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HDFC ERGO my health Medisure Classic Insurance Policy
HDFC ERGO my health Medisure Classic Insurance is a comprehensive health insurance policy that takes care of medical costs arising due to illness, accident or any injury. The policy offers some good features such as replenishment of sum assured, maternity and new-born baby cover and additional recovery benefit.
Key Features of HDFC ERGO my health Medisure Classic Insurance Policy
§ No limit on entry age
§ Reinstatement of Sum Insured (SI) in case of hospitalisation due to an accident
§ Pre-existing diseases covered after a 3 year waiting period
§ Lifelong renewals
§ Maternity and new-born baby cover
§ Additional recovery benefit when hospitalisation exceeds 10 continuous days
Type of plans available in HDFC ERGO my health Medisure Classic Insurance Policy
The plan is available in both types
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Individual |
Yes |
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Family Floater |
Yes |
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Spouse |
Yes |
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Dependent Children |
Yes |
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No of Children |
2 (up to the age of 23 years) |
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Parents |
- |
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Blood Relatives |
- |
What is covered in HDFC ERGO my health Medisure Classic Insurance Policy?
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Hospitalisation expenses |
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Room Rent |
1% of SI subject to a maximum of Rs.4,000/day |
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ICU Rent |
2% of SI subject to a maximum of Rs.6,000/day |
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Day care procedures |
Covered |
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Domiciliary Hospitalisation |
Covered |
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Reinstatement of Sum Insured |
Yes – only if hospitalisation due to Accident |
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Maternity |
Normal Caesarean |
Maximum of 10% of SI or Rs.20,000/- 20% of SI or Rs.40,000/- or actual, whichever is lower |
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New-born baby cover |
Covered for 90 days from date of birth within the maternity limits |
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Pre-hospitalisation |
30 days |
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Post-hospitalisation |
60 days |
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Hospital Cash |
Rs.500/ day from 4th - 10th day if hospitalisation exceeds 3 continuous days |
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Ambulance Charges |
Up to Rs.1,500 per hospitalisation |
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Health Check up |
Up to 1% of Average SI after every 4 continuous claim free policy years |
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Ayurvedic Treatment |
Covered subject to a maximum limit of Rs.25,000 per policy year |
|
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Additional Benefit |
Recovery benefit of Rs.5,000 if hospitalisation exceeds 10 continuous days |
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Add-ons or Riders (for extra premium)
Double Sum Insured for Critical Illness
Waiver of Room Rent Sub-limits
Additional Benefits of HDFC ERGO my health Medisure Classic Insurance Policy
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Family Discount |
10% if individual sum insured is opted for each family member |
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Cumulative Bonus |
Sum Insured increases by 5% on every renewal, for every claim-free year, subject to a maximum accumulation of 50% of your Sum Insured |
|
Two Year Policy Option |
Yes. Discount of 5% available on the combined premium for both years |
|
Co-payment |
10% for every claim or all insured above the age of 80 years |
|
Cashless |
Yes |
Eligibility and Restrictions of HDFC ERGO my health Medisure Classic Insurance Policy
|
|
Minimum |
Maximum |
|
Coverage Amount (in Rs.) |
1,00,000 (Individual) 2,00,000 (Floater) |
5,00,000 |
|
Policy Term (in years) |
1 |
2 |
|
Entry Age (in years) |
18 |
No limit |
|
Renewable till Age (in years) |
- |
Life long |
Tax Benefits
Health Insurance premiums paid up to Rs. 15,000 in case of individuals and Rs 20,000 for senior citizens are allowed as a deduction from the taxable income each year under section 80D of the Income Tax Act.
Exclusions - What is not covered in HDFC ERGO my health Medisure Classic Insurance Policy?
§ Pre-existing diseases for first 3 policy years
§ First 2 years exclusion on diseases like Cataract, Hernia, Benign Prostatic Hypertrophy, Congenital Internal Diseases, Hysterectomy for Menorrhagia or Fibromyoma, Fistula in Anus, Piles, Sinusitis and related disorders
§ Any disease contracted during the first 30 days from the start of Policy
§ Diabetes and related complications
§ Hypertension and related complications
§ Domiciliary hospitalisation expenses in respect of certain ailments listed in the policy brochure
§ Genetic disorder
§ Dental treatment or surgery of any kind
§ Routine medical eye and ear examinations, cost of spectacles, laser surgery for cosmetic purposes, contact lenses or hearing aids
§ Suicide or self-inflicted injury
§ Treatment of any Mental illness, disorders, stress, anxiety or depression
§ Treatment required due to use of Alcohol, drug or any intoxicant
§ HIV / AIDS and related conditions
§ Other exclusions as listed in the policy brochure or wordings
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