Max Bupa [email protected]
An online basic health insurance policy that aims to cover against hospitalisation and other incidental expenses.
Anyone fulfilling the eligibility criteria can buy this policy. This policy can be bought as an individual or a family floater cover.
What does it do?
This is a health insurance policy available in two variants- Silver and Gold. The policy pays for medical bills for inpatient treatment in a hospital as well as domiciliary treatment taken at home on advice of a doctor. The policy also covers other expenses like ambulance charges.
On paying extra premium, the policy can offer a hospital cash benefit of pre-decided cash amount for each 24 hours completed in a hospital.
This policy can be bought online. It allows lifetime policy renewal.
Premium paid under the policy is eligible for tax benefits under Section 80D of Income Tax Act.
There is capping on room rent cover.
There is a co-payment clause if treatment is availed in higher Zone.
A slightly expensive policy. Though it offers most of the benefits offered by other basic health insurance policies, there are certain conditions that make it unfavourable. Co-payment clause and capping on room rent act as deterrents. Similar benefits are available at lower cost in the market.
|Entry Age (years)|
|Minimum||18; 3 months for children (Valid under Section 1 only)|
|Maximum||65; 21 (Valid under Section 1 only)|
|Maximum Policy Renewal Age (years)||Life long renewals|
|Coverage Type||Individual/ family Floater|
|Sum Insured (Rs)|
|Policy Term (years)||1 or 2|
|Tax Benefit||Section 80D of the Income Tax Act are applicable|
|Discount||10% on choosing ' Treatment only in Tiered Network' Hospital (excluding 8 metro locations mentioned in policy document)|
Discount on selecting a policy tenure of 2 years.
|Free look Period||15 days starting from the receipt of policy|
|Co Payment Clause||20% of admissible claim on treatment in hospitals located in zone 1 locations if 'Treatment only in Tiered Network' was chosen.|
20% for any person with entry age of 65 years and above .
|Address||Max Bupa Health Insurance Company Limited|
Corporate Office: 2nd Floor, Salcon Ras Vilas, D-1, District Centre, Saket, New Delhi 110017
Registered Office: Max House, 1 Dr. Jha Marg, Okhla, New Delhi 110020
|Mail to||[email protected]|
Additions to the Plan
|Scope of Cover|
|Silver Plan||Gold Plan|
|2 lakh||3 lakh||4 lakh||5 lakhs|
|Cashless facility||available at empanelled network of hospitals|
|Re-imbursement||available if treatment taken in non-network hospital|
|Pre and post hospitalisation||30000||45000||60000||100000|
|Inpatient hospitalisation||covers doctor's fees, diagnostics test, medicines, drugs and consumables, Operation Theatre charges, ICU charges and cost of prosthetics and other equipments if implanted internally during a Surgical Operation|
|Room rent and boarding||upto Rs 2000 per day||upto Rs 4000 per day|
|Day care procedures||All day care procedures are covered upto a maximum of Sum Insured|
|Emergency ambulance||Maximum upto Rs 2000 per event for out of network hospital|
|Domiciliary Treatment||covered; upto maximum of Rs 10000||covered; upto maximum of Rs 15000||covered; upto maximum of Rs 20000||covered; upto maximum of Rs 25000|
|Organ Donor Expenses during Transplant||covered|
|Hospital Cash||Rs 1000 per day upto maximum of 30 days per policy year after a minimum of 48 hours of hospitalisation||Rs 2000 per day upto maximum of 30 days per policy year after a minimum of 48 hours of hospitalisation|
|Tiered Hospital Network Option||Cashless facility available to residents of zone 2 and 3 locations for taking treatment in local network hospitals. Customers opting for this will get 10% discount.|
|Exclusions and Waiting Period|
|Pre-existing diseases||covered after a period of 48 months|
|No claim period||Any disease contracted during the first 30 days of commencement of the policy|
|Waiting Period||Certain diseases such as cataract, hernia, diabetes, varicose veins etc. will be covered after a period of 2 years|
|Co-payment Clause||20% of admissible claim on treatment in hospitals located in zone 1* locations if 'Treatment only in Tiered Network' was chosen.20% for any person with entry age of 65 years and above.|
|General Exclusions||outpatient treatmentNaturopathy treatmentNon allopathic treatmentDental/ oral treatment, Cosmetic, beauty, weight reduction and other likely treatments.War, participation in any criminal activity or adventurous activities such as mountaineering etc or any other related condition|
|Annual Premium Rates (Individual)|
|Age (in years)||Sum Insured (R)|
|2 lakh||3 lakh||5 lakh|
|Indicative premiums inclusive of service tax; Premiums do not include the cost of optional benefits.|
|Premiums differ for each individual depending upon factors such as age, policy term, gender, health conditions etc. For calculating premium, visit company's website.|