HDFC ERGO General Health Insurance Plans

Reasons for buying HDFC Ergo General Health Insurance Plans

Hectic day-to-day life increases exposure to severe illnesses and when you go for medical treatment, you need to pay hefty medical bills. Skyrocketing medical costs may also threaten your budget and thus, buying a health cover is the wise option. HDFC ERGO offers comprehensive health insurance plans that are available with customized features and benefits to suit your family’s healthcare needs.

Health Insurance HDFC

HDFC ERGO General Insurance is the 3^rd largest private insurance company, with a market share of 6.2%, and one most demanded insurance companies in India. HDFC ERGO General Insurance is a joint venture between, HDFC Ltd, India’s premier Housing Finance Institution, and ERGO International AG, the primary insurance entity of Munich Re Group. Munich Re Group is one of the largest groups of insurance entities and bit famous in the world too. Buying an insurance policy is really a big deal that any person ever does in their life, and the deal should be of benefit. Well, we all know one thing; an insurance policy is the best way to protect yourself, and your family.    

If insurance would be a deal for everyone, then they must opt to the beneficial side in the deal and someone said that a deal should always be profitable, so why don't we make a profitable deal by buying an insurance policy? A deal for life, to life, and by you, the way we spend the last few years, was quite scary, and still, the world won’t get over it. In that worst situation, death was not an answer it was a question for all, everyone lock themselves in their house, and just avoided the outside world, and trying to survive, and if you want that it won’t happen again with you then you should opt the policy by HDFC ERGO. 

Because of the way medical costs arise in the upcoming times, it would be a bit expensive to get treatment in a private hospital. During the Covid-19 period, we all are witnessed how Indian hospitals, doctors, and medical society were excessively busy. One thing that was required to get the best treatment means spending money because there was no bed available in the hospital, no doctor was free, and this was the situation that people have faced during the Covid-19 period. HDFC ERGO provides you with better coverage and the best benefits with plans that you deserve.

Apart from this, HDFC ERGO offers you every kind of policy as per your need and as per your age. The insurance policy provides you protection, from uncertainties that you might not be able to see. A strong gust of wind shakes any throne and gust of wind is like uncertainty in our life and it’ll shake you up, both physically and financially. The insurance policy provides complete protection, it provides you from mentally to financially relaxed even in your absence.

Performance till today

HDFC ERGO General Insurance Co. Ltd. is a joint venture between HDFC Ltd. and insurance company ERGO group, a group of insurance companies owned by Munich Re. Munich Re is a multinational insurance company and the largest insurance group in Europe. HDFC ERGO general insurance, formerly known as Apollo Munich Health Insurance.

In the year 2019, HDFC Ergo announced that they will acquire a 51.2% stake in Apollo Munich Health Insurance company. Just because, Munich has a stake in both companies (Apollo Munich and HDFC Ergo), so, HDFC buy the stake in Apollo. After getting final approval by IRDAI, unexpectedly, Apollo Munich Health Insurance becomes HDFC ERGO General Insurance. With the merger of both companies, HDFC ERGO General Insurance becomes the second private largest health insurance company.

The company has 200 branches across India, apart from this; the company has 7000+ employees, and more than 10,000 network hospitals in India. It was people’s trust that makes HDFC ERGO is a leading insurance company in India. From 2020, HDFC ERGO did a remarkable job till today, and still, they go on with their beliefs and with their bright idea. Till today, HDFC ERGO has sold 10, 66, 395 policies, and these numbers are enough to tell you how HDFC ERGO makes its way into the Indian Market.

HDFC ERGO has done some of the finest jobs in the health sector, and in the year 2016, HDFC ERGO General Insurance was awarded the Best Customer Experience Award of the Year in the financial sector by KamiKaze for its unmatchable customer service spirit. In 2016, HDFC ERGO gave its best and did some unmatchable job for the public, and this is what we expect with an insurance company. In the financial year 2019-20, the claim settlement ratio of HDFC ERGO was 86.52% not bad enough if we believe that numbers can tell you everything because sometimes numbers can’t judge the real talent.

