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  • Max Bupa Health Companion Family First

    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**

    One of the leading health insurance companies in India following a joint venture between UK-based healthcare service Bupa and Max India Limited, Max Bupa, since their formation have been rolling out a plethora of health insurance products that cater to the specific need of the Indian population. One such plan is the Max Bupa Health Companion Family First that uniquely caters to joint families in the country. With the Max Bupa Health Companion Family First policy, policyholders can insure up to 19 family members, which each family member getting a individual insured amount. Depending on the premium chosen by the policyholder, the sum assured for the Max Bupa Health Companion Family First insured person can range between Rs.1 lakh to Rs.10 lakh. Policyholders can also opt for the floater base sum assured, which ranges between Rs.3 lakh to Rs.20 lakh. For those who wish to purchase this policy for their family, they can go through the features and benefits of the policy, its exclusions and the claim settlement process to assess whether the policy suits their needs or requirements.

    Eligibility for Max Bupa Health Companion Family First

    The eligibility criteria for one to avail the Max Bupa Health Companion Family First are listed as follows:

    • There is no minimum or maximum age for enrollment for adults as it covers families across all life stages.
    • The minimum entry age is 91 days for children.
    • Children or joint family members can be added to existing Max Bupa Health Companion Family First policy during renewal.

    Features of Max Bupa Health Companion Family First

    The main features of the Max Bupa Health Companion Family First are listed as follows:

    • Based on the premium chosen by the policyholder, the individual base sum insured is either Rs.1 lakh, Rs.2 lakh, Rs.3 lakh, Rs.4 lakh, Rs.5 lakh or Rs.10 lakh. If the policyholder has opted for the floater based sum insured, the sum insured is either Rs.3 lakh, Rs.4 lakh, Rs.5 lakh, Rs.10 lakh, Rs.15 lakh or Rs.20 lakh.
    • The Max Bupa Health Companion Family First offers coverage for treatments in case of hospitalisation if the illness or sickness is listed under those that can be covered.
    • The Max Bupa Health Companion Family First offers coverage of pre-hospitalisation expenses (30 days before hospitalisation) and post-hospitalisation expenses (60 days after being discharged).
    • Apart from outpatient treatments, all day care treatments are inclusive in the coverage.
    • For policyholders that opt for a two-year policy for the Max Bupa Health Companion Family First , they can avail a 12.5% discount on the premium of the second year.
    • Ambulance expenses upto Rs.3,000 are covered by the policy if the in-patient claim is accepted.
    • If any of the insured members undergo an organ transplant, the expenses to harvest the organ of the donor are taken care of by this policy.
    • If there is no bed availability at any of the network hospitals of Max Bupa, the insured can opt for home treatment that will be covered by the policy, but only after approval from the doctor and if the treatment is for a minimum of 3 days.
    • Coverage of vaccination cost in case of animal bite[s] upto Rs.5,000 on reimbursement basis.
    • The Max Bupa Health Companion Family First offers hospital cash above and over the sum assured up to Rs.1,000/day or Rs.2,000/day. Not inclusive for domiciliary hospitalisation. The patient has to be admitted for a minimum of two-days and the hospital cash will be paid in lump sum for a maximum of 30 days.
    • If the insured is treated at a network hospital, a direct claim settlement will taken care of by the customer care service to cover the treatment costs.
    • Unless due to an accident, no treatment will be covered for the first 30 days since the issuance of the policy.
    • No coverage for treatment of pre-existing diseases before completion of 48 months (3 years) from the issuance of the policy.

    Max Bupa Health Companion Family First

    Listed below are some of the key benefits of the Max Bupa Health Companion Family First in the table:

