HDFC ERGO not only cares for an individual but also for their loved ones whose protection is also important. We all share a healthy bonding with our close family members and also pray for their sane health. This is health insurance becomes when planning to our loved safety from future medical.
HDFC ERGO is joint venture financial institution HDFC and a based insurance unit called ERGO. Both of the companies partnered to form different health insurance plans for individuals and family. One of such plans is Health Suraksha Gold Insurance for Family which was designed to meet the requirements of family members and provide constant benefits during a term of the policy. Though Health Suraksha Gold Insurance for individuals today we are going to highlight the family plan.
In an urge to purchase the policy, the policyholder has to check the eligibility criteria before entering into an agreement-
This offer medical coverage caused due to temporary illness or accident in the shape of nursing expense, medicines, doctor fees, intensive care expense, surgeon fee, operation theatre charges, single private room accommodation, etc.
When a person falls ill, the primary thing he does is to consult a doctor or a physician before going for hospitalization for in-patient treatment. This involves a chunk of expenses such as doctor fee, medical test, diagnosis, injections etc named as pre-hospitalisation expenses.
After you get out of a hospital you still need care and proper supervision to ensure good health. You may need extra financial aid to meet the post-hospitalization expenses like medicines, pharmaceuticals, therapies, laboratory reports, consultation fees etc. The expenses cover after 60 days of discharge are named.
The need for room arises when any family member got hospitalized. In this case, there no sub-limits imposed on the room eligibility by the insurer and the insured is free to choose any hospital room according to their comfort.
This will facilitate the insured in case of a medical emergency which requires on-demand service of the ambulance to get the insured safely transported to the hospital without any delay.
Domiciliary hospitalization is required either in two cases -
Some illness or ailments require less than 24 hour time to get perfectly cured. These kinds of treatments are covered under Day Care Treatments. It includes eye surgery, tonsillectomy, chemotherapy, skin transplantation, orthopedics etc.
If you are planning to give birth to a child, the plan will cover your delivery charges and post-natal care expenses after four years of the waiting period. The insured can use up to Rs 15000 as normal delivery expenses and up to Rs 25000 for Caesarean section delivery.
In-patient treatment expenses occurred within 90 days after the birth of a newly born baby will get coverage after a waiting period of 4 years.
If in case the policyholder or any family member avails a non-allopathic treatment or commonly known as AYUSH treatment, then the insurer will reimburse a specific percentage of sum insured for the expense incurred only if you claim. The medical expenses covered happen due treatment under Ayurveda, Unani, Siddha, and Homeopathy are settled by the insured.
|Situation||Premium Paid||Benefit of Tax
|Family and parents below 60||Rs 25,000||Rs 25,000||Rs 50,000|
|Family below 60 but parents above 60||Rs 25,000||Rs 50,000||Rs 75,000|
|Family and parents above 60||Rs 25,000||Rs 50,000||Rs 1,00,000|
The add-on coverages will give the additional benefit on the payment of premium. Some of them are-
There is a family of four members where Shyam and Sukriti are husband and wife with a daughter of 15 years and a son of 13 years. The age of the couple is 44 years(Shyam) and 42 years (Sukriti). Sukriti advised Shyam to invest in health insurance as they are becoming aged and also have the responsibility of two children on their shoulders. Taking health insurance will save them from getting financially paralyzed due to uninvited medical issues.
Eventually, they bought the Health Suraksha Gold Plan from HDFC ERGO with a sum insured of Rs 10 lakh for one year. The premium payable according to their age and number of members included in the policy is Rs 27,688 per year. Also, the salaried income which Shyam was taking off ranged between 7-10 lakhs. After one year of the policy, Shyam was diagnosed with a brain tumor (critical illness) for which he took critical illness benefit as add-on cover. This step saved his family from facing future financial crisis.
He also received a discount on the sum insured by adding his wife and two children in the policy.
Aman and Aditi are newly wedded couples and both showed an interest in taking health insurance to get protection from medical uncertainties. Aman is of 27 years and Aditi is 26 years of age. Aman works in TCS as a software developer holding a salary between 10-15 lakhs and lives in Delhi. The sum insured taken was 10 lakhs for one year with an annual premium payment of Rs 17,997. In the policy, they are getting cashless treatment at 351 network hospitals located in their city. As they are planning to conceive in the next 3 years, this plan will give them financial help at the time of delivery of an infant.
Overall the Health Suraksha Gold Insurance for Family covers all the essential benefits and features that have the capacity to satisfy all the medical needs of the policyholder and the family members. It is a highly flexible plan that gives you variant choices in adjustment to the comfort of the family members.
HDFC has established a good reputation in settling the claim of its customer. The company also provides you with health care at the time of purchase. Health care becomes a necessity when you use service of cashless treatment at network hospitals.
Under the family floater plan, the maximum number of members that can be included is 4 where you have the choice to involve your child and spouse. You can choose any of the option provided below-
First, compare which plan is giving you more benefits in the face of coverage.
Family floater is exclusively for the individuals who want to safeguard their family member in case of any medical emergencies. There are plenty of benefits available under the family floater plans listed as follows:
The policyholder will get a 10% discount on the sum insured if he/she includes 2 or more family members into the plan. Another kind of discount available is on the purchase of a two-year policy term. The discount limit is 10%.
For instance, suppose Ritu buy a two-year policy for a family of four members with Rs 5 lakh of sum insured. The premium for one year is 17673 while whereas the premium offered by the company for two-year policy tenure was Rs 31,812 (actual premium was Rs 35,346). Ritu was gaining a discount of Rs 3,534 on buying a two-year policy.
If you are under 55 years of age then there is no need to undergo for medical examination. Whereas if the primary policyholder involves any member above the age of 55, then the medical examination is necessary.
There are multiple factors responsible for the change in the premium rate-
The online procedure for policy renewal is secure, less time consuming, and smooth.
*You get 30 days to renew your expired policy starting from the date of expiry.
To add a member, you just need to fill a health declaration and an endorsement form. This health declaration will include the new member's personal information and health history so far.
Last updated on 27-05-2020