Check out Health Insurance Brochures from HDFC ERGO General Insurance Company, for details visit: http://www.hdfcergo.com/health-insurance/health-suraksha.html.
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Health Insurance Brochures from HDFC ERGO General Insurance Company
1. HEALTH
SURAKSHA
Wellness that you deserve
whichdonotrequire24hourshospitalisationduetotechnologicaladvancement
Domiciliary Treatment - Pays for expenses incurred for medical treatment taken at
home,ontheadviceofaphysician
Organ Donor - Pays for medical expenses for an organ donor's treatment in the
eventoforgantransplantation
Emergency Ambulance - Pays for expenses for utilizing ambulance services in an
emergency
Ayush - Pays for medical expenses for in-patient treatment taken under Ayurveda,
Unani,SidhaorHomeopathy
Anytreatmentwithinfirst30daysofcoverexceptanyaccidentalinjury
Pre-existingconditionswillnotbecoveredforfirst48months
ExpensesarisingfromHIVorAIDSandrelateddiseases.
Mentaldisorderorinsanity,cosmeticsurgery,weightcontroltreatment
Abuseofintoxicantorhallucinogenicsubstancelikedrugsandalcohol
Hospitalisation due to war / acts of war, nuclear, chemical / biological weapon &
radiationofanykind
Pregnancy, dental and external aids and appliances unless covered under specific
plans
2yearexclusionsforspecificdiseases
Experimental, investigational or unproven treatment, devices and pharmacological
regimens
Foracompletelistofexclusions,kindlyreferourpolicywordings
Incase of hospitalization, intimation should be provided to the Company
immediatelyandnotlaterthan7days
In all other cases, the Company must be informed of any event or occurrence that may
giverisetoaclaimunderthisPolicyatleast7dayspriortoanyconsequent t r e a t m e n t ,
consultation or procedure being taken and the Company should pre-authorise such
treatment,consultation orprocedure
Any documentation and information requested to establish the circumstances of the
claim, its quantum or the Company’s liability for the claim, should be submitted within
15 days of our request or discharge from Hospital or completion of treatment,
whicheverisearlier
Cumulativebonusof5%foreveryclaim-freeyearuptoamaximumof50%
Pays upto 1% of Sum Insured, maximum upto Rs. 5000 for a Health Checkup after 4
consecutiveclaim-freeyears
Disclaimer: The above information is only indicative in nature. For details of the coverage
andexclusionspleaserefertothepolicywordings.
Liability of the Company does not commence until the Company has accepted the
proposalandfullpremiumhasbeenpaid.
Anti-Rebating Warning: As per Section 41 of the Insurance Act 1938, as amended, the
practice of rebating is prohibited, as follows: No person shall allow or offer to allow, either
directly or indirectly, as an inducement to any person to take out or renew or continue an
insurance policy in respect of any kind of risk relating to lives or property in India, any
rebateofthewholeorpartofthecommissionpayableoranyrebateofthepremiumshown
on the policy, nor shall any person taking out or renewing or continuing a policy accept any
rebate, except such rebate as may be allowed in accordance with the published
prospectus or tables of the insurer. Violation of Section 41 of the Insurance Act 1938, as
amended, shall be punishable with a fine which may extend to Five Hundred (500)
Rupees.
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WHATISNOTCOVERED
CLAIMSPROCESS
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RENEWALBENEFITS
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TERMS&CONDITIONS
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FREE LOOK
You have a period of 15 days from the date of receipt of the Policy document to review the
terms and conditions of this Policy. If You have any objections to any of the terms and
conditions, You have the option of cancelling the Policy stating the reasons for cancellation
and You will be refunded the premium paid by You after adjusting the amounts spent on any
medicalcheck-up,stampdutychargesandproportionateriskpremium.YoucancancelYour
Policy only ifYou have not made any claims under the Policy.AllYour rights under this Policy
will immediately stand extinguished on the free look cancellation of the Policy. Free look
provisionisnotapplicableandavailableatthetimeofrenewalofthePolicy.
Formoredetailsonriskfactors,terms&conditions,pleasereadthesalesbrochurebeforeconcludingasale.
Insuranceisthesubjectmatterofsolicitation.IRDARegNo.125.UIDNo.841.
