HDFC ERGO Health Insurance

HDFC ERGO Health Insurance Overview:

HDFC Ergo Health Insurance Policy is offered by HDFC ERGO General Insurance Company Ltd. HDFC ERGO is 4th Largest General Insurance Company in India. It was founded in the year 2002 and operates in 89 cities through its 109 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 premier housing finance company. ERGO International AG holds 49% stake while HDFC holds 51% stake, making HDFC Ltd the major shareholder in the venture. The company is headquartered at Mumbai. Read More About HDFC ERGO General Insurance Company

Why To Buy HDFC ERGO Health Insurance?

HDFC ERGO Health Insurance Company offers a wide range of health insurance plans that cover an individual and the family. These plans offer comprehensive coverage at affordable premium prices and are backed by more than 5000 hospitals all over India. Offering significant features like cashless hospitalization, high no 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 expenses is covered by these affordable health plans. These plans also assure happiness of your family as well as you, thereby providing you with lump sum benefit.

Advantages and Benifits of Availing HDFC ERGO Health Insurance:

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 insurance plans from the HDFC ERGO. Below are the advantages of buying HDFC ERGO health insurance plans:

• 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.
• The company offers a quick and easy policy renewal process

Read More to Know about Benefits of Health Insurance

HDFC ERGO health Insurance offers two types of plan:

• Indemnity Plan
• Lump Sum Payment Plan

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 occurs. 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 way 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 Health Insurance Policies From HDFC ERGO:

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

• Health Suraksha Policy
• Health Suraksha Gold Policy
• Health Suraksha Regain Policy
• Health Suraksha Gold Regain Policy
• Health Suraksha Top Up Policy
• Critical Illness Policy
• Critical Illness Platinum Policy

HDFC ERGO's Health Suraksha Plan

A HDFC health insurance plan for an individual and his family.

Key Features and Benefits of HDFC ERGO Health Suraksha Plan:

• 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.
• Health checkups are not mandatory for people who are less than 45 years at time of buying the policy
• Covers pre and post hospitalisation expenses for 60 days and 90 days respectively
• Cover alternative treatments under Ayurveda, Yoga, Unani, Siddha and Homeopathy (AYUSH)
• No upper limit fixed on hospitalization expenses. No sub-limits on specific costs such as room rent, doctor’s fees, hospital expenses, etc.
• The sum insured amount per year per policy are Rs.300000, Rs.400000, Rs.500000, Rs.750000 and Rs.100000.
• Provides a cover for organ donation
• 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.
• Has a 2-year waiting period for certain diseases and illnesses
• HDFC Ergo health insurance policy holders can avail income tax benefits under section 80D of the Income Tax Act
• The HDFC ERGO Health Insurance plan has an easy and hassle free renewal process

HDFC ERGO's Health Suraksha Gold Plan

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

Key Features and Benefits of HDFC Ergo Health Suraksha Gold Plan:

• 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. The HDFC ERGO Health Insurance plan offers in patient medical expenses coverage for new born babies up to 90 days after birth
• Provides convalescence benefit in cases of more than 10 consecutive and continuous days of hospitalization.
• Covers pre and post hospitalisation expenses for 60 days and 90 days respectively
• The plan from HDFC ERGO Health Insurance covers 144 specified day care procedures
• Cover alternative treatments under Ayurveda, Yoga, Unani, Siddha and Homeopathy (AYUSH) without any sub-limits
• No fixed limits on hospitalization expenses. No sub-limits on specific costs such as room rent, doctor’s fees, hospital expenses, etc.
• 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.
• Covers organ donation expenses
• 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 HDC Ergo medical plan also gives up to 10% discount on 2 year policy renewals and a family discount of 10% in cases where 2 or more family members have availed this policy under individual sum insured plan.
• This policy from HDFC ERGO Health Insurance offers an e-opinion option for critical illnesses
• The plan does not cover pre existing illnesses for a period of 48 months
• There is a 24 months waiting period for coverage of certain specified illnesses
• Offers income tax benefits for every renewal under section 80D of the Income Tax Act
• The renewal process under this HDFC ERGO Health Insurance policy cover is both easy and hassle free

HDFC ERGO’s Health Suraksha Regain Plan

Key Features and Benefits of HDFC Ergo Health Suraksha Regain Policy:

• The plan from HDFC ERGO Health Insurance offers an optimised cover at affordable rates
• No specified age limit for entry
• 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 up to Rs.3500.
• The plan guards against 144 specified day care procedures
• The policy insures against pre hospitalisation expenses for 60 days and post hospitalisation expenses for 90 days
• The plan covers alternative treatments under Ayurveda, Yoga, Unani, Siddha and Homeopathy (AYUSH) without any sub-limits
• Offers organ donation cover
• Regain Benefits: This HDFC medical 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 HDFC Ergo health insurance plan also gives up to 10% discount on plans that have been approved a 2 year renewal and a family discount of 10% in cases where 2 or more family members have availed this policy under individual sum insured plan.
• Pre existing illnesses are not covered for a period of 48 months
• No illness are covered within the first 30 days of taking the policy except accidental injuries
• Provides tax benefits for each year of renewal under section 80D of the Income Tax Act
• Policyholders can also opt for the hassle free and easy renewal process for this HDFC ERGO Health Insurance plan to cover their health risks every year

HDFC ERGO's Health Suraksha Gold Regain Plan

Key Features and Benefits of HDFC Health Suraksha Gold Regain Policy:

