HDFC ERGO Health Insurance

HDFC ERGO Health Insurance
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HDFC ERGO General Insurance Company Ltd. is a 74:26 joint venture between HDFC Ltd., India?s premier Housing Finance Institution and ERGO International AG, the primary insurance entity of Munich Re Group. HDFC ERGO offers complete range of general insurance products ranging from Motor, Health, Travel, Home and Personal Accident in the retail space and customized products like Property, Marine and Liability Insurance in the corporate space. HDFC ERGO is the 4th largest private sector general insurance company in India.


HDFC ERGO Health Insurance at a Glance

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Coverage for your most loved ones

Total members covered

Coverage for a maximum of 4 family members with up to 2 adults and 2 children

You get a choice of coverage tenure

Pre and Post Hospitalization cover

Medical expenses covered for 60 days before your hospitalization and 90 days for post hospitalization for related medical expenses

The next best thing to having a doc in the family

Health Check-ups

Health Check-up expenses reimbursed on completion of 4 claimless years


Critical Factors of the Plan

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Not a paisa goes from your own pocket!

Co-Pay

No Co-pay

You?re covered for any future medical expenses

Life long renewable

Plans are lifelong renewable and covers you for your entire lifetime.

Get essential cover for existing ailments

Pre-existing Diseases

Any pre-existing condition will be covered after a waiting period of 4 year

Hospital room rent determines your treatment bill

Room Rent

No Sub-limits on hospital room rents


Additional Features of HDFC ERGO Health Insurance

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Good health offers multiple rewards

5% bonus on Sum Insured for every claim-free year

The world is your healthcare oyster

A network of more than 4800+ hospitals to choose from to avail cashless services


Overview

HDFC ERGO General Insurance

The HDFC ERGO General Insurance Company is the progeny of two immensely respected and influential insurance concerns. HDFC Ltd, is one of India’s premier housing finance institution (74% stake) while ERGO International AG (26% stake) is the insurance wing of the Munich Re Group. The company offers a complete suite of insurance products ranging from motor, health, travel, home and personal accident in the retail space, alongside such products for the corporate sphere such as property, marine and liability insurance. HDFC ERGO General Insurance prides itself at being the 4th biggest private sector general insurance company in India, with 1700+ employees working in 104 branches across 87 cities in India. The company is ISO certified and sports the ‘iAAA’ rating as awarded by the ICRA, which points to the company’s flawless record for a high rate of claim settlements. HDFC ERGO General Insurance is indeed, a front runner when it comes to insurance choices in India.

Health Insurance from HDFC ERGO

The company markets the following health insurance products- Health Suraksha, Health Suraksha Gold, Health Suraksha Regain, Health Suraksha Top Up, Critical Illness and Critical Illness Platinum.

HDFC ERGO’s Health Suraksha Plan

Key Features

  • Affordable rates.
  • Can be purchased and renewed online.
  • Basic Sum Insured per Policy Year- Rs. 2 lakhs, Rs. 3 lakhs, Rs. 4 lakhs or Rs. 5 lakhs.
  • Cashless hospitalization at 4800+ hospitals across India.
  • Choose between Individual or Family Floater Health Insurance plans.
  • Policy tenures range from 1- 2 years.
  • Cumulative Bonus upon completion of every claimless year.
  • When 4 claimless years are completed, get reimbursement on health check-up expenses.
  • Save tax under Section 80(D) of the Income Tax Act.
  • For applicants under 45 years of age, health check-up is not compulsory.
  • Hassle free claims process, limited documentation and fast settlement times.
  • Zero sub-limits on hospital room rents and expenses, doctor fees etc.

