preferred Health insurance companies not only in India but in the entire world.

In the year 2015, Max Bupa Health insurance company was listed as a super-brand. This was a huge achievement due to the fact that it was the only health insurance company to appear on this list.

Max Bupa serves an approximate number of 32 million customers in more than 190 countries worldwide. Basically, building a concrete and long-lasting relationship with the customers is the paramount focus in the company.

Additionally, this insurance company offers insurance services that are tailored to suit individual-specific needs. They include health insurance services and products for couples and extended as well as nuclear families.

Following are some of the accomplishments of Max Bupa Health Insurance:

In the year 2016, its ‘Customer First’ philosophy won an award for ET Best BFSI awards. This was mainly due to creative innovation, strong equity in the market, and its unmatched insurance products.

In the previous year (2015), the company was recognized as the innovator of the year. This was during the golden peacock awards and also in the 5th Indian insurance awards, Max Bupa Health insurance service was declared as the claim service leader of the year.

Basically, in terms of its size, it has almost 2.5 people in India insured under their products while they have more than 1350 employees and 26 offices in 16 cities.

Max Bupa Health insurance Policies

Customers prefer using Max Bupa Health Insurance due to the following reasons:

  • Max Bupa Health Insurance provides cashless hospitalization services at more than 3500 network-listed hospitals all through the country. This service is offered within 30 minutes of reception of the hospital’s request.
  • A comprehensive insurance cover is also offered by Max Bupa Health Insurance with a total sum assured of Rs. 1 crore insured. It has a shorter waiting period compared to other plans. On the other hand, since this health insurance company is an internationally acclaimed one, it offers unique products such as Max Bupa Heartbeat Platinum plan that allows international cashless treatment. This includes the treatment of 9 critical illnesses such as organ transplant, etc.
  • Max Bupa Health Insurance Company also offers maternity benefits for expectant mothers. It covers all the maternity-related expenses after a waiting period of 1 year. This policy also covers the newborn when a maternity claim is payable. This policy covers the baby until the next renewal period.
  • Basically, all the insurance policies offered by Max Bupa Health Insurance come along with an option of lifelong renewability provided that the payment of the insurance premium is regular. Also, health plans offered by Max Bupa health insurance caters to the health needs of the entire family including newborn babies.

Benefits/advantages of Max Bupa Health Insurance:

  • Max Bupa Health Insurance tries hard to ensure that their settlement claims are resolved quickly and directly. They also provide a daily hospital cash benefit of up to Rs. 4,000 for miscellaneous expenses. However, this is limited to a hospitalization period which does not exceed 45 days.

Each and every policy under Max Bupa Health Insurance has a long life renewability option. More importantly, for each and every insured member can access cashless treatment at a Max Bupa Health insurance network hospital anywhere in the world.

  • On the other hand, if you purchase a policy with a 2-year advance premium, you are eligible for a certain discount.

Whenever an insured member falls critically ill, the company is obliged to pay a lump sum amount if the member survives for 30 days after the diagnosis.

In case of death by accident, permanent or partial disability, you can always get a payout benefit of a certain amount of cash. Finally, members can also avail various tax benefits stipulated under the various sections of the constitution.

Max Bupa Health Insurance Plans:

At Max Bupa Health Insurance, there are various policies that make up the company’s portfolio. These include:

  1. Max Bupa Heartbeat Health Insurance plan
  2. Max Bupa Health Companion policy
  3. Max Bupa Health Assurance plan

A brief description of Max Bupa Health Insurance Policies:

1. Max Bupa Heartbeat Health Insurance Plan:

Max Bupa Heartbeat Health Insurance Plan provides comprehensive health coverage to the customers and is easy to understand and easy to buy. With the Heartbeat plan, you can get coverage up to Rs. 1 crore.

This plan has been hailed as one of the most innovative projects since the company’s inception. This is because it simplifies complex health insurance policies. It is not only easy to understand, it is also affordable. For Rs. 1 Crore, this insurance plan provides health coverage for the entire nuclear family. This family should be comprised of the mother, father and two children.

