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hdfc student travel insurance HDFC ERGO Health Wallet

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HDFC ERGO health insurance review

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Sum Insured

3 lacs − 75 lacs options available

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Claims settlement ratio **

85.97%

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Incurred claims ratio

62.00%

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Number of policies issued *

1,066,395

person
Number of lives covered *

96,05,000

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Tenure options

2 years

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List of network hospitals

10,000+ hospitals

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Maximum family floater coverage

Self, Spouse + dependent (children (upto 25 yrs) + parents)

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Brochure

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Policy Wordings

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* As per IRDAI report   |   ** As per NL25 data published on the Insurance Company website

HDFC ERGO Health Wallet benefits

  • What’s Included under HDFC ERGO Health Wallet insurance?

    • Day Care Procedures
    • Pre-hospitalisation Cover
    • Post-hospitalisation Cover
    • Hospitalisation Expenses
    • Road Ambulance Cover
    • Organ Donor Expenses
    • Alternative Treatments (Non-Allopathic)
    • Restore Benefit
    • Domiciliary Treatment
    • Worldwide Emergency Care - Covers emergency hospitalisation expenses outside India upto the specified limithospitalisation exceeds 48 hrs.
    • Reserve Benefit
  • Benefits of HDFC ERGO Health Wallet Insurance

    • In-patient Treatment- Covers hospitalisation expenses for period more than 24 hrs.
    • Pre-Hospitalisation- Medical expenses incurred in 60 days before the hospitalisation or domiciliary treatment.
    • Post-Hospitalisation- Medical expenses incurred in 90 days after the hospitalisation or domiciliary treatment.
    • Day-Care Procedures- Medical expenses for day care procedures
    • Organ Donor- Medical expenses on harvesting the organ from the donor for organ transplantation
    • AYUSH Treatment - The Medical Expenses for in-patient treatment taken under Ayurveda, Unani, Sidha and Homeopathy
    • Health Check-up – At each renewal, we will pay upto the amount stated for preventive medical check-up.
    • Multiplier Benefit – 50% increase in your basic sum insured for every claim free year, subject to a maximum of 100%. In case a claim is made during a policy year, the limit under this benefit would be reduced by 50% of the basic sum insured in the following year. However this reduction will not reduce the Sum Insured below the basic Sum Insured of the policy.
    • Tax benefit - The premium amount paid under this policy qualifies for deduction under Section 80D of the Income Tax Act, subject to applicable tax laws.
    • Preventive health check-up benefit - Health Wallet helps to keep track of your health status by offering a preventive health check-up at renewal irrespective of claims made. However, eligibility of health check-up limit is based on Reserve Benefit sum insured.
    • Waiting period - Health Wallet comes with initial waiting period of 30 days and 2 year exclusion for specific diseases; such as Cataract, Hernia, Hysterectomy and Joint replacement. Any pre-existing diseases/conditions will be covered after a waiting period of 3 years.
  • Key highlights of Health Suraksha Regain

    • Optimized health insurance plans at affordable cost.
    • A network of more than 6000+ hospitals to choose from to avail cashless services.
    • No limit for age at entry.
    • Sum Insured 3,00,000, 4,00,000, 5,00,000, 7,50,000 & 10,00,000.
    • AYUSH cover available without any sub limit.
    • Enhanced Cumulative Bonus @ 10% per claim free year upto 100% of Sum insured.
    • Option to choose from Individual or Family Floater Health Insurance plans.
    • REGAIN benefit – Automatic availability of Sum Insured upon its exhaustion.

HDFC ERGO health insurance FAQ's

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.

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

The premium paid on a health insurance policy is eligible for deduction under Section 80D of the Income Tax Act. So save with your policy now!

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