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  • Max Bupa Health Insurance

    Health Insurance
    • Premiums as low as Rs12/day for coverage of Rs.4 Lakhs*
    • 10,000+ hospitals for cashless treatment
    • Claim up to Rs. 55,000 deduction under section 80D**

    A market leader in health insurance solutions, Max Bupa Health Insurance Company Limited is a joint venture between Bupa, a UK-based health services firm and Max India Limited. The Max Group has a rich background in insurance as well as healthcare and Bupa has immense experience in the healthcare industry with a 29 million customer base scattered across 190 countries. Max Bupa Health Insurance has insured over 28 lakh people to date and has settled claims that add up to Rs.1,141 crore. Max Bupa makes the claims process simple and does not involve any TPAs. The company promises to provide the pre-authorisation letter for cashless claims within 30 minutes.

    Max Bupa Health Insurance Highlights

    Factor Details
    Health insurance plans
    • 4 Hospitalisation plans
    • 1 Critical Illness plan
    • 1 Accident insurance plan
    E-services offered
    • Renew health insurance policy
    • Check claim status online
    • Register claim online
    • Get quotes for premium payable for preferred insurance policies
    Claim settlement Direct claim settlement by insurer without TPA involvement
    Claims settled since inception Rs.1,141 crore


    Features & Benefits of Max Bupa Health Insurance

    • Direct claim settlement: All claims made with Max Bupa are settled without any hassles through a direct process. There is no third-party administrator involved and claims made are settled by the expert team of customer service representatives.
    • Speedy cashless services: Max Bupa has a wide network of cashless claim networks that provide customers good quality health services within a time frame of 30 minutes of making a request.
    • Comprehensive coverage options: Max Bupa offers an extensive and wide range of health insurance products that offer comprehensive coverage that caters to specific needs and preferences.
    • International service: Those who opt for the Heartbeat Platinum plan will be eligible to avail the benefit of obtaining medical treatment in foreign countries for certain specified critical illnesses.
    • Maternity benefits: Pregnancy, pre, and post-natal care are covered under the health insurance policies offered by Max Bupa. Also, children born to mothers who are covered under maternity benefits will be automatically eligible to be a part of the policy during the renewal process.
    • Family coverage: All family members can be accommodated in a single plan, including senior citizens and newborn babies.
    • Lifelong renewal: Max Bupa offers policies that can be renewed on a life-long basis without any hassles.

    Plans provided by Max Bupa Health Insurance

    Plan Name Plan Basis (individual, family, etc) Sum Insured (Min and Max) Policy Term
    Heartbeat Individual and Family Platinium: From Rs.15 lakh to Rs.1 crore From Gold: Rs.5 lakh to Rs.50 lakh 1 and 2 years
    Health Assurance Individual and Family
    Criticare From Rs.3 lakh to Rs.2 crore
    Accident Care From Rs.5 lakh to Rs.5 crore
    Hospital Cash From Rs.1,000 to Rs.4,000 per day
    1, 2 and 3 years
    Health Companion Individual and Family Min: Rs.3 lakh Max: Rs.1 crore 1 and 2 year

    *Premiums may vary depending upon factors like age, location, term of the plan and prevailing taxes/GST.


    The Heartbeat health insurance plan is designed for individuals, couples, nuclear and extended families and come with different sum insured options depending on the number of people in the plan. Individual, couple and nuclear family plans come in two variants: Gold and Platinum. The plan for extended family comes in Silver, Gold, and Platinum options.

    Unique Features of Platinum Plan

    • In the Platinum plan, there is no upper limit on room-related charges, second opinion can be taken and it also includes treatment in foreign countries
    • In the Gold plan, the sum insured will cover room charges with no upper limit but suite rooms or above will not be covered
    • Other coverages provided include diagnostic services, OPD treatment, alternative treatments, maternity benefits, pre and post-hospitalization expenses, consultation fee, diagnostic tests, daily allowances, ambulance services, etc
    • As many as 19 members of the family can be included in the Heartbeat family plan
    • Policyholders will have the benefit of undergoing diagnostic tests under the Gold and Platinum plans

    Plan Details

    Policy term 1 and 2 year
    Entry Age Between 18 to 65 years
    Plan Basis Individual and Family
    Sum Insured Range Platinium: From Rs.15 lakh to Rs.1 crore From Gold: Rs.5 lakh to Rs.50 lakh
    Premium Varies based on the sum insured
    Medical Screening Yes
    Co-Payment 10% and 20%
    Waiting Period 24 months for Gold & Platinum users 48 months for Silver users
    No Claim Bonus Offered
    Discounts 12.5% discount on premium for policies purchased for 2 years

    Health Assurance

    This Health Assurance plan that is designed to provide critical care, accident and hospital cash cover to both individuals and families.