For Individual as well as Family First & Family Floaters:

  • One of the most exclusive features of Max Bupa Heartbeat Health Insurance plan is that it provides you with an option to get your treatment carried at home if there is a shortage of beds at your chosen network hospital.
  • If you and your spouse/partner are covered in the policy for two consecutive years, you are eligible to avail of the maternity benefits for up to two deliveries.
  • In addition to this, your newborn will also be covered in the policy without any additional premium. However, this is valid only until the next renewal.
  • You also have an option to get covered under this plan for 2 consecutive years in one go and can get a discount.
  • Max Bupa Heartbeat Family Plan is specially designed to cater to the medical needs of Indian joint family and can cover up to 14 family members under it.

Although this insurance plan is tailored for the modern nuclear family, it can also be applied to traditional Indian families. In this family plan, several relationships are covered but the number should not exceed 14. In this plan, every individual has a fixed sum assured. However, the floater sum can be used to insure any member of the family.

2. Max Bupa Health Companion Policy

No one can be sure about the uncertainties of life. You never know when a serious ailment can deplete all your hard-earned savings and turn it into a mere nothing. Worse, it can even push you into the trap of high-amount debts.

For Individual as well as Family First & Family Floaters:

  • If you opt for a 2 years-policy with Max Bupa Health Companion Insurance Plan, you are eligible to get 12.5% discount on the 2nd-year premium.
  • In addition to that, you also get a renewability benefit of 20% additional sum insured for each no-claim year (maximum 100% of the basic sum insured).
  • The family first variant under Max Bupa Health Companion Insurance Plan can cover up to 19 family members.
  • On the other hand, the family floater variant is tailor-made to suit the needs of a nuclear family which consists of a husband, his wife and a maximum of 4 children.
  • Furthermore, the family will also be provided with complimentary health check-up once in every 2 years under the family floater variant.

3. Max Bupa Health Assurance Plan:

This plan is meant to provide the customers with financial stability in sudden critical scenarios such as critical illness, accidents. Max Bupa Critical Illness – Health Assurance Insurance Plan is exclusively designed to cater to the critical illnesses medical care.

  • It provides the policyholders with a lump sum amount if s/he is diagnosed with a critical illness covered by the policy.
  • The claim settlement is directly done by the customer service team of the company.
  • Unlike other 3 plans of Max Bupa (where there is no age limit set to enrol for the plans), this plan has an age limit of 18-65 years.

Max Bupa Cashless Network Hospitals:

One can get access to cashless claim at over 3,500 hospitals all over the country. You can use online network hospital locator to find a network hospital near you by entering simple details such as the name of the city and state you are residing in. Upon entering these details, you will find a list of network hospitals with their respective contact details.

The best thing is that the claim waiting time is only 30 minutes.  This means that your claim request will be processed within 30 minutes of receiving the claim request from your hospital.

Different types of claim you can file with Max Bupa Health Insurance:

Max Bupa Health Insurance provides its customers with 2 types of claims:

1. Cashless Claim:

First of all, you need to visit one of the network hospitals and present one of your valid photo id proofs along with your health card issued by Max Bupa.

Your health-card will have your policy number which will help the network hospital to verify your identity. Once it’s verified, a pre-authorisation request will be either sent to the Third Party Administrator (TPA) involved or directly to the insurer.

The insurer/TPA will go through the claim request and send their approval if the request has been accepted. The insurer will settle the medical bill directly with the hospital without any involvement of the insured.

In case the request is rejected, the insured will have to pay the medical bills from her/his own pocket. However, they have an option to apply for a reimbursement claim later on.

2. Reimbursement Claim:

In case of a planned hospitalization, you need to inform the insurance company at least 48 hours in advance. In case of emergency, you are supposed to inform Max Bupa within 24 hours of the hospitalization.

In this case, you will need to pay the medical bills from your pocket and can claim the reimbursement later on.

After getting discharged, collect and submit all the medical documents along with the receipts to the insurer. You will also need to submit the claim form available on the insurer’s website. The claims made by you will be processed as per the terms & conditions mentioned in the policy.

How can Max Bupa Health Insurance Premium Calculator help you?

