Knowledge Centre

Health Wallet Family Floater- A plan for today and tomorrow

 

Soaring costs of medicare expenses and rising cost of health insurance premiums with age are a cause of worry. How about a plan that will start paying for its renewals in few year? You heard it right! HDFC ERGO’s Health Wallet is loaded with exactly what you need and something extra too. Designed to redefine and revolutionize the concept of health insurance with Reserve Benefit, it’s a flexible and comprehensive plan that will pay start paying for itself in a few years. And there is more to it.

Reasons to choose Health Wallet Family Health Plan

Sum Insured Restore
Sum Insured Restore
Another striking feature of the Health Wallet is the Restore Benefit that automatically restores the sum insured if the base sum insured and Multiplier Benefit (if any) is exhausted during the policy period.
Multiplier Benefit
Multiplier Benefit
Health Wallet comes with a fantastic feature called Multiplier Benefit. In case of a claim-free year, your basic sum insured will increase by 50% at the time of renewal. And, if you do not claim even in the 2nd policy year, your base sum insured gets doubled. Isn't that amazing?
Preventive Health Check-up every year
Preventive Health Check-up
Health Wallet helps to keep track of your health status by offering a preventive health check-up at renewal irrespective of claims made. However, eligibility of health check-up limit is based on Reserve Benefit sum insured.
Reserve Benefit
Reserve Benefit
A benefit that not only covers your present but also grows continuously to help cushion the impact of healthcare cost in old age and out of pocket expenses. It is designed in such a way that it carries forward the unused amount to the next policy year and earns an interest of 6% on it. .

What is not included in Health Wallet Family Health Plan?

Adventure sport injuries
Adventure sport injuries

Adventure sports can give you an adrenaline rush, but when coupled with accidents, they can be hazardous. Our policy does not cover accidents encountered while participating in adventure sports.

Self-inflicted injuries
Self-inflicted injuries

If you think of causing injury to your precious self our policy will not cover self-imposed injuries.

War
War

War can be disastrous and unfortunate. However,our policy does not cover any claim that are caused due to wars.

Participation in defense operations
Participation in defense operations

Our policy does not cover accidents while you are participating in defense (Army/Navy/Air Force) operations.

Venereal or Sexually transmitted diseases
Venereal or sexually transmitted diseases

We do understand the criticality of your disease. However,our policy does not cover venereal or sexually transmitted diseases.

Treatment of Obesity or Cosmetic Surgery
Treatment of obesity or cosmetic surgery

Treatment of obesity or cosmetic surgery is not eligible for coverage under your insurance policy.

For detailed inclusion and exclusion please refer the sales brochure/policy wordings

Waiting Periods

First 24 Months From Policy Inception
First 24 Months From Policy Inception

Few illnesses & treatments are covered after 2 years of policy issuance.

First 36 Months from Policy Inception

First 36 Months from Policy Inception

Declared and/or accepted pre-existing conditions at the time of application will be covered after first 3 years of continual renewals.

First 30 Days from Policy Inception
First 30 Days from Policy Inception

Only accidental hospitalisations shall be admitted.

Frequently asked questions

Adults: 18 to 65 years of age
Child: 91 days to 25 years of age
Self, Spouse, Dependent Children & Dependent Parents or parents in law
Individual- A maximum of 6 members can be added in a single individual policy. In an individual policy, a maximum of 4 adults and a maximum of 5 children can be included in a single policy. The 4 adults can be a combination of Self, Spouse, Father, Father in law, Mother or Mother in law.
Family- A maximum of 6 members can be added in a single family floater policy. A maximum 2 adults and a maximum of 5 children can be included in a single policy. The 2 adults can be a combination of Self, Spouse, Father, Father in law, Mother or Mother in law. In a family floater the age of the eldest member will be considered while computing premium for the family.
If the insured is admitted in the hospitals for more than 24 hours for treatment, this policy will pay for medical expenses. It covers medical expenses like • Room rent,
  • Boarding expenses,
  • Nursing,
  • Intensive care unit,
  • Medical Practitioner(s),
  • Anesthesia, blood, oxygen, operation theatre charges, surgical appliances,
  • Medicines, drugs and consumables,
  • Diagnostic procedures
The Cost of prosthetic and other devices or equipment if implanted internally during a Surgical Procedure.
Home healthcare is a unique^^^cashless cover whereby the insured can avail treatment at home if recommended by the treating medical practitioner towards Chemotherapy,Gastroenteritis,Hepatitis,Fever Management,Dengue etc
Medical expenses like
1. Doctor’s consultation Fee
2. Diagnostic Charges
3. Medicine Bills
Covers expense on treatment of illness or conditions first manifested during the Policy Period while travelling overseas up to a maximum of 20 L, provided Hospitalisation or Day Care Procedure was necessary and was done.
Reserve benefit is an additional sum insured available under the plan, sum insured for reserve benefit is dependent of combination of sum insured and deductible opted.
3 lacs5 lacs10 lacs15 lacs20 lacs25 lacs50 lacs
Reserve Benefit Sum InsuredNo Deductible500050001000010000150002000025000
200,000 Deductible500050001000010000150002000025000
300,000 DeductibleCombination not offered5000500010000100001500015000
500,000 DeductibleCombination not offeredCombination not offered500010000100001500015000
10,00,000 DeductibleCombination not offeredCombination not offeredCombination not offeredCombination not offered100001500015000
Reserve benefit is an additional sum insured avai
lable under the plan, sum insured for reserve benefit is dependent of combination of sum insured and deductible opted.
i. Out-patient expenses. This includes –
  • Diagnostic Tests
  • Vaccinations
  • Pharmacy
  • Consultations with a Medical Practioner, Physiotherapist, Dietician, Speech therapist, Psychologist
  • Dental expenses
  • Spectacles, contact lenses
  • Hearing aids
  • Medical devices like C-PAP, Bi-PAP, Blood Pressure monitors, Blood sugar monitors and supplies, Heart rate monitors, Portable ECG’s, Pulse Oxymeters, Prosthetics etc.
  • Special health foods and supplements (food for diabetics/hypertensive and special health conditions, proteins and supplements etc)
ii. Incidental medical expenses. This includes –
  • Co-payment and / or Deductible for any health insurance claim
  • Standard non-payable items under any health insurance claim
  • Other Medical Expenses not covered under any medical insurance (For example cosmetic treatment, Alzheimer’s etc.)
What would be his RB benefit as his total SI is now Rs.20 lacs. As under our other plans and company philosophy in such cases insured should opted for a higher sum insured rather than opting to buy additional policies.
For Non Deductible plansPlan500010000150002000025000
For Non Deductible plansFamily FloaterNot OfferedUptoRs 3000, per policyUptoRs 5000, per policyUptoRs 6000, per policyUptoRs 7000, per policy
For Deductible plansFamily FloaterNot OfferedUptoRs 2000, per policyUptoRs 4000, per policyUptoRs 5000, per policyUptoRs 5000, per policy
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