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HDFC ERGO General Health Suraksha - Silver Plan

What is the Plan all About?

HDFC ERGO General Health Suraksha Health Insurance Plan covers you & your family against hospitalization expenses and other allied benefits.It is a comprehensive health plan available at an extremely affordable premium rates.

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Key Features

  • Complete health plan with no sub-limits
  • No pre-policy medical check-up up to 45 years
  • No limit for age at entry
  • AYUSH cover available
  • 5% bonus on Sum Insured for every claim-free year
  • No limit for age at entry
  • Offers one year or two years policy coverage period
  • Avail 10% family discount
  • Avail cashless services across 5000+ hospitals
  • Lifelong renewability
  • Enjoy hassle-free claims procedure

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.

Value Added Benefits

  • Sum Insured Enhancement at the time of policy renewal.
  • Get Cumulative Bonus of 5% of the sum insured for each claim free policy year, up to a maximum of 50% of the base sum insured.
  • Ambulance Charges are covered under this plan.
  • Medical expenses incurred under AYUSH treatment are covered.
  • 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 room rent is applicable under this plan.
  • 10%/20% co-pay applies (optional) towards the admissible claim amount.
  • Ambulance charges are payable as Rs 2000/3500, 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.

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
  • Suicide or attempted suicide
  • Mental disorders
  • Pregnancy & childbirth related complications
  • Cosmetic surgery
  • Items of personal comfort or convenience
  • Experimental/Unproven treatment,etc.
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