HDFC ERGO General Insurance Company Limited
st
Registered & Corporate Office: 1 Floor, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate,
Mumbai - 400 020.
th
Customer Service Address: 6 Floor, Leela Business Park,
Andheri Kurla Road, Andheri (E), Mumbai - 400 059.
Toll-free: 1800 2 700 700 (Accessible from India only)
Fax: 91-22-6638 3699
care@hdfcergo.com
www.hdfcergo.com
2. HDFC ERGO brings to you Health Suraksha, a unique health insurance plan, providing
optimum health coverage at an affordable price. Health Suraksha covers not only
hospitalisation in the event of an accident or sickness but extends to cover pre and post-
hospitalisation expenses, day care procedures, domiciliary treatment, organ donor
expenses.Moreover,yougetarenewalbonusforeachclaim-freeyear.
Get“HealthSuraksha”todayandprotectyourtomorrow!
TaxBenefitundersection80D*
NoMedicalCheck-upupto45years
PRODUCTHIGHLIGHTS
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NoSub-limitsonanydisease,roomrent,hospitalchargesanddoctorfees
CashlessTreatmentatNetworkHospital
5%bonusonSumInsuredforeveryclaim-freeyear
Nolimitforageatentry
Offersoneyearortwoyearspolicycoverageperiod
Optiontocoveronindividualsuminsuredbasisandonfamilyfloaterbasis
Avail a family discount of 10%, if 2 or more members of a family are covered under
thesamepolicyonIndividualsuminsuredbasis
LifeLongRenewability
Children below 5 years would be covered provided both the parents are covered under our
policy.
WHATISCOVERED
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In-patient Treatment - Covers hospitalisation expenses due to an illness or
accident. Pays for medical expenses incurred for room rent, boarding expenses,
nursing, intensive care unit, medical practitioner, medicines or drugs and other
related expenses
Pre-Hospitalisation - Pays for medical expenses incurred due to an illness 60 days
immediatelybeforehospitalisation
Post-Hospitalisation - Pays for medical expenses incurred 90 days immediately
afterthedischargeposthospitalisation
Day care procedures - Pays for medical expenses for 144 day care procedures
PREMIUM TABLE (Inclusive of Service Tax & Edu. Cess)
2 Year Policy
Age Group
0-17
18-35
36-45
46-50
51-55
56-60
61-65
66-70
71-75
76-80
>80
2 Year Policy
Age Group
0-17
18-35
36-45
46-50
51-55
56-60
61-65
66-70
71-75
76-80
>80
2 Year Policy
Age Group
0-17
18-35
36-45
46-50
51-55
56-60
61-65
66-70
71-75
76-80
>80
2 Year Policy
Age Group
0-17
18-35
36-45
46-50
51-55
56-60
61-65
66-70
71-75
76-80
>80
1 A 2 A 2 A 1 C 2 A 2 C 1 A 1 C
1 A 2 A 2 A 1 C 2 A 2 C 1 A 1 C
1 A 2 A 2 A 1 C 2 A 2 C 1 A 1 C
1 A 2 A 2 A 1 C 2 A 2 C 1 A 1 C
(* Subject to the change in Tax Laws)
1 Year Policy
2 A 2 A 1 C 2 A 2 C
7686
8917
11855
1 A 1 C 1 A 2 C 1 A 3 C
Sum Insured - 200,000
Age Group
0-17
18-35
36-45
46-50
51-55
56-60
61-65
66-70
71-75
76-80
>80
1 A
1 Year Policy
2 A 2 A 1 C 2 A 2 C 1 A 1 C 1 A 2 C 1 A 3 C
Sum Insured - 300,000
Age Group
0-17
18-35
36-45
46-50
51-55
56-60
61-65
66-70
71-75
76-80
>80
1 A
1 Year Policy
2 A 2 A 1 C 2 A 2 C 1 A 1 C 1 A 2 C 1 A 3 C
Sum Insured - 400,000
Age Group
0-17
18-35
36-45
46-50
51-55
56-60
61-65
66-70
71-75
76-80
>80
1 A
1 Year Policy
2 A 2 A 1 C 2 A 2 C 1 A 1 C 1 A 2 C 1 A 3 C
Sum Insured - 500,000
Age Group
0-17
18-35
36-45
46-50
51-55
56-60
61-65
66-70
71-75
76-80
>80
1 A
1 A 2 C 1 A 3 C
1 A 2 C 1 A 3 C
1 A 2 C 1 A 3 C
