Max Bupa Health Companion Health Insurance

About the Max Bupa Health Companion Health Insurance

Max Bupa Health Insurance Company, also known as Max Bupa, was founded in 2008. It is an Indian health insurance organization that is headquartered in New Delhi, India. The organization was started as a joint venture between Bupa, which is an international healthcare group based in the UK, and Max India Limited.
In 2019, True North, which is a private equity firm, also bought stakes from Max India. Max Bupa started its operations in 2010. It has a paid-up capital of Rs.926 crore or $130 million. Max BUPA is regulated by the Insurance Regulatory and Development Authority of India (IRDAI).

Max Bupa Health Insurance Company Limited provides a range of insurance policies to its customers. As of now, its most popular policy is Max Bupa Health Companion. Max Bupa is the first health insurance company with a unique Grievance Management System integrated system with the Insurance Regulatory and Development Authority. This system was set up in June 2011.

In April 2019, Max Bupa also launched ‘Anytime Health (ATH)’ machines that allow customers to purchase health insurance policies in just a few seconds. The organization has also won several awards for providing excellent services. In April 2019, Max Bupa won ‘The Economic Times Best Brands 2019’ award by the Economic Times and Nielsen.

The company also received the ‘Product of the Year’ award by research agency Nielsen for its GoActive Health Insurance Plan. They also received the Golden Peacock Award 2015 for its Heartbeat Health Insurance Plan. In this article, you can go through the Maxbhi review to make a more informed decision on what policy to buy.

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    Policy Type

    IndividualFloater

    The Max Bupa Health Companion Insurance plan is available in several variants. One can choose between the individual or family cover option. The family cover option is further divided into two different types, family floater and family first.

    The family floater variant comes with three options of cover. All options have different benefits and we will be looking at those benefits later for better understanding. There are also several combinations in which the family floater plan is available. These combinations are:

    • 1 Adult + 4 Children (minimum 1 member and maximum 4 members)
    • 2 Adults
    • 2 Adults + 4 Children (minimum 1 member and maximum 4 members)

    The family first plan variant is designed to meet the health insurance needs of a joint family. There are two levels in this plan. Both of these levels are discussed below.

    • Individual Sum Insured: This level of insurance provides one flat sum insured for every family member
    • Floater Sum Insured: This level of insurance provides a coverage pool for all family members. This coverage can be used by any family member once his or her individual sum insured amount is completely exhausted. The relationships covered under this plan are:
    • Self
    • Spouse
    • Son
    • Daughter-in-law
    • Grandfather
    • Grandmother
    • Grandson
    • Granddaughter
    • Daughter
    • Brother
    • Son-in-law
    • Sister
    • Father
    • Sister-in-law
    • Mother
    • Brother-in-law
    • Father-in-law
    • Mother-in-law
    • Nephew
    • Niece

    The basic benefits provided under this plan are:

    • Day-care expense cover
    • No limit to room rent accommodations
    • Covers pre-hospitalization charges
    • Post-hospitalization charges are covered
    • 19 relationships can be covered under a single policy

    Now, we will look at the details of every variant option that falls under this plan. All of this information is mentioned in the tables below.

    1. Variant 1

    In-Patient Treatment Benefits

    Overall Sum Insured Selected in INR

     

    Rs.2 lakh

    Rs.3 lakh

    Rs.4 lakh

    Doctor’s Fees

    Covered

    Covered

    Covered

    Diagnostic Test Charges

    Covered

    Covered

    Covered

    Drugs, Medicines, and Consumables

    Covered up to the base sum insured value

    Covered

    Covered

    Nursing Charges

    Covered up to the base sum insured value

    Covered

    Covered

    Operation Theater Charges

    Provided

    Provided

    Covered

    Intravenous Fluid, Blood Transfusions, and Injection Administration Charges

    Covered up to the base sum insured value

    Covered

    Covered

    Hospital Accommodation

    Covered

    Covered

    Covered

    Intensive Care Unit Expenses

    Covered up to the base insured value

    Covered

    Covered

    Day-Care Procedure Charges

    Covered

    Covered

    Covered up to the base insured value

    Organ Donor Expenses

    Covered

    Covered

    Covered

    Pre-Hospitalization Charges

    Covered up to the base insured value

    Covered

    Covered

    Post-Hospitalization Charges

    Provided

    Provided

    Provided

    Cost of Prosthetics and Other Devices or Equipment, if Implanted Directly during Surgical Operation

    Covered up to the base insured value

    Covered up to base insured value

    Covered

    Some other benefits provided in this variant are mentioned below.

