HDFC Ergo Health Insurance

4 / 5 based on 2 User Reviews

HDFC Ergo Health Insurance Overview:

HDFC Ergo General Insurance Company is a joint venture undertaken by HDFC Limited and Ergo International AG (primary entity of Munich Re Group). The venture is divided in the ratio of 74:26 with HDFC Ltd. being the major holder. The company is spread over 89 cities and has over 109 branches spread all over India. It has been assigned an ‘iAAA” rating by ICRA owing to its highest claim paying ability.

Why HDFC Ergo health Insurance?

Health Insurance Plans have become very important in the modern age due to the rising cost of medical expenses and the treatment costs of various ailments. Moreover, the current lifestyle of individuals has made them more prone to diseases and ailments which require medical attention. Medical costs are spiraling upwards and there is no relative growth in the income of the common man who eventually faces a financial crisis when faced with a medical emergency. Thus, it is prudent to insure oneself against any medical contingencies that may arise so that the financial aspect of the crisis is at least handled by the insurance company and the medical costs do not become a burden on the average middle-class man.

Advantages of availing HDFC Ergo health insurance:

Company is called the leader in the insurance industry because it gives its customers a little extra benefit when they buy insurance plans from the HDFC Ergo. Below are the advantages of buying health insurance plans from HDFC Ergo:

  • The HDFC Health Insurance has a tie-up with 4800+ hospitals around the country for availing cashless facilities and health care services.
  • There is a facility of 24*7 call assistance for settlement of claims
  • The company provides customers with Value Added Services which enables enhancement of the sum insured in cases of claim free years. 
  • The list of Services provided by the company includes cover for pre hospitalization and post hospitalization expenses, day care procedures, expenses incurred at home towards treatment of the patient (domiciliary) and other such related expenses.
  • HDFC Ergo offers two types of plan to choose from, namely, indemnity and lump sum payment.

    Indemnity plan: Under this category, the policy buyer gets compensations for the actual amount of financial losses incurred by him, subject to maximum amount of the sum insured.

    Lump sum Payment: Under this category, the payment is made to the plan buyer as soon as the illness or accident or any kind of related event is occurred. This helps the plan buyer to take care of every small expense to be made

  • during the course of treatment. 
  • Comes at affordable pricing.
  • Available on Individual as well as Family Floater basis.
  • Benefits an individual by ways of Income Tax exemption under Section 80D of the Income Tax Act
  • Follows easy and hassle free claim settlement procedure.
  • Provides cover for inpatient treatment which includes all the hospitalization expenses.
  • Provides reimbursements for pre hospitalization expenses (60 days prior to admission) and for post hospitalization (90 days post discharge).
  • Provides cover for 144 day care procedures.
  • Provides reimbursements incurred towards any kind of transportation charges or towards organ donor charges, if any kind of organ transplantation has been done. 
  • Provides Ayush Benefits i.e. inpatient hospitalization expenses undertaken under Ayurvedic, Unani, Sidha and Homeopathy are covered by the plan.

List of HDFC Ergo Health Insurance plans

The company offers health insurance plans in seven variants. Let us take a look at each of them in details:

  • Health Suraksha 
  • Health Suraksha Gold
  • Health Suraksha Regain
  • Health Suraksha Gold Regain
  • Health Suraksha Top Up
  • Critical illness
  • Critical Illness platinum

HDFC Ergo Health Suraksha PlanAn insurance plan for the individual and his family.

Key Features and benefits of Health Suraksha by HDFC Ergo:

  • Can be bought as an annual policy or a two year policy
  • Enhances sum insured by 5% in the form of Cumulative Bonus for every claim free year
  • Issues Health insurance without any medical checkup for individuals below the age of 65 years.
  • No upper limit fixed on hospitalization expenses.
  • The sum insured amount per year per policy are Rs.300000, Rs.400000, Rs.500000, Rs.750000 and Rs.100000.
  • Provides for free health checkups amounting up to 1% of the original sum insured subject to a maximum of RS.5000 in case of 4 claim free years.
  • Provides enhancement of the sum insured by 5%, subject to a maximum of 50% of the sum insured for every claim free year.

Health Ergo Suraksha Gold Plan:

          Insurance plan for the individual and his family along with extra added benefits.

Key features and benefits of Health Suraksha Gold Plan by HDFC Ergo:

  • No specified age limit.
  • In cases of Individual plans the sum insured amounts are: 300000, 400000, 500000, 750000 & 1000000 and in cases of Family Floater the sum insured amounts are: 300000, 400000, 500000, 750000 & 1000000 
  • Provides for lifelong renewability of the plan.
  • Gives maternity Benefits along with New Born baby cover, subject to a minimum waiting period of 4 years.
  • Provides convalescence benefit in cases of more than 10 consecutive and continuous days of hospitalization.
  • No fixed limits on hospitalization expenses.
  • Provides reimbursements for any kind of transportation expenses incurred for the purpose of hospitalization and post hospitalization, subject to limits as mentioned: 

              -- For sum insured amounts of 300000, 400000, and Rs.500000, this plan reimburses up to Rs.2000 and
              -- For sum insured amounts of 750000 & 1000000, this plan reimburses up to Rs.3500.

