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Health Insurance For Individuals

 

In today’s fast paced world there are so many factors that affect your health. The best thing to do is to insure your health for utmost well-being. So that, when age, sedentary lifestyle, environmental changes, accidents, addictions etc threaten your health and pile you with medical bills, you can breathe a sigh of relief. Also, it might be a smart  decision to buy your health insurance at a younger age. This gets you lower premiums and bigger coverage. Secure your health today!

Choice is power. Exercise it by picking the plan that suits you the most.

Affordable Health Insurance
Affordable Health Insurance
Looking for a health plan that takes care of all your medical needs at an affordable premium with sum insured ranging from 3 to 5 lakhs? Then, my:health Suraksha Silver Smart is the plan for you.
Explore & Buy
Recommended Health Insurance
Recommended Health Insurance
With sum insured ranging from 7.5 to 15 lacs, my:health Suraksha Gold Smart Plan offers optimum coverage towards most of your healthcare needs ensuring you remain protected.
Explore & Buy
Women Health Insurance
Women Health Insurance
Women need special medical attention for specific major and critical illnesses, explore our lumpsum benefit plan designed especially for women.
Explore & Buy
Affordable Top-up plan
Affordable Top-up plan
Boost your existing health plan with a super top-up policy that offers higher coverage at a lower premium. This plan will keep the stress of medical bills at bay and beat the medical inflation.
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What is covered in a health insurance policy?

Sum Insured rebound

Sum Insured rebound

This acts like a magical back-up, which recharges your exhausted health cover to treat the next hospitalization of a new illness or injury.

Installment Benefit

Installment Benefit

Do you like the idea of paying your health insurance premium in installments? If yes, then get your health cover with us and make the most of our installment benefit.

No Medical Test Upto 45 Years

No Medical Test Upto 45 Years

If you are young, hale and hearty then get yourself a health insurance plan by HDFC ERGO without any medical check-ups.

Cashless Home Health care**

Cashless Home Health care**

If your Doctor recommends you can get yourself treated at home and avail cashless medical facilities then this feature would be of utmost help.

Hospitalisation expenses

Hospitalization expenses

Just like every other health insurance plan, we cover you for your medical hospitalization due to illnesses and injuries seamlessly.

Pre & Post Hospitalisation

Pre & Post Hospitalisation

It means all your pre-hospitalization expenses upto 60 days of admission and post-discharge expenses till 180 days get covered, like the costs for diagnostics, investigation etc.

Day care procedures

Daycare procedures

Medical advancements help in wrapping up important surgeries and treatments in less than 24 hours, and guess what? We cover you for that as well.

AYUSH Benefits

AYUSH Benefits

Let your belief in alternate therapies like Ayurveda, Unaani, Siddha and Homeopathy stay intact as we cover hospitalization expenses for AYUSH treatment as well.

Organ Donor Expenses

Organ Donor Expenses

Organ donation is a noble cause and we cover the medical and surgical expenses of the organ donor when harvesting a major organ transplant.

Recovery benefit

Recovery benefit

If you stay in a hospital for more than 10 days at a stretch then we pay for other financial losses that might have happened due to your absence at home. It helps to take care of other expenses during your hospitalization. (Amount specified in the policy wording)

Mental healthcare

Mental healthcare

We believe mental healthcare is just as important as hospitalization due to physical illness or injury; hence we cover hospitalization expenses incurred for treating mental illnesses.

Free Renewal Health Check-up

Free Renewal Health Check-up

Get a free health check-up within 60 days after policy renewal done by HDFC ERGO at the time of renewing your policy with us.

Save Tax upto ₹ 75,000*

Save Tax upto ₹ 75,000*

Did you know that a health insurance plan is not just meant to safeguard your savings but also help you save tax? Yes, you can save upto ₹ 75,000 with HDFC ERGO Health Insurance plans.

Lifetime Renewability

Lifetime Renewability

Once you get yourself secured with our health insurance plan there’s no looking back, this health insurance plan continues for your entire lifetime on break free renewals, you don’t have to exit from it.

