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Max Bupa Health Insurance
Max Bupa is an Indian health insurance service provider, the company was formed in the year 2008. It is a joint venture between Bupa, a UK-based leading healthcare provider, and True North an Indian investment firm.
It has more than 30,000 + agents, 4500+ network hospitals all across the nation, and a strong claim settlement ratio of 98%.
The company offers a wide range of health insurance products catering to different clienteles. It offers a surplus of health services for individuals, the whole family, senior citizens, groups, and much more.
Max Bupa is committed to offering lucrative health plans at an affordable premium.
In this article, we will discuss the following:
- Awards received
- Top health insurance plans offered by Max Bupa
- Why choose Max Bupa Health Insurance?
- Benefits of Max Bupa
- How to buy a Max Bupa Health Insurance Plan?
- Max Bupa Health Insurance claim process
- Max Bupa Health Insurance renewal
- Max Bupa Health Insurance coverage
Company highlights
Network Hospitals | 4500+ |
Claim settlement ratio | 96% |
Customers | 10 million + |
Renewal | Lifetime |
website | www.maxbupa.com |
Notable awards received by Max Bupa
- ‘The Economic Times Best Brands 2019’ award.
- Max Bupa’s GoActive Health Insurance Plan was recognized as ‘Product of the Year’ by research agency Nielsen.
- ‘Golden Peacock Award 2015’ for its product Heartbeat Health Insurance Plan.
- ‘Best Product Innovation Award’ at Indian Insurance Awards 2011.
- ‘IT Management Best Practices’ at the Celent Model Insurer Asia Awards 2016.
Top health insurance plans offered by Max Bupa
| Plan name | About the plan |
|---|---|
| Max Bupa Health Companion Individual Plan | This is an ideal health insurance plan for individuals offering them extensive coverage that covers all hospitalization expenses at an affordable premium. |
| Max Bupa Health Premia Plan | This is a complete healthcare plan that offers international coverage safeguarding you and your loved ones against hospitalization expenses.This plan comes in 3 types of variants- Silver, Gold, and Platinum Plan |
| Max Bupa Go Active Plan | This plan is offered to cover hospitalization expenses and also covers the cost of any outpatient treatments and diagnostic services |
| Max Bupa Reassure Plan | This plan comes with a reassuring benefit which offers unlimited reinstatement of the sum insured during the policy period irrespective of the number of claims. The plan offers a wide range of sum insured options up to Rs 1 Crore. |
| Max Bupa Health Recharge Plan | This is a super top-up plan that comes into action when the policyholder exhausts the coverage of their initial base policy or the deductible under the policy is paid. It is a high sum assured health plan at an affordable premium. |
| Max Bupa MoneySaver Plan | This plan is a combination of two covers together i.e Health Recharge and Health Companion Plan. This plan covers all hospitalization expenses and guarantees a 100% sum refill benefit when the policyholder exhausts their coverage due to previous claims. |
| Max Bupa Heartbeat Plan | This is an international health plan that provides the insured worldwide coverage from any medical contingencies. It is available in 3 types of variants Silver, Gold, and Platinum Plan. |
| Max Bupa Accident Care Plan | As the name suggests, this is a cash benefit plan that financially safeguards the insured against accidents and any disablement suffered due to an accident. |
| Max Bupa Criticare Plan | Criticare plan financially protects against 20 life-threatening illnesses and conditions like cancer, stroke, etc. In this plan, the policyholder will receive a lump sum payout when diagnosed with any of the illnesses mentioned under the policy. |
| Max Bupa Corona Kavach Plan | This is a short-term plan that covers hospitalization expenses incurred in the treatment of COVID-19. |
| Max Bupa Senior First plan | This is an affordable plan that takes care of the essential healthcare requirements of persons above 60 years of age. It is available in two variants- Gold and Platinum Plan |
| Max Bupa Health Pulse plan | Health Pulse is an all-inclusive plan that offers comprehensive coverage, sum refill benefit, and up to 100% increase of sum insured as a cumulative bonus during claim-free years. It is available in 2 variants -Classic and Enhanced. |
| Max Bupa Arogya Sanjeevani plan | This is a standard health plan that protects you and your loved ones against all major healthcare contingencies. It also covers advanced procedures like robotic surgery, stem cell therapy, etc. |
| Max Bupa Saral Suraksha Bima Plan | Saral Suraksha Bima policy pays lump-sum payout to the insured or family members in the event of accidental death or any disability suffered by the insured due to an accident. |
Why choose Max Bupa Health Insurance?
Network hospitals
Max Bupa offers cashless hospitalization in more than 4,500+ network hospitals all across the nation, providing access to its customers to experience top-quality medical treatments without worrying to pay the hospital bill from their pocket.
Strong claim settlement ratio
The company has a robust claim settlement ratio of 96%, indicating that the company is reliable when settling valid and legitimate claims.
Customer support
The company offers 24/7 online assistance services to its customers to assist them with their queries. The insurer is quick to bring resolutions when settling claims, renewals, or any issue about insurance.
