Koti Suraksha Plan vs Critical Care Plan Health Insurance Plan 2026 | PolicyX

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HDFC ERGO Koti Suraksha is a health insurance plan that provides a sum insured of up to INR 1 crore. The Koti Suraksha Plan by HDFC ERGO Insurance Company is divided into two sections. Section A offers health cover with an add-on critical illness cover, while Section B provides a separate health cover with a floater option and Hospital Cash Benefit. Koti Suraksha offers a cover of Rs. 1 crore at affordable premiums. Investing in a one-crore insurance plan is crucial to combat rising medical inflation and protect yourself and your family.

HDFC ERGO Koti Suraksha covers medical expenses such as COVID-19, hospitalization, surgery, daycare procedures, AYUSH treatment, and more. It is not just a simple healthcare plan but also a wellness partner, providing value-added services like access to nutrition, fitness, and psychological counseling via a health coach, along with discounts on OPD, pharmacy bills, and diagnostic centers.

HDFC ERGO Koti Suraksha is available in Platinum and Titanium options, offering different coverage choices. It also provides optional covers like overseas treatment and emergency worldwide coverage to support policyholders in times of adversity.

PLAN DETAILS

Koti Suraksha Plan

Critical Care Plan

Product Type Individual and Family Health Insurance Individual and Family Health Insurance
Key Features
(Key features of the plan)
  • High sum insured
  • Health and wellness plan
  • Emergency worldwide coverage
  • CI Cover
  • Eligibility & Features
  • 30 CI Cover
OPD Details
(In some policies, OPD (Out patient department) expenses are also covered.)
Covered Not Covered
Room Rent
(A limit of room rent cover during hospitalization if any)
Covered Not Covered
Domicillary Hospitalization
(It is the expenses incurred on treatment of the patient at home)
Covered Not Covered
Pre-hospitalization
(Expenses before the insured is hospitalized)
Covered Not Covered
Post-hospitalization
(Expenses after discharge from the hospital)
Covered Not Covered
Day Care Treatment Covered
(Day care treatments refers to the treatments that do not necessarily require 24hrs of hospitalization like MRI.)
Covered Not Covered
Hospital_network
(Number of Hospital Network in city)
15000 15000
Organ Donor Expenses
(Expenses incurred on organ donor in case of organ transplants)
Covered Covered
Hospital Daily Allowance
(Some plans offer daily allowance to take care of expenses like food, etc)
Covered Not Covered
Ambulance Charges
(Expenses incurred on ambulance charges)
Covered Not Covered
Maternity Benefits
(All Hospitalization cost covered at the time of pregnancy.)
Not Covered Not Covered
New Born Baby Covered
(Newborn babies can be covered under the insurance plan after a certain period)
Not Covered Not Covered
Health Checkup
(An added benefit of one time full health checkup of policy holder.)
Covered Not Covered
Sub Limit
(Sub-limit is a monetary capping that applies on specific diseases like cataract)
Covered Not Covered
Co-pay
(Mentioned %, if any is to be borne by Insured and rest will be borne by insurer)
Covered Not Covered
Plan Entry Age Minimum: 18 years Maximum: 65 years 18 to 65 years
Plan Premium Entry Age and S/A 11285 4088
Plan Waiting Period 30 90
Plan Coverage Individual/Family Floater Individual & Family floater cover
Plan Sample Premium 11285 4088
Plan Brochure Brochure URL Brochure URL
Policy Term 1/2/3 Years 1/2/3 years
ICU Charges Covered Not Covered
Covid-19 Treatment Covered Covered
Cataract Covered Not Covered
Automatic Restoration Covered Not Covered
Ayush Treatment Covered Not Covered
Modern Treatment Not Covered Not Covered
E Consultation Not Covered Not Covered
Air Ambulance Covered Not Covered
Global Coverage Not Covered Not Covered
Claim Ratio 95.30 98
Solvency Ratio 2.00 1.76
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