HDFC ERGO Health Wallet Insurance Plan

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      HDFC ERGO Health Wallet Insurance Plan

      Due to soaring health costs per year, purchasing an insurance plan like the HDFC ERGO Health Wallet Insurance plan provides the insured with a wide range of benefits like OPD cover, worldwide emergency health cover and insurance cover up to Rs. 50 Lakh.

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      HDFC ERGO Health Wallet Insurance Plan: Benefits

      HDFC ERGO Health Wallet Insurance Plan

      Categories Specifications
      Sum Insured Rs. 3 Lakh to Rs. 50 Lakh
      Policy Tenure 1 Year
      Network Hospitals 12000+
      Incurred Claim 97.47%
      Pre-Policy Medical Check-up May Be Required
      Pre-Existing Disease Waiting Period 3 Years
      Specific Disease Waiting Period 2 Years
      Initial Waiting Period 30 Days

      HDFC ERGO Health Wallet Insurance Plan: Benefits

      The following are the benefits of the HDFC ERGO Health Wallet Insurance Plan:

      • In-Patient Benefits - The HDFC ERGO Health Wallet Insurance Plan provides the insured with in-patient benefits in case of an accident or illness. The expenses include hospital room boarding or rent, nursing, and ICU fees. The in-patient benefits include the medical practitioner’s fees, diagnostic procedures, and other necessary items required during surgery.
      • Recovery Benefits – If the insured is hospitalised continuously for 10 days, he/she is eligible for a lump sum. The amount is provided to the insured or any of the dependents within the policy year.
      • Multiplier Benefit – The Multiplier benefit within the HDFC ERGO Health Wallet Insurance Plan provides a 50% increase to the existing sum insured amount. The 50% increase is provided in case the policy year remains claim-free. However, if a claim is filed within the year, the benefit would be reduced by 50% in the next year.
      • Restore Benefits – Through the Restore benefit, the insured who has purchased the HDFC ERGO Health Wallet Insurance Plan can use the sum insured for any upcoming claims the insured creates. The Restore benefit is applicable after the basic sum insured and the multiplier benefit is exhausted.
      • Reserve Benefit – The Restore Benefit within the HDFC ERGO Health Wallet Insurance Plan covers out-patient treatment, diagnostic treatments, consultations and other payments like co-payments and additional costs.
      • Pre-hospitalisation benefits – The medical expenses incurred by the insured 60 days before the insured is admitted to the hospital.
      • Post-Hospitalisation benefits – The post-hospitalisation benefits within the HDFC ERGO Health Wallet Insurance Plan provide the insured individual with cover for the expenses incurred within 90 days after hospitalisation or domiciliary treatment.
      • Day Care Procedures – Under the HDFC ERGO Health Wallet Insurance Plan, the insured is covered for any expenses incurred under the Daycare procedures clause.
      • Worldwide Emergency Care Benefit – Any individual covered under the HDFC ERGO Health Wallet Insurance Plan can file a claim for any emergency expenses incurred outside India. It is important to note that the specified limit of hospitalisation in emergency cases is 48 hours.

      HDFC ERGO Health Wallet Insurance Plan: Eligibility Criteria

      HDFC ERGO Health Wallet Insurance Plan
      Parameters Eligibility Criteria
      Minimum Entry Age Adult- 18 Years
      Child - 91 Days
      Maximum Entry Age Adult- 65 Years
      Child - 5 Years
      Coverage Type Individual, Family Floater
      Renewability Lifelong

      HDFC ERGO Health Wallet Insurance Plan: Inclusions

      The following are the inclusions of the HDFC ERGO Health Wallet Insurance plan:

      • Emergency Road Ambulance- This inclusion within the HDFC ERGO Health Wallet Insurance Plan provides the insured with expenses up to Rs. 2000. It is offered to the insured when they utilise the amount for transportation of the individual to the hospital.
      • Preventive Health Check-up- The preventive health check-up cover in the HDFC ERGO Health Wallet Insurance plan offers the insured regular health check-up benefits.

      HDFC ERGO Health Wallet Insurance Plan: Exclusions

      The following are the exclusions of the HDFC ERGO Health Wallet Insurance Plan:

      • Injuries or treatments caused due to war or foreign aggression.
      • Weight-loss treatments or obesity-related surgeries.
      • Any surgeries undertaken for cosmetic purposes other than medically necessary procedures.
      • Any treatments or expenses arising due to the correction of vision.

