Find the state-wise list of network hospitals for MAX BUPA.
Search for details of MAX BUPA network hospitals in India.
Max Bupa Health Insurance Company Limited was established in India as a joint venture between Bupa Finance Plc UK and Max India Limited. Together, the company offers health insurance solutions and products in the Indian market through its registered office in New Delhi and 11 other branches across the country. Max Bupa also targets corporations with health insurance solutions. The company focuses on health insurance as not just a transaction, but a long-term relationship with their customers. Max Bupa offers plans under the following categories:
Individual - These plans are designed to provide cover for an individual to take care of medical expenses. There are three plans available for individuals.
Couple - Max Bupa understands the importance of providing comprehensive cover to the individual as well as their spouse. There are three options available to couples to take a health insurance plan that will provide cover for both of them.
Nuclear Family - The plans available for couples are also designed to include any children in the family. There are different variants available under these three plans to suit the size of the family.
Extended Family - Max Bupa also offers plans to cover extended family members. There are two plans available that allow up to 14 members or up to 19 members of the family to be included in the plan.
The general coverage offered by Max Bupa to policyholders is financial aid to cover the cost of medical treatment, hospital room charges, pre-hospitalisation and post-hospitalisation expenses, ambulance charges, loss of income, and more. The plans are also designed to cover maternity costs, child care, organ transplants and donations, vaccinations, and diagnostic tests. Along with the health cover, you may be entitled to tax benefits, loyalty additions, renewal benefits, and cashless settlements.
Max Bupa Health Insurance Cashless Network Hospitals
Insurance providers have tie-ups with a network of hospitals in order to make the process of insurance claims cashless. This means when policyholders visit any of the network hospitals, they can get treatment without paying for the expenses at the hospital. Through direct settlements between the insurance company and the hospital, the policyholder need not take out his or her wallet. Provided the policy is in force, the hospital falls under the list of cashless network hospitals, and the treatment is covered by the plan, the policyholder will simply need to provide the Max Bupa Health Card or the policy document and avail treatment. Any costs not covered by the insurance company will have to be borne by the policyholder.
Max Bupa has over 3,500 hospitals that offer quality services and treatment under its cashless network hospitals. Under this system, cashless approvals are sanctioned within 30 minutes. The benefit of this option is that there is no hassle involved in submitting documentation of the bills and the treatment, filing an insurance claim, waiting for your reimbursement. This process is designed to be a seamless transaction between the hospital and Max Bupa.
What are the types of claims that can be done at Max Bupa Health Insurance network hospitals?
The following types of claims can be executed at the Max Bupa network hospitals:
Cashless Claims - Max Bupa provides cashless settlements at network hospitals. If you choose to be treated at any one of the hospitals that fall under the Max Bupa Cashless Network Hospitals, you will not be required to pay your hospital bill. Max Bupa will directly settle the amount with the hospital, provided that the treatment is covered under the plan. Any amount that is charged by the hospital outside of the plan coverage will have to be borne by you. Simply provide your Max Bupa Health Card or policy document along with your ID proof to the hospital and the rest will be taken care of.
Reimbursement Claims - This insurance claim requires you to pay your hospital bill and then get reimbursed by Max Bupa. You need to inform Max Bupa within 48 hours of admission into a network or non-network hospital. Upon discharge, make sure you collect all the documents you need to file a claim. Submit the claims form, ID proof and the required documents to Max Bupa. Once the insurance claim is reviewed and approved, the amount will be reimbursed to you.
In the event that you need to file an insurance claim from Max Bupa, you can follow the process given below:
Choose any of the hospitals under the cashless network and get admitted.
Present your Max Bupa Health Card to the hospital.
You can also provide your policy number and any accepted personal identification document such as a passport, PAN card or Voter’s ID.
After checking your identity, the hospital will submit the pre-authorisation request form to Max Bupa.
Max Bupa in turn will respond within 30 minutes and will provide confirmation to the hospital and to you.
After completing all formalities, the claim will be settled directly with the hospital.
When you get admitted to a hospital, intimate this information to Max Bupa within 48 hours whether you are in a network hospital or non-network hospital.
You will be required to clear the hospital bill on your own.
Once you are discharged, collect all the necessary documents, bills, reports and discharge summary.
Submit these documents along with the duly-filled and signed claim form, ID proof and age proof to Max Bupa.
