HDFC ERGO Personal Accident Insurance
  • Worldwide coverage
  • No pre-policy medicals
  • Lifelong renewability
HDFC ERGO Health Insurance
premium

Network hospitals

12000+

premium

Incurred claim ratio

79.04%

premium

Sum insured

Up to 2 CR

premium

No. of Plans

11

premium

Solvency Ratio

1.7

premium

Pan India Presence

200+

Customized Health Insurance Plan for you.

Get upto 15% Online Discount*

Select Members You Want To Insure

Age of Eldest Member

premium

Network hospitals

12000+

premium

Incurred claim ratio

79.04%

premium

Sum insured

Up to 2 CR

premium

No. of Plans

11

premium

Solvency Ratio

1.7

premium

Pan India Presence

200+

HDFC ERGO Personal Accident Insurance Policy

Accidental deaths or injuries can be devastating, it can attack your physical, emotional, mental, and financial status to ruin your happy life moments in no time. This is one of the reasons the HDFC ERGO personal accident insurance plan covers you globally with its worldwide coverage benefits. Moreover, it provides lifelong renewability to continue the safety net over your head. And guess what! One of the biggest flexes of this plan is, that you need not go through any pre-policy medical check-ups to buy it.

You can buy an HDFC ERGO accidental insurance policy either on an individual or a family floater basis. You can secure your life along with your family members including elder parents, spouse and dependent children within a single plan. The plan combination/s of HDFC accidental insurance available are:

  • Self
  • Self and family plan
  • Self + dependent parents add-on
  • Self and family plan + dependent parents add-on

The specialized coverage under this plan includes:

  • Accidental injuries
  • Accidental Death
  • Permanent Disability
  • Broken bones
  • Burns (even 2nd and 3rd degree)
  • Ambulance charges
  • Hospital cash

Read further the eligibility criteria, benefits, inclusions and exclusions of the personal accident HDFC ERGO health insurance plan.

Eligibility Criteria for HDFC ERGO Personal Accident Insurance

Here is an illustration of the eligibility criteria for the personal accident insurance policy by HDFC ERGO:

Entry Age

Child: 91 days - 25 years

Adult Entry Age

Adult: 18 - 65 years

Plan Type

Individual

Policy Term

1/2/3 years

Initial Waiting Period

No waiting period for accidental claims

Sum Insured

INR 20 L - 10 Cr

*The Initial Waiting Period is the 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.

To know more about the plan read the brochure provided below:

Benefits of HDFC ERGO Personal Accident Insurance

If you are thinking of buying personal accident insurance by HDFC ERGO, go for it. But you must know some of the benefits attached to this policy before investing in it:

  • Accidental Death

    The plan covers the policyholder/s for severe accidents up to 100% of the sum insured. Also, if the policyholder has unfortunately met with an accident, the policy will provide 100% coverage for their family members who are covered in the policy.
  • Permanent Total Disability

    If the policyholder/s has met with an accident that has caused them partial or full disability, the insurer will provide a safety net up to a maximum of the sum insured.
  • Broken Bones

    The plan pays 10% of the total base sum insured or up to INR 50K to the insured’s elderly/dependant parents in a condition of broken bones due to an accident.
  • Burns

    This plan will also cover the insured individual up to the sum insured if he/she encounters the 2nd or 3rd-degree burns that occurred due to an accident by any means of conveyance or motility.
  • Ambulance costs

    In case of a medical emergency or high-stakes injuries, the insurer will cover the cost of an ambulance and expenses related to transportation from one hospital to the other.
  • Hospital Cash

    The policyholder can avail of the daily hospital cash benefit if required for a long-term hospitalisation.
  • Tax Benefits

    All the premiums paid towards the HDFC ERGO personal accidental insurance policy are eligible for tax benefits under Section 80D of the Income Tax Act.

Specification (Inclusions): HDFC ERGO Individual Personal Accident Insurance Plan

HDFC ERGO personal accidental insurance policy has three variants stretching the coverage limit to the extent of overall medical support in an emergency. The three plan variants of this personal accident insurance policy are Essential, Advanced, and Elite.