    Benefits Provided

    Details

    Emergency Ambulance Benefit

    Provided up to Rs.3,000

    No Claim Bonus

    Covered up to 20% of the base sum insured value up to a maximum of 100%

    Refill Benefit

    Provided up to the base sum insured value

    Vaccination in Case of Animal Bite Benefit

    Covered up to Rs.2,500

    AYUSH Treatment Benefit

    Up to base sum insured value

    Health Checkup Advantage

    Provided once in two years

    Domiciliary Hospitalization

    Covered up to the base sum insured value

    The customer level endorsement details are given below.

    Benefit

    Details

    Top-Up Plan Provided on Annual Aggregate Basis

    The value is deductible of Rs.1, 2, 3, 4, 5, and 10 lakh

    Treatment Provided Only in Tiered Network

    The option is available to Zone 2 customers

    Hospital Cash Benefit

    Provided up to a total of Rs.1000 per day

    1. Variant 2

    In-Patient Treatment Benefits

    Overall Sum Insured Value in Rupees

     

    Rs.5 lakh

    Rs.7.5 lakh

    Rs.10 lakh

    Rs.12.5 lakh

    Doctor’s Fee Expenses

    Covered up to the base sum insured value

    Covered up to the base sum insured value

    Covered up to the base sum insured value

    Covered up to the base sum insured value

    Diagnostic Tests Charges

    Covered

    Covered

    Covered

    Covered

    Drugs, Medicines, and Consumables

    Covered

    Covered

    Covered

    Covered

    Nursing Charges

    Provided

    Provided

    Provided

    Provided

    Operation Theatre Charges

    Covered

    Covered

    Provided

    Provided

    Intravenous Fluids, Injection Administration, and Blood Transfusion Charges

    Covered up to the base sum insured value

    Covered up to the base sum insured value

    Covered

    Covered

    Intensive Care Unit Charges

    Provided

    Covered up to the base sum insured value

    Provided

    Covered

    Hospital Accommodation

    Covered up to the base sum insured value

    Covered

    Covered

    Covered

    Day Care Procedures

    Covered up to the base sum insured value

    Covered up to the base sum insured value

    Provided

    Provided

    Organ Donor Benefit

    Covered

    Covered

    Covered

    Covered

    Pre-Hospitalization Charges

    Provided

    Covered

    Provided

    Covered

    Post-Hospitalization Benefit

    Covered up to the base insured value

    Covered up to the base insured value

    Covered up to the base insured value

    Covered up to the base insured value

    Cost of Prosthetics and other Devices or Equipment, if Implanted directly during Surgical Operation

    Covered

    Provided

    Covered

    Provided

    Other benefits provided with this variant are mentioned below.

    Benefits

    Details

    Emergency Ambulance Cover

    Provided up to a value of Rs.3,000

    No Claim Bonus (NCB)

    Provided up to 20% of the base sum insured up to a maximum value of 100%

    AYUSH Treatment

    Covered up to base sum insured value

    Vaccination in case of Animal Bite

    Covered up to Rs.5,000

    Refill Benefit

    Covered up to the base sum insured

    Domiciliary Hospitalization Benefit

    Covered up to base sum insured value

    Health Checkup Benefit

    Annual

    Details related to the customer level endorsement are mentioned in the table below.

    Customer Level Endorsement Benefit

    Details

    Hospital Cash Benefit

    Provided up to Rs.2,000 per day

    Treatment Only in Tiered Network

    The option is available for Zone 2 policyholders only

    Top-Up Plan on Annual Aggregate Basis

    Provided after a deductible of Rs.1, 2, 3, 4, 5, and 10 lakh

    1. Variant 3

    In-Patient Treatment Benefits

    Overall Sum Insured Value in Rupees

     

