Multiple digits of medical expenses and constantly increasing costs of health insurance premiums with the age factor are a few concerns for everyone. Are you finding a plan that suits your requirements? What if you get a plan that pays for its renewals in a few years? Well, Health Wallet family floater is a fully loaded plan with benefits and exactly like a full bag of goodies.
HDFC ERGO Health Wallet insurance plan reduces the burden of the soaring medical costs. It is a flexible plan that provides you with comprehensive protection from paying for the inpatient & outpatient expenses and saves you from future financial worries.
Let's explore this plan in detail.
| Prosper | Adult | Children |
| Minimum Entry Age | 18 years | 91 days |
| Maximum Entry Age | 65 years | 25 years |
| Sum Insured | Rs. 3 Lakhs to Rs 50 Lakhs | |
| Policy Tenure | 1/2/3 years | |
**Last Updated on 18-03-2021
The Health Wallet Family Floater plan offers amazing benefits and availing of this plan is a delight for everyone. Let's explore them out,
The plan offers complete coverage to you and your family members at the time of medical emergencies. Let's take a look at it:
| Parameters | Coverage |
| Day Care Treatments | Yes |
| Pre Hospitalization Expenses | Covered, up to 60 days |
| Post-Hospitalization Expenses | Covered, up to 90 days |
| Ambulance Cover | Yes (up to Rs. 2000) |
| Domiciliary Treatment Expenses | Yes |
| Pre-Medical Health Check-up | Depends on the age and basic sum insured. |
| Ayush Treatment Expenses | Available |
| Worldwide Emergency | 50% of sum insured up Rs.20 lakhs |
| Renewability | Lifetime |
| Maternity Expenses | No, except ectopic pregnancy |
| Organ Donor Expenses | Yes |
**Last Updated on 18-03-2021
The plan delivers a long list of benefits to its customers. Let's take a look at its most significant ones.
It automatically restores the sum insured in case the base sum insured and multiplier benefit (if any) is exhausted during the policy tenure. The restored SI is equal to 100% of the base SI.
Under this, the basic sum insured will increase by 50% for a claim-free year (at the time of renewal) and will double for the 2nd claim-free year.
The plan offers preventive health check-ups (at renewal) to keep track of your health insurance. The eligibility for a health check-up is based on the reserve benefit sum insured.
It helps you cover your present and grows continuously to cover your healthcare costs in the old age. Any unused amount is carried forward to the next year and you can earn a 6% bonus on it at the time of renewal.
Ambulance expenses incurred for the transportation of the insured to a hospital for emergency treatment is covered (up to Rs. 2000 per hospitalization).
If the insured is admitted to the hospital for more than 24 hours for treatment, the policy will pay for his/her medical expenses. The expenses covered under inpatient treatment are
One can enhance his/her sum insured under the Health Wallet plan. In case of enhancement with one grid up, there is no requirement of medicals. However, for more than one grid up, policyholders may have to undergo medical tests. This enhancement is only possible at the time of renewals.
The plan offers coverage for pre & post-hospitalization expenses for consultations, investigations, and medicines incurred up to 60 & 90 days respectively.
Expenses incurred against the treatment of illnesses or conditions while traveling abroad are taken care of by the plan (50% of sum insured up Rs.20 lakhs).
In case your hospital stay stretches beyond 10 continuous days, the plan will offer Rs.10,000 as a lump sum amount.
The premium amount paid under this plan qualifies for a tax benefit under Section 80D of the Income Tax Act, 1961.
The plan allows policyholders to avail of deductibles, which permits them to look after their medical expenses up to the pre-decided deductible amount.
It includes all treatment expenses incurred under Ayurveda, Unani, Sidha, and Homeopathy in AYUSH Hospital according to the plan's terms and conditions.
There is a waiting period of 30 days, starting from the date of plan purchase. For specific diseases like Hernia, Cataract, Joint replacement, and Hysterectomy, the period stretches to 2 years. Finally, all pre-existing conditions are covered after 3 years.
