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Max Bupa Health@Companion Plan

Invest In Tax Saving Mutual Funds Online

Call 0 94 8300 8300 (India)

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

Happy Investing!!

We can help. Call 0 94 8300 8300 (India)

Leave your comment with mail ID and we will answer them

OR

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

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