Max Bupa is a standalone health insurance company which is formed as a joint venture between two reputed companies – Max India Limited and Bupa. While Max India Limited is an Indian company, Bupa is a UK based expert in providing healthcare services with an experience of more than 60 years. Bupa is a multinational company with a presence across 190 countries and a customer base of more than 29 million individuals. Max India Limited, on the other hand, is an expert in both the insurance and health sector. Overall, both these promoters bring in value-addition to Max Bupa which is a reputed health insurance company in India.
Here are the salient features of health insurance plans offered by Max Bupa –
Common coverage benefits which are found in all Max Bupa Health Insurance plans are as follows –;
Coverage benefit |
Meaning |
Inpatient hospitalisation |
Coverage for hospital costs incurred when you are hospitalised for 24 hours or more. The coverage is allowed for the following –
|
Pre hospitalisation |
Medical costs incurred before you are hospitalised |
Post hospitalisation |
Medical costs incurred after you are discharged from the hospital |
Ambulance expenses |
Costs incurred and transporting you to the hospital in an ambulance |
Daycare treatments |
Treatments which do not require a hospital stay of 24 hours or more due to advanced medical technologies |
Domiciliary treatments |
Cost of treatments taken at home because of non-availability of hospital beds or when you are in no condition to be shifted to the hospital |
Organ donor treatments |
Costs incurred in harvesting the organ from an organ donor for organ transplant procedures |
Free health check-ups |
Preventive health check-ups allowed once in a specified period to monitor your health |
AYUSH treatments |
Non-allopathic treatments including Ayurveda, Unani, Siddha and Homeopathy |
Maternity cover |
This cover is available in some plans where the costs of childbirth and pre and post-natal expenses are covered |
While the exact exclusion list depends on the plan that you choose, here is a list of some of the most common exclusions which are found in Max Bupa Health Insurance plans –
Max Bupa Health Insurance plans also offer optional coverage features, called riders, which can be taken for an enhanced scope of protection. These riders come at an additional premium. The available riders under different Max Bupa Health Insurance plans include the following –
Name of the rider |
Coverage offered |
Personal accident cover |
Covers accidental deaths and disablements and pays a lump sum benefit in either case |
Critical illness cover |
Covers a specific number of critical illnesses. If you are diagnosed with any of the covered illness, a lump sum benefit is paid |
Enhanced loyalty additions |
The sum insured can be increased at an enhanced rate after every year at the same amount of premium |
Hospital cash |
A daily cash benefit is paid if you are admitted to a hospital for 24 hours or more |
International coverage extension |
The sum insured available for international health insurance cover is doubled up under this rider |
Health Coach |
A personal health coach is appointed to guide you to maintain your health and live a healthy life |
Enhanced geographical scope for international coverage |
This rider increases the number of coverage benefits which can be extended to be covered in the USA and Canada |
iProtect |
The sum insured is increased every year when the policy is renewed irrespective of you making any claim in the last year |
Health insurance plans offered by Max Bupa
Hospitalisation plans are indemnity oriented health insurance plans which cover the cost incurred on hospitalisation. The plans cover the actual costs incurred subject to a maximum of the chosen sum insured. Max Bupa offers a range of hospitalisation plans which are as follows –
This is a comprehensive family floater plan which provides all the required coverage benefits. The salient features of the plan are as follows –
Plan parameters of Max Bupa Health Premia Insurance Plan
Entry age |
Children – 90 days to 30 years Adults – 18 years to 65 years |
Sum insured |
INR 5 lakhs to INR 3 crores |
Policy term |
1,2 or 3 years |
This is also a comprehensive health insurance plan which you can buy on an individual or family floater basis. Moreover, there is a Family First option too under which up to 19 family relations can be covered under the single plan. The features of the plan are as follows –
Plan parameters of Max Bupa Health Companion Plan
Entry age |
90 days onwards |
Sum insured |
INR 2 lakhs to INR 1 crores |
Policy term |
1 or 2 years |
This is a simple health insurance plan which has low premiums so that the policy becomes affordable. The salient features of the plan are as follows –