Choose your HDFC ERGO accidental insurance plan to get ready against all the uncertainties of life. Read here the inclusions of this plan before investing in it.

  1. Essential

    • Death and disability coverage
    • Sum insured ranging from INR 20 L to 1 Cr
    • Accidental hospitalisation with the restoration benefit cover
    • Protects the financial liability with loan secure benefit of the insured
    • Accidental OPD expenses are covered
    • Supports income gain in an injurious disability to earn
  2. Advanced

    • Comprehensive policy with 24 optional rider benefits
    • Sum insured ranging from INR 1 Cr to 2.5 Cr
    • Lump sum payout benefit in times of accidental death and disability
    • Accidental hospitalisation with the sum insured restoration benefit
    • Supports financial liabilities in parts of loan security benefit
    • Accidental OPD expenses
    • Supports income gain in an injurious disability to earn
    • Accidents occurring due to adventurous sports cover
    • In case of burns and fractures, the insured gets a cover for a lump sum payout benefit
    • Air ambulance cover
  3. Elite

    • Comprehensive policy with 30 optional rider benefits
    • Sum insured ranging from INR 2.5 Cr to 10 Cr
    • Lump sum payout benefit in times of accidental death and disability
    • Accidental hospitalisation with the sum insured restoration benefit
    • Supports financial liabilities in parts of loan security benefit
    • Accidental OPD expenses
    • Supports income gain in an injurious disability to earn
    • Accident occurring due to adventurous sports cover
    • In case of burns and fractures, the insured gets a cover for a lump sum payout benefit
    • Air ambulance cover
    • Provides financial assistance in an emergency to the elder parents, spouse, children, and pets of insured
    • It offers support for the income loss while the insured is in a coma
    • Expenses related to head/ spinal X-rays, CT/MRI scans, and much more are covered with this variant

Exclusions: HDFC ERGO Personal Accident Insurance Plan

Read below the list of standard exclusions or the conditions that are not covered under the HDFC ERGO accident policy:

Self-inflicted injury

An attempt to suicide/committed suicide

Abusing intoxicants or hallucinogens; drugs and alcohol

Insect transferred diseases, insect bite, disease spread, etc

Uncertainties caused due to adventure sports (unless it’s specifically opted while accessing the policy)

Treatment of obesity/weight control treatment and cosmetic/plastic surgery

Breach of law/unlawful activities that involve criminal intent

War, that is the act of war, foreign enemy, public defence, rebellion, revolution, insurrection, military, chemical, radioactive or nuclear contamination

Pregnancy or childbirth-related complications

External congenital diseases

For a detailed list of exclusions (what’s not covered), check through the policy wordings of the plan or your policy documents.

Final Thoughts

So hopefully, you have enough information about the HDFC ERGO Personal Accidental insurance policy!

Life may or may not be a bed of roses every day, as we can have good or bad experiences depending on what we have gone through. There’s no way that one has thought of meeting with an accident or getting an accidental injury. However, if someone has experienced such kind of an accident, it may shatter their emotional, mental, physical, and financial well-being all at once. It’s always necessary to be one step ahead of any uncertainty that may occur with us. HDFC ERGO Personal Accident Health Insurance plan is something that you need at this hour. It will not only support you throughout the recovery phase, but it will also take care of your family when you are not around.

Want to know anything else?

If you have another query, slide your questions into our email inbox at helpdesk@policyx.com or ring us at 1800 4200 269, and get your queries answered by one of our experienced advisors of health insurance at PolicyX.com.

HDFC ERGO Health Insurance Network Hospital List

HDFC Ergo entails a wide network of cashless Hospitals that impact millions of lives PAN India. A well connected network of over 12000+ cashless hospitals, HDFC Ergo ensures that you are medically secured, irrespective of the city you reside in.

Explore other HDFC ERGO Health Plans

HDFC ERGO provides myriads health plans to cater to the different needs of different customers. You can read about HDFC ERGO health plans for individuals, families, senior citizens, etc, below:

Comprehensive

Get 4X coverage* without any extra cost under this comprehensive health plan for individuals and families.