No entry age restriction

No entry age restriction

If you are 18 years old and above you can buy our health insurance plan without any hesitation. We secure people of all age groups.

What makes Health Insurance a must-have for Individuals?

Lifestyle Diseases
Lifestyle Diseases

Stress, pollution, unhealthy eating habits, gadget addiction and undisciplined lives have made lifestyle diseases widespread.

Inadequate insurance
Inadequate insurance

Do you think you are securely covered under one insurance policy against all threats? Be informed that your employee health cover may prove insufficient.

Beat medical inflation
Beat medical inflation

The cost of medical treatment in India is always on the rise. With adequate medical insurance, you can insure an unfortunate ailment at an early age.

Big Savings
Big Savings

Avail discounts on paying for 2/3 years policy tenure, also buying insurance policy for more than 2 family members on individual sum insured basis can fetch you more discounts.

Early Decision
Early Decision

Getting insurance early has innumerable benefits right from lower premiums to wider coverage options.

Tax Saving
Tax Savings

Insurance is a tax saving instrument. Enjoy upto ^^Rs.75,000 Tax savings annually under section 80D with health insurance plans.

Know the Top 7 Factors that decide your premium

1. Age: Undeniably, age is the most prominent factor that fixes up your premium. It’s highly recommended to buy a health insurance policy while you are young, because premium rises with age. At a younger age you are less likely to have pre existing diseases due to which your premium is low as compared to higher age groups. It’s highly recommended to buy health insurance at an early age.

2. Pre existing illnesses: Any health condition or ailment that you are already suffering before getting a health insurance policy is termed as pre existing illness. If you are a diabetic or suffering from hypertension there is a chance that your premium will raise. Buying health insurance plan early when you are hale and hearty will help you skip high premiums due to pre existing ailments.

3. Family History: This could be a factor that affects your premium calculation, if your family has a diabetes history there are higher chances you too may acquire it at some point of time in life. Due to which insurance premium may be charges high to such individuals.

4. Location of stay: If you reside in a metro city then there are chances that your premium may go on a higher side as the cost of treatment is high in developed cities as compared to tier 2 or 3 cities. Hence premium for someone who stays in Delhi will be high as compared to someone who stays in Nagpur.

5. Members covered: Your health insurance premium will be low if you choose to cover yourself as compared to a family floater policy wherein you cover your spouse and kids. Even under family health insurance you can choose to have individual sum insured for every family member or get them all over one sum insured in a floater plan. Sharing the sum insured under one floater plan will incur low premium than getting individual sum insured for all.

6. BMI or Body Mass Index: If your weight isn’t proportionately balanced with your height leading to obesity then there are chances that you may have to pay higher health insurance premiums. People with higher BMI are prone to joint paints, hypertension, high blood pressure and various other ailments due to which they fall under high risk category. Insurance premium is generally high for high health risk individuals.

7. Smoking Habits: If you are a chain smoker then there are chances that your insurance premium may burn your pocket as insurance company may consider you as a high risk individual. Your smoking habit may affect your lungs in the long run leading to respiratory ailments. Other habits like chewing tobacco or high consumption of liquor may also affect your body and may also cause cancer; hence your premium may shoot up.

6 Reasons to buy Health Insurance

  • 1. Lifestyle Diseases: Stress, pollution, unhealthy eating habits, gadget addiction and undisciplined lives have made lifestyle diseases widespread. It’s important to buy a health insurance plan to tackle medical expenses rising due to lifestyle issues.

  • 2. Inadequate insurance: Do you think you are securely covered under one insurance policy against all threats? Be informed that your employee health cover may prove insufficient. These days medical science has advanced hence it’s important to get higher sum insured health plans.

  • 3. Beat medical inflation: The cost of medical treatment in India is always on the rise. Funding medical expenses on your own will lead to financial loss hence it’s important to buy a health insurance plan to beat the medical inflation.

  • 4. Big Savings: Avail discounts on paying for 2/3 years policy tenure, also buying insurance policy for more than 2 family members on individual sum insured basis can fetch you more discounts. Be a smart insured and keep looking for long term discounts and save your premiums.

