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HDFC ERGO Critical Illness Health Insurance Wordings

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Highlights
Cashless Approval TAT45 mins Cashless Claim Processing
Claim Settlement Ratio100%
Network Hospitals12,000+
PED Coverage Starting From3 year
Special Benefits2X Cover from Day 1
Starting Premium Rs. 1090/month

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HDFC ERGO Critical Illness Plan Brochure

  • 419.66 KB
  • PDF Document
  • Apr 22, 2019

HDFC ERGO Health Insurance Plan List

  • Family (3)
  • Individual (4)
  • Cancer (1)
  • Critical Illness (2)
  • Diabetes (1)
  • Parents (1)
  • Senior Citizen (1)
Name of PlanSum Insured
Optima SecureMin: 91 Days, Max: 65 Years Check Premium
Optima RestoreMin: 91 Days, Max: 65 Years3 Lakh Check Premium
my: health SurakshaMin: 91 Days; Max: No Limit3 Lakh Check Premium
Health Suraksha Top-Up Plus PolicyMin: 91 days; Max: 65 years3 Lakh - 10 Lakh Check Premium
my:Health Women Suraksha PolicyMin: 18 years; Max: 45 years1 Lakh - 1 Crore Check Premium
Dengue Care Policy Min: 91 Days; Max: 65 years50 Thousand - 1 Lakh Check Premium
Easy Health PolicyMin: 91 days; Max: 65 years1 Lakh - 50 Lakh Check Premium
my:Health Koti SurakshaMin: 18 years; Max: 65 years Check Premium
Maxima PolicyMin: 91 Days; Max: 65 years Check Premium
Day2Day Care PolicyMin: 91 Days; Max: 65 years Check Premium
iCan CancerMin: 5 Years; Max: 65 Years5 Lakh Check Premium
Health WalletMin: 91 Days; Max: 65 Years3 Lakh Check Premium
EnergyMin: 18 Years, Max: 65 Years2 Lakh Check Premium
Optima SeniorMin: 61 Years; Max: No Limit 2 Lakh Check Premium
Corona Kavach PolicyMin: 1 day ; Max: 65 years50,000 - 5 lakh Check Premium
Arogya Sanjeevani PolicyMin: 3 months; Max: 65 years1 Lakh - 5 Lakh Check Premium
Critical Illness PlanMin: 5 Years; Max: 65 Years 5 Lakh Check Premium

HDFC ERGO Health Insurance Top Up List

  • Top-up (4)
  • Family (1)
  • Individual (1)
Name of PlanSum Insured
Optima PlusMin: 91 Days; Max: 65 Years5 Lakh Check Premium
my: Health Medisure Super Top-upMin: 3 Months; Max: 65 Years3 Lakh Check Premium
Optima SuperMin: 91 Days; Max: 65 Years5 Lakh Check Premium

9552 HDFC ERGO Cashless Network Hospitals in India

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FAQs on Critical Illness Plan Health Insurance Plan

  • Why should I buy HDFC ERGO Critical Illness?

    HDFC ERGO’s Critical Illness Plan is an ideal solution to get your critical illness medical treatment done without facing any financial burden or mental stress. The policy provides a lump sum amount up to the sum insured upon first diagnosis of any one of the critical illness (depending on the plan (Silver, Gold or Platinum) opted). Moreover, it offers one with tax benefit under Section 80D of Income Tax Act 1961. All in all, it will provide you with not only financial security and mental peace during critical times, but also help you with saving tax.

  • What is the minimum and maximum entry age for Critical Illness plan?

    HDFC ERGO’s Critical Illness policy covers individuals up to the age of 5 years to 65 years.

  • What is the survival period for HDFC ERGO Critical Illness?

    The patient should survive for at least 30 days even if he is diagnosed with a critical illness listed in the insurance cover.

  • What are the critical illnesses covered under HDFC ERGO’s Critical Illness Silver plan?

    Heart Attack (Myocardial Infarction), Major Organ Transplantation, Coronary Artery Bypass Surgery, Multiple Sclerosis, Stroke, Cancer, Kidney Failure, and Paralysis are critical illnesses covered under the Silver variant of Critical Illness plan.

  • What are the critical illnesses covered under HDFC ERGO’s Critical Illness Gold plan?

    Critical Illness Gold plan by HDFC ERGO covers Heart Attack (Myocardial Infarction), Coronary Artery Bypass Surgery, Stroke, Multiple Sclerosis, Paralysis, Cancer, Kidney Failure, Major Organ Transplantation, Aorta Graft Surgery, Primary Pulmonary Arterial Hypertension, and Heart Valve Replacement.

  • What are the critical illnesses covered under HDFC ERGO’s Critical Illness Platinum plan?

    HDFC ERGO’s Critical Illness Platinum plan covers Heart Attack (Myocardial Infarction), Coronary Artery Bypass Surgery, Stroke, Cancer, Parkinson’s Disease, Alzheimer’s Disease, Kidney Failure, Aorta Graft Surgery, Primary Pulmonary Arterial Hypertension, Major Organ Transplantation, Multiple Sclerosis, Paralysis, Heart Valve Replacement, Benign Brain Tumor, and End Stage Liver Disease.

  • What are the sum insured options under HDFC ERGO Critical Illness?

    The sum insured options that come with HDFC ERGO Critical Illness plan include Rs. 5 Lakh, Rs. 7.5 Lakh, and Rs. 10 Lakh.

  • Do I need to undergo medical tests to enroll under the Critical Illness policy?

    For individuals up to 45 years of age, no pre-policy medical check up is required.

  • Can I make multiple claims for same or any other critical illness under HDFC ERGO’s Critical Illness plan?

    Under HDFC ERGO Critical Illness plan, you can make only one claim during the policy lifetime.

  • Does Critical Illness plan come with the tax exemption feature?

    One can avail up to Rs. 50,000 as tax benefit under Section 80D of the Income Tax Act 1961.

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Claim Process at HDFC ERGO Health Insurance

  • Network Hospital
  • Non-Network Hospital
  • 1

    Claim Assistance

    For any assistance or query, call InsuranceDekho at the toll-free number 755 1196 989.
  • 2

    Claim Intimation

    Emergency hospitalisation needs intimation within 24 hours and for planned hospitalisation intimate within 48 hours prior to admission.
  • 3

    Claim Processing

    Fill in the pre-authorisation form and hand it over to hospital's insurance/TPA desk to initiate claim request.
  • 4

    Claim Settlement

    Once your request is approved, claim is settled. If not approved, claim for reimbursement after discharge.
  • 1

    Claim Assistance

    For any assistance or query, call InsuranceDekho at the toll-free number 755 1196 989.
  • 2

    Claim Intimation

    Emergency hospitalisation needs intimation within 24 hours and for planned hospitalisation intimate within 48 hours prior to admission.
  • 3

    Claim Processing

    Submit claim form with original documents such as doctor’s reports, hospital bills, diagnostic tests, etc.
  • 4

    Claim Settlement

    Once your request for reimbursement of expenses is approved, the claim will be settled.

HDFC ERGO Health Insurance Contact Details

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