Unique Features

  • No room rent capping
  • 100% SI restoration
  • E-opinion for 51 illnesses

Optima Secure Policy (Pros)

  • Secure Benefit
  • Plus Benefit
  • Automatic Restore Benefit
  • No room capping
  • Covid - 19 Cover

Optima Secure Policy (Cons)

  • Adventure Sports Injuries
  • Injuries Out of War
  • Death due to breach of law
  • Congenital Diseases
  • Alcoholism

Optima Secure Policy (Other Benefits)

  • Day Care Treatments
  • Road Ambulance Cover
  • Air Ambulance Cover
  • E-opinion
  • Organ Donor Cover

Optima Secure Policy (Eligibility Criteria)

  • Entry Age - 91 Days
  • Max Entry Age - No Age Limit
  • SI - 5 L to 2 Cr
  • Waiting Period - 30 Days

Comprehensive

This plan is designed to provide you with alternate and basic healthcare facilities at affordable premium options.

Unique Features

  • Seamless customer support
  • Daycare procedures
  • Pre & post-hospitalization

Arogya Sanjeevani Policy (Pros)

  • Dental treatment & plastic surgery
  • Cumulative bonus
  • Wellness track app
  • 12 listed treatments covered
  • Preventive health check-ups

Arogya Sanjeevani Policy (Cons)

  • No maternity cover
  • Insufficient coverage
  • Less coverage for daycare procedures
  • Vaccination not covered
  • COVID-19 care not covered

Arogya Sanjeevani Policy (Other Benefits)

  • Individual & family floater plan
  • Over 13,000 Network Hospitals
  • Unlimited consultations up to SI
  • Cashless claim settlement
  • AYUSH Treatment cover

Arogya Sanjeevani Policy (Eligibility Criteria)

  • Entry age: 3 Months - 25 Years
  • Adult age - 18 - 65 Years
  • SI - Up to 10 Lakhs
  • Waiting Period - 30 days

Comprehensive

Provides comprehensive medical coverage to individuals and families with different budgets by offering SI options ranging from 5 Lakhs to 50 Lakhs.

Unique Features

  • Free health checkup
  • 2X multiplier benefit
  • 100% SI restoration

Optima Restore Policy (Pros)

  • Daily Hospital Cash
  • Ambulance Cover
  • Modern Treatment
  • Lifetime Renewal
  • Pre and Post Hospitalization

Optima Restore Policy (Cons)

  • No Dental Cover
  • No Maternity Cover
  • No Non-Allopathic treatment
  • Pre-Existing Diseases after 3 yrs
  • Alcoholism not covered

Optima Restore Policy (Other Benefits)

  • Sum Insured Enhancement
  • Tax Benefit
  • E-Opinion
  • 10% Family Discount
  • 7.5% discount on 2 years premiums

Optima Restore Policy (Eligibility Criteria)

  • Entry Age - 91 Days
  • Max Entry Age - 65 years
  • SI - 3 L to 50 L
  • Waiting Period - 30 Days

Flexible

Offers 360 degrees protection to you and your family with multiple SI options of 3 to 75 Lakhs. Comes with EMI and lifelong entry option.

Unique Features

  • Fitness discounts during renewal
  • Room rent capping and co-pay
  • Loyalty discounts

my:health Suraksha (Pros)

  • Renewal Benefit
  • Wellness Benefit
  • Premium Payment Options
  • Reduced Premium Benefit
  • 1,2,3 Years policy Period Option

my:health Suraksha (Cons)

  • No Return Transportation Cost
  • Suicidal Injuries
  • No Non-Allopathic treatment
  • Adventure Sports Injuries
  • Alcoholism

my:health Suraksha (Other Benefits)

  • Pregnancy Complications Covered
  • Newborn Complications Covered
  • Loss of Job Covered
  • Post Diagnosis Support
  • 41 Critical Illness Covered

my:health Suraksha (Eligibility Criteria)

  • Entry Age - 18 Years
  • Max Entry Age - 65 Years
  • SI - 3 L to 75 L
  • Waiting Period - 30 Days

Comprehensive

An individual and family health plan providing SI of up to 1 crore to prepare you to meet constantly increasing medical inflation.

