In today’s time, health is like a two sided coin wherein one
side is the increase in life expectancy due to advancement in medical science
and other is the constant risk faced by individual that they could be prone to
illness/disease due to serendipity lifestyle and eating habit. Medical
insurance is a boon considering the skyrocket treatment costs and the quality
of treatment desired by individuals.
Various general insurance companies have come up with health insurance plans. Among all of them, HDFC Ergo offers the best plan and the
variations in plans suits to the pocket of every person.
Broadly, the health insurance plans are categorized into two
sections:
1.
Indemnity Plan
2.
Lump sum Plan
INDEMNITY PLAN
Indemnity plans reimburses the factual i.e. real financial
loss suffered by the policy holder. This coverage is however, subject to the
sum assured limit.
Common features provided by HDFC ERGO under the indemnity
plans are:
·
Coverage of pre hospitalization and post
hospitalization expenses
·
Expenses of emergency ambulance
·
Benefit of cumulative bonus
·
Medical check-up
·
Cost of in-patient treatment
·
Benefit of AYUSH (non-allopathic treatment)
Plans offered by HDFC Ergo under the indemnity health
insurance are as follows:
1. Health Suraksha
Main features:
·
Cumulative bonus after each claim free year
·
Health check-up costs covered after 4 years of
no claim
·
No capping on room rents, doctor fees, hospital
costs and specified diseases.
2. Health Suraksha with regain and Enhance
Cummulative Bonus (ECB)
Along with the basic features provided by the health
suraksha plan, the additional advantage provided by this plan is:
·
Policy holder gets automatic availability of the
sum assured in case it gets exhausted.
·
Cummulative bonus is enhanced to 10% up to a
maximum of 100% of the original sum assured.
3. Health Suraksha Gold
Additional benefits provided by this plan is
·
Maternity benefits (though it has a waiting
period of 4 years)
·
Insurance cover to the new born baby
·
Expenses of the recuperating phase i.e. the
recovery phase is covered if the policy holder was hospitalized for a period
exceeding 10 days.
·
E-opinion provided in case diagnosed with
critical illness
4. Health Suraksha Gold with regain and ECB
Along with the features provided for health suraksha gold
plan, additional benefit of this plan is:
·
Provides availability of basic sum assured in
case it gets exhausted.
·
Cumulative bonus is of 10% every year up to a
maximum of 100% of sum assured.
5. My health medisure classic
Main features:
·
Discount of 5% in case policy bought for 2 years
·
Restoration of sum assured in case it gets
exhausted due to accident.
·
Covers maternity and new born
6. My health medisure super top-up
This policy can be bought with the existing insurance cover
and provides enhanced coverage at low premiums. It can be bought even if you
don’t have an already existing health insurance.
·
No medical tests required up to 55 years of age
provided you have no Pre-Existing disease
·
Premium is constant at 61 years of age and
above.
·
Policy can be renewed for life.
·
Discount of 10% on the premium if two or more
than two members are covered for individual sum assured (in same policy)
LUMP SUM PLAN
Lump sum plan is a unique plan in which the policy holder is
paid a lump sum amount i.e. the entire sum assured if any of the covered
illness or disease occurs. HDFC Ergo offeres two plans under the lump sum plan
category.
1. Critical illness Silver
In this plan, 9 illnesses are covered, they are:
1.
Stroke
2.
Failure of Kidney
3.
Organ transplant
4.
Bypass surgery
5.
Paralysis
6.
Aorta graft surgery
7.
Multiple sclerosis
8.
Heart Attack
9.
Cancer
Upon the diagnosis of any of the above illness, the policy
holder will be provided a lump sum amount to avail the treatment.
Additional benefits are:
·
Takes care of expenses incurred during treatment
and recovery phase
·
Provides income lost due to aging factor and
money for reasons like change in lifestyle
2. Critical illness Platinum
This plan is same as the silver plan. The additional benefit
is it covers 15 illnesses (i.e. 9 illnesses of the silver plan + Additional 6
illnesses). Below are the additional illnesses covered:
1.
Parkinson’s disease
2.
Liver disease (last stage)
3.
Alzheimer’s disease
4.
Replacement of heart valve
5.
Benign brain tumor
6.
Preliminary pulmonary arterial hypertension
With so many benefits under each plan offered and
pocket-friendly options provided by HDFC ERGO, deciding to buy a health cover
has become very simplistic task. You can buy a health cover online and
calculate your premium with the help of premium calculator tool available
online on the website of HDFC Ergo.
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