Once the claim is reviewed, you will either be approved for a reimbursement or rejected for the same as per the terms and conditions of the policy.
The amount you are entitled to will be reimbursed.
Procedures offered/covered in Max Bupa network hospitals across India
The Max Bupa Health Insurance Plans offer coverage against medical treatments while being hospitalised. Depending on the policy chosen by you, you can enjoy domestic and international treatment for specified illness such as:
Heart Attack (Myocardial Infarction)
Cancers like lymphoma, leukaemia and sarcoma excluding all tumours in the presence of HIV infection
Major Organ Transplant for liver, heart, kidney, lung pancreas to remedy irreversible end-stage failure of the organ human bone marrow through the use of haematopoietic stem cells
Coronary Artery Bypass Graft (CABG)
Primary Pulmonary Arterial Hypertension
Surgery of Aorta including graft, endovascular repair or insertion of stents excluding surgery needed for underlying congenital condition
Coronary Angioplasty subsequent to myocardial infarction or anginal attack
The plans also cover OPD treatments, diagnostic services, maternity care, organ donations and transplants. You can also claim insurance for alternative treatments that include Ayurveda, Unani, Sidha and Homeopathy.
Exclusions under Max Bupa network hospital services
Under the Max Bupa health insurance plans, some of the general inclusions have been listed below. Every plan has its own exclusions. You are advised to read the policy brochure and document for complete information on the relevant plan.
Ageing and puberty
Artificial life maintenance
Addictive conditions and disorders
Active participation in hazardous sports or adventure activities including but not limited to mountaineering, rock climbing, para-jumping, horse racing, motor racing, or deep-sea diving
Alternative Treatment under some plans
Conflict and disaster
Convalescence and Rehabilitation
Drugs and dressings for Out-patient or take-home use
HIV and AIDS
Health hydros, nature cures, wellness clinics, etc.
Items of personal comfort and convenience
Psychiatric and Psychosomatic Conditions
Reproductive medicine - Birth control & Assisted reproduction
Sexually transmitted diseases
Sexual problems and gender issues
Treatment received outside India under certain conditions
Treatment for developmental problems
Unrecognized physician or Hospital
FAQs – Frequently Asked Questions:
How do I find out online if a hospital is in the Max Bupa Cashless Network?
You can visit the Max Bupa website
Select “Find a Network Hospital”
Enter your State, City and the Hospital name
The results generated will reveal if the hospital is within the cashless network.
You are also given the facility to view other unrecognisable hospitals where claims will not be paid.
How many hospitals does Max Bupa have under its Cashless Network?
There are more than 3,500 quality hospitals under the Max Bupa Cashless Network all over India.
What are unrecognisable hospitals?
There are 65 hospitals which are not recognised by Max Bupa. If you choose to get treated at these hospitals, Max Bupa will not entertain any claim whether it is cashless or reimbursement. You can download the list of these hospitals from the Max Bupa website. The list is subject to change from time to time. You can also call the Max Bupa customer care service to find out if the hospital is recognised or not.
How do I buy a health insurance policy from Max Bupa?
You can buy a Max Bupa Health Insurance Plan via the following avenues:
Contact an advisor through the toll-free line
“Click to Arrange a Call” on the Max Bupa website
Visit the nearest Max Bupa branch
Will I be required to do a medical examination to purchase a Max Bupa Health Insurance Plan?
Depending on the information provided by you, a check-up might be required when you buy a new policy. For policy renewals, medical check-ups are generally not needed.
Why does Max Bupa need a medical examination?
If you undergo a medical examination when you enroll for a policy, this smoothens the process of insurance claims and settlements. The process will become faster and more efficient.
What is the maximum policy duration available from Max Bupa?
Max Bupa offers health insurance plans with one year or two years duration. You can renew your policy at the end of the term.
I need the tax receipt from Max Bupa. How do I get it?
You can generate and download your tax receipt online on the Max Bupa website. You can also call the customer care for assistance.
I already have a health insurance policy. Can I switch to Max Bupa?
Yes, Max Bupa provides portability of policies. You can switch over to Max Bupa without losing waiting period benefits.
Does Max Bupa have health insurance policies for foreigners in India?
If you are a foreigner living in India, you can buy a health insurance policy. Cover provided under the policy will be applicable within India only.