  • Provides for free health checkups amounting up to 1% of the original sum insured subject to a maximum of RS.5000 in case of 4 claim free years.
  • Provides enhancement of the sum insured by 5%, subject to a maximum of 50% of the sum insured for every claim free year. In cases of claims within a given year the sum insured will be decreased by 5%.
  • This plan also gives up to 10% discount on plans availed for 2 year period and a family discount of 10% in cases where 2 or more family members have availed this policy under individual sum insured plan.

Health Suraksha Regain:

Key features and benefits of Health Suraksha Regain Plan by HDFC Ergo:

  • The sum insured amount per year per policy are Rs.300000, Rs.400000, Rs.500000, Rs.750000 and Rs.1000000.
  • Provides reimbursements for any kind of transportation expenses incurred for the purpose of hospitalization and post hospitalization, subject to limits as mentioned: 

               -- For sum insured amounts of300000, 400000, and Rs.500000, this plan reimburses up to Rs.2000 and
               -- For sum insured amounts of 750000 & 1000000, this plan reimburses upto Rs.3500.

  • Regain Benefits: This HDFC health insurance plan provides for automatic restoration of the plan to the original sum insured amount in the event of complete exhaustion of the original amount during the policy period. It can be availed only once in a year and will not be carried forward to next year if not utilized within the given plan period.
  • Provides enhancement of the sum insured by 10%, subject to a maximum of 100% of the sum insured for every claim free year. In cases of claims within a given year the sum insured will be decreased by 10%.
  • This plan also gives up to 10% discount on plans availed for 2 year period and a family discount of 10% in cases where 2 or more family members have availed this policy under individual sum insured plan.

Health Ergo Suraksha Gold Regain Plan:

Key features and benefits of Health Suraksha Gold Regain Policy by HDFC Ergo:

  • The sum insured amount per year per policy are Rs.300000, Rs.400000, Rs.500000, Rs.750000 and Rs.100000.
  • Regain Benefits: This plan provides for automatic restoration of the plan to the original sum insured amount in the event of complete exhaustion of the original amount during the policy period. It can be availed only once in a year and will not be carried forward to next year if not utilized within the given plan period.
  • Provides enhancement of the sum insured by 10%, subject to a maximum of 100% of the sum insured for every claim free year. In cases of claims within a given year the sum insured will be decreased by 10%.
  • This plan also gives up to 10% discount on plans availed for 2 year period and a family discount of 10% in cases where 2 or more family members have availed this policy under individual sum insured plan.
  • Provides cover towards maternity expenses incurred, subject to the following limits:

                 -- In cases of normal delivery, this plan reimburses up to Rs.15000,
                 -- In Cases of LSCS, this plan reimburses up to Rs.25000.
                 -- In cases of termination, the plan reimburses up to Rs.15000.

Health Suraksha Top Up Plus:

     It provides for extra coverage at very low costs. It is issued in accordance with an already existing health plan.


Key features and Benefits of Health Suraksha Top UP Plus by HDFC Ergo: 

     In case of exhaustion of the deductible, the top up is initiated.

  • No maximum age limit specified.
  • Can be availed on an individual or family floater basis for 1 year or 2 year policy.
  • The sum insured amount per year per policy are Rs.200000, Rs.300000, Rs.400000, Rs.500000, Rs.750000 and Rs.1000000.
  • The deductible amounts are Rs.100000, Rs.200000, Rs.300000, Rs 400000 and Rs.500000,
  • A fully complete proposal form has to be submitted by the buyer.
  • The company gives a family discount of 10% in cases where 3 or more family members have availed this policy under individual sum insured plan.
  • Provides enhancement of the sum insured by 5%, subject to a maximum of 50% of the sum insured for every claim free year. In cases of claims within a given year the sum insured will be decreased by 10%.
  • Any person lying between the ages of 5 years to 65 years can opt for this plan. Even children above 91 days can be covered if both the parents are covered.
  • The policy can be availed for a maximum of 1 year or 2 years period 
  • In case of applicants above the age of 55 years, a pre policy check up is required.
  • Provides reimbursements incurred towards any kind of transportation charges up to Rs.2000.

HDFC Ergo Critical Illness Insurance:

Key Features and Benefitsof Critical Illness Insurance policy by HDFC Ergo:

  • Issued in the form of lump sum amount in the event of occurrence of a sudden disease or an accident, subject to a survival period of 30 days of the plan buyer.
  • It can be utilized for payment towards treatment undertaken, any aids required for recuperation, paying off liabilities in the form of debts.
  • It can be used as a substitute for any income loss owing to decreasing capacity to earn.
  • The plan provides cover against diseases such as Heart Attack (Myocardial Infarction), Multiple Sclerosis, Stroke, Cancer, Major Organ Transplantation, Kidney Failure, Coronary Artery Bypass Surgery and paralysis..

