Max Bupa Health@Companion Plan

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Max Bupa Health@Companion

Objective		An online basic health insurance policy that aims to cover against hospitalisation and other incidental expenses.
Suited for		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.
Pros		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.
Cons		There is capping on room rent cover. There is a co-payment clause if treatment is availed in higher Zone.
Our View		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.
Eligibility
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
Policy Term (years)	1 or 2
Sum Insured (Rs)
Maximum	5 lakh
Minimum	2 lakh
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 .
Customer Service
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	customercare@maxbupa.com
Call to	1800-3010-3333

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
Optional Benefits
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

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You can write back to us at PrajnaCapital [at] Gmail [dot] Com

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