Max Bupa Health Companion Plan

Max Bupa Health Insurance Company Ltd. is a health insurer founded by the collaboration of Max Limited and UK's Bupa (a healthcare services specialist) offering a wide range of health insurance products.

Paying the huge costs for medical treatments, for an expensive medical test, hospitalization, several daycare procedures, etc., can drain all your hard-earned money or your savings. Max Bupa Health Companion comes out with benefits such as direct claim settlement, pre, and post-hospitalization expenses along with a cover of up to Rs 1 cr among others. The plan offers assured renewal for life.

Eligibility Criteria

Key Features Of Max Bupa Health Companion Plan

A medical or accidental emergency can disrupt your current lifestyle drastically. Max Bupa Health Companion Plan shields your savings against unexpected medical costs. Let's discuss the key features of Max Bupa Health Insurance designed to help you lead a financially healthy and secured life.

The policy is specially designed for individuals, couples, nuclear & extended families. This plan covers following relationships:

• You will get the comprehensive cover-up to Rs.1 Crore under the same
• This plan offers the lifetime renewability
• It also comes out with smart top-up options that offer additional coverage
• This plan offers cashless treatments in more than 5000 network hospitals
• On choosing a two-year policy, you will get a 12.5% discount on the second year's renewal premium
• Tax benefit under Section 80D of the Income Tax Act

Benefits Of Health Companion Plan

Max Bupa Health Companion plans offer several benefits such as day care treatments, no-claim benefits, pre, and post-hospitalization. Let's explore them:

Day Care Treatments

Because of scientific advancement, a few procedures and treatments do not ask you to get hospitalized for a minimum of 24 hours to file a claim. This plan covers all such procedures.

No-Claim Benefits

No claim benefit is a form of bonus that you will get for every claim-free year. It can be equal to 20% of your basic sum assured or up to a maximum of 100%. It will not be there if you file any claim within the policy's tenure.

Organ Donor Cover

Any expense that you make towards an organ donor's treatment for the harvesting of the donated organ is covered up to the sum insured.

Pre Hospitalization

Under this feature, you will get the cover for the expenses associated with 30 days before the hospitalization.

Post-Hospitalization

Like the pre-hospitalization feature, this plan will offer the required cover against post-hospitalization as well (60 days after hospitalization).

Restore Benefits

This feature of this plan refills the sum assured in the case where the no claim bonus has been partially or completely exhausted. This feature is there to refill up to the base sum insured. It is not applicable in the case of the family health plan.

Additional Benefits

Apart from the basic features and benefits, this plan has come out with several additional benefits.

A few of them are mentioned below:-

1. OPD Expense Cover

   OPD treatment is liable to get the cover only in case of vaccinations or immunization after an animal bite. Such covers range from Rs.2,500 – Rs.7,500 depending upon the different variants of the plan.

2. Health Check-Up

   This benefit varies from plan to plan. Under the same, the insured will be liable to avail a complimentary health check-up during the policy's tenure.

3. Domiciliary Hospitalization

   Domiciliary hospitalization is also popular by the name of home hospitalization. Under the same, you will be liable to get the treatment at your home. The amount should be up to the chosen sum assured. There are a few terms and conditions attached to this plan. You must check the policy's document for a deep understanding.

4. Non-Allopathic Treatment Expense Cover

   The plan is popular to cover expenses that are related to non-allopathic treatment that includes Ayurveda, up to a maximum limit of the base sum insured.

5. Emergency Ambulance

   In the case where you have to go for an ambulance cover for your hospitalization, this policy will also reimburse the same up to Rs.3,000.

6. Pre-Existing Cover

   The plan also offers the required coverage to the insured but after a selected time tenure. The tenure can be of one or two years. After this fixed tenure, the plan will be liable to cover your pre-existing disease.

Value Adds

1 Daily Hospitalization Allowance

Apart from basic features and benefits, this plan allows you to opt for a daily cash allowance from Rs.1,000 to Rs.4,000 per day, after 48 hours of hospitalization claim for this benefit. It will be there with you for a maximum of 30 days of being in the hospital.

2 Top Up Plan On Annual Aggregate Basis

Top-up plans are there to offer additional cover to the insured. The choice of deductible ranges from Rs.1 lakh to Rs.10 lakh. Top-up plans increase the sum insured and boost the overall cover. This is to supplement your base policy.

3 Critical Illness Cover

You might have to pay an additional premium to add this feature. It will provide the cover against critical diseases that are unable to get coverage under the basic health insurance plan.

4 Tiered Hospital Network

A cashless facility is there to offer worry-free service. It will take care of all medical bills only if you are taking the treatment in the network hospital. If you don't want to go for this then you can take the help of reimbursement mode.

5 Free Look Period

Because of any reason, if you think that you don't want to proceed with the policy, then you can return the same and can get a refund within 15 days.

How Does The Health Companion Plan Work?

Well, when it comes to investing in Max Bupa Health Companion, you will get the option to choose between Individual and Max Bupa Health Companion Family Floater cover options. The Family Cover is further divided into 2 options, Family Floater and Family First.

