HEALTH COMPANION

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Health Companion

Our product ‘Health Companion’ is affordable & comprehensive, designed keeping in mind the individual and nuclear family (you, your spouse and upto 4 children) needs. Direct claim settlement, cashless facility, and assured plan renewal for life are some of the key benefits.

  • Coverage
  • Features
  • Eligibility Criteria
  • Permanent Exclusions
  • Contact details
  • Buy Online

Individual & Family floater sum Insured Options:

Variant 1: Rs 3 Lacs & Rs 4 Lacs

Variant 2: Rs 5 Lacs, Rs 7.5 Lacs, 10 Lacs & 12.5 Lacs

Variant 3: Rs 15 Lacs, Rs 20 Lacs, Rs 30 Lacs, Rs 50 Lacs & Rs 1 Crore

Family first sum Insured Options

Individual Base Sum Insured: Rs 1 Lac, Rs 2 Lacs, 3 Lacs, Rs 4 Lacs, Rs 5 Lacs & Rs 10 Lacs

Floater Base Sum Insured: Rs 3 Lacs, Rs 4 Lacs, Rs 5 Lacs, Rs 10 Lacs, Rs 15 Lacs & Rs 20 Lacs

Top Up with Annual Aggregate Deductible Option of Rs 1 Lacs, Rs 2 Lacs, Rs 3 Lacs, Rs 4 Lacs, Rs 5 Lacs & Rs 10 Lacs

In-patient Care (Hospitalisation)

We cover cost of medical treatment when you or your insured family members are hospitalised for treatment.

Hospital Accommodation

We cover cost of all types of hospital accommodation (except suite or above room category) without any capping on room rent charges.

Pre & Post Hospitalisation Medical Expenses

We shall reimburse pre & post hospitalisation medical expenses incurred due to illness/injury. The period of the treatment which we will cover should be 30 days before you get admitted to a hospital and 60 days after you get discharged from the Hospital. This is subject to Max Bupa accepting the Inpatient Care hospitalisation claim.

All day care treatments covered

We cover all day care treatments, not a select few. However, such a procedure should not be in the outpatient department of a hospital.

Refill Benefit

In case you have exhausted your Base Sum Insured and No Claim Bonus partially or completely, under this benefit, you are entitled for an additional sum insured equal to the base sum insured for a subsequent claim in the same year, provided it is for an unrelated illness. (This feature is not available under family first)

Alternative treatments

Avail In-patient treatment under AYUSH (Ayurveda, Unani, Siddha and Homeopathy) up to the base sum insured.

Renewal Benefit

You would be entitled to both the benefits as renewal benefit:

No Claim Bonus

Increase in Sum Insured @20% of Base Sum Insured subject to the maximum of 100% of Base Sum Insured for each claim free year with no penalization in case of claim

Health Check up

Avail Heath Check up for yourself and your family once in two years (for variant 1) or annually (for variant 2, 3 & family first) so that you live a healthier and happier life.

2 year Policy Tenure Option

When you take a policy for two years, you get 12.5% discount on the second year premium.

Emergency Ambulance

We also cover the ambulance expenses to transfer the insured following an emergency to the nearest hospital. These expenses are paid up to Rs 3,000 only if we have accepted the In-patient claim.

Living Organ Donor Transplant

Medical Expenses for an organ donor’s In-patient treatment for the harvesting of the organ donated is also covered provided the organ is for the use of the Insured Person.

Domiciliary Treatment

In case a bed in the hospital is unavailable or on advice of the attending medical practitioner, treatment is administered at home; we pay for medical treatment taken at home, which would otherwise have required hospitalisation. Such treatment should continue for at least 3 consecutive days and confirmation from treating Medical Practitioner / Insured that Insured Person could not be transferred to the Hospital or Hospital bed was unavailable, as the case may be.

Vaccination in case of Animal Bite

We will cover Medical Expenses of OPD Treatment for vaccinations or immunizations for treatment post an Animal Bite. This benefit is available only on reimbursement basis.

(up to Rs 2,500 for variant 1; up to Rs 5,000 for variant 2 & family first; up to Rs 7,500 for variant 3)

Hospital Cash (Optional)

A lumpsum payment for each 24 hours of hospitalisation in addition to the in-patient treatment benefits is made. To avail this benefit minimum 48 hours of hospitalisation required. This benefit is over and above the sum insured. The benefit is payable for up to 30 days of hospitalisation. No payment shall be made under this, in case of Domiciliary Hospitalization.