Unique Features

  • Free preventive health checkup
  • Multiple wellness services
  • Up to 10% of fitness discount

Koti Suraksha Plan (Pros)

  • Renewal Benefit
  • Wellness Benefit
  • Premium Payment Options
  • Reduced Premium Benefit
  • 1,2,3 Years policy Period Option

Koti Suraksha Plan (Cons)

  • Infertility Treatment
  • No Unproven Treatments
  • No Dietary Supplements
  • No Maternity Treatments
  • No Cosmetic Surgery

Koti Suraksha Plan (Other Benefits)

  • 5% Non-Medical Expense Covered
  • Emergency Worldwide Coverage
  • Aggregate Deductible
  • Overseas Treatment
  • Sum Insurance Rebound

Koti Suraksha Plan (Eligibility Criteria)

  • Entry Age - 18 Years
  • Max Entry Age - 65 Years
  • SI - 1 L to 5 Cr
  • Waiting Period - 30 Days

Disease-specific plan

Designed especially for people with pre-existing diabetes or hypertension. Get coverage for diabetes and hypertension from Day 1 without any waiting period.

Unique Features

  • Stay fit & earn reward points
  • 100% SI restoration
  • Health coach & wellness programs

Energy Diabetes Policy (Pros)

  • In- Patient Hospitalization
  • No Waiting Period for Diabetes
  • Restore Benefit
  • Cumulative Bonus
  • Pre and Post Hospitalization

Energy Diabetes Policy (Cons)

  • 2 Year Waiting Period
  • Abuse of Intoxicant Not Covered
  • War Operations Injury
  • Sexsually Tranmitted Diseases
  • Pregnancy Not Covered

Energy Diabetes Policy (Other Benefits)

  • Monthly Newsletter
  • Organ Donor Benefit
  • Earn Rewards for Staying Healthy
  • 25% Discount On Renewal
  • 2 Variant Options(Silver,Gold)

Energy Diabetes Policy (Eligibility Criteria)

  • Entry Age - 18 Years
  • Max Entry Age - 65 Years
  • SI - 2 L to 50 L
  • Waiting Period - 2 Years

Disease-specific plan

Covers all types of cancer at all stages with lifelong renewability option. If diagnosed with IV stage cancer or relapse, this plan pays 100% of SI as a lump sum.

Unique Features

  • Coverage for modern treatments
  • Second opinions available
  • Coverage for follow-up care

HDFC iCan Cancer (Pros)

  • Ambulance Cover
  • Follow up care post treatment
  • Conventional Treatments
  • Hormonal Treatment
  • Stem Cell Transplantation

HDFC iCan Cancer (Cons)

  • No Non Allopathic treatments
  • No Prosthetic Devices
  • No Overseas Treatments
  • Pre-existing condition for Cancer

HDFC iCan Cancer (Other Benefits)

  • Sum Insured Enhancement
  • CritiCare Benefit
  • Family Care Benefit
  • Lifetime Renewal
  • MyCare Benefit

HDFC iCan Cancer (Eligibility Criteria)

  • Entry Age - 18 Years
  • Max Entry Age - 65 Years
  • SI - 5 L to 50 L
  • Waiting Period - 120 Days

Critical Illness

An ideal health plan for people with a pre-existing critical illness or a family history of critical illnesses. Get comprehensive coverage for 15 critical illnesses.

