Max Bupa Health Insurance Network Hospitals 

Max Bupa has an extensive network hospital network of over 3,500 hospitals across the country. The health insurance company has included several hospitals that provide quality health services to the people. Max Bupa health insurance policyholders can avail the cashless hospitalisation facility in any of the network hospitals in the country. 

To find a Max Bupa network hospital near you, simply visit the official website of Max Bupa and click on the link ‘Hospital Network’ on the top of the page. Then, select your state and city of residence to get a list of hospitals near you. You can also switch to the map mode to see the exact locations of the hospitals. 

Max Bupa Network Hospitals in Different States

What are the benefits of choosing a Max Bupa network hospital? 

The benefit of choosing a Max Bupa network hospital is that policyholders can avail the cashless settlement option that is available only in network hospitals. The cashless claim settlement procedure is a convenient option as the insurance company will directly pay for the expenses incurred by the insured at the hospital. Therefore, the policyholder will not have to pay the hospital bill out of his/her own pocket and request for a reimbursement later. 

At a network hospital, one can choose if he/she wants to settle the claim through the cashless method or the reimbursement method. At a non-network hospital, however, only the reimbursement method can be availed. 

What are the benefits under Max Bupa cashless claim facility? 

Under the cashless claim facility, the policyholder has access to a wide range of benefits. Here are some of the benefits available under Max Bupa health insurance policies for cashless settlement: 

• Option to choose between individual and floater sum insured 
• Coverage for in-patient care 
• Coverage for pre and post-hospitalisation expenses 
• Day care procedures are covered 
• Organ transplant expenditures are paid for 
• Alternative treatments such as Ayurveda, Unani, and Sidha can be availed 
• Domiciliary hospitalisation expenses are covered 
• Vaccination benefit is available 
• Coverage for critical illnesses 
• Personal accident cover is available 
• Hospital cash is provided 

What procedures are not covered?under Max Bupa cashless claim facility? 

Certain treatments and procedures that the policyholder undergoes will not be covered under the health insurance policy. Here are a few exclusions of Max Bupa health insurance plans: 

• All treatments for the first 30 days of the policy tenure 
• Pre-existing diseases until 48 months of the policy term is completed 
• Certain health conditions like pancreatitis, PCOD, fissure, chronic kidney disease, varicose veins, etc., for a specific waiting period as mentioned in the policy 
• External Congenital Conditions, Circumcision, AIDS, Obesity, sexually transmitted diseases, etc. 

How do you file a claim at a Max Bupa network hospital? 

Follow the below-mentioned steps to file a cashless claim: 

• Get admitted at a network hospital. 
• Submit your Max Bupa health card at the hospital. Alternatively, you can submit your PAN, passport, or voter ID for identification purpose. 
• The pre-authorisation letter needs to be submitted from the hospital to the insurance company. 
• The insurer will then confirm that it will cover the expenses that will be incurred by the policyholder. 
• The insurer will then settle the claim with the hospital directly. 

In case the policyholder’s request for the cashless claim application has not approved, he/she can always pay the bill and then apply for a reimbursement later. The reimbursement facility can be availed at any recognized hospital. 

FAQs 

1. Can the cashless claim facility be used for emergency hospitalisations? 

Yes, the cashless claim facility can be used for emergencies. The policyholder is required to inform the insurer about the hospitalisation within 24 hours. 

2. Is there a possibility that the treatment availed in a specific hospital is not covered under a Max Bupa health insurance policy? 

Yes, expenses incurred at unrecognised hospitals will not be covered under any health insurance policy offered by Max Bupa. Go through the list of unrecognised hospitals on the website before you get admitted. 

3. How many days in advance should I inform the insurer in case of a planned hospitalisation? 

In case of planned hospitalisation, inform your insurance company two days prior to the day of admission to the hospital. 

4. Can I avail the cashless claim facility in Bengaluru if I’m a resident of Pune? 

Yes, the cashless facility is available throughout the country for all Max Bupa health insurance policyholders. 

5. On what grounds can my request for cashless claim settlement be rejected? 

A few reasons why your cashless claim settlement application can be rejected are: 

• If the treatment that you plan to avail at the hospital is not covered under your policy 
• If you have already exhausted the sum insured amount of the policy 
• If you have been admitted at a non-network hospital 
• If you have not completed the specified waiting period