Exclusions- Incidents Not Covered by the Policy

  • Claims raised for illnesses or injuries that were caused due to the use of drugs or alcohol.
  • Pre-existing conditions aren’t covered until the policy is in force for the duration of 48 months continuously.
  • Attempted suicide, death or wounds due to self-inflicted injuries.
  • War, armed conflicts, terrorist activities, radioactivity and other man-made conditions.
  • Inoculation and immunizations measures taken as preventive options, including vaccinations.
  • A waiting period of 30 days for claims, and a waiting period of 2 years for particular diseases and treatments like surgery on tonsils, internal tumours, cysts, sinuses etc.
  • Cosmetic or plastic surgeries (unless recommended as a medically crucial treatment).
  • Acquired Immune Deficiency Syndrome (AIDS) and related diseases.
  • Requirement of hospitalization due to injury or illness caused by a criminal act.

HDFC ERGO’s Health Suraksha Gold

Key Features

  • No age limit at entry with lifelong renewability.
  • Very affordable cost for robust health insurance coverage.
  • Choose between Individual or Family Floater Health Insurance plans.
  • Sum Insured Individual: Rs. 2 lakhs, Rs. 3 lakhs, Rs. 4 lakhs, Rs. 5 lakhs, Rs. 7.5 lakhs and Rs. 10 lakhs. Family Floater: Rs. 3 lakhs, Rs. 4 lakhs, Rs. 5 lakhs, Rs. 7.5 lakhs or Rs. 10 lakhs.
  • Avail 10% discount for a 2 year tenure and a discount of 10% if 2 or more members are covered under the Health Suraksha individual sum insured plan.
  • Cashless hospitalization at 4800+ hospitals across India.
  • Save tax under Section 80(D) of the Income Tax Act.
  • Hassle free claims process, limited documentation and fast settlement times.
  • Covers inpatient hospitalization expenses under Ayurveda, Unani, Sidha & Homeopathy without any sub limit as part of AYUSH Cover.
  • At 4+ years from inception of the policy, full maternity benefit alongside new born baby cover.
  • If hospitalization has exceeded 10 continuous days then convalescence benefit is also provided.
  • Zero sub-limits on any disease, room rent, hospitalization charges, doctor’s fee etc.
  • Upon diagnosis of a critical illness, avail our option for E-opinions.

Exclusions- Incidents Not Covered by the Policy

  • Any hospitalization and treatments within 30 days from inception of the policy. Accidental injuries not included.
  • Initial 4 years waiting period before the maternity benefits kick in.
  • For the first 48 months, pre-existing conditions will not be covered. Also, specific illnesses and treatments might require 24 months as a waiting period before the policy will be applicable.
  • Acquired Immune Deficiency Syndrome (AIDS) and related diseases.
  • Claims raised for illnesses or injuries that were caused due to the use of drugs or alcohol.
  • Hospitalization resulting from terrorist activities, war, radioactive war, nuclear, chemical and biological weapons and warfare.
  • Pregnancy, dental and external aids, unless covered under specific plans.
  • Insanity, mental disorders, cosmetic surgeries, weight control treatments.

HDFC ERGO’s Health Suraksha Regain

Key Features

  • No age limit at entry with lifelong renewability.
  • Very affordable cost for robust health insurance coverage.
  • Choose between Individual or Family Floater Health Insurance plans.
  • Sum Insured- Rs. 3 lakhs, Rs. 4 lakhs, Rs. 5 lakhs, Rs. 7.5 lakhs and Rs. 10 lakhs.
  • Avail 10% discount for a 2 year tenure and a discount of 10% if 2 or more members are covered under the Health Suraksha individual sum insured plan.
  • Cumulative Bonus at 10% for every claim free year, up to 100% of the sum insured.
  • Cashless hospitalization at 4800+ hospitals across India.
  • Save tax under Section 80(D) of the Income Tax Act.
  • Hassle free claims process, limited documentation and fast settlement times.
  • Covers inpatient hospitalization expenses under Ayurveda, Unani, Siddha, and Homeopathy without any sub limit as part of AYUSH Cover.
  • REGAIN Benefit- Ensures automatic availability of sum insured upon its exhaustion.
  • Zero sub-limits on any disease, room rent, hospitalization charges, doctor’s fee etc.