Plan parameters of Max Bupa Go Active Health Insurance Plan
Entry age |
Children – 91 days to 21 years Adults – 18 years to 65 years |
Sum insured |
INR 4 lakhs to INR 25 lakhs |
Policy term |
1 year |
This is one of the most popular health insurance plans offered by Max Bupa which allows quite a comprehensive scope of coverage. The plan has the following salient features –
Plan parameters of Max Bupa Heartbeat Health Insurance Plan
Entry age |
The plan allows entry at all ages |
Sum insured |
INR 5 lakhs to INR 50 lakhs |
Policy term |
1, or 2 years |
This is an indemnity health plan which covers the actual costs of hospitalisation. You also get the option to enhance the scope of the plan by adding optional coverage benefits –
Plan parameters of Max Bupa Health Recharge Plan
Entry age |
Children – 91 days to 25 years Adults – 18 years to 65 years |
Sum insured |
INR 2 lakhs to INR 25 lakhs |
Policy term |
1,2 or 3 years |
The plan allows you an all-inclusive scope of coverage at very affordable premiums. The salient features of the plan are as follows –
Plan parameters of Max Bupa Health Plus Plan
Entry age |
Children – 91 days to 25 years Adults – 18 years to 65 years |
Sum insured |
INR 3 lakhs to INR 25 lakhs |
Policy term |
1,2 or 3 years |
This is a combination of two health plans namely Health Companion and Health Recharge. The plan, therefore, gives you dual benefits of these plans at very affordable premium rates. The features of the plan are as follows –
Plan parameters of Max Bupa Money Saver Health Insurance Plan
Entry age |
Children – 91 days to 25 years Adults – 18 years to 65 years |
Sum insured |
Health Companion – INR 5 lakhs Health Recharge – INR 10,15 or 25 lakhs |
Policy term |
1 or 2 years |
Fixed benefit health insurance plans are those which pay a fixed amount of benefit in case of a claim irrespective of the actual medical costs that you suffer. Critical illness plans, hospital cash plans, etc. are some types of fixed benefit health insurance plans. Max Health Insurance offers a flexible critical illness plan called Criticare which is a fixed benefit health plan. Here’s the details of the plan –
Criticare is a unique health plan which offers you different types of coverage options and you can choose from any option as per your suitability. The plan’s salient features are as follows –
Plan parameters of Max Bupa Criticare Plan
Entry age |
Children – 2 years to 21 years Adults – 18 years to 65 years |
Sum insured |
Criticare – INR 3 lakhs to INR 2 crores Hospi Cash – INR 1000 to INR 4000/day Accident Care – INR 5 lakhs to INR 5 crores |
Policy term |
1, 2 or 3 years |
Personal accident plans are those which cover accidental deaths and disablements. These plans are also fixed benefit plans which pay a lump sum benefit if you die or become disabled in an accident. Max Bupa offers one personal accident plan which is described below –
This personal accident plan covers a host of benefits along with death and disability so that you can enjoy a comprehensive scope of coverage. The plan’s salient features are as follows –
Plan parameters of Max Bupa Accident Care Plan
Entry age |
Children – 2 years to 21 years Adults – 18 years to 65 years |
Sum insured |
INR 5 lakhs to INR 5 crores |
Policy term |
1, 2 or 3 years |
Max Health Insurance policies can be bought online through the company’s website or Turtlemint. The benefits of buying the plan through Turtlemint are as follows –
To buy online through Turtlemint, here are the steps which you should take –
Visit https://www.turtlemint.com/health-insurance and choose ‘Buy new Policy’. If you have an existing health insurance policy and you want to switch to Max Bupa Health Insurance, choose, ‘Change insurer’
Renewing an existing Max Bupa Health insurance plan is also simple as renewals can be done online. You can renew by visiting the company’s website https://www.maxbupa.com/. On the home page there is an option to ‘Renew’. You can click the option whereupon you would be taken to a new page. On the page you would have to enter your existing health insurance policy number and your date of birth. Once the details are submitted you would be shown your existing plan. You can make changes to your plan in the form of increasing the sum insured or choosing add-ons. Then you would have to pay the renewal premium online and the policy would be renewed.
Renewal of your Max health insurance policy can also be done through Turtlemint. Turtlemint allows you an easy online process to renew your existing plan. To renew, visit Turtlemint’s home page www.turtlemint.com and log into your account. Once you log into your account you can see the Max health insurance plan that you had bought. You can then renew the plan from your account by paying the renewal premium online.