    Unique Features of Health Assurance

    • Policyholders can customize their plans as per needs to choose between CritiCare, AccidentCare, and HospitalCash. Any of the combinations mentioned in the table below can be used:
    CritiCare + AccidentCare + HospitalCash
    CritiCare + AccidentCare
    CritiCare + HospitalCash
    AccidentCare + HospitalCash
    • This plan can be opted as individual or family plan and comes with a lifelong renewability option
    • The critical illness plan provides coverage to 20 critical illnesses listed below:
    Cancer of specified severity
    Open chest CABG
    First heart attack
    Repair of heart valves or open heart replacement surgery
    Stroke with permanent symptoms
    Muscular dystrophy
    Bacterial meningitis
    Aplastic anaemia
    Loss of speech
    Third-degree burns
    End of stage lung disease
    End of stage liver disease
    Multiple sclerosis with persistent symptoms
    Motor neuron disease with permanent symptoms
    Major organ or bone marrow transplant
    Kidney failure with regular dialysis
    Coma of specified severity
    Permanent paralysis of limbs
    Fulminant viral hepatitis
    • Under the CritiCare plan, the policyholder is entitled to receive the sum insured as a lump sum
    • AccidentCare option is for both individuals and families. The coverage options provided are accidental death, accidental permanent disability in total, accidental permanent partial disability, child education benefit, funeral expenses
    • The HospitalCash option is applicable to individuals and families including self, spouse and two children. This can be availed only if hospitalization is for more than 48 hours and cash allowance will be paid for a total of 45 days

    Plan Details

    Policy term 1,2 and 3 years
    Entry Age Between 18 to 65
    Plan Basis Individual and Family
    Sum Insured Range
    CritiCare From Rs.3 lakh to Rs.2 crore
    AccidentCare From Rs.5 lakh to Rs.5 crore
    HospitalCash From Rs.1,000 to Rs.4,000 per day
    Premium As applicable in the policy document
    Waiting Period 90 days for CritiCare, 30 days for HospitalCash, no waiting period for AccidentCare
    No Claim Bonus Yes
    Discounts 10% online discount 12.5% discount on 2nd-year premium 15% discount on 3rd-year premium

    Health Companion

    Max Bupa - Health Companion is a comprehensive health insurance policy formulated to cater to both individuals and family needs. It offers customers hassle-free claim settlement and lifelong renewability.

    Unique features of Health Companion

    • This provides coverage towards room rent, pre and post-hospitalization expenses, day care treatments, hospitalization expenses and also covers alternative treatments such as AYUSH, Ayurveda, Unani, Siddha, and Homeopathy
    • Cashless claim services can be availed across the country within a notice period of 30 minutes
    • Comes with a ‘Smart Top-up’ option
    • Refill option for sum insured
    • Year-on-year loyalty benefits

    Plan Details

    Policy term 1 and 2 years
    Entry Age Between 18 to 65 years
    Plan Basis Individual and Family
    Sum Insured Range Min: Rs.3 lakh Max: Rs.1 crore
    Premium As applicable in the policy document
    Waiting Period 24 months, 30 days for pre-existing diseases
    No Claim Bonus 20%
    Discounts 12.5% on 2nd-year plan

    Checklist before Buying Max Bupa Health Insurance

    • Compare all the plans provided and choose a sum insured option that provides enough coverage to suit the health needs of the individual and family
    • Finalize the coverage amount
    • Finalize the add-on options
    • Check the waiting period and exclusions
    • Read the policy document
    • Keep all documents ready

    Documents Required for Purchasing Max Bupa Health Insurance

    • Id proof
    • Address proof
    • Medical certificates, if asked

    Reasons to choose Max Bupa Health Insurance

    Trusted name in industry
    29 million wide customer base
    Customer centric approach
    Global expertise in health insurance

    Incurred Claim Ratio of Max Bupa Health Insurance

    Incurred claim ratio basically refers to the percentage of claims that are successfully solved by the insurance company in a given financial year.

    Year Incurred Claim Ratio
    2016-17 51.96%

    Extra Benefits from Max Bupa Health Insurance

    Customer grievance redressal Max Bupa is has a customer grievance redressal mechanism that gives policyholders the platform to lodge complaints. This can be done by calling the toll-free number or writing an email.
    Healthlink portal Max Bupa has a portal where users can read interesting articles, blog posts and tips about health

    Renewal of Max Bupa Health Insurance Policy

    Renewing a Max Bupa health insurance policy is a very easy and hassle-free process and can be done online easily. Log on to the Max Bupa website and click on the ‘Renew’ option on the main page. Then simply key in your policy number, proceed and make payment.

    Max Bupa Network Hospitals for Cashless Treatment

    With over 3,500 cashless claim network hospitals across the country, Max Bupa provides customers quick cashless treatment services. To locate the nearest network hospital, log on to the website.

    Claim Procedure in Max Bupa

    Cashless claim:

    • Inform the insurance provider at the earliest
    • Get approval for the claim
    • All bills will be paid by the insurance company directly to the empanelled hospital

    Reimbursement claim:

    • Fill claim form
    • Bills, invoices, and discharge summary should be kept ready
    • Submit the relevant documents along with the claim form
    • Reimbursements will be made within 15 working days

    Terms and Conditions of the Insurer

    • The insurance provider can at any point of time make changes, revise and alter the premium as per IRDA guidelines
    • The insurance provider has the right to order the cancellation of the policy in case the insured has provided any kind of false information or has misrepresented facts at the time of purchase of the policy
    • A policyholder can seek an increase in the sum insured at the time of renewing the policy or in writing, However, this is at the discretion of the insurance provider.

