Hdfc Ergo Personal Accident Policy vs Health Premier Plan Health Insurance Plan 2026 | PolicyX

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The HDFC ERGO Personal Accident Insurance plan offers worldwide coverage and lifelong renewability. A key benefit of this plan is that it does not require any pre-policy medical check-ups.

You can buy an HDFC ERGO accidental insurance policy on an individual or a family floater basis. This allows you to secure yourself and your family members, including elder parents, spouse, and dependent children, under a single plan. The available plan combinations are:

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

Specialized coverage under this plan includes:

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

For more details, read further about the eligibility criteria, benefits, inclusions, and exclusions of the personal accident HDFC ERGO health insurance plan.

PLAN DETAILS

Hdfc Ergo Personal Accident Policy

Health Premier Plan

Product Type Individual Individual and Family Health Insurance
Key Features
(Key features of the plan)
  • Worldwide coverage
  • No pre-policy medicals
  • Lifelong renewability
  • Comprehensive coverage
  • Value-added benefits
  • Customizable plans
OPD Details
(In some policies, OPD (Out patient department) expenses are also covered.)
Not covered Covered
Room Rent
(A limit of room rent cover during hospitalization if any)
Covered Covered
Domicillary Hospitalization
(It is the expenses incurred on treatment of the patient at home)
Not covered Covered
Pre-hospitalization
(Expenses before the insured is hospitalized)
Not covered Covered
Post-hospitalization
(Expenses after discharge from the hospital)
Not covered Covered
Day Care Treatment Covered
(Day care treatments refers to the treatments that do not necessarily require 24hrs of hospitalization like MRI.)
Covered Covered
Hospital_network
(Number of Hospital Network in city)
15000 22600
Organ Donor Expenses
(Expenses incurred on organ donor in case of organ transplants)
Not covered Covered
Hospital Daily Allowance
(Some plans offer daily allowance to take care of expenses like food, etc)
Covered Covered
Ambulance Charges
(Expenses incurred on ambulance charges)
Covered Covered
Maternity Benefits
(All Hospitalization cost covered at the time of pregnancy.)
Not covered Covered
New Born Baby Covered
(Newborn babies can be covered under the insurance plan after a certain period)
Not covered Covered
Health Checkup
(An added benefit of one time full health checkup of policy holder.)
Not covered Covered
Sub Limit
(Sub-limit is a monetary capping that applies on specific diseases like cataract)
Not applicable Covered
Co-pay
(Mentioned %, if any is to be borne by Insured and rest will be borne by insurer)
Not applicable Covered
Plan Entry Age 18 to 65 years Minimum 91 days, Maximum 25 years
Plan Premium Entry Age and S/A 1145 9950
Plan Waiting Period None 30
Plan Coverage Accidental death benefit, permanent disability cover, temporary disability income, accidental hospitalization cover Individual & family floater cover
Plan Sample Premium 1145 4,280
Plan Brochure Brochure URL Brochure URL
Policy Term 1/2/3 years 1, 2,3 Years
ICU Charges Covered Covered
Covid-19 Treatment Not covered Covered
Cataract Not covered Covered
Automatic Restoration Not covered Covered
Ayush Treatment Not covered Covered
Modern Treatment Not covered Not Covered
E Consultation Not covered Covered
Air Ambulance Not covered Covered
Global Coverage Covered Not Covered
Claim Ratio 95.30 96.4
Solvency Ratio 2.00 5.73
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