Solvency ratio
Max Bupa has a solvency ratio of 1.64, it is an ideal ratio symbolizing that the insurer has enough cash flow to meet its long-term obligations and is a financially sound company.
Lifetime renewability
Plans offered by the company come with a lifetime renewability feature. This means that you can renew your health insurance policy without any restrictions on the age limit.
Surplus of plans
Max Bupa offers a vast range of health plans ranging from individual plans, accidental, critical illness plans to international health plans.
Benefits of Max Bupa
Sum refill benefit
Multiple plans offered by the company provide the benefit of automatic sum restoration that reinstates the sum insured when the policyholder exceeds the coverage due to a previous claim.
Cumulative bonus
The insurer provides the benefit of a cumulative bonus that increases the sum insured as a reward for claim-free years.
Comprehensive coverage
Plans offered by the company provide 360-degree protection against all healthcare contingencies. It covers the cost of hospitalization, daycare treatments, pre, and post-hospitalization charges, and more.
Cashless facility
Avail the benefit of cashless treatment in more than 4500+ network hospitals of the company across the country.
Extra benefits
The company offers additional value-added benefits like wellness coaching, free online consultations, health coach, nutrition expert, and more.
How to buy a Max Bupa Health Insurance Plan?
You can easily buy a health plan with us on InsuranceLiya.com.
Step 1: Simply furnish us with your name, email, and mobile number.
Step 2: We will call you shortly and assist you with a suitable plan for you or your family.
Max Bupa Health Insurance claim process
Cashless claim
You can file for cashless claim if admitted to a network hospital of the company.
Follow the simple steps laid down by us to file for the cashless claim.
Step 1– Inform the company 3 days in advance in case of a planned hospitalization or within 2 days in case of emergency hospitalization. You can inform the company on their toll-free number 1860-500-8888 or email them at customercare@maxbupa.com
Step 2– Visit the insurance/TPA desk at the hospital and show them your Max Bupa Health Card and photo ID.
Step 3– Dully fill and sign the pre-authorization request form and submit it to the insurance desk in the hospital.
Step 4– The company will verify the claim request along with the terms and conditions of the policy.
Step 5- After investigation, the company will approve the claim and directly settle the bill with the hospital.
Note: In case of claim rejection, the company will state the reason for the same in writing.
Reimbursement claim
You will have to file for a reimbursement claim when you get admitted to a non-network hospital of the company or when the cashless claim is not accepted.
In a reimbursement claim, you will have to settle the hospital bill from your pocket and then file for a refund from the company.
Step 1– Inform the company 3 days in advance in case of a planned hospitalization and within 2 days in case of an emergency.
You can inform the company by calling on their toll-free number 1860-500-8888 or email them at customercare@maxbupa.com
Step 2– After discharge, collect all supporting documents and submit them to the insurance company to initiate the refund.
Step 3 – The company will verify the claim request with the terms and conditions of the policy.
Step 4– Once the claim is approved, the refund will be transferred to the policyholder’s linked bank account.
Documents required to file for a claim
- Duly filled and signed claim form
- Policy document
- ID proof
- Original discharge summary
- Original bills, receipts, prescriptions
- Original test reports, scans, MRI, CT Scan, other reports
- FIR (If applicable)
- Post Mortem Report (if applicable)
Max Bupa Health Insurance renewal
Online renewal
It is important to renew your health insurance policy on time to avail of its benefits.
Follow these simple steps to renew your Max Bupa health insurance plan online.
Step 1– Visit the official website of the company.
Step 2– Click on the “Renew” option.
Step 3– Enter your existing policy number and date of birth.
Step 4– Verify the policy details and the premium amount. Cross-check the other information like a cumulative bonus (if any) before paying the premium and make the payment.
Step 5 – Your policy will be instantly renewed. You will receive a confirmatory email along with a premium payment receipt on your registered email id.
Offline renewal
- You can also renew the plan offline by visiting the nearest branch of the company and state your request.
- You can also connect with customer care on customercare@maxbupa.com or call them up on 1860-500-8888 and mention your policy renewal request.
Max Bupa Health Insurance coverage
Inclusions
Below provided are a few general inclusion in Max Bupa health plans. These inclusions may vary from policy to policy.
- Inpatient hospitalization
- Pre and post hospitalization treatment
- Daycare treatments and procedures
- Surgical procedures
- Alternative treatments like Ayush, etc
- Domiciliary treatment
- Organ donor expenses
- Worldwide emergency coverage
- Maternity coverage
- Newborn baby cover
- Emergency ambulance charges
Exclusions
Below provided are a few general exclusions in Max Bupa plans. These exclusions may vary from policy to policy.
- Cosmetic, plastic surgery
- Reconstructive surgery
- Eyesight and optical services
- Experimental treatments
- Unproven treatments
- Non-medical expenses
- Substance-related and addictive disorders
- Obesity and weight control programs
- Puberty and menopause-related disorders
- Unlawful activity
- Self-inflicted injury
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