1 A 2 C 1 A 3 C
2384
3217
4037
6247
7498
8997
12596
17003
22955
29842
36108
4826
6056
9372
11246
13496
18893
25506
34433
44763
54163
6256
7487
10778
12933
15519
21161
28056
37015
47449
56871
14226
17071
23050
30097
39253
49687
59037
4243
4899
6522
7817
9394
13029
17590
23746
30870
37353
5751
6366
7524
8955
10334
14333
19348
26120
33957
41088
7419
8035
8625
10299
11367
15765
21283
28733
37353
45197
2712
3721
4479
6942
8330
9997
13994
18893
25506
33157
40120
5582
6718
10412
12496
14994
20992
28339
38259
49736
60181
7209
8345
11975
14370
17244
23511
31174
41128
52720
63190
8837
9973
13172
15807
18969
25610
33441
43615
55207
65597
4875
5482
7247
8685
10438
14478
19544
26384
34300
41504
6589
7156
8360
9951
11482
15925
21499
29024
37730
45653
8487
9055
9583
11443
12630
17517
23648
31926
41504
50219
3391
4652
5599
8678
10412
12496
17493
23617
31882
41447
50151
6978
8398
13016
15619
18743
26241
35425
47824
62170
75226
9071
10497
14969
17962
21555
29389
38968
51410
65900
78988
11338
12597
16465
19759
23710
32014
41801
54518
69009
81997
6236
6928
9060
10856
13047
18097
24430
32981
42875
51879
8419
9007
10449
12437
14352
19906
26873
36279
47163
57067
10945
11257
11980
14303
15788
21897
29561
39907
51879
62773
4069
5582
6718
10412
12496
14994
20992
28339
38259
49736
60181
8373
10078
15619
18743
22492
31489
42509
57388
74605
90271
10885
12597
17962
21555
25865
35268
46761
61692
79081
94785
13607
15116
19759
23710
28452
38416
50161
65423
82810
98396
7483
8314
10871
13028
15657
21716
29316
39577
51450
62254
10102
10808
12539
14925
17223
23888
32248
43535
56596
68480
13134
13509
14375
17164
18945
26277
35473
47888
62254
75328
4292
5790
7267
11245
13496
16194
22672
30606
41319
53715
64994
8687
10901
16870
20243
24292
34008
45910
61979
80574
97494
11261
13476
19400
23279
27934
38089
50501
66627
85407
102368
13836
16050
21339
25607
30728
41489
54174
70655
89436
106267
7637
8818
11740
14070
16910
23453
31662
42743
55566
67235
10351
11459
13543
16119
18601
25799
34827
47017
61123
73958
13354
14463
15525
18538
20461
28377
38310
51719
67235
81354
4882
6698
8062
12495
14995
17994
25190
34008
45910
59683
72217
10048
12092
18742
22492
26990
37786
51011
68865
89525
108326
12976
15021
21556
25865
31039
42320
56114
74031
94897
113742
15907
17952
23710
28452
34144
46098
60193
78507
99373
118074
8776
9868
13045
15634
18789
26060
35179
47492
61740
74706
11860
12881
15047
17911
20668
28665
38698
52243
67915
82175
15276
16299
17250
20597
22735
31530
42567
57467
74706
90395
6104
8373
10078
15620
18742
22492
31488
42511
57388
74605
90271
12560
15116
23428
28114
33737
47233
63765
86083
111906
135407
16327
18894
26943
32331
38799
52900
70142
92539
118620
142178
20409
22674
29637
35565
42678
57625
75242
98133
124217
147595
11225
12471
16307
19541
23485
32574
43975
59366
77176
93382
15154
16212
18809
22387
25833
35830
48372
65302
84894
102720
19701
20263
21564
25746
28418
39414
53209
71832
93382
112992
7323
10048
12092
18742
22492
26990
37786
51011
68865
89525
108326
15072
18140
28114
33737
40486
56680
76516
103298
134289
162488
19594
22674
32331
38799
46557
63482
84170
111046
142346
170612
24492
27208
35565
42678
51213
69149
90290
117761
149059
177113
13470
14964
19567
23451
28183
39088
52769
71238
92609
112058
18184
19454
22571
26865
31001
42998
58047
78363
101872
123264
23641
24316
25876
30895
34101
47298
63852
86198
112058
135591