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HDFC ERGO My:Health Koti Suraksha Health Insurance Wordings

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Highlights
Cashless Approval TATWithin 37 mins
Claim Settlement Ratio99.80%
Network Hospitals13,000+
PED Coverage Starting From3 year
Special Benefits2X Cover from Day 1
Starting Premium Rs. 1090/month

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HDFC ERGO Health Insurance Plan List

  • Family (3)
  • Individual (4)
  • Cancer (1)
  • Critical Illness (2)
  • Diabetes (1)
  • Parents (1)
  • Senior Citizen (1)
Name of PlanSum Insured
Optima SecureMin: 91 Days, Max: 65 Years Check Premium
Optima RestoreMin: 91 Days, Max: 65 Years3 Lakh Check Premium
my: health SurakshaMin: 91 Days; Max: No Limit3 Lakh Check Premium
Health Suraksha Top-Up Plus PolicyMin: 91 days; Max: 65 years3 Lakh - 10 Lakh Check Premium
my:Health Women Suraksha PolicyMin: 18 years; Max: 45 years1 Lakh - 1 Crore Check Premium
Dengue Care Policy Min: 91 Days; Max: 65 years50 Thousand - 1 Lakh Check Premium
Easy Health PolicyMin: 91 days; Max: 65 years1 Lakh - 50 Lakh Check Premium
my:Health Koti SurakshaMin: 18 years; Max: 65 years Check Premium
Maxima PolicyMin: 91 Days; Max: 65 years Check Premium
Day2Day Care PolicyMin: 91 Days; Max: 65 years Check Premium
iCan CancerMin: 5 Years; Max: 65 Years5 Lakh Check Premium
Health WalletMin: 91 Days; Max: 65 Years3 Lakh Check Premium
EnergyMin: 18 Years, Max: 65 Years2 Lakh Check Premium
Optima SeniorMin: 61 Years; Max: No Limit 2 Lakh Check Premium
Corona Kavach PolicyMin: 1 day ; Max: 65 years50,000 - 5 lakh Check Premium
Arogya Sanjeevani PolicyMin: 3 months; Max: 65 years1 Lakh - 5 Lakh Check Premium
Critical Illness PlanMin: 5 Years; Max: 65 Years 5 Lakh Check Premium

HDFC ERGO Health Insurance Top Up List

  • Top-up (4)
  • Family (1)
  • Individual (1)
Name of PlanSum Insured
Optima PlusMin: 91 Days; Max: 65 Years5 Lakh Check Premium
my: Health Medisure Super Top-upMin: 3 Months; Max: 65 Years3 Lakh Check Premium
Optima SuperMin: 91 Days; Max: 65 Years5 Lakh Check Premium

9552 HDFC ERGO Cashless Network Hospitals in India

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FAQs on my:Health Koti Suraksha Health Insurance Plan

  • Are there any optional covers offered under My:Health Koti Suraksha Policy?

    Yes. Following are the optional covers available under Section A of My:Health Koti Suraksha Policy:

    • Non-medical expenses cover 
    • Aggregate deductible 
    • Emergency medical expenses 
    • Overseas treatment 
    • Waiver of disease capping
    • Waiver of room rent capping 
    • Waiting period modification option
    • Medical evacuation
    • Sum insured rebound 
    • Waiver of co-payment 
    • Cumulative bonus–Booster

    Following are the optional covers available under Section B of My:Health Koti Suraksha Policy:

    • Preventive health check-up
    • Last rites
    • Dependent children education benefit
    • Renewal premium benefit
    • Parental care benefit
    • Medical evacuation

     

  • What are the waiting periods under My:Health Koti Suraksha Policy?

    My:Health Koti Suraksha Policy comes with the following waiting periods: 

    • For all illnesses except accident: 30 days in the first year and is not applicable in subsequent renewals 
    • Specific illnesses and treatments: 24 months in the first two years and is not applicable in subsequent renewals
    • Pre-existing diseases: covered after a waiting period of 48 months.
  • Is the payment made on reimbursement basis or benefit basis, under My:Health Koti Suraksha Policy?

    Under My:Health Suraksha Policy, the payment is made on reimbursement basis for hospitalisation expenses, road ambulance expenses, domiciliary expenses, organ donor expenses, and alternative treatment; whereas on  benefit basis for accidental death, permanent disablement, temporary total disability, broken bones, burns, hospital cash, and add ons of critical illness and hospital daily cash.

  • What are the premium payment options available under My:Health Koti Suraksha Policy?

    The premiums for My:Health Koti Suraksha Policy can be paid on yearly, half-yearly, quarterly, and monthly installments. 

  • What are the renewal benefits offered under My:Health Koti Suraksha Policy?

    Following are the renewal benefits under My:Health Koti Suraksha Policy: 

    • Preventive health check-up
    • Fitness discounts at the time of renewal
    • Health incentives
    • Wellness services
    • Cumulative bonus for every claim-free year

Claim Process at HDFC ERGO Health Insurance

  • Network Hospital
  • Non-Network Hospital
  • 1

    Claim Assistance

    For any assistance or query, call InsuranceDekho at the toll-free number 755 1196 989.
  • 2

    Claim Intimation

    Emergency hospitalisation needs intimation within 24 hours and for planned hospitalisation intimate within 48 hours prior to admission.
  • 3

    Claim Processing

    Fill in the pre-authorisation form and hand it over to hospital's insurance/TPA desk to initiate claim request.
  • 4

    Claim Settlement

    Once your request is approved, claim is settled. If not approved, claim for reimbursement after discharge.
  • 1

    Claim Assistance

    For any assistance or query, call InsuranceDekho at the toll-free number 755 1196 989.
  • 2

    Claim Intimation

    Emergency hospitalisation needs intimation within 24 hours and for planned hospitalisation intimate within 48 hours prior to admission.
  • 3

    Claim Processing

    Submit claim form with original documents such as doctor’s reports, hospital bills, diagnostic tests, etc.
  • 4

    Claim Settlement

    Once your request for reimbursement of expenses is approved, the claim will be settled.

HDFC ERGO Health Insurance Contact Details

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