Rise in treatment cost is leading to demand for adequate coverage

Cancer Treatment
treatment cost of
cost rise nervous
by ~32% system rise
by ~26%

COVID
Skin related
treatment
treatment
cost is
cost rise by
ranging (3
27%
to 16 lac)

Need of extra Cover in case of illness reoccurrence

 Average reoccurrence rate of different type of

cancer is 34%
 Kidney disorders, Typhoid, Tuberculosis, Urine
infections etc. also have reoccurrence instances
https://indianexpress.com/article/india/rs-3-16-lakh-in-covid-bills-drug-cost-ppe-are-main-unknowns/
Internal
©Max Skill First Limited “For internal circulation and training purpose only” V1.0_2020 1
 For those who say…
I already have health Insurance I have savings to My employer covers me I need high coverage at best
meet out small expenses competitive rates

We have few questions?

o Avg. transplant cost:- WHO says, 60% of Indians Employer cover is not Would you be interested if you
Kidney ( 5 lac - 20 lac) continue to pay for medical sufficient sometimes can buy
Liver (15 Lac - 35 Lac) expenses out of pocket !

o Avg. cancer treatment -

~11 lac

Are you adequately covered? 95 lac coverage

Have you secured your hard will you be insured even after in cost less than a cup of
earned money? employment? coffee?

Internal
©Max Skill First Limited “For internal circulation and training purpose only” V1.0_2020 2
 Specially for employees of our group customers

95 Lakhs cover in just Rs. 4,339* only

Internal
©Max Skill First Limited ©Max Skill First Limited. All Rights
“ForReserved. “Forpurpose
internal circulation and training internal
only” circulation and training purpose only”
V1.0_2020 V1.0_2020
3
 Health recharge- How it works?

Example:
Sum Insured
Sum Insured chosen 5 lacs
5L
Deductible amount Claim Status
1 lac
Existing Plan/ chosen
Borne by
Deductible Claim will not be paid since the deductible limit is 1 lac and the
Claim 1 40,000
1L customer aggregated admissible claim amount is less than 1 lac

Claim will not be paid since the deductible limit is 1 lac and the
Claim 2 35,000 aggregated admissible claim amount is 75000, which is less
than 1 lac

Single Rs. 50,000 to be settled, since the aggregated admissible

Policy Claim 3 75,000 claim amount is over and above the deductible limit (Rs.
Year 25,000 in claim 3 will fall under the deductible limit)

Rs. 150,000 to be settled in total since 1 lac deductible limit

Claim 4 150,000
has been crossed

To be settled up to 3 lacs since the total available SI is 5 lacs

Claim 5 350,000 post meeting the deductible limit of 1 lac and claim amount of
2 lacs has already been paid in the same year

Internal
©Max Skill First Limited “For internal circulation and training purpose only” V1.0_2020 4
 Top 5 reasons to buy Health recharge

High coverage:- Sum insured ranging from 7.5 lac to 95 lac.

01

Worry free hospitalization:- No capping on Inpatient hospitalization

02 and day care expenses

Covers pre-post expenses:- 30 days prior and 60 days

03 post hospitalization coverage up to sum insured

Unlimited e-consultation:- Get unlimited e-consultation from our

04 specialist at no extra cost

05 Auto enhancement .in coverage:- 5% of loyalty addition irrespective of

claim to beat the medical inflation
Internal
©Max Skill First Limited “For internal circulation and training purpose only” V1.0_2020 5
 Health recharge at a glance
Base line benefits Additional
benefits

Emergency ambulance
08 e-
consultation Convert to normal plan
Living organ transplant 09
after 5 years & before
07 Loyalty age 50 without medical
10 addition assessment
Alternative treatment
06
Pharmacy & Diagnostic
Domiciliary 11
Hospitalization 05 Mental disorder
treatment Hospitalization cover
12
Day care treatment against Covid-19
04
HIV/ AIDS
Pre-post hospitalization 13
03 Artificial life
14 maintenance 12% discount on
Single Private Room premium while online
02
Modern treatments buy
Inpatient treatment 15
01