(Rs 1,000/Day for variant 1; Rs 2,000/Day for variant 2; Rs 4,000/Day for variant 3; Rs 1,000/Day or Rs 2,000/Day for Family First)

Tax Benefit

You will save tax under Section 80D of the Income Tax Act when you buy a Max Bupa health insurance policy. Tax benefits are subject to changes in the tax laws, please consult your tax advisor for more details.

Assured Policy Renewal for Life

Once insured with us, you will always remain our customers subject to continued payment of premium. We assure you renewability for life with no extra loadings based on your claim history.

Direct Claim Settlement

We believe you should focus on the treatment of your loved ones rather than running after claim settlement. Therefore, all claims are processed directly by our own customer services team.

Cashless Facility

You can access cashless facility at your nearest network hospital.

Free Look Period

We endeavor for transparency and complete satisfaction and therefore, our policies are transparent and easy to understand. If you are not satisfied, we provide a 15 day free look period within which you can cancel your plan stating the reason.

Information at your fingertips

As a Max Bupa Policyholder you can access your details on our website (www.maxbupa.com) containing your claims history, your favourite health information, your health profile, including records of tests you may have taken while enrolling with us.

We will not cover treatment during the first 30 days of the policy, unless the treatment needed is a result of an Accident occurring during the policy period. This waiting period does not apply for renewal Policy.

Benefits will not be available for Pre-existing Diseases until 48 months of continuous coverage from first policy start date for Variant 1 and 36 months of continuous coverage from first policy start date for Variant 2, Variant 3 and Family First.

Some conditions will be subject to a waiting period of 24 months and will be covered in the third policy year only.

Health Companion can be issued to an individual customer, a family (family floater) and/or extended family (family first).

We cover families across life stages – from new born (at least 90 days) to senior citizens of any age. There is no maximum age for enrollment.

The maximum entry age of any dependent as a child in the policy is less than 21 years on the date of commencement of the initial cover under the Policy.

Ancillary Hospital Charges

Hazardous Activities

Artificial life maintenance

Behavioral, Neurodevelopmental and Neurodegenerative Disorders

Circumcision

Complementary & Alternative Medicine

Conflict & Disaster

External Congenital Anomaly

Convalescence & Rehabilitation

Cosmetic and Reconstructive Surgery

Dental/oral treatment

Eyesight & Optical Services

Experimental/Investigational or Unproven Treatment

HIV, AIDS, and related complex

Hospitalization not justified

Inconsistent, Irrelevant or Incidental Diagnostic procedures

Mental and Psychiatric Conditions

Non-Medical Expenses

OPD treatment

Obesity and Weight Control Programs

Off- label drug or treatment

Puberty and Menopause related Disorders

Reproductive medicine & other Maternity Expenses: Any assessment or treatment method

Robotic Assisted Surgery, Light Amplification by Stimulated Emission of Radiation (LASER) & Light based Treatment

Sexually transmitted Infections & diseases

Sleep disorders

Substance related and Addictive Disorders

Unlawful Activity

Treatment received outside India

Unrecognized Physician or Hospital

Any costs or expenses specified in the list of expenses generally excluded at Annexure II of policy wording

For complete list of exclusions, please refer policy terms and conditions.

Corporate Office: B-1/I-2, Mohan Cooperative Industrial Estate, Mathura Road, New Delhi - 110044.

Registered office: Max House, 1 Dr. Jha Marg, Okhla, New Delhi-110020.

Website: www.maxbupa.com

Fax: 011-30902010; Customer Helpline No.: 1860 500 8888

Disclaimer
 
“ On clicking the “BUY NOW” option, you will be re-directed to a third party web site. This is purely a referral service and is provided on a non-participation basis. Federal Bank is only facilitating access to the services of Insurer and the same is in no context a service offered by the Bank. By clicking the above link, you are accepting these terms and will be re-directed to the website of Insurer as per your request. Necessary fees may have to be paid by you to Insurer for availing the services. Please note that by clicking the “BUY NOW” option, you will be leaving Federal Bank's website and our policies, terms and conditions, disclaimers etc., will cease to apply once you leave our website. Federal Bank and its affiliates, subsidiaries, employees, officers, directors and agents shall not be responsible in any manner whatsoever for confidentiality of the data shared by you and for any loss, damage, costs & charges, direct or indirect incurred by you, arising out of or in connection with your access to the website of Insurer or for any deficiency in the services of Insurer or for the failure or disruption of the Insurer website. The use by you of any service, products or information hosted on the website of Insurer shall be at your sole risk and discretion. The information available on the said website is subject to change, updation, revision, verification and amendment without notice and such information may change materially. Grievances & concerns in this regard shall be reported to Insurer and settled accordingly, without recourse to the Bank.”
 

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