This table illustrates the premium paid by a family at the different sum insured options assuming the ages for 1 year : Self- 30 years, Spouse - 28 years, Children - 10 years and 5 years
| Sum Insured (in lakhs) | Premiums (in Rs) |
| 5 | 25042 |
| 10 | 35398 |
| 15 | 39690 |
| 20 | 48778 |
| 25 | 56212 |
| 50 | 72312 |
**Last Updated on 18-03-2021
Go through the graph carefully for a quick understanding of premiums,
Some of the policy exclusions are listed below:
Following the PolicyX.com HDFC Ergo- Health Wallet family floater plan, if you are planning to buy this plan for you and your family, you can do it on the company’s website or PolicyX.com. For the smooth and easy processing of the plan, you are required to follow the below-listed steps to buy the plan conveniently.
PolicyX.com
Company's Website
You can also buy this plan by visiting the nearest branch of the company
Documents required to HDFC Ergo Health Wallet Family Floater?
There are two ways to file a claim for the HDFC ERGO Health Wallet plan. Let's discuss both in detail:
Cashless Claim Settlement Process
To avail the cashless facility, the policyholder has to visit the network hospital of HDFC ERGO and follow the steps:
Reimbursement Claim Settlement Process
If you can't visit the network hospital, you can apply for a reimbursement claim. Follow the below steps:
Documents required while filing the claim process
Parameters to Choose Employees Group Health Insurance
July, 2021
Top 5 Maternity Insurance Plans in India
June, 2021
Coverage for cancer care expenses
June, 2021
Best Coverage For Covid Treatment Expenses
May, 2021
Mental Illness - How Much Is Covered In Health Insurance?
May, 2021
Benefits of Health Insurance in India
January, 2021
1. Can I avail of domiciliary hospitalization under the Health Wallet plan?
Yes, you can. In case the patient is not in a condition to be moved to a hospital or, the patient takes treatment at home on account of non-availability of room in a hospital (on doctor's guidance), the plan will cover its expenses.
2. Are there any discounts available under HDFC ERGO Health Wallet?
Yes, the plan gives a discount of 7.5% on 2 years and 10% on 3 years policy premiums if paid in a lump-sum.
3. How many family members can be added to HDFC ERGO Health Wallet?
A maximum of 6 members can be added to this policy.
4. How can I pay my HDFC ERGO Health Wallet policy premium?
The company allows the policyholder to pay through-
5. Does the plan offer a grace period and free-look period to its customer?
Yes, it does. The plan comes with a 30 days grace period and 15 days free-look period.
1 days ago
Pradeep Narayan Kushwaha
Other1 days ago
Rahul Yadav
IndoreMiss Priya Panchotiya (12807) is best employ of the Policyx.com. We are helpful to your organisation and specially sales team.
July 26, 2021
ajay shah
MumbaiIt has been a great experience with sale as well aftermath personnels, of your organisation. They have define and help to core to add me as future loyal customer. Highly appreciate the efforts of Mr Dev k Singh and Rahul to close the deal very comfortably. Once again accept my best wishes to your company and especially the team as frontliner for tie up for our great future relationship and they do stand highest rank in professionalism.
July 22, 2021
Ajay Shah
MumbaiWe are thankful to your organization and specially to your sales team highlighted by Mr. Dev his efforts to explain the product in details was quite appropriate and it help us to get the closure. Once again thanks for gaining the confidence of the customer with genuinely.
July 11, 2021
Dr Mukesh Shah
HyderabadExcellent service by policyx and particularly Ms Prashansha Yadav employee Id 12671. She was prompt on the answer and listen very patiently and the answer was very clear and understandable. really it was a pleasure to contact policyx.
Last updated on 18-03-2021
Get Instant Quotes
We purchase a policy.Policy no.is P/161130/01/2022/053322.Our policy sell officer Miss Priya Pancholiya.she clear all policy doubt.She is a good advisor.