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Max Bupa Health Assurance Plan

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Max Bupa Health Assurance Plan

Max Bupa Health Assurance Plan, offers comprehensive cover, with a combination of – Critical Illness Cover + Hospital Cash + Personal Accident Cover. It covers 20 critical Illnesses and can be taken as an individual or family floater.
 




 

Key Features of Max Bupa Health Assurance Plan

  • 20 Critical Illnesses - Guaranteed Cash Benefit
  • Critical Illness Cover + Hospital Cash + Personal Accident Cover 
  • Life Time Renewability
  • Tax Benefit under section 80D of Income Tax Act.

 

How does the plan work?

Critical Illness Benefit:-
If s/he is diagnosed with any of the below critical illnesses, Guaranteed Cash Benefit paid on diagnosis:

Sr. No

Illnesses Covered

1

Cancer of Specified Severity

2

First Heart Attack of Specified Severity

3

Open Chest CABG

4

Open Heart Replacement or Repair of Heart Valves

5

Coma of Specified Severity

6

Kidney Failure Requiring Regular Dialysis

7

Stroke Resulting in Permanent Symptoms

8

Major Organ/Bone Marrow Transplant

9

Permanent Paralysis of Limbs

10

Motor Neurone Disease with Permanent Symptoms

11

Multiple Sclerosis Persisting Symptoms

12

Aplastic Anaemia

13

Bacterial Meningitis

14

Loss of Speech

15

End Stage Liver Disease

16

Deafness

17

End-stage Lung Disease

18

Fulminant Viral Hepatitis

19

Major Burns

20

Muscular Dystrophy


Personal Accident Cover Benefit:-
  • Accidental Death – Guaranteed Cash Benefit, in case of death of policy holder.
  • Permanent Total Disability – Compensation in case of Permanent Total Disability, due to an accident.
  • Permanent Partial Disability - Compensation in case of Permanent Partial Disability, due to an accident.
  • Unique Child Education Benefit – lump sum 5% of sum assured or Rs. 50,000 per child, whichever is lower, payment for children insured under the policy if the proposer’s claim for accidental death or permanent total disability has been accepted.
  • Funeral Expenses – an amount of Rs. 5,000 will be paid to the family in case of an accidental death of an insured person.
  • Worldwide Coverage – coverage against all the accidents 24*7 worldwide.
Hospital Cash Cover Benefit:-
Expenses like patient attendee’s lodging, nursing expenses, money spent on commuting etc. The benefits available under hospital cash cover benefit:-
  • Daily Cash Benefit of Rs. 1000-4000/day of hospitalization (up to 45 days)
  • Double Cash Benefit for ICU (maximum up to 7 days)
Sum Assured options: - Below are the different levels of Sum Assured for Critical Illness, Personal Accident Cover and Hospital Cash Cover

Sum Assured (in Rs.)

Benefit

Level 1

Level 2

Level 3

Level 4

Critical Illness

3 lacs

5 lacs

7.5 lacs

10 lacs

Personal Accident

1000/day

2000/day

3000/day

4000/day

Hospital Cash

5 lacs

10 lacs

20 lacs

25 lacs



 

Benefit Illustration of Max Bupa Health Assurance Plan

Critical Illness Cover

 

Level 1

Level 2

Level 3

Level 4

Sum Assured (SA) in Rs.

3 lacs

5 lacs

7.5 lacs

10 lacs

Base line cover benefits

Coverage offered for 20 Critical Illnesses

100% of SA

100% of SA

100% of SA

100% of SA

 

Hospital Cash Cover

 

Level 1

Level 2

Level 3

Level 4

Daily Cash Benefit in Rs./day

1000/day

2000/day

3000/day

4000/day

 

Personal Accidental Cover

 

Level 1

Level 2

Level 3

Level 4

Sum Assured (SA) in Rs.

3 lacs

5 lacs

7.5 lacs

10 lacs

Base line cover benefits

Accidental Death

100% of SA

100% of SA

100% of SA

100% of SA

Permanent Total Disability

100% of SA

100% of SA

125% of SA

125% of SA

Permanent Partial Disability

As per the grid mentioned herewith

Child Education Benefit

lump sum 5% of sum assured or Rs. 50,000, whichever is lower per child,

Funeral Expenses

Rs. 5000



 

Additional Features of Max Bupa Health Assurance Plan

2 year Policy Tenure Option - You can opt for 2 year policy tenure & avail discount.

Free look period – If the policy holder is not convinced with the terms and conditions of the policy, s/he can cancel the same within 15 days of the receipt of policy document.

Family Floater - 100% of sum assured (Applicable only for 2 Adults, No coverage for children)

 

Exclusions - What is not covered in Max Bupa Health Assurance Plan? 

Initial waiting period – Critical Illness 90 days and Hospital Cash 30 days, from the policy start date.
Survival period – to avail benefits under critical illness, the life insured has to survive for 30 days from date of diagnosis.
Specific Waiting period – 24 months waiting period for specific illnesses under Hospital Cash Cover.
Pre-existing diseases – will not be covered until 48 months of continuous coverage.
General conditions for exclusions – Multiple claims will not be honored under Permanent Total Disability, Permanent Partial Disability or Critical Illness.
Specific Exclusions – Please refer to Health Assurance policy wording for specific exclusions related to Personal Accident, Critical Illness and Hospital Cash.
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