  • 5. Early Decision: Getting insurance early has innumerable benefits right from lower premiums to wider coverage options. With less probability of having existing health conditions, you get the benefit of lower premium while buying a policy.

  • 6. Tax Savings: Insurance is a tax saving instrument. Enjoy upto ^^Rs.75, 000 Tax savings annually under section 80D with health insurance plans. Isn’t it amazing? You can save tax and secure your health too.

Are you covered enough?

Scenario 1: My employer is taking care of my health insurance I don’t need one

Most of us consider employee health insurance as a secured cover for taking care of medical expenses. But, let us tell you that employer health insurance isn’t the right solution. Once you leave the company or switch jobs you lose your health insurance benefits. Also, you don’t have the flexibility to change covers and increase or decrease sum insured. Relying on employee health insurance for a long time may lead to washing off waiting periods.

Scenario 2: Staying unaware

Most of us don’t realize the importance of health insurance until something fatal hits us or people around us. Lack of awareness may hamper your savings, if an unexpected medical expense comes up.

Scenario 3: Low Sum Insured

It’s important to understand that you need a higher sum insured if you reside in a metro city where medical treatment expenses are high. If a single hospitalization in a year is enough to exhaust your sum insured then you should consider a higher sum insured. Just buy a health insurance won’t help in the longer run getting a sum insured that’s enough to cover your medical expenses is equally important. Also, if you are covering more family members then consider taking a health insurance policy with sum insured above 10 lacs.

Scenario 4: Looking at premium budget over the coverage

Don’t just look at the premium and go back thinking if you should buy this health insurance plan. Looking at the list of coverage and benefits of buying a health insurance plan is important and should not be overlooked. If you think of buying a health insurance plan with low premium then there are high chances that you may lose out on coverage. In future, you may feel that certain coverage is important but your policy doesn’t cover it. For example: HDFC ERGO Health Insurance offers cashless in-home health care, no room rent restrictions on hospitalization and approves cashless claims within 20 minutes seamlessly.

Scenario 5: It’s not just a Tax saving tool

Many of us buy health insurance just to save tax under section 80 D. A health insurance plan helps you save tax upto Rupees 65,000. However, there’s lot more to beyond saving taxes. Get yourself a health insurance plan that helps you during critical times and helps in saving finances in the long run. You must also get a health insurance plan for your parents, spouse and kids to ensure complete financial security.

How to choose a right health insurance plan?

Every time you look for a health insurance plan the thought that hits your mind is what is an ideal health insurance plan like? What all coverage should it have? Let’s decode the hacks to get the right health insurance plan.

1. Get yourself adequate sum insured: If you are residing in the metro cities then cost of treatment is high hence for an individual your sum insured should ideally range between 7 lacs to 10 lacs. If you are looking for a family cover to insure your spouse and kids a sum insured that ranges between 8 lacs to 15 lacs suits best on floater basis. It should be adequate enough to cover more than one hospitalisation that may happen in a year.

2. Look for co-payment to reduce premium: If you wish to reduce your premium and you are fine with making partial payments for your medical expenses then look for a health insurance plan with co payment facility. You share the medical expenses with your health insurer hence you don’t have to pay a heavy premium.

3. Look for in-home health care: What if you are unable to get a bed at the hospital or your parents aren’t comfortable seeking medical attention at the hospital? Under such circumstances you can easily get treatment done at home without much hassles. HDFC ERGO offers cashless health insurance for in-home health care.

4. No sub-limits help: Usually your medical expenses depend upon your room type. It’s recommended to buy a health insurance plan that does not have sub limits. Just like my:health Suraksha Insurance it does not imply any room rent restrictions or sub limits.

5. Check waiting periods: Your health insurance plan doesn’t come into action while your waiting period is not completed. Always check health insurance policies with lower waiting periods for pre existing ailments and maternity benefit.These are the most important covers to look for before buying a health insurance plan. Other than most important coverage there are a few more benefits that need to be looked upon before choosing a health insurance for yourself, your family and parents.

