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Useful Information
HDFC TPA Information
Synopsis: HDFC ERGO Health Suraksha health insurance plan covers in-patient treatments, pre-hospitalization expenses, 144 day-care procedures, domiciliary treatments and many such expenses incurred during treatment. Highlight:
Benefit: Title
Description
Room Rent Limit
No Sub-limits on any disease, room rent, hospital charges and doctor fees
ICU Daily Rent Limit
Covered
Pre-Hospitalization Expenses
60 days
Post Hospitalization Expenses
90 days
Minimum Hospitalization Period
24 Hrs
Day Care Procedure Coverage
144 procedures covered.
Additional Cover for Critical Illness
Optional
Automatic Restoration of Sum Insured
Yes (Optional)
Pre-Existing Disease / Illness coverage
After 48 months
Waiting Period for New Policy
30 Days
Co-Payment
10%/20% Co- pay (Optional)
Medical Screening
No Medical Check-up upto 45 years
Free Health Checkup
Once after 4 claim free years
Ambulance Expenses
Upto Rs.2000/3000 (as per Plan)
Non-Allopathic Treatments
Pays for medical expenses for in-patient treatment taken under Ayurveda, Unani, Sidha or Homeopathy
New Born Baby Cover
Optional
Daily Hospitalization Allowance
Yes, Optional
Donor Expenses
Pays for medical expenses for an organ donor's treatment in the event of organ transplantation
Nursing Allowance
Covered
No Claim Bonus
5% bonus on Sum Insured for every claim-free year
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