When it comes to claims under your Max health insurance policy, there are two ways of getting your claims settled. These ways are as follows –
The processes for both these claims are different. Here are the different claim processes for Max Bupa Health insurance plans –
Max Bupa is tied up with more than 4500 hospitals across India for cashless claim settlements. To find out the list of cashless hospitals in your area, you can check the list on the company’s website. Here’s the process –
In either of the above-mentioned claim processes, the following documents would be required for claim settlements –
Rather than remembering the claim process for Max health insurance policies, you can also choose an easier alternative and make your claims through Turtlemint. Turtlemint has an in-house claim settlement department which handles your claims and coordinates with the insurance company to get the settlement of your claims faster. You would just have to inform Turtlemint and Turtlemint would get the work done. To inform, call the company’s toll-free number which is 1800 266 0101 or send an email to the company’s claim department at claims@turtlemint.com. Once informed, Turtlemint would coordinate with Max Bupa and follow the necessary steps to get your claims settled at the earliest.
Max Bupa is a leading health insurance provider in the country. It has worn various awards and recognitions and is trusted by many. The company also has an exhaustive list of cashless hospitals which allow you to get your claims settled easily. Moreover, the company promises cashless claim approvals within 30 minutes making the claim process as customer-friendly as possible. The range of plans offered by Max Bupa Health Insurance not only provides a comprehensive scope of coverage, they are also reasonably priced. You should, therefore, choose Max Bupa Health insurance policies for your health insurance needs.
You can pay premiums online or offline. To pay online you can use your credit cards, debit cards, mobile wallets or the UPI platform and pay the premiums from your bank accounts. Alternatively, if you are choosing the offline mode of paying the premium, you can pay the premiums through cash, cheque, demand drafts, etc.
A networked hospital is one which is tied up with the insurance company to offer you cashless claim settlements. If you are admitted to a networked hospital, your claims would be taken care of by the insurance company directly. Non-networked hospitals, on the other hand, are those which are not tied-up with the insurance company. If you are admitted to a non-networked hospital, you would have to bear your medical costs and the insurance company would later reimburse the costs that you incur.
To buy Max Bupa Health insurance plans you should be an Indian citizen and meet the age criteria listed down in the policy that you want. Different policies have a different age limit. Usually, most policies cover dependent children from 91 days to up to 21 or 25 years. For adults, the age limit is usually from 18 years to 65 years. If you fulfil the age criterion, you can buy Max Bupa Health insurance plans.
Yes, Max Bupa Health insurance plans allow you a grace period to pay the premiums which are due. The period depends on the policy that you buy. You can, usually, get a grace period of 30 days to 60 days for paying the due premium. However, during the grace period the policy would remain in a lapsed state and you would not get coverage. Your existing no claim bonus would, however, continue to remain valid if you renew the policy within the grace period.
No, it won’t. The indemnity health plan would cover your medical costs if you are hospitalised. The critical illness plan, on the other hand, would pay a lump sum benefit if you are diagnosed with any of the covered illnesses. This benefit would not depend on the claim that you receive under the indemnity health plan. The claim payable under critical illness plans would be independent of all other claims that you receive.
Premiums paid up to INR 25,000 qualify for tax deduction under Section 80(D). Since you have paid INR 20,000, the entire premium would be allowed as a deduction from your taxable income. The premium paid would, therefore, reduce your taxable income and bring down your tax liability.
To make a claim in your Max Bupa health insurance policy, you should inform the company and follow the specified claim process. The claim process depends on whether you are making a cashless claim or a reimbursement one. The claim process has been described earlier using which you can make claims under your Max Bupa health insurance plans.
You can apply for and buy Max Bupa health insurance policy online either from the website of Max Bupa itself or from the website of Turtlemint.
The Claim Settlement Ratio (CSR) represents the claims settled by an insurance company against the total number of claims made on it in one financial year. The CSR changes every financial year and Max Bupa offers a high CSR of 92% ensuring a speedy claim settlement. (Source: Max Bupa)
Yes, porting is allowed by Max Bupa health insurance. You can port out of Max Bupa health insurance plans as well as port into a Max Bupa health insurance plan of your choice. Portability is allowed at the time of renewals and to port you have to inform the insurance company at least before 45 days of renewal.