• This HDFC ERGO Health Insurance policy is an optimised cover provided at affordable rates
• There is no specific limit on entry age
• The sum insured amount per year per policy are Rs.300000, Rs.400000, Rs.500000, Rs.750000 and Rs.100000.
• Covers pre hospitalisation and post hospitalisation expenses for 60 days for 90 days respectively
• The HDFC ERGO Health Insurance plan covers alternative medicine treatments under Ayurveda, Yoga, Unani, Siddha and Homeopathy (AYUSH) without sub-limits
• There are no sub-limits on specific costs such as room rent, doctor’s fees, hospital expenses, etc.
• Offers organ donation cover
• 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 that are filed with a 2 year renewal 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.
• HDFC ERGO Health Insurance offers income tax benefits for every renewal under section 80D of the Income Tax Act.
• The plan has a hassle free and easy renewal process

HDFC ERGO's 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 HDFC Ergo Health Suraksha Top UP Plus Policy:

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

• No maximum age limit specified.
• Provides the option to change the Top Up policy to the Health Suraksha policy
• Can be availed on an individual or family floater basis for 1 year or 2 year policy.
• Covers pre hospitalisation expenses for 60 days and post hospitalisation for 90 days
• Insures against 140 day care procedures that do not need any hospitalisation
• Does not cover alternative treatments
• 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. Renewal can also be done for 1 year or 2 years
• In case of applicants above the age of 55 years, a pre policy check up is required before a policy is issued or before a plan renewal
• Provides reimbursements incurred towards any kind of transportation charges up to Rs.2000.
• Has an initial waiting period of 30 days except for accidents, 2 years for specified cases and 4 years for pre-existing conditions
• The plan offers tax benefits under section 80D of the Income Tax Act for every new year of renewal
• The renewal process for this HDFC ERGO Health Insurance plan is hassle free and easy

HDFC ERGO's Critical Illness Insurance

The HDFC ERGO Health Insurance Online plan can be purchased by any individual meeting the relevant criteria specified below. Renewal of the HDFC ERGO Health Insurance cover is also easy and hassle-free.

Key Features and Benefits of HDFC ERGO Critical Illness Insurance Plan:

• 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.
• The sum insured under this HDFC ERGO Health Insurance plan ranges from Rs. 2,50,000 to Rs, 10,00,000
• Individuals in the 5-45 years age group and children between the ages of 5 years to 18 years can avail the policy
• 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.
• No checkups are required for people below the age of 45 years
• There is an initial waiting period of 90 days and a waiting period of 48 months for pre existing illnesses
• Offers tax benefits for every year of renewal under section 80D of the Income Tax Act
• The renewal process under the plan is quite easy

HDFC ERGO's Critical Illness Insurance Platinum Plan

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

• 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.
• This HDFC Ergo health insurance coverage includes 15 critical illnesses
• 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 Tumour, Heart Valve Replacement, Primary Pulmonary Arterial Hypertension, Aorta Graft Surgery.
• The cover has an initial waiting period of 90 days
• The HDFC ERGO Health Insurance plan allows a policyholder to avail tax benefits under section 80D of the Income Tax Act for every year of renewal
• The plan has a quick and hassle-free renewal process

How to HDFC ERGO Health Insurance Plans:

HDFC ERGO health insurance policies can be applied to or renewal opted for through multiple channels like:

• Individuals wishing to buy HFDC Ergo Health insurance plans can simply call the Sales helpline of the company and speak to the customer service representative. For those opting for renewal, calling the customer care with existing details will work
• They can provide their name, email id and mobile number on the website of the company and request for a call back. The same applies for a renewal
• Online HDFC health insurance policies 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 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, HDFC Ergo health Insurance customers may also visit the company’s branches or get in touch with an agent to buy the plans required, or opt for renewal of existing ones.

HDFC ERGO Health Insurance - FAQs

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

HDFC Ergo Health Insurance provide below modes of payment to pay HDFC premium, HDFC Insurance renewal and purchase of HDFC Health Insurance.

• 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 do i check HDFC ERGO Health insurance policy status?

The right way to check the status of the HDFC health insurance policy is from the corporate website. Login into company website with user ID and password, and right-click on the policy number and get the details of the status of it. You can also opt for this for policy renewal.

3. How do i renew HDFC health insurance?

The HDFC Ergo health insurance renewal process works as below:

If you have filled an auto debit mandate, the policy will be renewed automatically.

Alternatively, renewal of the policy is possible online by logging into e-Portal with valid login details. Pay via debit/credit card or Net banking and print you e-Payment receipt. Once done the HDFC Ergo health insurance renewal process will be complete and you will receive your policy by email and / or post.

4. How do i claim my HDFC Ergo health insurance?

The HDFC Ergo health insurance claim 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. You can check the HDFC Ergo health insurance claim status online. You can also call up the HDFC Ergo health insurance customer care and check your HDFC Ergo health insurance claim status with the team members.

5. How can i cancel my HDFC health insurance policy?

Cancellation of the HDFC EERG health insurance policy is possible any time. You will have to go to the site and order for cancellation. You can also put up a mail. After a short documentation process, the policy will be cancelled and you will receive an intimation message.

You might be interested following insurance plans provided by HDFC ERGO:

• HDFC ERGO Car Insurance
• HDFC ERGO Two Wheeler Insurance
• HDFC ERGO Home Insurance
• HDFC ERGO Travel Insurance
• HDFC ERGO Personal Accident