Exclusions- Incidents Not Covered by the Policy

  • Any hospitalization and treatments within 30 days from inception of the policy. Accidental injuries not included.
  • For the first 48 months, pre-existing conditions will not be covered.
  • Acquired Immune Deficiency Syndrome (AIDS) and related diseases.
  • Claims raised for illnesses or injuries that were caused due to the use of drugs or alcohol.
  • Hospitalization resulting from terrorist activities, war, radioactive war, nuclear, chemical and biological weapons and warfare.
  • Pregnancy, dental and external aids, unless covered under specific plans.
  • Insanity, mental disorders, cosmetic surgeries, weight control treatments.

HDFC ERGO’s Health Suraksha Top Up Plus

Key Features

  • A supplement for your existing Mediclaim policy, that helps insure you for a larger sum insured limit at a lower cost.
  • Sum Insured- Rs.2 lakhs, Rs.3 lakhs, Rs.4 lakhs, Rs.5 lakhs, Rs.7.5 lakhs and Rs.10 lakhs.
  • Deductible- Rs.1 lakh, Rs.2 lakhs, Rs.3 lakhs, Rs.4 lakhs and Rs.5 lakhs.
  • When the deductible as per this policy is exhausted, a top-up cover is initiated.
  • No exit age- stay covered for life! Children covered from 91 days onwards.
  • No pre policy check-ups for individuals under the age of 55 years.
  • Choose between 1 & 2 years policy tenure for Individual or Family Floater plans.
  • Save tax under Section 80(D) of the Income Tax Act, which is over and above 80C.

Exclusions- Incidents Not Covered by the Policy-

  • No payments unless the medical expenses exceed the deductible.
  • For the first 48 months, pre-existing conditions will not be covered. Also, specific illnesses and treatments might require 24 months as a waiting period before the policy will be applicable.
  • A waiting period of 30 days applies to all claims.

HDFC ERGO’s Health Critical Illness Insurance

Key Features

  • Provides a lump sum benefit that can be used for- Hospitalization costs, care & treatment, recuperation aids, to pay off debts, compensate for lost income due to decreasing earning ability, and fund a complete change of lifestyle.
  • Save tax under Section 80(D) of the Income Tax Act.
  • 8 Critical Illnesses covered under the plan-
    • Heart Attack (Myocardial Infarction)
    • Coronary Artery Bypass Surgery
    • Stroke
    • Cancer
    • Kidney Failure
    • Major Organ Transplantation
    • Multiple Sclerosis
    • Paralysis

Exclusions- Incidents Not Covered by the Policy

  • 90 days waiting period applies to all claims.
  • Claims raised for illnesses or injuries that were caused due to the use of drugs or alcohol.
  • Attempted suicide, death or wounds due to self-inflicted injuries, criminal or unlawful acts.
  • Acquired Immune Deficiency Syndrome (AIDS) and related diseases.
  • War, invasion, acts propagated by foreign enemies, activities consistent with war.
  • Treatments arising from pregnancy (including voluntary termination), miscarriage, maternity or birth (including caesarean section).
  • Participation in such activities as racing, diving, aviation, scuba diving, parachuting, hang gliding, mountain climbing or activities pertaining to naval, military or air force operations.

HDFC ERGO’s Health Critical Illness Platinum

Key Features

  • Provides a lump sum benefit that can be used for- Hospitalization costs, care & treatment, recuperation aids, to pay off debts, compensate for lost income due to decreasing earning ability, and fund a complete change of lifestyle.
  • Save tax under Section 80(D) of the Income Tax Act.
  • 15 Critical Illnesses covered under the plan-
    • Heart Attack (Myocardial Infraction)
    • Coronary artery Bypass Surgery
    • Stroke
    • Cancer
    • Kidney failure
    • Major organ transplantation
    • Multiple Sclerosis
    • Paralysis
    • Aorta Graft Surgery
    • Primary Pulmonary Arterial Hypertension
    • Heart Valve Replacement
    • Benign Brain Tumour
    • Parkinson's disease
    • Alzheimer's disease
    • End Stage Liver disease