Family Floater: Under the same, you can choose the sum assured on the basis of three variants of cover.

Here's the combination that you can choose from:

• 1 Adult + 4 children (minimum 1, maximum 4)
• 2 Adults
• 2 Adults + 4 children (minimum 1, maximum 4)

Family First: This is the plan which is designed to cater to the different health insurance needs of a family. There are basically 2 levels in this plan which are - individual sum insured & floater sum insured.

Individual Sum Insured: It offers a flat sum insured for each family member.

Floater Sum Insured: It offers a single cover for all members and can be used for any member once his/her individual sum insured is exhausted.

Comparison Of Max Bupa Health Companion Three Variants

This table illustrates the comparison of three variants of Max Bupa Health Insurance. Let's explore them for a better understanding.

Permanent Exclusions

The plan will not be liable to offer the cover in a few cases such as:

SuicidePregnancy, childbirth, miscarriage, and abortionAIDSUse of alcohol or drugCongenital disease Hospitalization out of war, riot, strike, and nuclear weaponsInfertility and in vitro fertilization

It is advisable for you to check the policy document thoroughly to get a clear-cut idea about the policy or go through the Max Bupa Health Companion Plan Brochure.

Sample Premium Illustration

Here is the sample rate of Max Bupa Health Companion premium payable. This estimate is for a non-smoking male of 30 years living in Mumbai. The sum insured is Rs.10 lakhs and the policy is taken for 1 year. The premium can vary according to the health/medical history, etc. The family floater variant has been assumed to include 2 adults and 1 child.

Premium Payable by Individual and family at different ages

Example- Rahul is a newly married man and working at a reputed firm in Gurgaon. The new couple was excited about their new journey. Suddenly, he falls sick and when it comes to the reports, he was diagnosed with a very serious disease that is very costly. After investing a lot of money on his wedding and other associated funds he was left with no money. But he was smart enough to insure himself during the initial days of his job. He opted for Max Bupa Health companion as it was a perfect fit according to his requirements and needs. His wife contacted the insurer and asked for the claim. Within a short span of time, Rahul took the required treatment at one of the network hospitals and availed the cashless benefit. He also got post-hospitalization assistance which saves the couple from several other difficulties.

Initially, by paying a minimal amount of Rs 8219 yearly, he successfully saves his family from several unwanted situations. Now he is fine and ready to insure his wife under the same plan.

Buying Process of Max Bupa Health Companion Plan

For a quick and time-saving process, consider buying from the company and PolicyX.com. Below are the steps for the same:

1. Max Bupa Company's Website

   • Visit the official website of the company. On the top, click on the 'Buy' option.
   • Enter all the required details and click on 'Find My Plan'.
   • Among all the available plans, select the best-suited plan to meet your needs.
   • Pay the premium online.
   • Once done, the soft copy of the policy will be sent to your registered email address.

2. PolicyX.com

   • On the top right corner of this page, search for 'Calculate Max Bupa Health Insurance Premium' form.
   • Fill in the necessary details to get the list of quotes.
   • Choose the desired Max Bupa health plan and pay the premium.
   • After the payment, the policy will be shared on your registered email address.

Claim Process of Max Bupa Health Companion Plan

The company releases the claim amount in two manners - cashless and reimbursement.

1 Cashless

Under this form of payment, the company clears all dues of treatment in the hospital only. You don't have to pay anything from your pocket for the treatment. With the same, you can completely focus on the treatment rather than the cost of it.

• Get admitted to any one of the network hospitals associated with Max Bupa. You can check the list of network hospitals on the company's website.
• Use your Max Bupa Health Card and show them your identification proof.
• After validating your identity, the network hospital will submit the pre-authorization request form to the company.
• The company will review your request and provide the confirmation to the network hospital by fax or email and share the same with you via text or email.
• The company will settle the claim with the hospital after the completion of all formalities.

2 Reimbursement

Under this form of claim settlement, you have to pay for the treatment on your own and then the insurance company will reimburse the amount accordingly.

• If admitted to a non-network hospital, notify Max Bupa within 48 hours of hospitalization. In emergency cases, inform them within 24 hours of hospitalization.
• You need to pay the treatment expenses to the hospital. During discharge, collect all the necessary documents, invoices, medical reports, and discharge certificates from the hospital.
• Send the completed claim form (available on Max Bupa's website) along with the required documents to Max Bupa.
• Max Bupa will review the documents and settle the claim (if approved) by reimbursing you for the amount.

How Can I Renew My Max Bupa Health Insurance?

Let's discuss the Max Bupa health insurance renewal process. Follow the below steps to renew your policy easily:

• Visit the company's website and click on the 'Renew' option.
• Enter your 14 digit policy number and click 'Submit'.
• You will get the renewal premium amount.
• Click on the 'Pay now' option to make the payment.
• On successful payment, you will receive a policy transaction number. A new policy kit will be emailed to you within 48 hours.