    Max Bupa Health Insurance Reviews

    • Max Bupa Health Insurance
      "comfortable to deal with"
      0.5 5.0/5 "Blown Away!"
      I have been utilizing the benefits time in and out. They have some medical check up benefits also annually. They used to provide some vouchers which worth of Rs. 10000 from Life Style. My entire family has been covered in this policy. I have got a coverage amount of Rs. 10 lakhs and the premium amount of Rs. 60000. Max bupa is giving more incentive to the customer. The settlement was very comfortable to handle.
      Was this review helpful? 0
      , new delhi
      Reviewed on Oct 12, 2018
    • Max Bupa Health Insurance
      "Costly but good"
      0.5 3.0/5 "Satisfactory"
      I have health insurance with Max Bupa for me and spouse, my yearly premium is around Rs. 25,000 They gave me the medical coverage value of Rs.20 lakhs with cash less hospital and no claim features. But I done portably with different policy because of the high premium.
      Was this review helpful? 0
      , aurangabad
      Reviewed on Oct 01, 2018
    • Max Bupa Health Insurance
      0.5 4.0/5 "Great!"
      I had been using the health insurance policy with MAX PUBPA where i have purchased it through online and using it since last 8-9months. It covers the accidental coverage also they offer the medical coverage of 10lakhs where i have paid the premium 4700k. They gave the coverage of critical illness and the pre medical also it covers.
      Was this review helpful? 0
      , hyderabad
      Reviewed on Sep 08, 2018
    • Max Bupa Health Insurance
      "Features are good"
      0.5 5.0/5 "Blown Away!"
      My health insurance is with Max Bupa. The customer service is good. I have taken a family floater. The premium is around 4999 which has to be paid on a yearly basis. The medical coverage is for 15 lakhs. The coverage is for three members in total. There is a cashless facility too.
      Was this review helpful? 0
      , theni
      Reviewed on Jun 30, 2018
    • Max Bupa Health Insurance
      0.5 4.5/5 "Excellent!"
      I am using since since 7 years. No claim. Premium is 14k that i have to pay for my insurance and that too for the entire family. Documentation is completely it is paperless approval. Coverage i have no idea. The hospital list is good. Because of their service i have taken this insurance.
      Was this review helpful? 0
      , ghaziabad
      Reviewed on Jun 03, 2018
    • Max Bupa Health Insurance
      0.5 3.0/5 "Satisfactory"
      Got my health insurance from max bupa , It has good benefit s with limited coverage . Am paying annual premium through cheque . Am getting income tax benefits of 30 % from the tax . It has limited cashless treatment . Customer service and response is good in terms of documentation and response regarding queries.
      Was this review helpful? 0
      , gurgaon
      Reviewed on May 22, 2018
    • Max Bupa Health Insurance
      "better experience"
      0.5 3.0/5 "Satisfactory"
      I had applied and got a Health insurance policy from the private sector insurance company MAX BUPA. My annual premium amount is Rs. 11,983/- which i feel is very high. There is no response from the customer end and they wouldn't sort out my queries. They have to improve their services.
      Was this review helpful? 0
      , noida
      Reviewed on Mar 18, 2018
    • Max Bupa Health Insurance
      "An extra ordinary experience"
      0.5 5.0/5 "Blown Away!"
      I have had taken a Health insurance policy from a renowed insurance company named MAX BUPA since three years. Most of all benefits are covered under under one policy. So no need to do top up my existing car insurance policy. Over all it is a good policy. They are providing cashless treatments facilities too.
      Was this review helpful? 0
      , bangalore
      Reviewed on Mar 18, 2018
    • Max Bupa Health Insurance
      0.5 5.0/5 "Blown Away!"
      I had applied and got a Health insurance policy from the private sector insurance company MAX BUPA. It is a group policy. Recently i had a positive claim experience from the max bupa. My hospitalized bill was Rs.22,000/- i claimed around Rs. 20,000/- makes me very happy. I can prefer for online payments to renew my policy with in due time.
      Was this review helpful? 0
      , mandya
      Reviewed on Mar 07, 2018
    • Max Bupa Health Insurance
      "A good health insurance"
      0.5 5.0/5 "Blown Away!"
      I had applied and got a Health insurance from Max Bupa through a on line partner. I didn't have claim experience so i cant able to comment on it. The premium is very much affordable by comparing to all other insurances. I think no need to purchase other insurance polices because each and everything is good and all the benefits are covered under this policy.
      Was this review helpful? 0
      , bangalore
      Reviewed on Feb 22, 2018
    • Max Bupa Health Insurance
      "Good Health Protection"
      0.5 5.0/5 "Blown Away!"
      Till now everything is fine with Max Bupa, I got my policy copy on time. As my requirement they gave me all the features. I have taken health policy for my my parent. The premium amount was Rs.34,000 per annum has the medical cover of Rs. 8 lakhs for three person. Max Bupa is providing pre existing cover after two years of policy.
      Was this review helpful? 0
      , bangalore
      Reviewed on Feb 01, 2018
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