Network hospitals
12000+
Incurred claim ratio
79.04%%
Sum insured
Up to 2 Cr
No. of Plans
1
Solvency Ratio
1.7
Pan India Presence
200+
HDFC ERGO Health Suraksha Plan is a comprehensive plan from the house of HDFC ERGO Insurance Company that aims at providing 360-degree protection against rising medical expenses. This plan offers you the best and is specifically designed for individuals, families, and senior citizens. With this plan, you can protect your family against any unforeseen illnesses and accidental injuries. HDFC ERGO Health Suraksha offers multiple Sum Insured options ranging from Rs. 3 Lakh to Rs. 75 Lakhs and is available under three variants named Silver Smart, Gold Smart & Platinum Smart Plans.
HDFC Ergo Health Suraksha delivers several features like in-patient hospitalization, pre and post-hospitalization, domiciliary hospitalization, daycare treatment, and more. Moreover, it offers exclusive benefits such as Air ambulance cover, Recovery benefit, and Infertility cover, along with Wellness benefits like fitness discounts during renewal and health incentives for the maintenance of health. Also, Flexi benefits like choosing room rent capping and co-pay to avail discounts on premium. Some discount options are also offered like a family discount, long-term policy discount, and loyalty discount.
To understand My:Health Suraksha Smart Plan Insurance in detail, take a look at the below table:
18 Years to No age limit
Individual and Family Health Insurance
3 L | 5 L | 10 L | 20 L | 25 L | 50 L | 75 L
30 Days
NA
1, 2, 3 years
*Initial Waiting Period is the time period between the issuance of the policy and the time it starts actively. During this period, a policyholder has to wait to avail of the benefits offered under a health insurance plan.
With wide coverage options available, My:Health Suraksha Smart Plan Insurance Plan allows you to choose your ideal coverage as per your family’s health requirements. Take a look at the coverage under every SI option available and choose your ideal coverage:
Room Rent
Covered
ICU Charges
Covered
Pre-Hospitalization
Covered
Post-Hospitalization
Covered
Domiciliary Hospitalization
Covered
Daycare Treatment
Covered
OPD Charges
Covered
COVID-19 Treatment
Covered
Cataract
Covered
No Claim Bonus
Covered
Automatic Restoration
Covered
Daily Hospital Cash
Covered
Organ Donor
Covered
Maternity Cover
Not Covered
New Born Baby Cover
Not Covered
AYUSH Treatment
Covered
IVF Treatment
Not Covered
Modern Treatment
Not Covered
Ambulance
Covered
Air Ambulance
Covered
Compassionate Travel
Not Covered
Global Coverage
Not Covered
E-Consultation
Not Covered
Health Check-Up
Covered
Second Medical Opinion
Not Covered
Vaccination
Not Covered
Co-payment
Not Covered
Sub-limits
Not Covered
The room rent limit is the maximum bed charge you can claim if you are hospitalised. Common Room categories covered under room rent are all kinds of rooms including single, private and AC rooms (except suite).
It is a special hospital department where patients with serious medical conditions are treated.
Medical expenses incurred before hospitalisation of the policyholder.
Medical expenses incurred after the discharge of the policyholder from the hospital.
Domiciliary hospitalization or home care treatments are the arrangements for an insured individual due to the unavailability of medical amenities in hospitals, or in a case where an insured member can not be admitted to the hospital due to an inability. The treatment should last equal to or more than 72 hours to get financial coverage.
Treatments that can be completed within 24 hours of hospitalization like blood dialysis, cataracts, etc.
Covers the cost of doctor consultations and prescribed medical tests that may not require hospitalization. .
It includes the treatment cost for COVID-19 with a confirmative diagnosis from a government-approved centre.
A common eye condition in which your vision gets blurred due to cloudy formation in your eyes.
For every claim-free year, insurance companies reward policyholders with an increase in the sum insured amount as a no-claim bonus or cumulative bonus on policy renewal. However, in the case of a claim, this bonus amount either lapses or is reduced by a certain percentage varying from one plan to the other.
It is a benefit in which an insurance company restores the amount of sum insured completely or up to a certain percentage after it gets fully exhausted in treatments. This restoration amount may vary from one plan to the other.
Daily hospital cash or Hospicash is a cash amount that you receive each day during the time of hospitalization to cover your non-medical expenses.
It is a cover that includes the cost of the procedure for removing the damaged or malfunctioning organs from the body. In most of the cases, the insurer pays for the hospitalization and transplant expenses for both the parties i.e. the donor and the receiver.
It refers to the cover that includes expenses for normal and c-section deliveries.
It takes care of the medical expenses that arise due to the hospitalisation of the newborn baby in case of any childbirth complications, medical challenges, and so on. Some of the common treatments that are covered under the newborn cover and these common treatments can vary from plan to plan:
Refers to the cost of medicines and procedures used under AYUSH (Ayurveda, Yoga & Naturopathy, Unani, Siddha, and Homeopathy) treatment.
In Vitro Fertilization (IVF) is a method of assisted reproductive technology. The common expenses incurred under IVF and infertility treatments are settled or reimbursed for:
Medical treatments that demand the use of modern technology and advanced machinery such as robotic surgeries, stem cell therapy, etc.
