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Primary Pulmonary Arterial Hypertension - Critical Illness


Primary Pulmonary Arterial Hypertension (PAH) is a life threatening disease characterized by elevated pulmonary artery pressure with no apparent cause. It is different from having regular high blood pressure. Pulmonary arteries are the blood vessels that carry blood from the right side of the heart through the lungs. Doctors may prescribe medications that can help relax blood vessels or reduce excess cell growth within your arteries; however the disease is beyond cure. PAH usually affects woman between the age group of 30-60 years, while some individuals lead a normal life due to mild symptoms.

Shortness of breath, chest pain, fatigue, swelling of the ankles and legs are few presenting symptoms. As per National Organisation for Rare Disorders, approximately 15-20% of patients with PAH have heritable PAH. However, there could be several other factors that may trigger PAH. Struggling with a heart disease is not easy. And, you will want your family to stand together for you at such a time instead of being caught up in managing funds. Hence, it is advisable to opt for Critical Illness Health plan that covers medical expenses for Primary Pulmonary Arterial Hypertension.

Why is it important to opt for HDFC ERGO Critical illness Insurance Policy, even if you hold an indemnity health insurance plan?

Critical illness policy is a benefit-plan unlike the conventional indemnity health insurance plans. A lump sum amount (Sum Insured) is paid just upon diagnosis of any of the listed Critical Illness covered in the Policy. In case, your treating doctor recommends a certain line of treatment, critical illness plan by HDFC ERGO will give you a lump sum benefit in one transaction that may be used to pay for the treatment, care, and recovery. The money may also be useful for paying off debts, substituting lost income, or even in adapting to lifestyle changes in some cases. Treating a critical illness may drain away your savings, restrict you from working and earning and affect your routine lifestyle, hence a lump sum benefit in one single transaction up to your opted cover is best for during tough times. Your existing health cover or employee health insurance may cover your medical expenses up to a certain extent, however critical illness cover will offer you a lump sum benefit in one single transaction on first diagnosis or advice issued by a medical practitioner.

Why Choose HDFC ERGO’s Critical Illness Plan for Primary Pulmonary Arterial Hypertension?

You may concentrate on your health, while HDFC ERGO Critical Illness cover takes care of the funds. Apart from this, the insurer will also offer monetary support to your family, in case you are busy getting a treatment and there is a loss of income. The lump sum amount is paid in one single transaction on the first diagnosis after a survival period of 30 days. This lump sum amount can be utilized for care and treatment, recuperation aids, paying off debts or fund any lost income due to a decreasing ability to earn. Additionally, by opting for critical illness health covers you can also enjoy tax benefits under section 80D.

What does Critical illness insurance not cover?

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

You might think of causing injury to your precious self,but we don’t want you to hurt yourself. Our policy does 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

Survival Period
Survival Period

The patient should survive for at least 30 days even if he diagnosed with a critical illness listed in the insurance cover.

First 90 Days From Policy Inception
First 90 Days From Policy Inception

We will entertain all claims post waiting period of 90 Days.

 

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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.
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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.
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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 1.5 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 1.5 Crore+ Smiles!

Secured Over 1.5 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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Frequently asked questions

Critical illness insurance for primary pulmonary arterial hypertension is a type of one-time fixed benefit health insurance plan that offers a lump sum payout equivalent to the sum insured on the first diagnosis of primary pulmonary arterial hypertension. Primary pulmonary arterial hypertension is a rare lung disease that causes high blood pressure in the lungs. This critical illness may require oral therapies and oxygen therapies to treat. In severe cases, the doctor may advise lung transplant which can cost a huge amount leading to financial distress. Lump-sum payout by the policy can be utilized for paying out timely treatment expenses and to maintain financial stability.
Mainly critical illness insurance for primary pulmonary arterial hypertension pays out the lump sum benefit which has no restriction on the end uses of the benefit received. Critical illness insurance for primary pulmonary arterial hypertension can benefit you in the following ways:
▪ You can avail yourself of expensive treatment for primary pulmonary arterial hypertension at the right time without any financial stress.
▪ You can maintain financial stability during the treatment period as you can utilize the benefit amount for paying out for debt and to replace the income loss during the treatment and recovery period.
▪ You can get tax benefits under Section 80D of the Income Tax Act, 1961 on the premium paid for critical illness insurance for primary pulmonary arterial hypertension.
Critical Illness Insurance provides you and your family, the additional financial security on diagnosis of a critical illness. The policy provides a lump sum amount which could be used for: Costs of the care and treatment, recuperation aids, debts pay-off, any lost income due to a decreasing ability to earn and for a change in lifestyle.
Critical Illness policy covers individuals in the age group of 5 years to 65 years.
No, you can make only one claim during the lifetime of the policy.

Disclaimer: The assessment of the case depends on the complete terms and conditions of the policy. Please refer to the complete policy terms for further clarity.

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