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 |
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
There is No maximum exit age for HDFC Ergo medical insurance.
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.
Review HDFC ERGO Health Suraksha insurance policy wordings which explains the terms and conditions.
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