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HDFC ERGO General Health Suraksha Silver With Regain And ECB

What is the Plan all About?

Uncertainties may knock the door any time and when it comes to illnesses/injuries, you need to be ready at all times. HDFC ERGO General Health Suraksha Silver Plan with Regain and ECB provides a comprehensive health cover. This health policy provides a benefit of the automatic availability of the sum insured, if it gets exhausted.

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Key Features

  • Comprehensive health plan with no sub-limits
  • No pre-policy medical check-up up to 45 years
  • Grab discounts on buying the policy
  • Avail cashless services across network hospitals
  • Lifelong renewability
  • Enjoy tax benefits

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

  • 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.
  • Get Enhanced Cumulative Bonus by 10% of the sum insured for each claim free policy year, up to a maximum of 100% of the base sum insured.
  • Ambulance Charges are covered under this plan.
  • Medical expenses incurred under AYUSH treatment are covered, with no capping.
  • 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, any disease, hospital charges and doctor fees is applicable under this plan.
  • 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) Adult: 18 Years, Children: 91 Days 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 Regain Benefit, Enhanced Cumulative Bonus -

Exclusions

  • Intentional self injury
  • Suicide or attempted suicide
  • Abuse of intoxicant or hallucinogenic substance
  • Mental disorder
  • Dental treatment
  • Pregnancy & childbirth related expenses
  • Experimental/Unproven treatment, etc.
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