Magma HDI OneHealth Insurance Plan

Magma HDI OneHealth Insurance is a comprehensive medical insurance plan that covers individuals and families against diseases and accidents. It covers the cost of in-patient hospitalization, OPD treatment, home treatment, ambulance charges along with maternity expenses. The plan also offers benefits like LASIK surgery cover, IVF treatment cover, psychiatric treatment cover, loss of income benefit, worldwide emergency hospitalization and HIV/AIDS cover.

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Magma HDI OneHealth Insurance Plan

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    Magma HDI OneHealth Insurance Plan: Key Highlights

    Categories Specifications
    Sum Insured Rs 2 lakh to Rs 1 crore
    Policy Tenure 1 year, 2 years, 3 years
    Network Hospitals 7200+
    Incurred Claim Ratio (2020-21) 62.70%
    Pre-existing Diseases Waiting Period 2 year/ 3 years/ 4 years
    Discount Up to 12.5% multi-year policy discount
    5% cross-sell discount
    10% direct sourcing discount
    Co-payment 20% for people above 60 years
    Up to 35% if the insured is hospitalized in a higher zone

    Benefits of Magma HDI OneHealth Insurance Plan

    The Magma HDI OneHealth Insurance plan comes with the following attractive benefits:

    1. Recharge of Sum Insured

    If the sum insured is insufficient for a claim, the amount will be recharged by 100% up to five times in a policy year with this benefit.

    2. Annual Health Check-up

    Every year, all adult insured members will be eligible for a health check-up facility irrespective of the claims history.

    3. Cumulative Bonus 

    In case no claims have been raised in the previous policy year, the sum insured will be increased without any hike in the premium with the cumulative bonus benefit.

    4. Early Joining Benefits

    If a person buys this policy before the age of 40 years, the Magma HDI General Insurance Company will provide a one-time amount of Rs 2500 after five claim-free years and Rs 5000 after ten claim-free years as early joining benefits.

    5. Loss of Income Benefit

    Under this policy, a lump sum amount will be paid by the insurance company in case the insured suffers from permanent total disablement due to an accident or injury that occurred while working professionally.

    6. Cashless Hospitalization

    Magma HDI General Insurance Company offers cashless hospitalization facilities at over 7200 network hospitals across India.

    7. Green Channel Benefit

    If the insured gets hospitalized at a PPN hospital of the insurance company for cashless treatment, a one-time amount will be provided for each such hospitalization as the green channel benefit. This amount can be used to pay non-medical expenses incurred during the hospitalization.

    8. Fitness Rewards and Wellness Services

    Policyholders can undertake fitness activities and earn rewards to get a discount on the renewal premium. They can also get access to wellness services, including nutritionist e-counselling, doctor-on-call, etc. under this policy.

    9. Tax Benefits

    The premium paid for buying a Magma HDI OneHealth Insurance policy can be claimed for tax benefits under Sec 80D of the Income Tax Act.

    Magma HDI OneHealth Insurance Plan Eligibility Criteria

    Check out the eligibility criteria to buy a Magma HDI OneHealth Insurance plan:

    Parameters Eligibility Criteria
    Minimum Entry Age Adult – 18 years
    Child – 5 years,
    91 days (family floater)
    Maximum Entry Age Adult - No upper limit
    Child – 26 years
    Coverage Type Individual/ family floater
    No. of Relationships 7 (4 adults and 3 children)
    Relationships Covered Self, spouse, dependent children, dependent parents, dependent parents-in-law, son-in-law, daughter-in-law, dependent grandchildren and siblings
    Renewability Lifelong

    Types of Magma HDI OneHealth Insurance Plan

    Take a look at the five types of Magma HDI OneHealth Insurance plan below:

    • Support – This plan offers basic coverage with a sum insured of Rs 2 lakh to Rs 5 lakh.
    • Secure – This plan is available with a sum insured of Rs 2 lakh to Rs 10 lakh.
    • Support Plus – This plan provides wider coverage and comes with a sum insured ranging from Rs 2 lakh to Rs 10 lakh.
    • Shield – This plan offers a sum insured ranging from Rs 5 lakh to Rs 50 lakh.
    • Premium - This plan offers comprehensive coverage with a sum insured option ranging from Rs 10 lakh to Rs 1 crore.

    Inclusions of Magma HDI OneHealth Insurance Plan

    The following coverage is included under a Magma HDI OneHealth Insurance plan:

    • In-patient Treatment 
    • Pre-hospitalization Expenses
    • Post-hospitalization Expenses
    • Day Care Treatment
    • Ambulance Cover
    • Organ Donor Expenses
    • Domiciliary Hospitalization 
    • IVF Treatment Cover
    • AYUSH Treatment
    • Bariatric Surgery Cover
    • Psychiatric Treatment Cover
    • LASIK Surgery Cover
    • HIV/AIDS Cover
    • Modern Treatment Procedures
    • E-Opinion for Critical Illness
    • Hospital Cash
    • Compassionate Visit in case of Critical Illness
    • Loss of Income Benefit
    • Enhanced Daily Cash Benefit
    • Home Treatment Additional Daily Cash
    • Companion Benefit
    • Maternity Benefits
    • Outpatient Cover
    • Convalescence Benefit
    • Worldwide Emergency Hospitalization Cover
    • Air Ambulance Cover

    Optional Covers:

    • Critical Illness Cover
    • Personal Accident Cover
    • Aggregate Deductible
    • Voluntary Co-payment
    • Hospital Cash (Under Support and Secure plans)
    • Bonus Booster (Under Support, Secure and Support Plus plans)
    • Maternity Benefit (Under Support, Secure, Support Plus and Shield plans) 
    • Home Treatment Additional Daily Cash (Under Support, Secure and Support Plus plans)
    • Enhanced Pre & Post Hospitalization Cover (Under Support, Secure and Support Plus plans)
    • Worldwide Emergency Hospitalization Cover (Under Support, Secure, Support Plus and Shield plans) 
    • OPD & Home Care for COVID-19
    • Non-payable Expense Cover
    • Recharge Benefit for Same Illnesses (Under Secure, Support Plus, Shield and Premium plans) 
    • Zone Wise Co-pay Waiver
    • Waiver of Deductible (Under Support, Secure, Support Plus and Shield plans)

    Exclusions of Magma HDI OneHealth Insurance Plan

    The Magma HDI OneHealth Insurance plan does not cover the following medical expenses:

    • Treatment for alcohol or drug abuse
    • Cosmetic treatment
    • External congenital anomaly
    • Hazardous or adventure sports
    • Artificial life maintenance
    • Unproven treatments
    • Self-inflicted injuries
    • Sterility
    • Cost of dietary supplements and substances

    Magma HDI OneHealth Insurance Plan Waiting Periods

    Here is the list of waiting periods applicable to the Magma HDI OneHealth Insurance policy:

    Category Waiting Period
    Initial Waiting Period 30 days
    Specific Illness Waiting Period 2 years
    Pre-existing Diseases Waiting Period 2 year/ 3 years/ 4 years
    Critical Illness Cover Waiting Period 90 days
    30 days (Survival period)
    Bariatric Surgery Cover 3 years
    Mental Illnesses 3 years
    LASIK Surgery Cover 3 years
    Maternity Benefits 4 years
    OPD & Home Care for COVID-19 15 days

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