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Claim Process
Get TPA Details
Good Health TPA Services Ltd.
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Tata AIG Health Claim.
My: Health Koti Suraksha Individual
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Dengue Care
Health Suraksha Top Up Plus Individual
Health Suraksha Individual
Critical Illness Old
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My:health Suraksha Individual
My Health: Medisure Super Top Up Individual Old
Critical Illness
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Easy Health Floater
Optima Restore Floater
Optima Super Floater
Medisure Classic Floater
Medisure Prime Floater
My:health Medisure Super Top-up Floater
Optima Plus Top Up
Optima Cash Platinum
Health Suraksha Top Up Plus Floater
Health Suraksha Floater
My Health: Medisure Super Top Up Floater Old
Day 2 Day Care Floater
Health Wallet Floater
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Maxima
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Corona Kavach Floater
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Synopsis:
HDFC ERGO’s my:health Koti Suraksha, a policy that gives you a cover of Rs. 1 Cr in low premiums.
Highlight:
Age at Entry:- Adults Min 18 Years Max 65 Years, Children Min 91 days max 25 Years
Policy period:- is policy can be issued for 1 year/2 years/3 years.
Family Discount:- A discount of 10% on the premium shall be offered if 2 or more family members under Individual Plan
Long Term Policy Discount:- A discount of 7.5% and 10% shall be offered on premium, in case a policy is purchased for 2-year and 3-year tenure respectively
Zone:-Tier 1a: Delhi and NCR region, Tier 1b: Mumbai, Mumbai Suburban and Navi Mumbai, Pune, Surat, Ahmedabad, Tier 2: Rest of India
Mental Illness:- The Coverage for mental illness is applicable if done in a mental health establishment and is subject to the provisions contained in the Mental Health Care Act, 2017
Home Healthcare:- Hospitalization at home under Home Healthcare for medically-necessary treatment of illnesses, availed through cashless facility only.
Domiciliary Hospitalization:- Pays for expenses incurred for medical treatment taken at home, on the advice of a physician.
Health Coach::- Access to health coaching services in areas like disease management, activity and tness, nutrition as well as weight management
Fitness Discount @ Renewal:- Insured Person can avail Fitness discount of upto 10% at each renewal
Health Incentives:- Upto 50% reduction in Medical Underwriting Loading applied on first inception of the policy, provided the Insured undergoes medical tests and/or BMI check-up as listed in the policy wordings
Emergency Worldwide Coverage:- Pays medical expenses on medically necessary hospitalization of an insured person outside India due to life threatening situation
Benefit:
Title
Description
Additional Cover for Critical Illness
my:health Critical Illness Add On
Ambulance Expenses
Pays for the expenses incurred on Road Ambulance services in case of any emergency. Air Ambulance covered upto Rs 5 Lakh
Automatic Restoration of Sum Insured
Sum Insured Rebound Adds to the sum insured, an amount equivalent to the claim amount paid under Basic Sum Insured, subject to maximum of basic sum insured, on subsequent hospitalization of the insured person during a policy year
Co-Payment
Co-payment - Only applicable to Section A. 20% for all lives with PED at inception of policy will be applicable only during waiting period applicable to pre-existing diseases.. 20% for age at entry above 60 years.
Day Care Procedure Coverage
covered
Donor Expenses
Covers Medical Expenses towards organ donors hospitalization for harvesting of the donated organ where the insured person is the recipient
Free Health Checkup
At the time of renewal of the policy
ICU Daily Rent Limit
Covered
Minimum Hospitalization Period
24 hours
No Claim Bonus
10% of the basic sum insured, up to a maximum of 100% of Basic SI. Cumulative Bonus – Booster 50% of basic SI maximum of 100%
Non-Allopathic Treatments
Covers medical expenses for hospitalization of insured in an Ayush Hospital up to the limits specified in the policy schedule AYUS
Post Hospitalization Expenses
90 days
Pre-Existing Disease / Illness coverage
Covered after 48 months of continuous coverage
Pre-Hospitalization Expenses
60 days
Room Rent Limit
Up to Single Standard AC Room
Waiting Period for New Policy
30-day waiting period