Health Insurance 481 views July 10, 2021

HDFC ERGO Hospital Cash Insurance Plan

HDFC ERGO Hospital Cash Insurance Plan could suit people looking for a plan that can give them a daily cash amount during their hospitalization due to an illness or an injury. By choosing this plan, you manage your daily expenses during the hospitalization in a hassle-free manner. You can choose this policy on an individual sum insured basis. Before going any further, you should check out the prominent features of this plan mentioned below.

  1. Flexible Sum Insured Options
  2. Daily Cash during Hospitalization
  3. Twice Daily Cash in case of an ICU Hospitalization
  4. A 15-day free look period
  5. Option to Enhance Sum Insured
  6. Lifelong Renewability Option
  7. A 30-day Grace Period
  8. Affordable Premium
  9. Premium Discount

If you want to understand this plan in a detailed way, this page could be a good read for you as we will discuss these features extensively here. Let’s start without any further delay.

Let’s Understand the Features and Benefits of the HDFC ERGO Hospital Cash Insurance Plan in Detail

As the name suggests, HDFC ERGO Hospital Cash Insurance Plan offers a daily cash amount to the policyholders during hospitalization. We have discussed its benefits below. Do check.

Flexible Sum Insured Option

With this plan, individuals can choose from different sum insured options – INR 500, 1,000, 1,500, 2,000 or 2,500 per day for a maximum of 30 or 60 days per policy year for each continuous 24 hours of hospitalization.

Daily Cash Benefit

If an insured person faces an illness or injury during the policy term and needs to be hospitalized as an in-patient, the plan offers a daily cash amount according to the following situations.

  1. In case of hospitalization in a ward, the policy will pay the insured member a daily cash amount for each continuous and completed 24 hours of hospitalization
  2. In case of hospitalization in an Intensive Care Unit (ICU), you will get twice the per day sum insured amount for each continuous 24 hours that the insured person spends in an ICU, up to 7 days for each hospitalization.

Note: If an insured person is transferring from the general ward to ICU and vice versa, the hospitalization would be considered as continuous and the daily benefit would be as per the limits mentioned above. Also, on the day of such shifts, the policy will pay the benefit according to the hospital ward.

What is the Policy Period?

HDFC ERGO Hospital Cash Insurance Plan can be issued for one year only. However, it can be renewed for a lifetime unless the insured person or anyone acting on the behalf of the insured person has involvement in an improper, dishonest or fraudulent act.

Sum Ensured Enhancement

Policyholders can also enhance their sum insured at the time of renewal if they haven’t made any claim under the policy.

What is the Minimum Premium Amount?

The premium amount for HDFC ERGO Hospital Cash Insurance Plan depends on the sum insured and the age of the insured person. The minimum amount stands at INR 244 for the sum insured option of INR 500 per day for individuals below 17 years.

Discounts on Premiums

If two or more family members are covered under the same policy, HDFC ERGO will offer a family discount of 5% on the premium amount.

HDFC ERGO Hospital Cash Insurance Plan Eligibility Criteria

Have a look at the important conditions related to the policy mentioned below.

  1. The minimum entry age stands at 91 days.
  2. The maximum entry age can go up to 65 years with no limit on the maturity age.
  3. The policy can be issued to an individual or a family where the family includes self, spouse and dependent children.

Free Look Period

HDFC ERGO offers a free look period of 15 days from the policy start date within which you can review the terms and conditions of the policy and cancel it if you disagree with the same. The company will refund the premium after adjusting the amount spent on medical check-ups, stamp duty charges and proportionate risk premium. You can only cancel your policy if you haven’t made any claim under the policy.

Note: Free look period will not be applicable and available at the time of policy renewal.

What is Not Covered Under the Plan?

HDFC ERGO Hospital Cash Insurance Plan will not provide coverage in the following situations.

  1. War or any act of war, invasion, act of foreign enemy, war like operations, civil  war, public defense, rebellion, revolution, insurrection, etc.
  2. Participation or involvement in naval, military or air  force operation, racing, diving, aviation, scuba diving,  parachuting, hang-gliding, rock or mountain climbing in a professional or semi-professional nature
  3. Treatment of Obesity and any weight control program
  4. Pregnancy and Miscarriage
  5. Dental treatment and surgery of any kind (Unless requiring hospitalization)
  6. Plastic or cosmetic surgery
  7. Experimental, investigational or unproven treatment, devices and pharmacological regimens
  8. Any Non Allopathic treatment

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