HDFC ERGO General Health Insurance

Health Insurance is offered by HDFC ERGO General Insurance Company Limited. It was founded in the year 2002 and operates in 113 cities through its 127 branches. It is a JV between HDFC Ltd and ERGO International AG. ERGO International AG is the primary entity of the Munich Re Group, whereas HDFC Ltd is India's leading housing finance company. ERGO International AG holds 48.231% stake while HDFC holds 51.769% stake, making HDFC Ltd the major shareholder in the venture. This is headquartered at Mumbai.

Merger of HDFC ERGO General Insurance with HDFC ERGO Health Insurance

HDFC ERGO General Insurance Company merged with HDFC ERGO Health Insurance on November 13, 2020. Both the health and general insurance companies are the affiliates of HDFC Ltd., the country’s largest mortgage lender. The merger has been completed with the consent from the IRDAI (The Insurance Regulatory and Development Authority of India). This merger makes HDFC Ergo, the second-largest private insurer in the health and accident insurance market.

HDFC ERGO General Health Insurance at a Glance:

Why to Buy Health Insurance from HDFC ERGO General Health Insurance?

HDFC ERGO General Insurance Company offers a wide range of health insurance plans that cover an individual and the family as well. These plans offer comprehensive coverage at affordable premium prices and are backed by more than 10,000+ hospitals all over India. Offering significant features like cashless hospitalization, high no health claim benefit, and flexible payment modes, these health insurance plans are highly recommended for today's generation whose lifestyle makes them more prone to diseases that result from poor choices that eventually require medical intervention. Any medical emergency in the event of an accident or sickness requiring daycare procedures along with both pre and post hospitalization costs is covered by these affordable health insurance plans. These mediclaim plans also assure happiness to your family as well as you, thereby providing you with lump sum benefit.

Benefits and Advantages

The HDFC ERGO General Insurance Company is called the leader in the insurance industry because it gives its customers a little extra benefit when they buy any health insurance plan from the HDFC ERGO.

• HDFC ERGO General health insurance has a tie-up with 10,000+ network hospitals across the country, which facilitates cashless facility and other health care services
• There is a facility of 24*7 call assistance for settlement of health insurance claims
• The insurance company offers Value Added Services which enables the policyholder to enhance the sum insured in cases of claim free years
• The list of Services provided by the insurance company includes cover for pre-hospitalization and post-hospitalization expenses, day care procedures, costs incurred at home towards the treatment of the patient (domiciliary) and other such related expenditures
• The company offers a quick and easy insurance policy renewal process

Critical Factors of the Health Insurance Plans from HDFC ERGO General Health Insurance

• With a network of more than 10,000+ hospitals in the country, availing cashless hospitalization and healthcare facilities is very easy with HDFC ERGO General Health Insurance
• The policy period of the plan can be of 1 year or 2 years, with the basic sum insured per year between Rs. 3 lakhs and Rs. 10 lakhs
• HDFC ERGO General Health Insurance offers the additional benefit of ‘Cumulative Bonus’ after every claim-free year as well as reimbursement of health check-ups expenses after the completion of 4 consecutive claim-free years
• The plan also offers Income Tax benefits. The company promises a hassle-free claim procedure
• The plan does not have a cap on hospital room rents, hospital charges, specific diseases and even doctor

Highlights

• Tax Benefit under section 80D
• No Medical Check-up up to 45 years
• No sub-limits on any disease, room rent, hospital charge and doctor’s fee
• Cashless Treatment at Network Hospitals
• 5% bonus on Sum Insured for every claim-free year
• Offers one­-year or two-year policy coverage period
• Avail a family discount of 10% if 2 or more members of a family are covered under the same individual policy
• Life Long Renewability

*All savings are provided by the insurer as per the IRDAI approved insurance plan. Standard T&C apply.