Nor this number, and neither that award states that HDFC ERGO is the best insurance company, the one thing that makes choice easy for us is the track record of the insurance company. The increasing graph, that back our confidence in that particular insurance company, the vision of company whom you can rely on and in your own way can help make that vision a success.

Claim Process

Talking about the claim process, then how you want to settle your claim, the process depends on you. If you want, then you have the option of getting the cashless claim settled or if there is no option of getting treatment in-network hospital then you have an option of getting reimbursement claim settlement.  Both options are easy, but the reimbursement option might take more time and more effort than cashless claim settlement. Cashless Claim Settlement takes only 2 hours to get settled, but in the reimbursement option, you have to submit all the bills and after this, they’ll verify your claim and after satisfying your claim they’ll transfer the fund that you deserve.  

Let’s try to know what is the process of claim settlement?

Cashless Claim Settlement

Cashless Claim Settlement works in two flows, once you need a hospital on urgent, and second is you plan to get hospitalization for treatment. If you are planning to admit to the hospital for treatment, then you should inform your insurer about your plan, but the one thing that you should consider is must cover the ailment that you or your family member is diagnosed with.  

1. If it’s an emergency then, first go to the reception desk in the network hospital, and let them know that you are insured with HDFC ERGO General.

2. Show your policy id to the hospital team for identification purposes. Show your verification basically.

3. After this, a team of doctors will verify all documents related to the insured person, and also evaluate them. After that, they will cover you with claiming in and as per terms and conditions of your opted plan.   

4. After completion of some necessary process, the claim would be settled as your opted plan’s terms and conditions.

Reimbursement Claim Settlement

In reimbursement claim settlement, first, you have to get the complete treatment by spending your money, after getting the treatment as soon as you are discharged from the hospital, you have to keep one thing in mind you have to bring the below-listed documents. Because in reimbursement claim settlement, documents play a vital role in getting the claim settled, through documents it verifies that you have had treatment.

But the one thing that we should keep care of while buying any policy, they should check whether the insurance company from which you are buying insurance has any network-hospital in your area and only after that decide to buy insurance or else you will have to go through the indemnity claim.  

Documents must carry with you.

• Surgeon's bills and receipts
• Original chemist bills with prescription.
• Medical bills, discharge certificates, and payment receipts. (If payments are made with a card keep all the receipts)
• Medical test reports and investigation reports.
• Registration certificate of the hospital (if lesser than 15 beds).

Claim Settlement Process

1. First fill out the Claim form, and attach all the bills and receipts with the form. After that just go and submit the form to your nearest HDFC ERGO General branch.

2. As per your plan’s terms and conditions your claim will be settled, and you will get your fund.

Main USP’s of HDFC ERGO General Health Insurance Plans are :

• Hassle free claim procedure
• Complete and comprehensive health plans at an affordable cost
• Avail cashless treatment in 10000+ network hospitals
• No Sub-limits on hospital room rents, hospital expenses, specific diseases, and doctor fees
• No requirement of pre-medical tests up to the age of 45
• Provides quick assistance to all the health insurance policyholders for all health care related services
• Offers lifelong renewability
• Option to buy plans online in a hassle-free manner

Key Benefits of HDFC ERGO General Health Insurance Plans

• In-patient hospitalization expenses are covered under the health plans
• Pre hospitalization expenses are covered up to 60 days before hospitalization and post hospitalization expenses are covered up to a maximum of 180 days post-discharge
• More than 586-day care procedures are covered
• Domiciliary treatment expenses are covered under this plan
• Organ donor expenses incurred towards harvesting the organ are covered
• Enhance coverage with the top up and super top-up plans at an affordable cost
• Income Tax Benefits under section 80D for the paid premium.