Exclusions- Incidents Not Covered by the Policy

  • 90 days waiting period applies to all claims.
  • Claims raised for illnesses or injuries that were caused due to the use of drugs or alcohol.
  • Attempted suicide, death or wounds due to self-inflicted injuries, criminal or unlawful acts.
  • Acquired Immune Deficiency Syndrome (AIDS) and related diseases.
  • War, invasion, acts propagated by foreign enemies, activities consistent with war.
  • Treatments arising from pregnancy (including voluntary termination), miscarriage, maternity or birth (including caesarean section).
  • Participation in such activities as racing, diving, aviation, scuba diving, parachuting, hang gliding, mountain climbing or activities pertaining to naval, military or air force operations.

In Summation- HDFC ERGO Health Insurance brings the best of many worlds to its patrons in India- simplicity, scalability, reliability and a robust customer support ecosystem. Why look elsewhere when all this is available at just the click of a button? Check out HDFC ERGO Health Insurance today!


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HDFC ERGO Health Insurance Reviews

HDFC ERGO   Health Insurance Reviews
86 % of our customers would recommend this Insurance Company. (44 out of 51) Write Review
Customer Reviews
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  • Validated User
    (0)

    Every one year I am renewing the health insurance policy and HDFC Ergo has provided booklets where the lists of hospitals are mentioned. I just need to show the card to hospitals and rest of the things will be taken care by HDFC. They have certain criterion where we can claim after three days if we hospitalized and they are providing 1000 per day. The coverage is very less I would say. For major operations the coverage is 2lakhs.

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  • Validated User
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    I am holding a HDFC ERGO they are adding about 10% of the sum assured on the coverage amount after end of the year . Incase if a customer does not utilise the hospitalizaiton benefit. It provides a coverage for 2 to 3 lakhs. I can renew it on a yearly basis. The total term is 10 year. The only thing was the agent was not avalible when ever I try to contact him.

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  • Validated User
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    HDFC Ergo guys are very friendly and they do revert immediately on any complaints. The issues are getting sorted as earlier so really good experience and glad to have health insurance with HDFC. I did not go through with the agreement copy but they are covering some major surgeries and they wonâ??t cover for small diseases. 5lakhs is the medical coverage.

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  • Validated User
    (0)

    Customer service response is not that good with HDFC Ergo . As I often travel I thought of taking this insurance. Its a 2 year plan . The amount is deducted from my credit card on a Monthly basis. After 2 years I will decide whether to continue with this plan or not.

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  • Validated User
    (0)

    Total experience is good with HDFC Ergo. Premium payment is monthly by the credit card and every year have to renew the health insurance. I guess HDFC is covering most of the critical diseases and coverage is 3lakhs. Satisfied with customer service.

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  • Validated User
    (0)

    I am holding a health insurance with HDFC . I have tried to claim once, I was placed on long que when I contacted them over the phone. We can supposed to contact them with 3 days of time. I was unable to reach them lost patience finally gave up. Medical coverage amount ranges from 3 lakhs to 10 lakhs. The bills can be submitted pre and post hospitalisation.

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  • Validated User
    (0)

    Officers of HDFC Ergo called me and offered health insurance so followed that I availed insurance. HDFC Ergo is covering maximum diseases. I had fever so I submitted bills with HDFC and they provided amount to particular hospital. If customer admitted in hospital for more than 5 days they can claim for insurance. I heard that they wonâ??t cover bye pass surgery but donâ??t know how true it is. They are covering pregnancy as well and HDFC tie up with most of the hospitals.

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  • Validated User
    (0)

    I did not avail claim till now and donâ??t know about cashless treatment as I never checked for it. I read the documents but I did not find any interesting thing about health insurance from HDFC Ergo. All my organization employees availed the policy so I took this health insurance. HDFC Ergo should regularly talk to the customers and they have to educate the customers.

