HDFC ERGO My Health Medisure Classic Insurance

views

views

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

Individual	Yes
Family Floater	Yes
Spouse	Yes
Dependent Children	Yes
No of Children	2 (up to the age of 23 years)
Parents	-
Blood Relatives	-

What is covered in HDFC ERGO my health Medisure Classic Insurance Policy?

Hospitalisation expenses
Room Rent	1% of SI subject to a maximum of Rs.4,000/day
ICU Rent	2% of SI subject to a maximum of Rs.6,000/day
Day care procedures	Covered
Domiciliary Hospitalisation	Covered
Reinstatement of Sum Insured	Yes – only if hospitalisation due to Accident
Maternity	Normal Caesarean	Maximum of 10% of SI or Rs.20,000/- 20% of SI or Rs.40,000/- or actual, whichever is lower
New-born baby cover	Covered for 90 days from date of birth within the maternity limits
Pre-hospitalisation	30 days
Post-hospitalisation	60 days
Hospital Cash	Rs.500/ day from 4^th - 10^th day if hospitalisation exceeds 3 continuous days
Ambulance Charges	Up to Rs.1,500 per hospitalisation
Health Check up	Up to 1% of Average SI after every 4 continuous claim free policy years
Ayurvedic Treatment	Covered subject to a maximum limit of Rs.25,000 per policy year
Additional Benefit	Recovery benefit of Rs.5,000 if hospitalisation exceeds 10 continuous days

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

Family Discount	10% if individual sum insured is opted for each family member
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