Unique Features

  • One-time lump sum payment
  • No medical checkup up to 45 years
  • Lifelong renewability

Critical Illness Policy (Pros)

  • In- Patient Hospitalization
  • High Cover at Low Premium
  • 1 or 2 Year Policy Period
  • End Stage Liver Failure
  • No Cover ceasing age

Critical Illness Policy (Cons)

  • 10 Lakh Fine on Wrong Claim
  • Tuberculosis Not Covered
  • PED after 48 months
  • Kaposi's sarcoma Not Covered
  • Lymphomas in brain Not Covered

Critical Illness Policy (Other Benefits)

  • 3 Variants (Silver, Gold, Platinum)
  • Two Year Policy Period
  • Guaranteed Renewal for Life
  • Loading on Renewal
  • Individual and Floater SI Options

Critical Illness Policy (Eligibility Criteria)

  • Entry Age - 5 Years
  • Max Entry Age - 65 Years
  • SI - 1 L to 50 L
  • Waiting Period - 90 Days

Bonus-oriented health plan

A flexible and comprehensive health plan, securing your today & tomorrow. With 'Reserve Benefit' features, this plan grows unused policy amount @6% interest rate.*

Unique Features

  • Automatic SI restoration
  • Multiplier benefit
  • Free preventive health checkup

Wallet Family Floater (Pros)

  • Reserve Benefit
  • 100 % Restore Benefit
  • Recovery Benefit
  • 50% Increase On SI on Renewal
  • World Wide Coverage

Wallet Family Floater (Cons)

  • External Congenital diseases
  • Drugs Treatments
  • Miscarraige Not Covered
  • Deductibles (Optional)
  • No Cosmetic Surgery

Wallet Family Floater (Other Benefits)

  • Ambulance Cover
  • 5 Year Policy Cover
  • Portability
  • 30 Days Grace Period
  • Sum Insured Enhancement

Wallet Family Floater (Eligibility Criteria)

  • Entry Age - 91 Days
  • Max Entry Age - 65 Years
  • SI - 3 L to 50 L
  • Waiting Period - 30 Days

Top-Up

Avail of extra cover to meet medical expenses without any limitations by purchasing this deductible-based top-up plan.

Unique Features

  • Constant premiums post 61 years
  • No medical checkup up to 55 years
  • 5% discount on 2-year policy term

My:health Medisure Super Top-up (Pros)

  • In- Patient Hospitalization
  • High Cover at Low Premium
  • Post 61 Year No Premium Hike
  • Day Care Procedure
  • Pre and Post Hospitalization

My:health Medisure Super Top-up (Cons)

  • Treatment Of Obesity
  • Self Inflicted Injury
  • War Operations Injury
  • Sexsually Tranmitted Diseases
  • No Cosmetic Surgery

My:health Medisure Super Top-up (Other Benefits)

  • Free Look Period
  • Two Year Policy Period
  • Guaranteed Renewal for Life
  • Loading on Renewal
  • Individual and Floater Options

My:health Medisure Super Top-up (Eligibility Criteria)

  • Entry Age - 18 years
  • Max Entry Age - 65 Years
  • SI - 1 L to 10 L
  • Waiting Period - 30 Days

Women-oriented health

Women-oriented health plan providing comprehensive medical insurance with major illnesses cover, and cancer cover all under a single plan but different variants.

Unique Features

  • Maternity complications
  • SI options from 3L - 1 Cr
  • Free preventive health checkup

My:health Women Suraksha (Pros)

  • AYUSH Benefit
  • Alternative Treatment
  • Organ Donor Benefit
  • Domiciliary Hospitalization
  • Pre and Post Hospitalization

My:health Women Suraksha (Cons)

  • Adventure Sports Injuries
  • No Sexsually Transmitted diseases
  • No Cosmetic Surgery
  • Alcoholism issues not covered
  • No Self Inflicted Injuries

My:health Women Suraksha (Other Benefits)

  • Parent and Child care Cover
  • Child Care Benefit
  • Vaccination
  • Air Ambulance
  • Health Coach

My:health Women Suraksha (Eligibility Criteria)

  • Entry Age - 18 years
  • Max Entry Age - Lifetime Entry
  • SI - 1 L to 1 Cr
  • Waiting Period - 30 Days

Comprehensive

This plan covers the policyholder with basic to advanced healthcare benefits not only within the Indian subcontinents but globally as well.