      FAQs

      Policybazaar exclusive benefits
      • 30 minutes claim support*(In 120+ cities)
      • Relationship manager For every customer
      • 24*7 claims assistance In 30 mins. guaranteed*
      • Instant policy issuance No medical tests*
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      Disclaimer: The list mentioned is according to the alphabetical order of the insurance companies. Policybazaar does not endorse, rate or recommend any particular insurer or insurance product offered by any insurer. For complete list of insurers in India refer to the Insurance Regulatory and Development Authority of India website www.irdai.gov.in

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      *We will respond in the first instance within 30 minutes of the customers contacting us. 30-minute claim support service is for the purpose of giving reasonable assistance to the policyholder in pursuance of the claim. Settlement of claim (including cashless claim) is the responsibility of the insurer as per policy terms and conditions. The 30- minute claim support is subject to our operations not being impacted by a system failure or force majeure event or for reasons beyond our control. For further details, 24x7 Claims Support Helpline can be reached out at 1800-258-5881.

      *Product information is authentic and solely based on the information received from the Insurer. Policybazaar is acting only as a facilitator and claims settlement shall be at the sole discretion of the Insurer. Policybazaar does not provide any medical or surgical advice or diagnosis and is not responsible for your interactions / treatment by a medical practitioner/hospital. Please consult a registered medical practitioner for any medical or surgical advice. The Information that you obtain or receive from Policybazaar, and its employees, or otherwise on the Website is for informational purposes only. As per the Insurance guidelines, you are allowed to cancel the policy with-in 30 days from the date of Issuance of policy.This option is available incase of policies with a term of one year or more.

      *All the health insurance plans cover hospitalization expenses including COVID-19 treatment cover up to the specified limits. You can also buy specific COVID-19 health insurance policies such as Corona Kavach Policy and Corona Rakshak policy.

      **All savings and online discounts are provided by insurers as per IRDAI approved insurance plans. #Tax Benefits are subject to changes in tax laws. GST Exemptions depend on fulfilment of qualification criteria and submission of relevant documents.

      *₹1748/month is the starting price for a 1 crore health insurance for an 18-year-old male, with no pre-existing diseases. Discount on renewal premium is subject to the number of wellness points earned in the health insurance policy. For more details about the plans, please read the sale brochure carefully to get upto 100% discount on renewal premium.

      *₹400/month is the starting price for ₹ 5 lakh Health insurance for a 30 year old male & 29 years old female, living in Delhi with no pre-existing diseases

      *₹541/month is the starting price for ₹ 10 lakh Health insurance for a 30 year old male & 29 years old female, living in Delhi with no pre-existing diseases

      *₹762/month is the starting price for ₹ 1 Crore Health insurance for a 30 year old male & 29 years old female, living in Delhi with no pre-existing diseases

      *₹243/month(₹ 8/day) is the starting price for a 5 lakh health insurance for a 20-year-old male, non-smoker, living in Bengaluru with no pre-existing diseases

      *₹2020/month is the starting price for ₹ 1 Cr Health insurance for a 50 year old male & 50 years old female, living in Bangalore with no pre-existing diseases rounded off to nearest 10.

      *₹390/month (₹13 per day) is starting price for 1 cr. Health insurance for 25 years old male, with pre-existing diseases, residing from tier 1 city rounded off to the nearest 10.

      *No medical tests are required unless requested by the insurer’s underwriter. In-case of pre-existing diseases relevant medical proof would be required as per the terms and condition of the policy opted.

      *The values taken for effective cost calculation are indicative values and may change as per the selected plan.

      *Coverage upto double the amount of Sum Insured is available on certain covers for a minimum plan of Rs. 5 Lakh on the first claim only to an individual of upto 45 years of age with no pre-existing diseases. The benefit is available with or without extra cost depending on the plan chosen.

      *Coverage of pre-existing diseases is provided by insurer as per their underwriting policy.

      *The scope of coverage may vary from plan to plan.

      ~Source: Google Review Rating available on:- http://bit.ly/3J20bXZ

      ##On ground claim assistance is available in 114 cities

      Tax Benefits are subject to changes in tax laws. GST Exemption depends on fulfilment of qualification criteria and submission of relevant documents as required by the insurers. For more details on risk factors, terms and conditions, please read the sales brochure and applicable rules and regulation carefully before concluding a sale.

      STANDARD TERMS AND CONDITIONS APPLY. For more details on risk factors, terms and conditions, please read the sales brochure carefully before concluding a sale.

      Policybazaar is a registered Composite Broker |Registration No. 742, Valid till 09/06/2024, License category- Composite Broker| Visitors are hereby informed that their information submitted on the website may be shared with insurers.

      Policybazaar Insurance Brokers Private Limited | CIN: U74999HR2014PTC053454 | Registered Office - Plot No.119, Sector - 44, Gurgaon, Haryana - 122001 Contact Us | Legal and Admin Policies

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