This online calculator is a boon in disguise as it helps you evaluate your needs and lets you choose the most apt health plan for you and your loved ones.  Max Bupa Health Insurance Premium Calculator is pretty simple and convenient to use.

You can easily find it on the insurance company’s website and can start off by entering the required details such as name of the particular plan you want to purchase, the sum insured amount you’ve chosen and few of your personal details like your name, your date of birth, your phone number, email id and name of your city.

In case you are opting for co-pay, you need to be clear about the percentage you are ready to pay. Once done with entering all these details, click on the option of “Calculate Premium” and you’ll get an easy access to the premium details.

Few FAQs related to Max Bupa Health Insurance:

1. Why buy health insurance?

With the ever-rising expenses of quality medical treatment, it’s always a smart decision buy an insurance policy so that your life-long savings aren’t wiped off by your medical bills. You might not always have the required amount of cash handy whenever you need it. Buying a health insurance plan will help you avail cashless hospitalization in emergency cases, regardless of whether you’re short on money.

Max Bupa Health insurance policies have lots of special attributes and features to fulfill the customers’ requirements. Let’s have a look at the reasons for buying a health insurance policy from Max Bupa:

  • You get an assurance of lifelong renewability.
  • You don’t have to worry about sub-limits on room rent.
  • You get access to both maternity and new-born child benefits, and you can put a stop to financial stress while enjoying the most beautiful phase of your life.
  • You don’t have to worry about any third-party involvement as the company follows direct claim settlement approach.
  • You get access to international health coverage. With Heartbeat Platinum Plan, Max Bupa puts forward an important feature— international cashless treatment. This coverage applies to 9 critical illnesses such as cancer, organ transplant, etc.
  • With its range of tailor-made plans, you get an option to cover every single member of your family – from senior citizens to the latest addition to your family (a newborn).

2. How to buy Max Bupa Health Insurance policies?

  • The first step is deciding which plan suits you. Compare plans using a third-party website and find the one that meets your insurance needs. You can calculate your premium and contact the sales representatives of such a site.
  • You may also start by directly calling MaxBupa using their helpline number and getting in touch with one of their sales representatives.
  • Visit their website and schedule a call back by filling in your details such as your name, age, email address, phone number, etc. However, it’s important to understand that the option of buying a plan online is available to only those customers who don’t need any medical test.
  • Or else, you can research and compare the features of different plans available on the company’s website. Once done with the research, finalize the plan you want to purchase and click on the ‘Buy Now’ option.
  • You can visit any of their branch offices and buy the plan that meets your set of requirements.

3. Do you need to undergo pre-policy medical examination before buying Max Bupa Health Insurance Policies?

Yes, you need to undergo a pre-policy medical examination before buying any Max Bupa Health Insurance Policies. However, in case you are renewing your existing policies, you don’t have to undergo any medical checkup.

4. For How long Max Bupa Health Insurance Policies are valid?

Usually, these health policies are valid for 1-2 years after which renewal is essential. Buying a policy that is valid for 2 consecutive years can help you get some discount. However, this feature is applicable to Heartbeat and Health Companion policies only.

5. What are the medical expenses covered by Max Bupa Health Insurance?

All types of medical expenses during your hospitalization are taken care of by MaxBupa, which includes your room rent as well.

6. Why Max Bupa Health Insurance?

These are some of the reasons why policyholders should prefer to go for Max Bupa Health Insurance to cover their health insurance requirements:

  • Max Bupa provides customers with the widest range of health insurance policies that come with a sum insured up to Rs. 1 crore. Also, the insurance coverage with Max Bupa has much shorter waiting periods when compared to other insurance companies.
  • Cashless hospitalization is one of the most important attributes we look forward to while looking for a health insurance policy. Max Bupa has 3500+ network hospitals across the country.
  • With Max Bupa, you can get access to a wide array of plans and policies which include plans for individuals, senior citizens, kids, couples, families. These plans provide the customers with a comprehensive cover and a broad range of sum insured.
  • In addition to that, you also get lifelong renewability option with these plans. The claim process is also convenient and quick.