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ALL YOU NEED TO KNOW

Features

  • Wide coverage: You can choose an individual Health Suraksha scheme or a Family Floater health insurance policy according to your requirements. The coverage is optimal and comes at an affordable price.

  • Time Period: You can opt for a HDFC ERGO Health Suraksha policy that runs for a time period of one or two years (With Life time renewability) .

  • Bonus: If your policy is claim-free you are entitled to a cumulative bonus.

  • Included Health check up: HDFC ERGO Health Suraksha will provide for at the cost of a health check up if you have completed 4 years without making a claim.

  • Service Points: You can make cashless claims across more than 10,000+ network hospitals in India.

  • Tax Benefits: You can avail of the Income Tax benefits under Section 80D of the Income Tax Act. * Subject to change in Tax laws

  • Quick processing: Once you decide to purchase the HDFC ERGO Health Suraksha, the turnaround time of delivering your policy will be quick. Even the claims procedure is very straightforward.

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Coverage

Here are the details regarding the coverage that the Health Suraksha policy offers:

Health Suraksha - Individual & Family Floater Sum Insured

Product Health Suraksha Silver
Product Benefit Coverage-
(Sum Insured : 200000,300000,400000,500000)
In-patient Treatment Hospitalization costs due to illness or accident are covered upto the Policy Sum Insured.
Pre-hospitalization The Medical Expenses incurred due to an Illness in 60 days immediately before the Insured Person was hospitalized.
Post-hospitalization The Medical Expenses incurred in 90 days immediately after the Insured Person was discharged post Hospitalization,
Day Care Procedures Expenses for 144 listed day care procedures that does not need 24 hours hospitalization on account of technological advancements are reimbursed
Domiciliary Treatment The Medical Expenses incurred by an Insured Person for medical treatment taken at his home which would otherwise have required Hospitalization and on the advice of the attending Medical Practitioner, if the Insured Person could not be transferred to a Hospital or a Hospital bed was unavailable are reimbursed upto the policy sum insured
Organ Donor The Medical Expenses for an organ donor’s treatment in the event of organ transplantation for harvesting an organ donated are reimbursed Upto the policy Sum Insured
Emergency Ambulance
(Limit per hospitalisation)		 Upto Rs. 2,000 reimbursed as ambulance expenses during an emergency
AYUSH Covers inpatient hospitalization expenses under Ayurvedic ,Unani ,Sidha & Homeopathy Upto the policy Sum Insured
Cumulative Bonus (CB) 5% of the Basic Sum Insured every claim free year subject to a maximum of 50% of the basic sum insured. CB will be reduced by 5% of the basic sum insured in case of a claim.
Health check Up We will offer health checkup only once at the end of continuous four claim free years during which You have been insured with Us. Our maximum liability will be subject to 1% of the Sum Insured for this Policy Year or the subsequent Policy Years upto a maximum of Rs 5,000. Incase of a family floater, if any of the members make a claim under this policy, the health checkup benefit will not be offered to the whole family.

Click Here to read the policy wording.

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Renew

You must renew your HDFC ERGO Health Suraksha policy to take advantage of the cumulative bonus and continue the benefits you receive for any pre-existing illness from your previous policy with us.

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Exclusions

The following are the exclusions on the policy that you should note.

  • 30 day waiting period

  • 2 year waiting period for Specific Illnesses and Treatments like internal tumours, cysts, surgery on tonsils and sinuses etc.

  • Pre-existing conditions ( until 48 months of continuous coverage)

  • War or any act of war

  • Any breach of any law with criminal intent

  • Self-destruction or self inflicted injury, attempted suicide or suicide

  • Any claim arising out of the use of drugs and alcohol

  • Plastic surgery or cosmetic surgery, unless necessary as a part of medically necessary treatment

  • All preventive care, vaccination including inoculation and immunizations

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Claims procedure

Initiate a claim or to know about the process visit HDFC ERGO Health Insurance Claim Process to initiate/Track a claim.

OR

Connect on HDFC ERGO’s Whatsapp no 8169500500

OR

Call on HDFC ERGO's toll free helpline no. 022 6234 6234 / 0120 6234 6234 and register your claim.

Certified Corporate Agent's License No. CA0010

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Health Suraksha

Get started with your Health Suraksha Plan

Got your Welcome Kit? Inside it you will find:

  • A Policy Document:

  • Policy Wordings : to help you understand what is covered under the policy

Renew your Health Suraksha Plan

Don't forget to renew your Health Suraksha policy to continue availing the benefits against pre-existing illness from your previous policy.

Click Here to renew your Health Suraksha policy online.

Did you know?

  • You can get financial security to meet immediate health contingencies through the policy instead of making a dent in your long term savings.

  • You should take into consideration the high and rising cost of medical expenses.

You can also benefit from

  • A Critical Illness Insurance Policy and get a lump sum amount required to treat critical illnesses and pay for associated treatment.

  • A Private Car Insurance Policy that ensures your vehicle is safeguarded no matter what the mishap.

  • A Personal Accident Policy that protects you when you get sick in India and offers you Personal Accident Cover worldwide.

Commission on General Insurance

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Frequently Asked Questions

No,you need not pay for pre-policy medical tests in case it is taken up at our network Diagnostic Centers.It is cashless.Only in case your policy is rejected based on adverse medical findings,50%of the pre-policy check up cost is deducted from the premium refund amount.

Yes,younger spouse can be a proposer under my:health Suraksha.However,premium calculation is based on the age of eldest family member proposed.

In case of Organ Transplantation,donor expenses like screening,organ harvesting&donor hospitalisation expenses are covered.Cost of Organ per se is not covered

Home healthcare is a unique^^^cashless cover whereby the insured can avail treatment at home if recommended by the treating medical practitioner towards Chemotherapy, Gastroenteritis, Hepatitis, Fever Management, Dengue etc

Although there is very little difference in the coverages of these plans,the main difference is the Sum Insured options available under each of these plans.SI options under-Silver Smart-3,4&5 Lacs-Gold Smart-7.5,10&15 Lacs-Platinum Smart-20,25,50&75 Lacs.

No,OPD is not covered under my:health Suraksha.

Depending on the age and sum insured opted,pre-policy medical checkup varies.Pre-policy medical checkup typically has Medical Examination Report by the Physician,few blood&Urine tests&ECG.TMT,2D echo,Sonography etc can also be part of the PPC check up list depending on the Sum insured and age of the customer.

Immediately upon diagnosis of Illness,intimate Us with basic policy details,treatment plans and preferred date and time of initial assessment.We will inform our Home Healthcare service provider who will meet the treating medical practitioner,check if the patient requires any equipment,devices,and share the care plan and treatment cost estimation with Us.On receipt of the complete documents,we may issue an authorisation letter specifying sanctioned amount or reject the cashless request.Overall,this operates like any other cashless hospitalisation.

We will add to the Sum Insured,an amount equivalent to the last claim amount under the policy subject to maximum of basic sum insured only on subsequent hospitalisation of the insured person during the policy year.One can claim for same illness multiple times in the policy year,however,claim related to Chemotherapy and Dialysis will be paid only once in the lifetime of the policy.Also,balance rebound sum insured will not be carried forward to the next policy year.

Geographical jurisdiction to avail medical treatment is India only.