Max Bupa Health Recharge Plan

Max Bupa Health Recharge Plan is the most suitable plan that covers medical expenses protecting you and your family for personal accident and critical illness. This plan offers high coverage at affordable premium rates and it gives you the freedom to customize your health plan as per your risks.

 

Key Features and Benefits


The key features covered under Max Bupa Health Companion Plan are as follows:

  • Cashless hospitalization

    In times of medical emergencies for you and your family, you need not worry about finances as there would be cashless treatment approval in the hospital within 30 minutes with no third party (TPA) involvement.

  • Pre and post hospitalization

    You will also get the Pre-hospitalization and Post-hospitalization cover in this plan. All the expenses are done in 60 days before hospitalizing and 90 days after discharge are covered in the Health Recharge Plan.

  • Domiciliary cover

    If in case, you are not hospitalized, and all your treatments are done at home then all those expenses are also covered in this plan. Some individuals prefer their treatment to be done at home rather than in a hospital. On the other hand, some doctors also advise staying at home for the treatment.

  • Mental Disorder Treatment

    Expenses incurred for inpatient treatment for mental illness are covered under the policy subject to sub-limit for specific conditions as specified in the policy contract.

  • Organ transplant cover

    If you are going through any organ transplantation surgery, then the donor’s expenses and the surgery expenses are covered in the Max Bupa Health Recharge Plan.

  • Hospital rooms cover

    The plan covers the cost of a single private room’s rent of the hospital and there is no upper limit of the room’s rent. If the amount of the Sum Assured is Rs.5 Lacs and above then, whatever will be the room’s rent will be covered.

  • Emergency ambulance

    The policy covers ambulance expenses needed to transfer the insured following an emergency to the nearest hospital. These expenses are paid up to Rs. 1,500 per hospitalization only if the insurer has accepted the in-patient claim.

  • E-consultation

    If the insured person is diagnosed with an illness or is planning to undergo a planned surgery or a surgical procedure, the insured person can obtain an e-consultation during the policy period.

  • AYUSH treatment cover

    You will also get a cover for the in-patient treatment under the AYUSH treatment. AYUSH stands for Ayurveda, Unani, Siddha, and Homeopathy treatments, and maximum cover would be up to the maximum amount of the Sum Assured.

  • Free look period

    Get the benefit of a free-look period of 15 days and if you still feel this plan isn’t suitable for you then you are free to return the policy within 15 days from the date of inception of the policy.

  • Add-on benefits of max bupa health recharge plan

    There are some add-on benefits of the policy that you can add at the time of inception of the policy. You can customize your plan by adding the following benefits.

  • Personal accident cover

    The plan gives a personal accident cover to the insured.

  • Critical illness cover

    If you are diagnosed with any kind of critical illness like cancer, kidney failure, and many more all are covered under this plan.

  • Tax benefits

    Save tax under Section 80D of the Income Tax Act when you buy a Max Bupa Health Recharge Insurance policy.

Policy Details

Max Bupa Health Recharge Plan
Policy Type Individual/ Family Floater
Entry Age Minimum Entry Age: 18 Years
Maximum Entry Age:65 Years
Renewal Lifetime Renewable
Tenure One, two and three years
Sum Insured Rs. 5 lakh
Deductible Rs. 1 lakh

Plans Available

Health Insurance helps you to be stress-free while dealing with medical contingencies due to sickness and accidental injuries. The plans are available starting from Rs. 2607 including all taxes, with maximum coverage of Rs. 5 lakh.

How to Purchase the Policy

In order to purchase the policy, follow these steps:

  • To apply for the product, click on 'Apply Now' and fill in the necessary details
  • Make the fee payment online using your preferred mode of payment
  • Fill in your name and mobile number
  • Complete the process by clicking 'Buy Now', you can also request a call back

List of Documents Required for purchasing the policy

The following mandatory documents will be needed to purchase the policy:

  • Photograph of the Applicant
  • Age proof such as birth certificate, Voter’s ID, PAN card, passport etc.
  • Identity proof such as passport, Aadhaar card, PAN card, Voter’s ID, etc.
  • Income Proof such as Form 16, salary slips, employment certificate etc.
  • Address proof such as telephone bill, electricity bill, passport, bank statement, Voter’s ID, etc.
  • Medical Test that the insurer requires you to undergo

