Max Bupa Health Insurance Claim Settlement Ratio

The health claim settlement ratio is not a hard and fast rule to buy a health insurance plan. But it is recommended to check the claim ratio as it holds some stress over your final decision. The reason is that health insurance benefits like hospitalization expense cover, critical illness cover, sway you towards one policy over another and may not prove helpful if the insurer has a low health claim ratio.

Read More

Get insured from the comfort of your home No medicals required

Tell us about you

Max Bupa Health Insurance Claim Settlement Ratio

All savings are provided by the insurer as per the IRDAI approved insurance plan. Standard T&C Apply
*Tax benefit is subject to changes in tax laws. Standard T&C Apply

Get insured from the comfort of your home No medicals required
I am a

My name is

My number is

By clicking on 'View Plans' you, agreed to our Privacy Policy and Terms of use
Close
Back
I am a

My name is

My number is

Select Age

City Living in

    Popular Cities

    Do you have an existing illness or medical history?

    This helps us find plans that cover your condition and avoid claim rejection

    Get updates on WhatsApp

    What is your existing illness?

    Select all that apply

    When did you recover from Covid-19?

    Some plans are available only after a certain time

    The better the claim ratio of an insurer the higher the chances for your to reap the policy benefits. You also get some reassurance each time you pay your policy premiums that the insurer will settle the claim should there be an emergency.

    Max Bupa Health Insurance Company Limited has a claim settlement ratio of 96% and anything above 90% is considered to be ideal. Let check out more about their claim process and the documents required.

    Max Bupa Health Insurance at a Glance:

    Key Features Highlights
    Network Hospitals 4500+
    Incurred Claim Ratio 50.19
    Renewability Lifelong
    Pre-existing diseases Waiting Period 4 years
    No of health policies issued till 2019 309900 
    Claim Settlement Ratio 96%

    Claim Process of Max Bupa Health Insurance

    To file a claim for a planned treatment you can inform the insurance company 2 days before hospitalization. For emergency hospitalizations, the insurer needs to be informed within 24 hours of the hospitalization.

    However, the process for both reimbursement and cashless claims are described below-

    Cashless Claim Procedure

    You can avail cashless treatment at a network hospital only. Please follow the process described below-

    • Firstly, take admission to a network hospital. You can check the list of network hospitals on their site.
    • For identification, you can furnish your Health Card/PAN card/Policy Number/ Voter 
    • Hospital authorities will validate your identity proof. After that, the pre-authorization request will be submitted to the health insurance
    • A confirmation email or fax will be sent to the hospital team.  You will receive the confirmation on SMS also. 
    • Once  all the formalities are completed, the claim will be settled

    Reimbursement Claim Procedure

    • Whether you take the treatment in a non-network hospital inform the insurer within 48 hours of the treatment. 
    • Pay all the bills to the hospital for the treatment 
    • Before the discharge do not forget to collect the medical reports, documents, discharge certificate, and original invoices
    • Now fill the claim form and sign it before sending it to the insurer. Submit all the documents with your age proof and valid ID proof. 
    • Once the procedure is completed, your claim request will be reviewed and on the basis of the same your medical insurance claim will be accepted or rejected.
    • If approved, your claim will be settled and the amount will be reimbursed. 

    Documents Required for Max Bupa Health Insurance Claims

    For any of the Max Bupa health insurance claims the documents that need to be furnished are given below:

    • Duly filled and signed claim form
    • KYC form 
    • Hospital discharge certificate
    • Medical reports/ receipts/bills 
    • Death certificate/post-mortem report ( accidental death)
    • Doctor’s prescription and consultation letter
    • Copy of health plan
    • Address proof 
    • I.R report ( accidental  cases)

    Additional documents as required. To lodge a claim, you can call our helpline number i.e. 1800-208-8787. You can also write a mail to us at customer care: care@policybazaar.com

    Health insurance articles

    Recent Articles
    Popular Articles
    Star Health Insurance Launches Platinum Variants of Cancer Care & Cardiac Care Plans

    17 Sep 2021

    Star Health and Allied Insurance Company have recently launched...
    Health Insurance for Autoimmune Diseases in India

    16 Sep 2021

    Every human body comes with an immune system to fight against...
    Does Health Insurance Cover Multiple Sclerosis In India

    15 Sep 2021

    Due to a hectic lifestyle leading to unnecessary stress and...
    Critical Illness Insurance Policy For Stroke Patients In India

    14 Sep 2021

    Medical emergencies are unpredictable and it brings a lot of...
    Which Health Insurance to Buy for People below Poverty Line?

    09 Sep 2021

    Although the penetration of health insurance in India is quite...
    Best Health Insurance Plans in India 2021
    Finding the best health insurance plan from so many different health insurance companies can get confusing for many...
    Top Maternity Insurance Plans
    Maternity or pregnancy is an important phase of life, and one needs to prepare in advance to embrace parenthood...
    Top Family Health Insurance Policies in India 2021
    From the air we breathe to the food we eat; everything is intentionally or unintentionally subjected to...
    Health Insurance Claims Ratio- Things You Should Look Before Buying Health Insurance
    There has always been a doubt in customers mind about whether the private company will keep its side of the bargain...
    Best Health Insurance Plans for Senior Citizens in 2021
    Considering the increasing percentage of medical inflation in India, it has become an absolute necessity to buy...
     
    Close
    Download the Policybazaar app
    to manage all your insurance needs.
    INSTALL