HDFC ERGO Parents Health Insurance- Types, Eligibility and Benefits

Updated: 15-02-2024 04:38:58 AM

Parents do their best to provide for their children and give them the best upbringing possible. Therefore, it is obvious that once grown-up, children also want to take care of their parents as the latter grow older. This is where the Parents Health insurance plans help you to comfortably pay for medical assistance needed for your ageing parents. HDFC ERGO Parents Health Insurance provides a range of health insurance plans that its customers can opt for based on their needs including individual, family as well as parents health insurance plan. It is better if you buy a Mediclaim policy for your parents since the premium amount and risk exposure increases with the increasing age of the parents (depending on the age of the eldest parent) if they buy health insurance for themselves.

Types of HDFC ERGO Parents Health Insurance

There are the two parents health insurance plans currently offered by HDFC ERGO:

• HDFC ERGO Health Suraksha plan
• HDFC ERGO My: Health Medisure Classic Insurance

 HDFC ERGO Health Suraksha Plan

This insurance plan is ideal to protect your parents since it provides maximum coverage at an affordable cost. You can choose this insurance plan to give your parents complete protection against the increasing medical expenses of old age. Here are the details of this HDFC Ergo insurance plan:

Features of Health Suraksha Plan

Mentioned below are some of the important features of Health Suraksha Plan provided by HDFC ERGO:

• Individual can claim free health check-ups after completing 4 claim-free years
• This plan comes with lifelong renewability
• There is no bar on hospital expenses which include- Room Rent, Doctor Fees, Medicine Cost and others
• Cashless treatment at massive chain of 6000+ network hospitals
• Tax benefits under section 80D of the Income Tax Act up to Rs. 60,000

Eligibility details of HDFC Ergo Health Suraksha Plan

• No maximum age to buy this plan
• The policyholder can choose it as individual or family floater basis

Benefits of HDFC Ergo Health Suraksha Plan

This health insurance plan for parents by HDFC Ergo offers a range of benefits to the policyholders such as:

• Minimum Documentation:Sometimes, it can feel stressful to complete the mandatory paperwork for certain health insurance plans. However, this HDFC Ergo Parents Health Insurance plan requires minimum documentation on your part to apply for the policy. The documents required are clearly listed on the company’s website at hdfcergo.com.
• Easy Claim Settlement Procedure: Claim settlement procedure for a few insurance plans can be a bit confusing for many people. However, the HDFC Ergo Health Suraksha plan has an easy and straight-forward settlement procedure that policyholders find easy to follow. This makes it one of the popular health insurance products in India.

• Add-ons to Enhance Cover: This health insurance plan gives you the option to choose add-ons to enhance cover based on your needs. You can continue with the base plan or enhance cover by choosing add-ons to your HDFC Ergo Health Suraksha Plan. 

• Cumulative Bonus:Unlike other health insurance plans, the HDFC Ergo Insurance plan offers you a 5% cumulative bonus at the end of each claim-free year to reward you for your healthy lifestyle. It one of the distinguishing features of this Parents Health Insurance plan.

• Attractive Discounts:You would be amazed to know that this HDFC Ergo Insurance plan offers attractive discounts to policyholders if they opt for 2-year policy tenure. Currently, the discount offered by the company is 10%. If the policyholder opts to add two family members on an Individual Sum Assured basis then an additional 10% discount is granted.

 Coverage under HDFC Ergo Health Suraksha Plan

HDFC Ergo Health Suraksha Plan is one of the best parents’ health insurance policies in the market. It offers coverage in the conditions mentioned here:

• In-patient treatment or hospitalisation due to illness, accident or injury
• Pre-hospitalisation expenses incurred for up to 60 days prior to hospitalization
• Post-hospitalization expenses incurred for up to 90 days post discharge
• Day care treatment that does not require 24 hours hospitalisation
• Ayurvedic treatment expenses on hospitalisation
• Emergency Ambulance Charges
• Pays expenses for an organ donor’s treatment in case of organ transplantation

Exclusions under HDFC Ergo Health Suraksha Plan

Even though this plan provides maximum coverage, there are some exclusions of this health insurance policy where the insurer does not pay for the medical expenses. These exclusions include:

• Expenses incurred due to the treatment of HIV/ AIDS and related conditions
• Medical expenses arising due to intoxication
• Expenses attributed to self-inflicted injuries, attempted suicide, etc.
• Cost of the treatment of war-related injuries

Documents required to claim HDFC ERGO Health Suraksha Plan

Mentioned below are important documents to be presented to claim HDFC ERGO Health Suraksha Plan:

1. Duly signed and filled claim form along with the HDFC ERGO policy number
2. Discharge summary
3. Original final bill
4. Past treatment documents (if any)
5. Investigation report such as X-Ray report, blood reports and others
6. KYC form along with KYC documents
7. Address Proof
8. Identity Proof
9. NEFT details for payment

Claim process for HDFC ERGO Health Suraksha Plan

There are certain provisions issued by HDFC ERGO for Health Suraksha Plan under Parents Health Insurance:

1. Statement should be provided to the company immediately before 7 days in case of hospitalization.
2. In other cases, claim should be raised under the policy at least 7 days prior to any treatments, consultations or any procedures
3. Any documentation or information requested for claim should be submitted within 15 days of discharge from hospital or completion of treatment, whichever is earlier.