    Rs.15 Lakh

    Rs.20 Lakh

    Rs.30 Lakh

    Rs.50 Lakh

    Rs.1 Crore

    Doctor’s Fees Expenses

    Provided

    Covered

    Covered

    Covered

    Covered

    Diagnostic Tests Expenses

    Covered up to the base sum insured

    Covered up to the base sum insured

    Covered up to the base sum insured

    Covered up to the base sum insured

    Covered up to the base sum insured

    Drugs, Medicine, and Consumables

    Covered

    Covered

    Covered

    Covered

    Covered

    Nursing Expenses

    Provided

    Provided

    Provided

    Provided

    Provided

    Operation Theater Charges

    Provided

    Provided

    Provided

    Provided

    Provided

    Intravenous Fluids, Injection Administration, and Blood Transfusion Charges

    Covered

    Covered

    Covered

    Covered

    Covered

    Intensive Care Unit Charges

    Covered

    Covered up to the base sum insured

    Covered up to the base sum insured

    Covered

    Covered up to the base sum insured

    Hospital Accommodation Charges

    Covered

    Covered

    Provided

    Covered

    Covered

    Pre-Hospitalization Charges

    Covered

    Covered

    Covered

    Provided

    Provided

    Post-Hospitalization Charges

    Covered

    Covered

    Covered

    Covered

    Covered

    Day Care Procedures

    Covered up to the base sum insured

    Covered up to the base sum insured

    Covered up to the base sum insured

    Covered up to the base sum insured

    Covered up to the base sum insured

    Organ Donor Charges

    Covered

    Covered

    Covered

    Covered

    Covered

    Cost of Prosthetics and Other Devices or Equipment, if Implanted during Surgical Procedure

    Covered

    Provided

    Covered

    Provided

    Covered

    Other benefits provided in this policy variant are mentioned below.

    Benefits

    Details

    Emergency Ambulance Benefit

    Covered up to Rs.3,000

    No Claim Bonus (NCB)

    Covered to 20% of the base sum insured up to a maximum of 100%

    AYUSH Treatment

    Covered up to base sum insured

    Refill Benefit

    Provided up to the base sum insured value

    Health Check-up

    Provided annually

    Vaccination in Case of Animal Bite

    Provided up to Rs.7,500

    Domiciliary Hospitalization

    Covered up to the base sum insured value

    Some details related to the customer level endorsement are given below.

    Customer Level Endorsement Benefit

    Details

    Treatment Only in Tiered Network

    This option is only available to zone 2 customers

    Top-Up Plan on Annual Aggregate Basis

    A deductible of Rs.1, 2, 3, 4, 5, and 10 lakh is applicable

    Hospital Cash

    Covered up to Rs.4,000 per day

    1. Family Floater Variant

    In-Patient Treatment Benefit

    Overall Sum Insured in Rupees and Type of Plan Available

     

    Individual and Floater Sum Insured

    Per Insured Person

    Floating Basis

     

    Rs.10, 15, and 20 lakh

    Rs.1, 2, 3, 4, 5, and 10 lakh

    Rs.3, 4, and 5 lakh

    Diagnostic Tests Charges

    Covered up to the base sum insured

    Covered

    Provided

    Doctor’s Fee

    Covered up to the base sum insured 

    Covered

    Provided

    Nursing Charges

    Covered

    Covered

    Covered up to the base sum insured

    Medicines, Drugs, and Consumables

    Covered

    Covered

    Covered

    Operation Theatre Charges

    Covered

    Provided

    Covered

    Intravenous Fluids, Injection Administration Charges, and Blood Transfusion

    Provided

    Provided

    Covered

    Intensive Care Unit Charges

    Provided

    Covered

    Provided

    Hospital Accommodation Benefit

    Covered

    Covered

    Covered up to the base sum insured

    Organ Donor Benefit

    Covered up to the base sum insured

    Covered

    Covered up to the base sum insured value

    Day-Care Procedure Charges

    Covered

    Covered up to the base sum insured

    Covered

    Pre-Hospitalization Charges

    Covered

    Covered

    Provided

    Post-Hospitalization Charges

    Provided

    Covered

    Covered up to the base insured value

    Cost of Prosthetics and Other Devices or Equipment, if Implanted Directly during Surgical Procedure

    Provided up to the base sum insured value

    Covered

    Covered

    Organ Donor Benefit

    Covered

    Covered

    Provided up to the base sum insured value

    Other benefits provided under this variant are mentioned below.