Critical Illness Insurance Platinum:

Key Features and Benefits of Critical Illness Insurance Platinum policy by HDFC Ergo:

  • Issued in the form of lump sum amount in the event of occurrence of a sudden disease or an accident, subject to a survival period of 30 days of the plan buyer.
  • It can be utilized for payment towards treatment undertaken, any aids required for recuperation, paying off liabilities in the form of debts.
  • It can be used as a substitute for any income loss owing to decreasing capacity to earn.
  • The HDFC health insurance plan provides cover against diseases such as Heart Attack (Myocardial Infarction), Multiple Sclerosis, Stroke, Cancer, Major Organ Transplantation, Kidney Failure, Coronary Artery Bypass Surgery and Paralysis, End Stage Liver Disease, Alzheimer's disease, Parkinson's disease, Benign Brain Tumor, Heart Valve Replacement, Primary Pulmonary Arterial Hypertension, Aorta Graft Surgery.

Applying for Health Insurance Plans from HDFC Ergo:

  • Health insurance plans offered by the company can be applied to through multiple channels like:
  • Individuals wishing to buy Health insurance plans can simply call the Sales helpline of the company at 1800 2700 700 and speak to the customer service representative.
  • They can provide their name, email id and mobile number on the website of the company and request for a call back.
  • Online health insurance plans can be simply applied to by clicking the ‘Buy Online’ tab available on the company’s website. The process of policy purchase can be done in three easy steps:
  1. All he needs to do is login to the company’s website @www.hdfcergo.com and select the relevant tab. On doing so a new webpage will open asking for the plan buyers personal details such as his country of residence, date of birth of the individual and his family, the type of policy and the sum insured amount he wishes to opt for. Based on the information provided by the buyer the page calculates the premium to be paid by the buyer in order to avail the plan. On having supplied the necessary details and having reached a suitable premium amount, the buyer needs to click on the ‘Proceed’ tab.
  2. A new page opens asking for the buyer’s credentials such as his name, age, residential address, official address, email id, telephone number, correspondence address and other such related details. The plan buyer needs to fill up the relevant details. The details provided should be accurate. On having supplied the necessary details, the buyer again needs to click on the ‘Proceed’ tab.
  3. A new page will open, wherein; the policy buyer is required to make payments for the policy bought as per the decided premium amount.
  • Lastly, customers may also visit the company’s branches or get in touch with an agent to buy the plans required.

HDFC Ergo Health Insurance - FAQs

1. How to pay premium? What are the modes of payment available?

HDFC ERGO General Insurance offers three modes for payment of premium

  • You can sign a debit mandate at time of signing the policy, thus your premium will be deducted automatically from the bank account
  • By cash or cheque collection and
  • By direct online payment

 

2. How can I check policy status for HDFC Ergo health insurance?

The right way to check the status of the policy is from the corporate website, https://www.hdfcergo.com. Login into your website with user ID and password, and right-click on the policy number and get the details of the status of it.

 

3. What is the policy renewal process for HDFC Ergo health insurance?

If you have filled an auto debit mandate, the policy will be renewed automatically. However, if not, you need to call toll free number, 1800-27- 00700 to inquire the process.

Alternatively, renew the policy online by logging into e-Portal (https://www.hdfcergo.com/) with valid login details. Pay via debit/credit card or Net banking and print you e-Payment receipt.

 

4. What is the company’s process to settle claim for HDFC Ergo health insurance?

The company does not usually take more than 3 days for minor theft or accidents. They claim that they will settle all the cases within 7 days. You will have to submit the documents of proof and the claims form to the officer. Upon satisfactory evaluation, the claims amount will be deposited via NEFT in the policyholder’s bank account.

 

5. What is the policy cancellation process for HDFC Ergo health insurance?

Cancellation of the policy is possible any time. You will have to go to the site and order for cancellation. You can also put up a mail or can call the toll free number, 1800-27-00700. After a short documentation process, the policy will be cancelled and you will receive an intimation message.

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Reviews for HDFC Ergo Health Insurance

TOTAL REVIEWS (2)
Kusum Bhandari
Bangalore
January 29, 2016

"Good Support"

Very good response from HDFC Ergo General INsurance and they asked to submit the papers to give the settlement after my accident wherein I submitted papers in my company. Features of health insurance is not that great in HDFC Ergo like other insurance providers but response is too good and customer support is very nice. I personally like the policy.
Plan Name: Health Suraksha Plus Regain - Silver
Agent Code: BPW01735

Mridula Verma
Guwahati
December 20, 2015

Completely Satisfied

I had best experience with the hdfc ergo Health Insurance Company. I have been using hdfc ergo plan for last 5 year they did not give me any chance to complain. So overall it is the best option to purchase a health policy.