HDFC Ergo My: Health Medisure Classic Insurance

This insurance plan is highly designed for meeting the medical necessities of parents ensuring complete well-being and protection. Under My: Health Medisure Classic Insurance Plan, individuals can add employee health insurance for a large cover in safeguarding the medical necessities of their parents. This plan also helps in minimizing the financial burden caused due to the unexpected expenses and offers protective cover.

Features of HDFC ERGO My: Health Medisure Classic Insurance

This health insurance plan for parents by HDFC Ergo offers a range of features to the policyholders such as:

• No Upper Age Limit: Some health insurance policies have an upper age limit that limits the number of people who can avail the benefit of the insurance plan. However, this HDFC Ergo insurance policy has no defined upper age limit which means that even if your parents are way beyond the age of 50 or 60, you can still avail the medical assistance benefit offered by this insurance plan. If the age of all proposed members for this insurance plan is below 50 years then pre-medical tests are waived off subject to no pre-existing diseases.
• Unlimited Day Care Treatments:One of the limitations of certain health insurance plans is that they usually cover hospitalisation and treatment expenses but do not cover day care treatments. Since all medical treatments in old age do not require hospitalisation, the cost of day-care treatments has to be borne by the policyholder. Thankfully, you can count on HDFC Ergo to step in to cover your day care treatments.

• Cashless Treatment:With over 6000 network hospitals, HDFC Ergo allows you to avail their cashless treatment in your city. You do not need to pay anything out of your pocket since the company directly settles your bill with the hospital.

• Get Income Tax Benefits: Under Section 80D: This Parents Health insurance plan offers income tax benefits on the premiums paid for the plan under Section 80D of the Income Tax Act, 1961. These benefits are provided as per the extant income tax laws that are revised periodically. Currently, you can show tax savings of up to Rs. 60,000. Section 80C benefits are not applicable for this health insurance plan.

• Lifelong Renewability Option: With a long list of benefits that come with this insurance plan, there is another reason to rejoice. You can choose to avail its lifetime renewability option offered under this insurance plan which means you get to avail these benefits for years until you decide to close your policy. You can also choose add-ons to enhance cover. 

• Covers Diagnostic Charges for In-patient Treatment: If you undergo Diagnostic tests such as X-ray, MRI, blood tests, etc. during your in-patient treatment then those expenses are also covered under this insurance plan subject to the treatment or medical condition being covered in the policy. However, it is important to note here that diagnostic tests that have been prescribed as out-patient are not covered under this insurance plan.

Eligibility details of HDFC Ergo My: Health Medisure Classic Insurance 

• The proposer must be over the age of 18 years of age for this insurance plan
• No age restriction as lifetime entry is allowed
• Optional Double Sum Insured for Critical Illness can be availed up to 65 years of age

Benefits of My: Health Medisure Classic Insurance

 Mentioned below are some the major benefits provided by HDFC ERGO for its policyholder under my: Health Medisure Classic Insurance plan:

1. Individuals get the option to choose double sum assured for critical illness under add-on covers
2. Room rent waive off option
3. Policyholders are provided with the freedom of choosing the tenure of the policy of which it could be either one year or two years.
4. Hospital cash and recovery benefit

Coverage under HDFC Ergo My: Health Medisure Classic Insurance

HDFC Ergo Health Suraksha Plan is one of the best parents health insurance policies in the insurance market. It offers coverage in the conditions mentioned here:

• In-patient treatment due to illness or accident
• Pre-hospitalisation expenses incurred for up to 30 days prior to hospitalization
• Post-hospitalization expenses incurred for up to 60 days post discharge
• Day care treatment that does not require 24 hrs. hospitalisation
• Domiciliary Treatment as advised by a Medical Practitioner
• Organ Donor Treatment
• Emergency Ambulance Charges
• Ayurvedic treatment up to Rs. 25,000 on hospitalization

Exclusions under HDFC Ergo My: Health Medisure Classic Insurance Plan

Even though this plan provides maximum coverage, there are some exclusions of this health insurance policy where the insurer does not pay for the medical expenses including:

• Expenses incurred due to the treatment of HIV/AIDS and related conditions
• Medical expenses arising due to the consumption of intoxicating liquor and drugs
• Expenses attributed to self-inflicted injuries, attempted suicide, etc.
• Cost of the treatment of war-related injuries

Documents required to claim under My: Health Medisure Classic Insurance Plan

 Mentioned below are important documents to be presented to claim My: Health Medisure Classic Insurance Plan:

1. Duly signed and filled claim form along with the HDFC ERGO policy number
2. Discharge summary
3. Original final bill
4. Past treatment documents (if any)
5. Investigation report such as X-Ray report, blood reports and others
6. KYC form along with KYC documents
7. Address Proof
8. Identity Proof
9. NEFT details for payment

FAQs

Q1. What is the age limit under HDFC ERGO Health Suraksha Insurance Plan?

Under this plan, there is no restriction on entry age limit.

Q2. What is the amount of tax exemption under Health Suraksha Insurance Plan?

Individual can enjoy the tax benefit under section 80D of the Income Tax Act upto Rs. 60,000

 Q3. What does AYUSH benefit cover?

Under this plan, reimbursement expenses for in-patient treatment taken under Unani, Sidha, Homeopathy and Ayurveda is covered.

Q4. What are the different modes of online payment for parents health insurance plan?

Individuals can opt for multiple secure payment modes which include- debit card, net banking, e-wallet, and credit card.

Q5. What is renewal policy for my: health medisure classic insurance?

Under this plan, individual’s policy will be continued if he/she pays within 30 days from the date of expiry of the policy.