HDFC ERGO General Health Insurance offers two types of Health Insurance Policies:

• Indemnity Health Insurance Policy
• Lump Sum Payment Health Insurance Policy

Indemnity Health Insurance Plan

Under this category, the health 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 Health Insurance Plan

Under this category, the payment is made to the policyholders as soon as the illness or accident or any kind of related event occurs. This helps the policy holder to take care of every small expense to be made

• During the course of treatment.
• Comes at affordable pricing.
• Available on an Individual or FHPL basis.
• This health insurance plan offers Income Tax exemption u/s 80D of Income Tax Act
• Insurance claim settlement procedure is very easy and hassle-free.
• Provides coverage for inpatient treatment which includes all the hospitalization expenses.
• Provides a reimbursement of pre and post hospitalization expenses for up to 60 days and 90 days, respectively.
• 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, Sidha and Homeopathy are covered by the plan.

List of Health Insurance Policies from HDFC ERGO

The HDFC ERGO General health insurance policies come in seven variants. Let us take a look at each of them in detail:

• HDFC ERGO my:health Suraksha Silver Smart Plan
• HDFC ERGO my:health Suraksha Platinum Smart

HDFC ERGO General Health Insurance Online Facilities

One can easily purchase HDFC ERGO General Health Insurance policies online by following the below steps:

• Calculating the premium using health insurance premium calculator
• Providing all your details
• Making the payment

Other than that, HDFC ERGO General Health Insurance Company offers several other online facilities. These are:

• E-Mail Policy Copy
• 80D Tax Certificate
• Updating Contact Details Online (Email id/Contact Number/Address)
• Make Changes/Endorsement
• Transfer of Insurance - Motor
• Creation of Service Request
• Upload Documents
• Cancellation Of Policy
• Track Interaction Status
• Claim Status
• Link Aadhaar and PAN
• Motor Claim Intimation
• Payments

How to Calculate Health Insurance Premium from HDFC ERGO General Health Insurance?

At PolicyBazaar, we provide you with an all-inclusive health insurance premium calculator to enable you to calculate the premium you are liable to pay in exchange Health Insurance coverage from HDFC ERGO General Health Insurance. You can log onto policybazaar.com and calculate your health insurance premium by providing certain details of yours. HDFC medical insurance premium calculator facilitates you to purchase adequate health coverage for your family and you. All you need to do is select and provide the right details at the time of calculating the health premium.

How to Renew HDFC ERGO General Health Insurance Policy?

If you’ve bought health insurance policy from HDFC ERGO, you must take the renewal of the policy into consideration. Renewal of your health insurance plan is equally important as that of buying one. The health insurance renewal process from HDFC ERGO will be very easily quick and hassle-free in just a few minutes.

Here is a step-by-step procedure to renew your health insurance policy:

Step 1: Visit the official website of the insurance provider

Step 2: Hit the ‘Instant Renewal’ button.

Step 3: Enter the pre-requisite details of your policy including your name, policy number, etc.

Step 4: Look for some additional covers to improve your coverage to secure the assets.

Step 5: Fill in the necessary details. You will get to know the premium for renewal.

Step 6: Pay the required amount and renew your health insurance policy.

You can also call on Customer Service No :  022 - 62346234 / 0120 - 62346234 (available in India only)  for instant renewal of your health insurance plan.

The premium of renewal is calculated basis your coverage and age. You can renew your expired health policy within a term of 30 days from the date of expiry.

How to File a Claim with HDFC ERGO General Health Insurance?

Claims are of two categories and these are explained below:

• Cashless Claims: HDFC ERGO General Health Insurance has 10,000+ network of hospitals. When policyholders go to any of these hospitals, they are eligible to get a cashless claim since the insurance company will directly settle the bill with the hospital. However, the disease, too, has to be eligible for such a cover.
• Reimbursement Claims: If the hospital is not network-listed, the policyholder can get the expenses reimbursed against the hospital bills.

Below are the documents you need to submit for smooth processing of claims.

• NEFT details in the claim form along with a cancelled cheque.
• KYC form along with a photocopy of any one KYC document for claims amounting to Rs. 1 lakh or more. KYC Documents: Aadhaar Card, Passport, Driving License Voter ID

HDFC ERGO General Health Insurance Network Hospitals

With over 10,000+ hospitals across the nation, HDFC ERGO general health insurance provides you with an assurance of quality medical treatment at a hospital of your choice. You can avail medical treatment at these hospitals either as planned hospitalization or in the event of a medical emergency. In the meanwhile, keep your TPA informed about your plan to get hospitalized to avail the treatment or as soon as you get hospitalized in an emergency.

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