HDFC Ergo Insurance Plans

HDFC ERGO My : Health Suraksha

HDFC ERGO Health Suraksha Quotes


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Key features of My : Health Suraksha

  • Multiple sum insured options ranging from Rs. 3 Lacs to Rs. 75 Lacs
  • Any age entry option with lifetime renewal
  • Exclusive covers like Air ambulance cover, Recovery benefit, Infertility cover
  • Wellness features like Fitness discount@ renewal, Health incentives for maintenance of health
  • Flexi benefits like choosing room rent capping, co pay in order to avail discounts on premium
  • Various discount options to like family discount, long term policy discount, loyalty discount
  • Long term policy options up to 3 years with attractive premium rate
  • Option to pay yearly premium in 3, 6 and 12 equal installments

HDFC ERGO Health Insurance Review

HDFC ERGO Health Insurance
HDFC ERGO Health Insurance sum insured
3 lacs − 75 lacs options available
Incurred Claims Ratio *
62.00%
HDFC ERGO Insurance tenure options
2 years
Claims Settlement Ratio **
85.97%
List of network hospitals
10,000+ hospitals
Number of policies issued *
1,066,395
Maximum family floater coverage
Self, Spouse + dependent (children (upto 25 yrs) + parents)
Number of lives covered *
96,05,000
* As per IRDAI report for 2018-19   |   ** As per NL25 data published on the Insurance Company website

HDFC ERGO My : Health Suraksha benefits

  • What’s Included?
  • Benefits
  • Exclusions

What’s Included under HDFC ERGO My Health Suraksha Insurance?

  • Sum Insured Rebound
  • Day Care Procedures
  • Pre-hospitalisation Cover
  • Post-hospitalisation Cover
  • Mental Healthcare
  • Home Healthcare
  • Hospitalisation Expenses
  • Road Ambulance Cover
  • Organ Donor Expenses
  • Alternative Treatments (Non-Allopathic)
  • Recovery Benefit
  • Air Ambulance

Benefits of HDFC ERGO Health Suraksha Insurance

Sr.No Covers My Health Suraksha Silver Smart My Health Suraksha Gold Smart My Health Suraksha Platinum Smart
Basic Sum Insured in Rs. 3 Lacs/4 Lacs/5 Lacs 7.5 Lacs/10 Lacs/15 Lacs 20 Lacs/25 Lacs/50 Lacs/75 Lacs
Hospitalisation Cover
1 Medical expenses Covered Covered Covered
1 Room rent At Actuals At Actuals At Actuals
1 ICU At Actuals At Actuals At Actuals
1 B Mental HealthCare Covered Covered Covered
2 Home HealthCare Covered Covered Covered
3 Domicilliary Hospitalisation Covered Covered Covered
4 Pre - Hospitalisation Cover 60 days 60 days 60 days
5 Post - Hospitalisation Cover 180 days 180 days 180 days
6 Day Care Procedures Covered Covered Covered
7 Road Ambulance Sum Insured 3 to 5 Lacs - Rs. 2000 Sum Insured 7.5 to 50 Lacs - Rs. 3,500 Sum Insured 7.5 to 50 Lacs - Rs. 3,500 > 50 Lacs - Rs. 15,000
8 Oragan Donor Expenses Covered Covered Covered
9 Alternative Treatments Covered Covered Covered
10 Air Ambulance Cover Not Covered Upto 2 lakhs Upto 5 lakhs
11 Recovery Benefit Rs. 5,000 Rs. 15,000 Rs. 25,000
12 Sum Insured Rebound Covered Covered Covered
Renewal Benefits
1 Cumulative Bonus 10% at each claim free year, max 100% 10% at each claim free year, max 100% 25% at each claim free year, max 200%
2 Preventive Health Check Up Booster Bonus Every renewal irresoective of claim Every renewal irresoective of claim Every renewal irresoective of claim
3 my : Health Active Applicable Applicable Applicable

HDFC ERGO My Health Suraksha exclusions

  • Adventure Sport injuries
  • Self-inflicted injuries
  • War
  • Venereal or Sexually transmitted diseases
  • Treatment of Obesity or Cosmetic Surgery

What is Health Insurance Portability? Is HDFC Ergo’s Health Insurance Policy - Retail portable?

Most of the Health Insurance Policies offered by the General Insurance companies in India have waiting periods during which certain pre existing diseases are excluded in the coverage. They are excluded for certain predefined period (number of years) before they are covered i.e. The Policy holder is expected to have continuous cover for the predefined period before the pre existing diseases are covered under the policy. Portability will ensure that these accrued benefits are transferred (without any dilution) to the new insurer at the time of renewal and porting and the consumer do not lose on these accrued benefits while opting to switch the insurer using Health Insurance Portability. The Policy holder can port the following accrued credits: General waiting period Waiting periods pertaining to the coverage of pre - existing diseases / conditions Any time bound exclusions

What is the exit age for HDFC Ergo Health Insurance?

There is No maximum exit age for HDFC Ergo medical insurance.

What is a ‘Free Look Period’?

A ‘Free Look Period’ is a period of 15 days from the date of receipt of the policy that a policyholder, in this case you, have to review the entire health insurance plan. If you disagree with any of the terms or conditions mentioned in the policy, you have the option of returning the policy by stating the reasons for the objection. Following this, you are entitled to a refund of the premium paid, provided no claim has been made under this mediclaim insurance policy (subject only to a deduction of the expenses incurred by the company on medical examination and the stamp duty charges). Please note that this facility is not applicable on renewal and portability cases.

Which are the documents needed for reimbursement of claim ?

List of necessary claim documents to be submitted for reimbursement are as following:
  • Claim form duly signed
  • Copy of photo id of patient
  • Hospital discharge summary
  • Operation theatre notes
  • Hospital main bill
  • Hospital break up bill
  • Investigation reports
  • Original investigation reports, X ray, MRI, CT films, HPE, ECG
  • Doctors reference slip for investigation
  • Pharmacy bills
  • MLC/ FIR report, post mortem report if applicable and conducted

Brochure

Review HDFC ERGO My Health Suraksha brochure to understand coverage details.


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Proposal form

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Policy wordings

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How to buy online?

You can buy insurance online by using a credit/debit card, direct funds transfer using NEFT or RTGS or by using a cheque

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Network hospitals

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Health insurance benefits

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Portability

Portability Information for Mediclaim Insurance in India

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CIN: U66000KA2018PTC117713 | IRDAI Web aggregator License Code Number: IRDAI / INT / WBA /53/ 2018, Valid till 07/08/2025
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