Max Health Insurance provides coverage for life-threatening diseases like kidney failure, heart ailments, tumors, cancer, etc. under its Criticare policy. You are paid a lump sum amount, which can be utilized for the treatment. The insurance claim is processed based on the diagnosis report and hospitalization is not mandatory.
Max Bupa’s critical illness plan offers coverage for 20 major critical illnesses with a direct claim settlement facility. You can either take payment in lump sum or opt for lump sum payment with 10 percent of SI for subsequent 5 years after payment of lump-sum amount.
|Incurred Claim Ratio||50.19|
|Pre-existing diseases Waiting Period||4 years|
|No of health policies issued till 2019||309900|
|Claim Settlement Ratio||96%|
Critical Illness List
By paying an additional premium the following medical procedures can also be covered if you get Accidental cover:
Accidental Hospitalization Cover- It includes:
Under the Max Bupa critical illness policy a medical check-up might be required if you sign up for a new health insurance plan. However, health checkups are not required if it is a policy renewal. Infact, it is in your interest to undergo pre-medical screening at the time of enrolling in the health insurance scheme.
The sum insured/coverage limit under Max Bupa’s critical illness plan is minimum of Rs 3 lakh and maximum of Rs 2 Crore.
The sum insured is payable in Lumpsum. Another option is that the sum insured is payable as Lumpsum and 10% of the sum insured is payable every year for subsequent 5 years from the date of payment as Lumpsum.