An ambulance is used to move the patient from home to the hospital, transfer them to another hospital, and take them for different tests outside the hospital.
Air ambulances are specially prepared planes that transfer the patient from one place to another in case of a health emergency.
Refers to the travelling expenses of a family member who’s visiting the hospital to look after the patient when the policyholder gets admitted to a hospital outside his/her residential city.
Any kind of medical/health emergency when you are outside of India is covered for hospitalization expenses, modern and specific treatments, etc.
If a policy offers e-consultation it allows policyholders to connect with a doctor for medical consultation through video chat, audio call, or chatbot.
A facility where the policyholder can avail of free health check-ups after fulfilling the company's eligibility criteria. In most cases, the insured member/s gets an annual health check-up cover.
If the policyholder wants, they may opt for a second medical opinion wherein the policyholder can consult another doctor within the company’s network of medical practitioners.
Coverage against the expenses incurred on vaccinations of either the newborn baby, for an animal bite, etc is provided by the insurance companies.
In the co-payment clause, policyholders have to pay a preset amount (either compulsorily or voluntarily) of the hospitalisation expense on their own and the insurer will pay the rest of the medical bill amount.
Sub limit is a condition in which the insurer will have to pay the medical expense up to a certain percentage and the remaining amount will have to be paid by the policyholder. For instance, if your policy covers room rent for upto 20% of the sum insured, but the expense of the same is more than 25%, you will have to pay the rest amount, i.e. 5%, for your room rent.
HDFC Ergo Health Insurance Plan Detailed Review
HDFC ERGO My Health Suraksha Plan
HDFC ERGO Health Insurance Network Hospitals are present in 31 states nationwide. With a wide network of hospitals, HDFC ERGO Health Insurance ensures that you are medically secured, irrespective of the city you reside in.
Permanent diseases or health conditions that are not included under My Health Suraksha Plan are:
Hospitalization out of war, riot, strike, and nuclear weapons
Intentional self-injury
AIDS
Miscarriage, and Abortion
Congenital disease
Infertility and in vitro fertilization
Certain diseases and treatments are covered under this plan after a certain period. Read the details below:
Listed ailments after 2 Years
Pre-existing diseases after 3 Years
To cater to the different medical needs of an individual & their family, HDFC ERGO Health Insurance offers several Health Plans ranging from senior citizen plans to specialized plans for autistic children, to health insurance for cardiac patients, and many more.Take a look below to HDFC ERGO Health Insurance plans explore more:
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Yes, the maximum age limit to buy a policy is 65 years.
Yes, my: health Gold smart plan and the platinum plan provide the insured with an air ambulance
Yes, this plan provides number of discounts to its customers such as, Family discount - In this, 10 % discount on the premium is offered if two or more of any eligible family members are covered. Loyalty discount - If an insured has more than one product, a 2.5% discount on premium is offered on my: health Suraksha Long Term Discount - A discount of 7.5% and 12.5% shall be offered on premium, in case a policy is purchased for 2 and 3 year duration respectively along with the Annual Premium Payment option.
Yes, the plan allows the option of premium payment on a monthly, quarterly, half-yearly and annual basis.
Yes, the plan will pay for the medical expenses on the hospitalisation of insured persons for some non -allopathic treatments prescribed by a health care provider such as Ayurveda, Unani, Siddha and Homeopathy.
By renewing your policy timely, you can avail the benefits of coverage provided without any procrastination. If you got late then you have to wait for 30 days to get off the coverage. Another benefit that is added to your insurance on a renewal is a 5% No Claim Bonus (NCB) if you haven’t registered any claim on each renewal. Some coverages like maternity and critical illness have a waiting time of 4 years. If you haven’t applied for up-to-date renewal, then the waiting period begins again with scratch.
By renewing your policy timely, you can avail the benefits of coverage provided without any interruption. 1. A benefit that is added to your insurance on a renewal is 10%/25% of No Claim Bonus (NCB) and the percentage of no claim bonus is based on the plan variant you choose. 2. Some coverages like maternity and critical illness have a waiting time of 4 years. If you haven’t applied for an up-to-date renewal, then the waiting period begins again with the scratch.
Yes, the plan allows the option of premium payment on a monthly, quarterly, half-yearly, and annual basis.
pre-policy medical checkup varies on the age and sum insured opted by the policyholder. Generally, a pre-policy medical checkup typically has a few blood and urine tests, ECG reports, TMT, 2D echo, Sonography, etc.
The HDFC Health Suraksha plan allows for a younger spouse to be a proposer. However, the premium calculation is based on the age of the eldest family member proposed.
Donor expenses such as screening, organ harvesting, and donor hospitalization are covered in the case of organ transplantation.
The initial waiting period under HDFC Health Suraksha is for 30 days in which the policyholder will not get any benefit from the policy.
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Naval Goel is the Founder and CEO of PolicyX.com (IRDA- Approved Insurance Comparison Website). He is a CFA charter holder (USA) and FRM (GARP). He holds an MBA from IIFT, Delhi, and is also an Associate from the Insurance Institute of India. Naval is an avid investor and entrepreneur who has a deep understanding of the Indian equity market and insurance sector. He has been investing for more than 10 years now and is a CFA charter holder.
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