Niva Bupa (Max Bupa) Health Companion Health Insurance
About the Niva Bupa (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.
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.
- 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 |
- 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 |
- 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 |
- 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.