Internal
©Max Skill First Limited “For internal circulation and training purpose only” V1.0_2020 6
 Why Max Bupa is right choice to buy health insurance

Parentage Collaboration of two leading organizations

 True North working since 1999 & BUPA serving since 1947

Brand Most admired health insurer

 Best BFSI brand 2017 & 2019 in Health Insurance category, by
Economic times

Product Customer focused innovative products

 Comprehensive product suite – Retail as well as Group products

Superior customer services

Service  Cashless approval within 30 minutes* - an industry-first,
 24X7 customer care, ~4800+ network hospitals, 28 lac+ customers

We are just a phone call away when you need us the most. (24*7 customer care service – 1860 500 8888)

Max Bupa processes pre-auth requests within 30 minutes for all active policies, subject to receiving of all documents and inform ation(s) up to Max Bupa satisfaction.
The above commitment does not include pre-authorization settlement at the time of discharge or system outrage.

©Max Skill First Limited Internal

“For internal circulation and training purpose only” V1.0_2020 7
 Health recharge- Enroll in 3 simple steps
https://transaction.maxbupa.com/health-insurance-plans/healthrecharge-family-floater.aspx

Enter the details Enter Make payment form your preferred choice of payment
Plan type Proper details
Mobile No. Insured members’ details
Name Health Declarations
City Nominee details
Date of Birth Upload Date of Birth docs
Validate by OTP received on your mobile number

©Max Skill First Limited “For internal circulation and training purpose only” V1.0_2020 8
Internal
 Claim Process
Cashless Reimbursement

Get admitted to any one of our network hospitals. For a In case of hospitalization notify us within 48 hours of your
list of our network hospitals visit maxbupa.com admission in our network or non network hospital. After
getting admitted pay directly to the hospital

Use your Max Bupa Health Card or share your Policy On discharge, please ensure you collect all relevant
number and Passport / PAN card / voter’s ID for documents, invoices, medical reports and discharge certificate
identification purposes from the Hospital in originals.

The Network Hospital will check your identity for

Send these documents & completely filled and signed claim
validation and submit the pre-authorisation request form
form to us along with your valid ID proof & age proof. The
to us
claim form is available on our website
www.maxbupa.com and in your policy document as well.

We will review and provide our confirmation to the

Network Hospital by fax and E-mail and also send a text
message and an E-mail confirming the same to you. We We review your claim request and accordingly will approve,
will respond to your request within 30 Minutes query or reject the same (as per policy terms & conditions).

We will settle the claim (as per policy terms &

conditions) with the hospital after completion of all We will settle the claim (as per policy terms & conditions) and
formalities reimburse the approved amount.

Internal
©Max Skill First Limited “For internal circulation and training purpose only” V1.0_2020 9
 Frequently Asked Questions
I don’t have base health insurance cover, can I take super top up plan?
Yes, you are eligible to take Max Bupa Health Recharge. However, to give yourself complete protection, it is advisable to go for super top-up
along with a base coverage.

I already have policy from Max Bupa, Can I take Health Recharge plan from Max Bupa again?
Yes, you can take Max Bupa Health Recharge, irrespective of having plan from us or from some where else

Can I remove this thresh hold limit and convert this plan in a complete policy at renewal?
Yes, You can convert this plan in complete policy at renewal without any further underwriting(after 5 years & before age 50)

If I discontinue my existing policy, will it make any impact on my Max Bupa health recharge policy
No, thresh hold limit doesn’t have any relation with your existing insurance cover. You would be able to claim from health recharge post thresh
hold limit

On each claim, the thresh hold limit would be applicable?

No, thresh hold limit will include aggregate claim in the policy year

Do I need to visit somewhere to buy this?

You can buy this online while at home.

Am I eligible for any discount while buying this policy?

Yes, you will get 12% discount on premium while online buying

Can I claim cashless with health recharge policy & what is your customer care number?
Yes, in any of our network hospital, you can claim cashless ( subject to approval) & customer care number is 1860-500-8888
Internal
©Max Skill First Limited “For internal circulation and training purpose only” V1.0_2020 10
 THANK YOU

Internal
©Max Skill First Limited “For internal circulation and training purpose only” V1.0_2020 11