City:
Family Combination:
Name: Mobile:

Email:
Base Premium:  
Service Tax:  
Education Cess:  
Total Premium:  
Base Premium:  
Service Tax:  
Education Cess:  
Total Premium:  
Online Benefits for 1 year policy term
10% Discount on health compainion
Tax saving (Assuming 30% Tax Bracket)
Total Benefits
Online Benefits for 2 year policy term
10% Discount on health compainion
Additional discount for 2 yr term
Tax saving (Assuming 30% Tax Bracket)
Total Benefits
Select Policy Term: 1 Year 2 Years


Insurance is the subject matter of solicitation | Max Bupa Health Insurance Co. Ltd. IRDA Registration No. 145
For more details on terms and conditions, exclusions and waiting period, please read sales brochure of Heartbeat Health Insurance Policy carefully before concluding a sale.
'Max', 'Max logo', 'Bupa' and 'HEARTBEAT' logo are trademarks of their respective owners and are being used by Max Bupa Health Insurance Company Limited under license.
* Tax benefits are subject to change in the tax laws, please consult your tax advisor for more details
Registered Office: Max House, 1 Dr. Jha Marg, Okhla, New Delhi - 110020
Corporate office: B-1/I-2, Mohan Cooperative Industrial Estate,Mathura Road, New Delhi-110044
MB/BR/2012-2013/102