Objective

A special policy that aims to provide additional sum for dealing with expenses that are not covered under a basic health insurance policy.

Suited for

This policy is suitable for those covered under a basic health insurance policy and feel the need for additional cover for expenses in case of medical emergency.

What does it do?

It provides a cash benefit ranging from Rs 1,000 to 4,000 per day for every 24 hours completed in a hospital. This policy can be taken along with any health insurance policy as a complementary plan and used to pay for related expenses such as boarding, food and travel of family members or any other expense that is not covered under a basic health insurance policy. The claim will not be admissible until the insured has been hospitalised for at least two days.
However, the daily cash benefit will be paid from day one of hospitalisation, if the claim is accepted.

Pros

This policy can be bought online.
It provides a premium discount on selecting a 2-year policy term.
Premium paid under this policy enjoys a tax benefit under Section 80D.

Our View

This policy is recommended only for those who have a basic health insurance policy. Comprehensive health insurance plans usually provide a separate coverage for accompanying expenses which makes it futile to buy hospital cash policy. An individual must assess the need for such a policy before making a purchase.

Eligibility

Entry Age (years)

Minimum

18; 2 years for children

Maximum

65; 21 years for children

Maximum Policy Renewal Age (years)

Life long renewal

Coverage Type

Individual / Family

Policy Term (years)

1/ 2

Sum Insured (Rs)

Maximum

Daily Cash Benefit of Rs 4000 (50% in case of children)

Minimum

Daily Cash Benefit of Rs 1000 (50% in case of children)

Free look Period

15 days

Grace Period for Policy Renewal

30 days

Policy Termination

Either of the insurer or ipolicyholder may cancel this policy by giving a 30 days notice period.

Customer Service

Address

Corporate Office:
Max Bupa Health Insurance Company Limited,
2nd Floor, Salcon Ras Vilas
D-1, District Centre, Saket,
New Delhi 110017

Call to

1800 3010 3333 (toll free)

Network Hospitals

Http://www.maxbupa.com/customer-care/health-services/hospital-locator.aspx

Scope of Cover

Daily cash benefit

Rs. 1000 to 4000 per day of hospitalisation for 45 days. Double cash benefit for ICU maximum upto 7 days

Exclusions and Waiting Period

Pre-existing diseases

covered after 4 years of continuous policy renewal

No claim period

30 days from the policy start date

Waiting period

24 months for specific illnesses namely, surgery on tonsils/ adenoids, cataract, Hernia Sinusitis, Varicose veins etc.

Other exclusions

non allopathic treatment