5 Reasons To Get Health Insurance When You Are Young

Lower Premiums

While you are young there is a low probability of you already suffering from an ailment hence buying a health insurance plan while you are young will help you save on premium, because your premium rises with age.

Coping up with waiting periods

Health insurance plans often have waiting periods for certain diseases or pre existing illnesses and even for maternity cover at times. Hence, it’s recommended if you buy a policy at an early stage of life, while you are in your best health and get the cover at a later life stage without facing any waiting period exclusions so in short you get the full benefit of a health insurance plan when you need it the most.

Not just severe diseases

There is a common misconception amongst youth they feel that since they’re young they may not fall prone to any major illnesses. This isn’t true as anyone may suffer from air borne, vector borne or water borne diseases. Even accidental injury has got nothing to do with age, which means even if you are young you too may hamper your savings if ever you are hospitalized.

Better financial planning

If you buy a health insurance plan at an early age then you can save tax and save more for your future. A health insurance plan is an important tool to save tax and protect yourself from soaring medical expenses.

I won’t claim so health insurance isn’t important

Many of us buy health insurance just to save tax under section 80 D. A health insurance plan helps you save tax upto Rupees 65,000. However, there’s lot more to beyond saving taxes. Get yourself a health insurance plan that helps you during critical times and helps in saving finances in the long run. You must also get a health insurance plan for your parents, spouse and kids to ensure complete financial security.

Common Insurance Terminologies used in Health Insurance Plan

We often come across terminologies while reading features & benefits offered by health insurance companies. Below are the 10 most commonly used jargons while explaning the coverage & exclusion of a health insurance plan. Let's demystify them to understand better.

Cumulative Bonus

Your health insurance company rewards you for staying hale and hearty! Every year you get cumulative bonus in the form of increased sum insured for not making any claims. We at HDFC ERGO offer cumulative bonus of upto 200%.

AYUSH Benefit

This terminology is an acronym for Ayurveda, Unani, Siddha and Homeopathy; It refers to treatments or therapies that you can take other than the usual allopathic course of treatment. If you believe in the healing powers of non allopathic treatment, we cover your hospitalization expenses seamlessly under our health insurance plan.

Co-payment

The fixed amount or % paid by the insured ( the one who is covered) for the medical treatment. If your co-payment percentage is 20% then in case of hospitalization you are suppose to bear 20% of the expense and remaining shall be paid by your insurer.

Endorsement

The process of making changes in your policy document such as change in name, adding or removing members and increasing sum insured etc is a part of endorsement.

Pre-existing disease

If you are suffering from any ailment at the time of buying a policy is termed as pre existing illness or disease. It’s important to declare pre existing disease at the time of policy issuance or else at the time of claim; if the insurer knows about your existing illness your claim may get denied.

Free Look Period

Health Insurance Company gives you a chance to cancel your policy post payment if you have found a better plan and wish to take a different plan. This period is called free-look period.

Waiting Period

In simpler terms, waiting period is the duration when an insured must wait to get coverage for some disease or treatments. The insured may not receive benefits for claims filed during the waiting period. For example, there are waiting periods for pre existing disease and maternity treatment in a health insurance plan.

Sum Insured Rebound

Get additional sum insured equal to your actual sum insured in case your sum insured gets exhausted.

No Sub-limits

Health insurance companies add sub limits on diseases, hospital room rent and coverage, which means after a certain limit you do not get the benefits. However, with HDFC ERGO my:health Suraksha there is no sub limit on room rents or diseases.

ADD on covers or Riders

To enhance your health insurance policy you can choose to get additional covers or riders to stay extra safe. There are several add ons like critical illness cover or hospital daily cash etc.

Secured Over 1 Crore+ Smiles!
Why choose HDFC ERGO General Insurance?

Secured Over #1 Crore+ Smiles!

Trust redefines relations at HDFC ERGO. We consistently strive to make insurance easier, more affordable and more dependable. Here promises are kept, claims are fulfilled and lives are nurtured with utmost commitment.
Secured Over 1 Crore+ Smiles!
All the support you need-24 x 7
Why HDFC ERGO?

