Super Top-Up

your family’s health

protection with `15 Lacs
Base Sum Insured in
` 1,235 only#.
(Annual aggregate
deductible ` 2 Lacs)^

Max Bupa Presents Super Top-Up

plan for IDBI Bank Customers

Base Sum Insured Inpatient Care: Domiciliary Emergency Ground

of INR 15 Lacs Covered up to Hospitalization: Ambulance:
with INR 2 Lacs Base Sum Insured Covered up to INR 1000/
annual aggregate Base Sum Insured Hospitalization
deductible^

For more information, please contact

IDBI Bank branch manager

Product Name: Max Health Plus | Product UIN: MAXHLGP18130V011718

 Product Structure
Policy Tenure 1 year

Entry Age (Adult - 18 yrs to 60 yrs

Child - 91 days to 21 years)
Hospitalisation Cover
Family Combination avaliable 1A, 2A, 2A+1C, 2A+2C
Base Sum Insured - INR 15 Lacs
Base Sum Insured and Deductible
Annual Aggregate Deductible - INR 2 Lacs
Sub Sections

• Nursing charges excluding private nursing charges

• Medical Practitioners’ fees, excluding any charges or fees for
Standby Services
• Medicines, drugs and consumables
• Physiotherapy, investigation and diagnostics procedures direct-
ly related to admission Up to Base Sum Insured
• Intravenous fluids, blood transfusion, injection administration
Inpatient Care
charges and /or consumables
• Operation theatre charges
• The cost of prosthetics and other devices or equipment if
Hospitalisation
implanted internally during Surgery
Cover
Hospital accommodation- Room Rent/day Single Private Room
Hospital accommodation- ICU/day Covered up to Sum Insured
Day Care Treatment Listed 536 Day Care Treatments covered up to Base Sum Insured

Pre - hospitalization Medical Expenses (including

Up to Base Sum Insured
Medical Practitioner’s consultation, diagnostics tests,
(30 days)
medicines, drugs and consumables)

Post- hospitalization Medical Expenses Up to Base Sum Insured

(including Medical Practitioner’s consultation, (60 days)
diagnostics tests, medicines, drugs and consumables)

Domiciliary Hospitalization Up to Base Sum Insured

Organ Transplant Up to Base Sum Insured

Emergency Ground Ambulance- Within India

INR 1000
(one transfer per Hospitalization)

Waiting period for Pre-Existing Diseases (PED) 24 months

Initial Waiting Period 30 days

Specific Disease waiting period 24 months

Premium Table
Base Sum Insured – INR 15 Lacs with INR 2 Lacs deductible
Family Combination 1A 2A 2A1C 2A2C
Premium (Incl of GST) INR 749 INR 1,235 INR 1,589 INR 1,939

Disclaimer: Insurance is a subject matter of solicitation. Max Bupa Health Insurance Company Limited (IRDAI Registration Number 145), ‘Max’, ‘Max Logo’, ‘Bupa’ and ‘HEARTBEAT’ logo are registered trademarks
of their respective owners and are being used by Max Bupa Health Insurance Company Limited under license. Registered office: B-1/I-2, Mohan Cooperative Industrial Estate, Mathura Road, New Delhi – 110044,
Customer Helpline: 1860-500-8888. Fax: +91 11 30902010. Website: www.maxbupa.com. CIN: U66000DL2008PLC182918. UIN: MB/SS/CA/2020-21/028. *Max Bupa indemnity plans cover COVID-19 related hospitalisation.
For more details on terms and conditions, exclusions, risk factors, waiting period and benefits, please read the sales brochure carefully before concluding a sale. Product Name: Max Health Plus | Product UIN:
MAXHLGP18130V011718 | ^Annual aggregate deductible means an amount above which your coverage will start in a policy year with this plan. IDBI Bank (Registration No. CA0135) is a corporate agent of Max Bupa Health
Insurance Company Limited and the insurance products are underwritten by Max Bupa Health Insurance Company Limited. #Illustration based on the premium calculated for 2A family combination with INR 15 Lac base
sum insured and INR 2 Lac deductible, i.e. INR 1,235 per year.

Product Name: Max Health Plus | Product UIN: MAXHLGP18130V011718