A comprehensive health insurance policy goes a long way in ensuring that there are minimum financial setbacks during the time of medical emergencies. As the sedentary lifestyle takes over the good old practice of getting things done on foot, lifestyle diseases such as diabetes, hypertension, premature mortality, colon cancer, etc. become more and more prevalent among Indians.
Amidst such situations, owning a medical cover becomes imperative as it safeguards you against major financial losses with its extensive coverage options. Therefore, if you have a family member suffering from a certain critical illness, a health insurance policy will help prevent financial impairment. Through means of cashless treatments and reimbursements, you can easily save huge chunks of money on medical expenses.
HDFC Life Easy Health Plan is essentially a family health insurance plan for critical illnesses. Under the plan, the policyholder or any of his family members will receive a lump-sum amount of money from the insurer in case of a critical illness diagnosis. The critical illness, however, will have to be pre-specified in the policy. Some of the critical illnesses include cancer, cardiac arrest, paralysis, organ transplant, coronary artery bypass surgery, renal failure, stroke and so on.
Why do you Need to Purchase HDFC Life Easy Health Plan for Your Family?
The plan offered by HDFC is comprehensive in nature and must be purchased for the following reasons:
- Costs incurred in the sector of healthcare has surpassed the inflation rate in India
- There are recurring episodes of hospitalisations due to critical illnesses and lifestyle diseases
- The coverage offered under the plan is high and is sufficient for an entire family
- The premiums that you will be required to pay under the plan are cost-effective and affordable
- The protection benefits offered under the plan are extensive and a wide range of critical illnesses are covered under the same
- This plan can be used as a top-up plan to the health insurance policy that you already own
What are the Elements Covered Under HDFC Easy Health Plan?
The plan is a fixed benefit, health insurance policy that offers coverage for the following elements:
- Surgical treatments and procedures
- Hospitalisation expenses
- Critical illnesses
What are the Plan’s Salient Features?
Some of the salient features of HDFC Easy Health Plan are mentioned below:
- The plan offers a flexible premium payment term or PPT. You can choose single or regular premium depending on your benefit or convenience.
- The plan offers a daily hospital cash benefit wherein you will receive a certain benefit on a daily basis. This cash benefit may vary from Rs.250 to Rs.1,000 depending on your needs and requirements.
- The plan offers a surgical benefit to its policyholders wherein a lump-sum payout is provided in case they get diagnosed with any one of the 138 medical procedures specified in the policy.
- The plan offers a critical illness benefit to its policyholders wherein a lump-sum payout is provided in case they get diagnosed with any one of the 18 critical illnesses specified in the policy.
- In case you or your family member needs to be admitted in the Intensive Care Unit (ICU), the plan will provide a double benefit in that case. You may also avail the feature of Multiple Claims under HDFC Life Easy Health Plan.
- You can avail tax benefits on the premiums paid under the plan as per Section 80D of the Income Tax Act, 1961.
What are the Critical Illnesses Covered Under the Plan?
The plan covers the following critical illnesses:
- Cancer of a definitive severity
- Renal failure necessitating dialysis on a regular basis
- First cardiac arrest of a specified severity
- Stroke that results in permanent symptoms
- Irreversible organic degenerative brain disorder or Alzheimer’s disease
- Apallic syndrome
- Coma of a specified severity
- Brain tumor - benign
- Liver disease - last stage
- Lung disease - last stage
- Loss of sight or complete blindness
- Loss of independent existence
- Major head trauma
- Major or third-degree burns
- Parkinson’s disease
- Permanent limb paralysis
- Motor neurone disease with permanent symptoms
- Multiple sclerosis with persisting symptoms
Documents to be Submitted While Filing Claim:
Original copies of the following documents must be submitted when the insured files a claim:
- Claim form duly-filled and signed by the insured
- A self-attested copy of the policy document
- Claimant’s proof of identity and residence
- Cancelled cheque leaf that is personalised (bears name of the claimant) or a copy of the first page of the insured’s passbook. This requirement is, however, only restricted to claims that are more than Rs.1 lakh
- A self-attested copy of the discharge summary
- A self-attested copy of the final hospital bill
- Self-attested copies of medical records that include lab reports, consultation notes, and MRI and X-ray films
- Self-declaration of 30-day survival
- Operating theatre notes (in order to process the surgical cash benefit)
Unless the insured states the presence or occurrence of a specific illness/disorder to the insurer, the following conditions are not covered under HDFC Life Easy Health Plan:
- Treatment for a congenital disability including problems that are present since the time of birth.
- Treatment of a particular disorder that did not need hospitalisation in the first place.
- Any disorder or physical condition pertaining to covered benefits that has been diagnosed within the waiting period.
- Any elective medical procedure that is not a medical obligation.
- Improvement of weight or reduction of weight that has either been caused or not caused by a medical disorder.
- Research and subsequent treatment of sleep apnea.
- Any procedure that is of cosmetic nature.
- Routine eye check-ups or dental treatments.
- Outpatient treatment.
- Any medical procedure that relates to either impotence or infertility, abortion, or a sex change operation.
- Treatment or hospitalisation pertaining to pregnancy and that may lead to either miscarriage or childbirth.
- Hospitalisation for treatment of a disease that could have been treated outside the premises of the hospital on an outpatient basis and which is not followed by a medical intervention during the time of hospitalisation.
- A mental health issue or a psychiatric condition that does not necessarily limit to insanity or nervous/mental breakdown, disorder, depression, dementia, or psychosomatic disorders. Alzheimer's disease is also excluded from the plan.
- Recuperation, rehabilitation, sanatorium treatment, rest cure, respite care, gender debility, and exhaustion.
Applicants and potential purchasers of the plan are advised to read through the policy document carefully, including the terms and conditions, before making the investment.
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