All About HDFC Ergo Health Insurance Plans

HDFC Health Insurance Plans have been a committed assurer of financial support for many years. It offers diverse benefits ranging from cashless claim settlement to reimbursement of hospitalization costs, from lifetime renewability to easy claim redressals. Given these features, HDFC Ergo is a company that can be easily trusted for securing the financial well-being of you and your family during any medical emergency.

HDFC Ergo has several health insurance policies to allow you to choose the best plan suited to your financial and medical requirements. The following is a list of the key features of the HDFC Ergo Health Insurance Plans -

Key Features of the HDFC Ergo Health Insurance Plans

1. HDFC Ergo Health Insurance Plans offer a lifelong renewability option, by which you are relieved of any lifelong financial obligation caused by any medical emergency.;

2. Their health insurance plans cover medical expenses for a period of 60 days before hospitalization and 90 days after hospitalization,, effectively covering your pre and post hospitalization consultation and treatment costs.

3. It covers any pre-existing medical condition that you might have after a waiting period of 4 years and if no medical costs are incurred by the policyholder during this period, your future medical consultancy fees are reimbursed by the company.

4. The plans have no co-payment policy.

5. It offers maximum coverage by incorporating 4 people under one health insurance policy with up to 2 adults and 2 children.

6. A vital feature of HDFC Health Insurance policies are its network hospitals that range over 10,000 in number.

Let us now look at the different types of HDFC Ergo Health Insurance Plans.

Types of HDFC Ergo Health Insurance Plans -

1. HDFC My: health Suraksha -

This is an individual health policy that offers comprehensive and coverage against rising medical costs, its features are as follows -

• You can choose a sum insured amount between INR 3 Lakh and INR 75 Lakh.
• There is no restriction on your age for being eligible for this policy.
• It offers added financial coverage to you in terms of recovery benefits and healthy lifestyle incentives.
• It has an attractive premium rate that can be paid in three, six, or twelve equal installments.
• It offers a family discount, a long-term policy discount, and a loyalty discount.

2. HDFC ERGO Health Suraksha Policy -

This health policy comes in both the formats of a family floater and an individual cover. Its features are as follows -

Individual Cover Option -

• It offers a sum assured amount ranging between INR 3 Lakh to INR 5 Lakh for any individual above the age of 3 months.
• It covers pre and post hospitalization charges and added benefits such as a no claim bonus, cashless benefit, maternity cover, and critical illness cover are also available.
• The policy also comes with the advantage of covering 140 daycare medical procedures.

Family Floater Option -

• It offers comprehensive cover by assuring a sum insured amount between INR 3 Lakh to INR 5 Lakh.
• 2 adults and 2 children can be covered under this plan.
• It reimburses pre and post hospitalization costs.
• It also offers benefits as mentioned in the individual floater option such as a cashless benefit, no claim bonus, maternity benefit, and a critical illness cover.

3. Health Suraksha Gold Policy -

This policy is a more advanced version of the My: Health Suraksha Policy that comes in formats of family floater and individual coverage. It has the following benefits -

Individual Cover Option -

• The basic sum assured ranges between INR 2 Lakh and INR 10 Lakh for any individual above the age of 3 months.
• It covers pre and posts hospitalization charges and additional maternity benefits, critical illness benefits, cashless benefits, and no claim bonus benefits can also be availed.

Family Floater Option -

• The entire family with up to 2 adults and 2 children are covered under this insurance policy and a sum assured ranging between INR 2 Lakh to INR 10 Lakh is assured for any individual above the age of 3 months.
• It covers pre and posts hospitalization charges and additional benefits such as maternity benefit, critical illness benefit, no claim bonus, and cashless benefit can be availed under this policy.

4. Health Suraksha Regain Policy -

This health insurance policy comes with an attractive ‘restore benefit’ available in both the individual cover and family floater option -

Individual Cover Option -

• The policy comes with a basic sum assured between INR 3 Lakh and INR 10 Lakh for any individual above the age of 3 months.
• It covers pre and posts hospitalization charges along with maternity benefits, critical illness benefits, no claim bonuses, and a cashless benefit.
• It also comes with a unique feature of ‘restore benefit’ where all medical expenses are restored by the coverage amount, in case it exceeds the financial margin of the policyholder in any particular year.

Family Floater Option -

• This policy covers the entire family with up to 2 adults and 2 children with a sum assured amount ranging between INR 3 Lakh and INR 10 Lakh for any individual above 3 the age of 3 months.
• It covers pre and post-hospitalization charges for all your family members covered under the policy and offers a maternity benefit, critical illness benefit, no claim bonus, and a cashless benefit.
• Additionally, you can also avail of the ‘restore benefit’ facility whereby all your medical expenses are reimbursed by the coverage amount, in case they exceed your financial ceiling in a particular year.