Unique Features

  • Global healthcare coverage
  • Multiple wellness services
  • Unlimited restore add-on

Optima Secure Global Plan (Pros)

  • In-patient hospitalisation
  • Daycare treatment
  • Domiciliary hospitalisation
  • Sum insured restoration
  • Organ donor expense cover

Optima Secure Global Plan (Cons)

  • COVID-19 care not covered
  • Modern treatment not covered
  • OPD not covered
  • Sub-limits not applicable

Optima Secure Global Plan (Other Benefits)

  • Individual, multi-individual & family floater plan
  • Trusted insurance provider
  • Unlimited benefits up to SI
  • Cashless claim settlemen
  • AYUSH treatment coverd

Optima Secure Global Plan (Eligibility Criteria)

  • Entry age - Child - 91 days - 25 Years
  • Adult - 18 - 65 Years
  • SI - INR 1 -2 Crore/s
  • Waiting Period - 30 days

HDFC ERGO Personal Accident Insurance: FAQ's

1. What does the HDFC ERGO personal accident insurance policy cover?

It covers hospitalisation expenses and provides hospital cash benefits, related to accidental injury, disability, accidental death lump sum payout, burns, broken bones and fracture treatment expenses of the insured and the covered family members.

2. What is the maximum age limit for including my parents under HDFC ERGO personal accidental insurance?

You can get coverage for your elderly parents by adding them to your policy. The maximum age limit for adding parents is 70 years.

3. What is the waiting period for the HDFC ERGO accident policy?

There is no waiting period for claiming this policy. Since it’s an accidental coverage-specific plan, it covers all the accidental conditions from day 1 of buying the policy.

4. Will this plan cover my family if I die in an accident?

Yes, this plan is designed in such a way that if the policyholder dies due to an event of an accident, it will provide a lump sum payout for financial stability and even support the insured’s family with loan security, etc.

5. Can I claim my HDFC ERGO personal accident insurance policy outside India?

Yes, accidental causes can be addressed and the benefit of this policy can be availed within and outside India as well.

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Read Reviews & Ratings

Customer Review Image

Patra Ahuja

Gandhinagar

April 8, 2024

I was looking for the best health insurance policy. PolicyX came up and eased up my whole task. They suggested HDFC ERGO Optima Secure, it is the best decision ever.

Customer Review Image

Sunidhi Makkar

Mumbai

April 8, 2024

PolicyX was a great resource when I was shopping for health insurance. Got to know a few insights about the company I hold a policy with, HDFC ERGO.

Customer Review Image

Harsh Wardhan

Madurai

April 8, 2024

I would extend my gratefulness to the PolicyX team who helped me get the best health insurance policy from HDFC ERGO.

Customer Review Image

Nipun Walia

Pune

April 8, 2024

Buying HDFC ERGO Health Insurance with the help of PolicyX was the best purchase of my life. Thank you so much team for helping me out.

Customer Review Image

Prema Singhania

Madurai

April 8, 2024

I am so glad that I got my first Health Insurance policy with the help of PolicyX. I am secure now after getting the HDFC ERGO Health Insurance Plan.

Customer Review Image

Padma Ray

Bhopal

March 15, 2024

Always wanted to buy a health insurance for myself with my first salary. PolicyX helped me choose the HDFC ERGO My:Health Women Suraksha, specifically made for heathcare needs of women.

Customer Review Image

Ryan Mukherjee

Coimbatore

March 14, 2024

HDFC ERGO Critical Illness Health Insurance Policy is the best choice of my life. I would like to thank PolicyX and the team for their support.

Customer Review Image

Nitish Sinha

Allahabad

March 14, 2024

I had a kidney problem, so I chose to buy an HDFC ERGO Critical Illness policy with the help of PolicyX. After completing the waiting period, now I am completely eligible to claim for my medica...

View All HDFC Ergo Health Insurance Reviews

Simran Nirala

Written By: Simran Nirala

Simran has an experience of 3 years in insurance content writing. She transitioned from hospitality to the insurance industry after her emerging interest in how vast insurance is. With her ability to write complex insurance concepts in a simple, relatable manner she keeps her audience hooked and solves their doubts smoothly.