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  • Validated User
    (0)

    There are so many uncovered disease like ear infection and we can get the insurance amount only after 24 hours. Cashless facilities are there and they are covering most of the hospitals. Please clarify the clients about all the details without hiding anythings. Medical coverage is up to 2lakhs to 3lakhs and this depends on different plans. My health insurance plan is Health Suraksha with HDFC Ergo.

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  • Validated User
    (0)

    Last year I did avail health insurance so I never tried for cashless treatment but whatever they provides I feel good. Medical coverage and cashless treatment are satisfactory services. Medical coverage is up to 1.5lakhs by HDFC Ergo. On whole, experience is satisfactory.

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  • Validated User
    (0)

    Customer service is good but I did not undergo any claim till date thus cannot comment on claim experience. Medical coverage is good in HDFC Ergo for health insurance. My policy is very old whereas I took it during 2010 but more or less they covering all diseases. Through net banking using my credit card I am paying the premium. Premium is one time in a year and for ten years I availed the insurance. One e time payment this is for ten years.

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  • Validated User
    (0)

    HDFC Ergo is providing insurance amount to my family members, if something happens to me and good sum assured to family. Health insurance will be renewed every year. I opted health insurance with HDFC Ergo is that, they are deducted premium from credit card. I guess they covers all kinds of disease.

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  • Validated User
    (0)

    Reason to choose HDFC Ergo for health insurance is that of fastest processing and the individuals are very responsive and not like private sector. Heath insurance is necessary to everybody and HDFC is covering accidental death and critical illness. As well they are paying customers in loss of job. They are doing quiet good so no need of any advise.

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  • Validated User
    (0)

    More or less HDFC Ergo is covering all diseases except pregnancy. Paper works are minimal for health insurance and fastest enrollment for new customers. Whatever the details that shared on online is same been executed so they were transparent enough. The only concern is that they are taking merely 24 hours to give cash post we submit claim form.

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  • Validated User
    (0)

    I am holding a policy HDFC Ergo its basically a medical policy. Basically , If I want to get any reimbursement. I should get admitted in the hospital for one day and I will definitely get 3 lakhs out of that. Its a 2 year policy. I am supposed to pay rs7500 totally and I have converted that in to 12 EMIâ??S.

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  • Validated User
    (0)

    Plans are very good in HDFC Ergo on Health Insurance. If anything happens incorrectly to us, we can claim amount for emergency and medical needs, also it covers cashless treatment thus I picked health insurance. I have to pay premium till my age of 55 and premium is yearly. HDFC Ergo have tie up with several hospitals so really customers would be benefited.

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  • Validated User
    (0)

    HDFC Ergo is having several features and also they are providing it to their customers. According to my experience health insurance is very much mandatory to all the customers as it covers in emergency cases. HDFC Ergo covers all the medical needs except dental and maternity. I am paying premium using my credit card and opened for tenure of 1 year.

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  • Validated User
    (0)

    HDFC Ergo is responding customers immediately and queries are being resolved timely. Health Insurance is important as it helps in emergency cases. My tenure is for 3 years and on quarterly basis, paying 10,000. HDFC Ergo makes settlement to respective hospital in 7 days from the date we submit all the bills.

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  • Validated User
    (0)

    The health insurance which I have with HDFC Ergo was through my company. I would say that there is no issues with them as every detail was collected from my office and even the premium amount of Rs.190 is getting deducted from the salary account directly. The policy is or around 1 year and the sum assured is Rs.100000. The customer support is really good and they offer benefits like if there is hospitalisation more than 24 hours there is a cashless benefit given. They also provide a Reimbursement option if there is no hospitalisation.

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  • Validated User
    (0)

    I am holding a HDFC ergo insurance policy. The policy amount's approximately one lakh . I am unhappy with their service, as when I was hospitalized and when I tried to claim the amount, they asked for too many question one after the other. They were asking me for my application number and lot of other documents which was unable to product at that point of time as I was hospitalized. Finally, I can-celled this and I got it reimbursed through my company.

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Customer Reviews
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