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HDFC ERGO General Health Suraksha Top Up Plan

What is the Plan all About?

Health Suraksha Top Up Plus from HDFC ERGO General provides an additional cover and supplements your primary health cover at a low cost. This top-up health policy also comes with numerous additional benefits. This top Up policy also has the option to convert into Health Suraksha policy at any time.

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Key Features

  • Comprehensive health plan with no sub-limits
  • No pre-policy medical check-up up to 45 years
  • Enhanced Cumulative Bonus @ 10% per claim free year up to 100% of Sum insured
  • Option to choose from Individual or Family Floater Health Insurance plans
  • REGAIN benefit – Automatic availability of Sum Insured upon its exhaustion
  • Avail cashless services across 6000 plus 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.
  • 140 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 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.
  • No requirement of pre-policy medical check-up up to 55 years of age.
  • 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 is applicable under this plan.
  • Ambulance charges are payable up to Rs 2000 per hospitalization.

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 65 Years
Deductible 1 Lac 3 Lacs
Sum Assured 2 Lacs 5 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
  • Abuse of intoxicant or hallucinogenic substance
  • Participate in adventurous sports/activities
  • Pregnancy & childbirth related expenses
  • Dental treatment
  • Non allopathic treatment, etc.
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