How to Process the Claims

Cashless Claims

  • With the Max Bupa Health Recharge Plan, you can avail the benefit of cashless treatment with our 5000+ network hospitals by following the following process:
  • Get admitted to any one of Max Bupa network hospitals.
  • Use your Max Bupa Health Card or share your policy number with the concerned team at a hospital along with your Passport/PAN card/ Voter’s ID as identification proof.
  • Now, the network hospital will verify your identity for validation and submit the pre-authorization request to the insurer
  • After validation, the insurer will review and provide their confirmation to the network hospital by fax and email. The insurer ensures you are also notified of the same through text message and email. The insurer will respond to your request within 30 minutes of filing of the claim request.
  • The only activity left to do now is the final settlement of your claim (as per policy terms & conditions) with the hospital after completion of all the necessary formalities

Reimbursement claim:

  • If you get hospitalized, notify the insurer within 48 hours of admission in our network or non-network hospital. After getting admitted pay the amount directly to the hospital you are in.
  • After you are discharged from the hospital, make sure you have all the relevant documents, invoices, medical reports and discharge certificate with you. The insurer would need the originals of all the mentioned documents to process your reimbursement.
  • Send all the documents to the insurer which should be filled and signed the claim form. Send your valid ID proof and age proof as well.
  • After receiving your documents, the insurer will review your claim request and accordingly will give our approval, raise a query or reject the same (as per policy terms & conditions)
  • Finally, the insurer will settle the claim (as per policy terms & conditions) and reimburse the approved amount.

Documents Required for Reimbursing Claims

Collect below mentioned relevant document in original from the hospital and submit them to us within 15 days of discharge from the hospital

 
  • Original investigation reports
  • Final hospital discharge summary FIR or post-mortem report if happened
  • Pharmacy bills along with the prescription
  • Cancelled cheque or NEFT details for payment
  • Original bills, receipts, and discharge report
  • Indoor case papers and duly filled claim form
  • Original hospital bills and a valid photo ID proof Treating doctor's report
  • Original consultation notes Nature of operation performed and surgeon's bill and receipt
  • Test reports along with attending doctor’s or surgeon’s report.

Major Policy Exclusions

  1. Ailment wise capping and ambulance charges
  2. Ailments requiring treatment due to use or abuse of any substance, drug or alcohol and treatment for de-addiction.
  3. Breach of law with Criminal Intent, intentional self-injury.
  4. Circumcision unless required for the treatment of Illness or accidental bodily injury.
  5. Dental treatments and cosmetic surgeries
  6. Hearing aids, spectacles or contact lenses including optometric therapy.Abuse or the consequences of the abuse of intoxicants or hallucinogenic substances.
  7. Miscarriage, Abortion and C-section deliveries Sexually transmitted diseases such as AIDS and HIV.
  8. Refer the policy document to know more exclusions in detail

Claim/Assistance Contact Details

BFL Helpline Number:   08698010101

Max Bupa Helpline Number:   1860-500-1000

E-mail –  wecare@bajajfinserv.in

Mailing address: Ground Floor, Bajaj Finserv Corporate Office, Off Pune-Ahmednagar Road, Viman Nagar, Pune – 411014.

 

*For claim related issues please refer your policy document or certificate of insurance (COI).

Disclaimer

Bajaj Finance Limited (‘BFL’) is a registered corporate agent of third party insurance products of Bajaj Allianz Life Insurance Company Limited, HDFC Life Insurance Company Limited, Future Generali Life Insurance Company Limited, Bajaj Allianz General Insurance Company Limited, Tata AIG General Insurance Company Limited, Oriental Insurance Company Limited, Max Bupa Health Insurance Company Limited, Aditya Birla Health Insurance Company Limited, and Manipal Cigna Health Insurance Company Limited under the IRDAI composite registration number CA0101.

Please note that BFL does not underwrite the risk or act as an insurer. Your purchase of an insurance product is purely voluntary after you exercise independent due diligence on the suitability, viability of any insurance product. Any decision to purchase an insurance product is solely at your own risk and responsibility and BFL shall not be liable for any loss or damage that any person may suffer, whether directly or indirectly. This product provides insurance coverage under Product Name: Max Bupa Health Recharge, Product UIN: MAXHLIP20140V02192. Please refer insurer's website for Policy Wordings. For more details on risk factors, terms and conditions, and exclusions please read the product sales brochure carefully before concluding a sale.

Tax benefits applicable if any will be as per the prevailing tax laws. Tax laws are subject to change. BFL does NOT provide Tax/Investment advisory services. Please consult your advisors before proceeding to purchase an insurance product.