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Q1: What is the tenure of Health Insurance plan by Max India? Ans: Max Bupa health insurance policy tenure is available for 1 to 2 years, depending on your need. You need to renew your Max Bupa Health Insurance policy annually. Q2: What types of medical expenses are compensated by Max India? Ans: All reasonable expenses incurred by the policyholder during hospitalization are compensated by Max Bupa Health Insurance. Q3: Is it necessary to undergo a medical check-up before buying Max Bupa Health Insurance? Ans: A medical check-up is not compulsory in all cases, as it depends on your age. For example, if you are in your 60s, then you are required to appear for a medical check-up at one of the companys empanelled hospitals. Q4: Can I avail cashless facility across all the hospitals? Ans: No. the cashless facility can only be availed at the hospitals that are empanelled with Max Bupa Health Insurance Company. You can either plan your hospitalization or avail emergency medical treatment; in both the cases, your insurance policy will cover the hospitalization expenses. Your TPA will take care of the all the required hospital formalities as well as of the total expenses incurred throughout the treatment. Q5: What is the procedure to avail medical benefits under insurance policy? Ans: Max Bupa Health Insurance policy offers easy and quick claim procedure that facilitates policyholders to avail cashless facility at any of the Bupa network hospitals or reimbursement option after discharge from the hospital. Q6: Who is TPA of Max Bupa Health Insurance? Ans: TPA (Third-party Administrator) of Max Bupa is a representative of the company who used to sit in the network hospitals of the company. TPA helps the policyholders to avail the cashless hospitalization or reimbursement options during a medical emergency. Q7: How do I avail cashless benefit under health insurance plan by Max India? Ans: You can avail cashless benefit under Max Bupa health insurance by visiting network hospitals by showing the health card (issued by your insurance provider) to the doctor who is in charge of your treatment. The hospital will then contact the TPA of the insurance company and fill up the form and share the estimation of expenses with the TPA. The Bupa Company will offer this facility to the policyholder only if the medical condition is listed in the policy document under the coverage section. Q8: What is a pre-existing disease or condition under Max Bupa healthcare? Ans: Any disease, injury, or a related health issue covered by insurer, which is diagnosed or detected at least 48 hours prior to purchasing the health insurance policy for the first time is considered as a pre-existing disease or condition. Q9: Does Max Bupa health cover the hospitalization expenses incurred during a medical emergency? Ans: Max India covers only the medical bills/hospitalization expenses subject to the policy terms. It does not cover an insured for more than the sum assured by the policy. The exceeding amount (if any) is to be paid by the insured. Q10: Should the claim settlement form and documents be directly submitted to Max India or TPA? Ans: Claims settlement form along with the supporting documents should be submitted to the TPA and not directly to the company. Your TPA details are mentioned in your company health card or you can take help from a customer care representative. You might be interested following insurance plans provided by Max Bupa: Max Bupa Personal Accident Max Bupa Health Companion Plan Launched By Max Bupa Insurance Bupa Eager to Increase its Stakes to 49% in Joint Venture Max Bupa Health Insurance Max Bupa Launches Revised ‘heartbeat’ Health Insurance Plan