All the support you need-24x7

We understand that in times of distress, instant help is the need of the hour. With our 24x7 customer care and dedicated claims approval team, we ensure to be your constant support system in times of need.
Secured Over 1 Crore+ Smiles!
All the support you need-24 x 7
Transparency In Every Step!
Why HDFC ERGO?

Transparency In Every Step!

Claims is the most important part of insurance policy and we attach maximum importance to seamless claims process.
Secured Over 1 Crore+ Smiles!
All the support you need-24 x 7
Transparency In Every Step!
Integrated Wellness App.
Why HDFC ERGO?

Wellness App.

We go beyond health insurance, caring for your body as well as mind. my:health services application will help you embrace a healthy lifestyle. Get your health card, track your calorie intake, monitor your physical activity and enjoy well-being at its best.
Secured Over 1 Crore+ Smiles!
All the support you need-24 x 7
Transparency In Every Step!
Integrated Wellness App.
Go Paperless!
Why HDFC ERGO?

Go Paperless!

We don't like paperwork either. In this fast world, get your policy online with minimum documentation and easy payment methods.
Why HDFC ERGO?
Secured Over 1 Crore+ Smiles!

Secured Over 1 Crore+ Smiles!

Trust redefines relations at HDFC ERGO. We consistently strive to make insurance easier, more affordable and more dependable. Here promises are kept, claims are fulfilled and lives are nurtured with utmost commitment.
All the support you need-24 x 7

All the support you need-24 x 7

We understand that in times of distress, instant help is the need of the hour. With our 24x7 customer care and dedicated claims approval team, we ensure to be your constant support system in times of need.
Transparency In Every Step!

Transparency In Every Step!

Claims is the most important part of insurance policy and we attach maximum importance to seamless claims process.
Integrated Wellness App.

Integrated Wellness App.

We go beyond health insurance, caring for your body as well as mind. my:health services application will help you embrace a healthy lifestyle. Get your health card, track your calorie intake, monitor your physical activity and enjoy well-being at its best.
Go Paperless!

Go Paperless!

We don't like paperwork either. In this fast world, get your policy online with minimum documentation and easy payment methods. Your policy straight-away sits in your inbox.

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Other related articles

 

Other related articles

 

Frequently asked questions

Looking at the healthcare inflation cost coupled with the lifestyle disease epidemic, health insurance is needed to help you pay for health care in the event of an unexpected illness or injuries. Health insurance covers medical uncertainties and ensures quality medical treatment at the time of need.
The earlier the better, typically, when you are in your early 20's and you have just started earning Health insurance also helps in financial planning and offers wider coverage at a lower premium.
Your own health insurance means an all round cover that secures your medical needs. After a period when you are no more eligible to stay covered under your parent's policy, your own health insurance helps you at times of need.
Your ideal sum insured or total coverage would highly depend on factors such as your current age, lifestyle, medical history, income and place of residence. Looking at the medical inflation, most of our customers prefer a health insurance policy with a sum insured of 5 lacs and above.
Health Insurance covers not just major illnesses arising due to infection and accidents which can affect anyone at any point of time in life. Hence health insurance is equally important for a fitness expert or an athlete.
Absolutely! With employee health cover the major drawbacks come in picture when you leave your job that's when your policy goes out of action and exposes you to health risks. Your new employer may or may not cover you sufficiently. Also, having your own policy means a better buying decision and complete control to buy a cover which suits your requirement from time to time.
Yes! We do cover you subject to no adverse medical conditions due to same.
Register your claim within 7 days of hospitalization and send us a duly signed claim form along with all the mentioned documents within 15 days and you are done. The approved claim will be paid within 3 days. In case you are admitted to any of our network hospitals, you can easily avail the cashless facility where we would directly reimburse all the admissible expenses to the hospital. 
You can raise a claim via our mobile application my:health active. At HDFC ERGO, 90% reimbursement claims are settled within 3 days and ~90% are cashless claims are pre-authorized within 20 minutes.

For hospitalization/claim, you can reach us at healthclaims@hdfcergo.com or

Call: 022 6234 6234

Fax: 1860 2000 600

You can also register your claim through our mobile app and website.

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