    Benefits

    Details

    Emergency Ambulance Cover

    Provided up to Rs.3,000

    No Claim Bonus (NCB)

    Provided 20% of the individual base sum insured up to a maximum total of 100% of the insured value

    Refill Benefit

    Covered up to the base sum insured

    AYUSH Treatment

    Covered up to the base sum insured value

    Vaccination in Case of Animal Bite

    Provided up to Rs.5,000

    Health Checkup

    Provided annually

    Domiciliary Hospitalization

    Covered up to the base sum insured value

    The details related to the customer level endorsement for this variant are given below.

    Customer Level Endorsement

    Details

    Hospital Cash

    Provided value of either Rs.1,000 per day or Rs.2,000 per day

    Treatment Only in Tiered Network

    Option is only available to zone 2 customers

    Top-Up Plan on Annual Aggregate Basis

    Deductive of Rs.1, 2, 3, 4, 5, and 10 lakh applicable

    There are some key inclusions in this plan. These key inclusions are:

    • In-patient treatment is provided up to the sum insured under Homeopathy, Siddha, Unani, and Ayurveda; popularly known as AYUSH treatment
    • Ambulance charges of up to Rs.3,000 are provided if the in-patient claim is accepted
    • Pre-hospitalization charges of up to 30 days are covered
    • Post-hospitalization charges of up to 60 days are covered
    • Domiciliary hospitalization charges are covered up to the base sum value
    • Medical expenses of OPD treatment for vaccination and immunization after an animal bite are provided up to Rs.5,000

    The key exclusions applicable in this plan are given below.

    • Medical charges incurred for the treatment of HIV, AIDS, or other similar complex diseases
    • Any treatment for the correction of refractive eye errors. The exception to this exclusion is in the case of an accident
    • Apart from animal bite vaccination, OPD treatments are not covered
    • Reproductive medicine or other maternity charges, including any assessment or treatment method
    • Light Amplification by Stimulated Emission of Radiation (LASER), Robotic Assisted Surgery, or any other treatment based on light

    The Max Bupa Health Companion plan is a comprehensive policy that covers up to 19 family members and deals with all the major types of medical emergencies. Further, if one exhausts the basic sum insured value, then he or she is eligible for getting complete hospitalization coverage with no co-payment and refill benefits.

    There are also many hospitals under the network of the organization. This means that policyholders can get the best treatment for themselves and their families without being under any kind of stress.

    The base sum insured value can also vary from Rs.2 lakh to 1 crore. Hence, this plan is great for investment purposes too! Customers have also rated Max Bupa highly which should enhance the draw of this plan. You can find some of those reviews given below.

    • Customized Suggestions by Debarghya Chakraborty (5 stars / 5 stars)

    I was in the market to purchase a health insurance plan and I came across the Max Bupa Health Companion insurance. I didn’t search for any policy beyond it. I have now renewed this policy twice and I’m very happy with the services that I have been receiving.

    • Excellent Services and Partner Hospitals by Rukmin Neena (5 stars / 5 stars)

    I was recently going through some tough times and I’m glad that I had the Max Bupa Health Companion health insurance to fall back on. Further, the company was also very supportive and prompt in processing my claim requests. I really like the medical services provided at the partner hospital too. Because of all this, Max Bupa has now won a customer for life!

    Max Bupa Health Companion Health Insurance FAQs

    What exactly do I have to do to get a Max Bupa Health Insurance policy?

    You can purchase Max Bupa Health Insurance policies both online and offline. To make the purchase online, simply visit the official Max Bupa General Insurance website and fill up the form with the relevant details to request a callback. You can also directly call the customer center for assistance.
    If you wish to purchase the health insurance policy offline, then all you need to do is simply visit any branch office of Max Bupa. One of the executives at the office will guide you through the entire process of buying a policy.

    I want to renew my Max Bupa Health Companion Health Insurance policy. How can I do that?

    Max Bupa General Insurance allows customers to renew their policy both online and offline. To renew the policy offline, you would have to visit the nearest branch office and initiate the process from there. If you want to renew the policy online, then simply visit the official website and clinic on the ‘Renew’ button. After that, you can pay online to complete the renewal of your insurance policy.