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HDFC ERGO General Health Suraksha Gold With Regain And ECB

What is the Plan all About?

HDFC ERGO General Health Suraksha Gold with Regain and ECB provides you a comprehensive health cover against sudden illnesses/injuries. It is an affordable health plan provides cover against in-patient treatment and pre & post hospitalization expenses. This health policy provides a benefit of the enhanced cumulative bonus and regain of sum insured benefit so that you can focus only on healthcare treatment.

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Key Features

  • No limit for age at entry
  • Enhanced Cumulative Bonus @ 10% per claim free year up to 100% of Sum insured
  • REGAIN benefit – Automatic availability of Sum Insured upon its exhaustion
  • No Sub-limits on any disease, room rent, hospital charges and doctor fees
  • Convalescence benefit provided
  • AYUSH cover available
  • Maternity cover available
  • Avail cashless services across 6000+ hospitals
  • Lifelong renewability
  • E opinion for critical illness
  • Enjoy hassle-free claims procedure
  • Get benefits on Income Tax under Section 80D of the Income Tax Act

Policy Benefits

  • In-patient hospitalization expenses are covered as mentioned in the Policy.
  • Pre hospitalization expenses are covered up to a maximum of 60 days before you are hospitalized and Post hospitalization expenses are covered up to a maximum of 90 days after you are discharged.
  • 144 day care procedures which need the insured to be hospitalized for less than 24 hours are covered.
  • Domiciliary treatment expenses are covered under this plan.
  • Organ donor expenses incurred towards harvesting the organ are covered.
  • Convalescence benefit is covered, in case hospitalization exceeding 10 continuous days.
  • Newborn baby cover is applicable from birth.
  • Maternity expenses are covered and it also includes pre & post natal expenses.
  • E-opinion in case of critical illness is available under this Plan.

Value Added Benefits

  • Get Cumulative Bonus by 5% of the sum insured for each claim free policy year, up to a maximum of 50% of the base sum insured, applicable for all three plan options.
  • Ambulance Charges are covered under this plan.
  • Medical expenses incurred under AYUSH treatment are covered, without any sub-limit.
  • Health check-up is covered after 4 continuous claim free policy years.
  • Avail tax benefits u/s 80D as per IT Act, 1961 for premium paid for this plan.

Sub Limits

  • No sub-limit on the room rent applicable under this plan.
  • A lump sum amount of maximum of 1% of the sum insured up to Rs 10,000 is payable towards Convalescence benefit.
  • Maternity expenses are covered up to Rs. 15000 for Normal Delivery/Termination, Rs 25000 for LSCS.
  • Ambulance charges are payable as Rs 2000 or Rs 3500, depending on the chosen sum insured.
  • Health check-up is covered up to 1% of the sum insured, subject to a maximum of Rs 5,000 per insured person.

Waiting Period Clause

  • Initial Waiting Period: A waiting period of 30 days from the inception date for all hospitalization claims except in case of accidents.
  • Specific Waiting Period: 24 months Waiting Period will be applicable for specific illnesses.
  • Pre existing Disease Waiting Period: Any pre-existing ailment/injury that was diagnosed /acquired within 48 months from the issuance of the first policy.
  • Maternity Waiting Period: Medical expenses incurred towards maternity are covered after a waiting period of 4 years.

Who can Buy the Plan?

Factor Minimum Maximum
Age (as on last birthday) No Limit On Entry Age No Limit
Sum Assured 3 Lacs 10 Lacs
Cover Type Individual/Family Floater -
Policy Tenure 1 Year 2 Years
Grace Period 30 Days -
Free Look Period 15 Days -
Riders Nil -

Exclusions

  • War, invasion, act of foreign enemy
  • Intentional self injury
  • Abuse of intoxicant or hallucinogenic substance
  • Mental disorders
  • Dental treatment
  • Cosmetic surgery/treatment
  • Pregnancy & childbirth related complications
  • Experimental/Unproven treatment, etc.
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