    Benefits Extent of Coverage
    Sum Assured benefits For individual based sum insured: Rs.1 lakh, Rs.2 lakh, Rs.3 lakh, Rs.4 lakh, Rs.5 lakh and Rs.10 lakh. For floater based sum insured: Rs.3 lakh, Rs.4 lakh, Rs.5 lakh, Rs.10 lakh, Rs.15 lakh and Rs.20 lakh.
    Pre-hospitalisation benefits Coverage of expenses 30 days prior to hospitalisation.
    Post-hospitalisation benefits Coverage of expenses 60 days following discharge from hospital.
    No-claim bonus Increase of sum assured by 20% for every claim-free year. Maximum increase subject to 5 claim-free years or 100%.
    Policy discount benefit Avail a policy for two years at once and get a discount of 12.5% on the premium of the second year.
    Emergency ambulance benefit Coverage of ambulance expenses upto Rs.3,000.
    Organ transplant benefit Coverage to harvest the organ of the donor. Applicable for all joint insured family members.
    Domiciliary treatment benefit Coverage of medical expenses at home if hospital bed is unavailable. Possible only following approval from the doctor and if the treatment is for a minimum of 72 hours (3 days).
    Animal bite vaccination Up to Rs.5,000 on reimbursement basis.
    Hospital cash benefit Up to Rs.1,000/day or Rs.2,000/day if the insured person is hospitalised for a minimum of 2 days. Payment will be made upto 30 days of hospitalisation - above and apart from the sum assured.
    Tax benefits Tax exemptions under Section 80D of the Income Tax Act.
    Cashless facility benefit Available at all listed cashless hospitals.
    Free-look period Policyholders are granted a 15-day free-look period from the day of issuance. The policyholder can wish to return the policy for no extra cost if the policy does not suit his/her needs.

    Exclusions of Max Bupa Health Companion Family First

    Policyholders cannot avail any coverage from the Max Bupa Health Companion Family First based on the circumstances listed below:

    • If hospitalisation is caused due to any hazardous activity.
    • If the insured person suffers from neurodevelopmental or neurodegenerative disorders.
    • Infection or sickness caused as a result of circumcision.
    • If the insured person is taking complementary or alternative types of medicine.
    • If hospitalisation is caused as a result of conflict or natural disaster.
    • Any illness or sickness caused by rehabilitation.
    • If the insured person undergoes cosmetic surgery, reconstructive surgery, or dental treatments.
    • If one suffers from HIV, AIDS or any sexually transmitted disease.
    • For any OPD treatment.
    • If hospitalisation is caused by obesity or weight control programs.
    • Due to puberty and menopause related disorders.
    • If injury or sickness is caused due to any unlawful activity.
    • If the insured person has received treatment outside India.
    • If the insured person undergoes treatment at a hospital or by a doctor that is not recognised by Max Bupa.

    Claim Procedure

    In the case of hospitalisation, the policyholder will have to follow the steps mentioned below to register a claim. In the case of planned hospitalisation, the insured person has to intimate Max Bupa at least 72 hours (3 days) before being admitted in any of the network hospitals of the insurer.

    • The insured person has to submit his/her Max Bupa insurance card along with proof of identification - Passport, Driver’s license, Voter ID card, PAN, etc. - at the network hospital desk.
    • The hospital will then submit a pre-authorisation form to Max Bupa with details of the treatment.
    • The insurer will then review the case and if the particular treatment can be covered, the decision to offer coverage for hospitalisation will reach the hospital within 4 hours.
    • An insurance relationship manager from Max Bupa will then get in touch with the policyholder to make the documentation and the claim settlement process simple.
    • The policyholder or insured person will be required to attest all documents, related forms and invoices to process the claim settlement.

    FAQs

    1. Does the Max Bupa Health Companion Family First come with tax benefits?

    Max Bupa policyholders or those insured and have received treatment can avail tax deductions up to Rs.25,000 annually under Section 80D of the Income Tax Act 1961. In the case of senior citizens, the tax deduction is capped at Rs.30,000 per year.

    2. Is a medical checkup absolutely required before availing the policy?

    Yes, to check if the applicant has any pre-existing diseases, depending on the age of the applicant, and so on.

    3. My family members reside in another city? Can they claim coverage as well?

    As long as they are receiving treatment in India, your family members can receive coverage for treatment at any network hospital of Max Bupa.

    4. Which is the easiest way to purchase the Max Bupa Health Companion Family First policy?

    You can purchase the policy online on the Max Bupa website. You can make the payment via debit card, credit card or by using your net banking account.

    5. What is the tenure of the Max Bupa Health Companion Family First policy?

    You have the choice of purchasing the policy either for one year or two years. If you do purchase the policy for two years, you will get a 12.5% discount on the premium of the second year of the policy.

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