5. Health Suraksha Top Up Policy -

As the name suggests, this insurance policy is a top-up plan and a cost-effective way of increasing your health insurance cover. Its benefits can be availed as both an individual cover option and a family floater option as follows -

Individual Cover Option -

• This plan comes with a pre-decided deductible amount to be paid while making a claim from the company that is available to individuals between the wide age margin of 5 to 65 years.
• This plan offers a coverage amount of INR 2 Lakh and INR 10 Lakh and a deductible between INR 1 Lakh and INR 5 Lakh.
• It also offers pre and posts hospitalization medical costs along with the added benefits of a no claim bonus and a cashless benefit.

Family Floater Option -

• In the family floater option too, you have to pay a deductible amount while making a claim from the insurance company under this policy.
• The sum assured ranges between INR 2 Lakh to INR 10 Lakh and the deductible amount is the same as that in the individual cover option, between INR 1 Lakh and INR 5 Lakh.
• 2 adults and 2 children above the age of 3 months will be covered by this policy.
• It offers the basic benefits of pre and posts hospitalization charges, no claim bonus, and a cashless benefit facility.

Critical Illness Policies

A critical illness refers to a terminal and life-threatening illness that might result in paralysis, disability, or death of an individual. Holding a health insurance policy might safeguard you against general medical expenses, but having a critical illness cover protects you from paying exorbitant hospital bills and also against the costs involved in the diagnosis and treatment of a critical or terminal illness. There are certain advantages of holding a critical illness policy and the following are the types of critical illness health insurance policies offered by HDFC Ergo and its consequent benefits -

1. Critical Illness Silver Policy -

This critical illness policy by HDFC Ergo is an individual plan option and it comes with the following benefits -

• This plan comes with a lump sum benefit for post-diagnosis medical treatment of any critical illness.
• It offers a basic sum assured ranging between INR 1 Lakh and INR 5 Lakh for any individual between the wide age margin of 5 to 65 years.
• If the policyholder suffers from a critical illness or an accident, he is paid a lump sum amount equal to the sum insured in addition to the same.
• Diseases such as a heart attack, coronary bypass surgery, stroke, cancer, renal failure, organ transplantation, multiple sclerosis, and paralysis are covered by this health policy.

2. Critical Illness Gold Policy -

This critical illness health insurance is also an individual plan option and its advantages are as follows -

• This policy comes with a sum assured ranging between INR 1 Lakh and INR 50 Lakh for any individual between the wide age margin of 5 years and 65 years.
• In case the policyholder suffers from 8 critical illnesses as specified by the policy, a lump sum amount equal to the sum assured is paid to them in addition to the same.
• Apart from offering financial coverage against the critical ailments of the Critical Illness Silver Policy, this plan covers medical instances of an aorta graft surgery, primary pulmonary arterial hypertension and a heart valve replacement.

3. Critical Illness Platinum Policy -

This health insurance policy also offers individual coverage and the following are a list of its coverage and benefits -

• It offers a basic sum assured between the range of INR 1 Lakh and INR 50 Lakh for any individual between the age of 5 to 65 years.
• A lump sum money equal to the sum assured is paid in addition to the same, if the policyholder suffers from 15 critical illnesses as specified by the policy.;
• This plan covers several other critical illnesses in addition to those covered in the Gold Policy such as Parkinson’s Disease, Alzheimer’s Disease, and brain tumor.

4. Personal Accident Insurance Policy -

As is evident from the name of this policy, it offers an individual cover benefit and comes with the following advantages -

• It offers a lump sum benefit if the policyholder suffers from an accidental disability or on the unfortunate occasion of their death.
• The coverage option under this plan is applicable globally with a coverage range of INR 2 Lakh to INR 15 Lakh for individuals below the age of 65 years.
• An attractive added facility of a daily cash benefit during instances of illness and accident is available under this plan. It shall be payable if the policyholder suffers from permanent or total disability, broken bones or burns.

Therefore, you are now aware of the key features of HDFC Ergo Health Insurance policies as well as the different types of health insurance cover it provides and the benefits that come with it. It will hopefully help you to understand and be conversant about health insurance policies offered by this company and allow you to choose the plan that is most suited to fit your financial and medical needs.

Disclaimer: This article is issued in the general public interest and meant for general information purposes only. Readers are advised not to rely on the contents of the article as conclusive in nature and should research further or consult an expert in this regard.