HDFC Ergo Insurance Plans

HDFC ERGO Women Cancer Plus Plan

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HDFC ERGO Women Cancer Plus Plan - cover you against cancer along with major illnesses.

Key Features of the my: health Women Suraksha Policy

  • Policy exclusively designed for today’s Women, which looks beyond her health insurance needs and ensures her well being
  • Multiple sum insured options ranging from Rs. 1 Lac to Rs. 5 Crs available under this policy.
  • Coverage for all the women in the family under the single policy
  • Comprehensive policy with coverage for all women specific major illnesses and surgeries
  • Wellness features like Fitness discount@ renewal, Health Coachetc for maintenance of good health
  • Various discount offered like family discount, long term policy discount, loyalty discount
  • Long term policy options 0f 1 year / 2 years / 3 years
  • Option to pay premium in yearly, half yearly, quarterly and monthly instalments.

HDFC ERGO Health Insurance Review

HDFC ERGO Health Insurance
HDFC ERGO Health Insurance sum insured
3 lacs − 75 lacs options available
Incurred Claims Ratio *
62.00%
HDFC ERGO Insurance tenure options
2 years
Claims Settlement Ratio **
85.97%
List of network hospitals
10,000+ hospitals
Number of policies issued *
1,066,395
Maximum family floater coverage
Self, Spouse + dependent (children (upto 25 yrs) + parents)
Number of lives covered *
96,05,000
* As per IRDAI report for 2018-19   |   ** As per NL25 data published on the Insurance Company website

HDFC Ergo Women Cancer plus insurance benefits

  • Entry Age
  • What the Policy covers
  • Exclusions
  • Claims

HDFC Ergo Entry Age for all the Cancer Covers:

  • Proposer
    • Minimum Entry Age – 18 Years
    • Maximum Entry Age – 65 Years
  • Adult Dependent
    • Minimum Entry Age – 18 Years
    • Maximum Entry Age – 65 Years

HDFC Ergo Cancer Coverage under this Plan

If Insured Person suffers fromany illnesses as listed below, whosediagnosis and/or manifestation first commence/occurs after the applicableWaiting Period from commencement of first Policy with Us, We will paySum Insured or percentage of Sum Insured asspecified below:
Illness Stage Percentage of Sum Insured Payable Waiting Period Applicable
1 Malignant Cancer of specified Sites
Breast Major 100% of Sum Insured 90 days
Cervix
Uterus
Fallopian Tube
Ovary
Vagina/Vulva
2 Other Major Cancers Major 100% of Sum Insured 90 days
3 Carcinoma in-situ of theCervix Uteri Minor 25% of Sum Insured subject to maximum of Rs. 1,000,000 180 days
4 Carcinoma in-situ of the Breast Minor 25% of Sum Insured subject to maximum of Rs. 1,000,000 180 days


General IFFCO Tokio Exclusions applicable to Cancer Cover

  • 48 months waiting period shall apply for all Pre-existingConditions declared and/or accepted at the time of applyingfirst policy with us
  • Treatment directly or indirectly arising from or consequent uponwar or any act of war, invasion, act of foreign enemy, war likeoperations (whether war be declared or not or caused duringservice in the armed forces of any country), civil war, publicdefence, rebellion, revolution, insurrection, military or usurpedacts, nuclear weapons/materials, chemical and biologicalweapons, radiation of any kind.
  • Any Insured Person committing or attempting to commit abreach of law with criminal intent, or intentional self-injury orattempted suicide while sane or insane.
  • Participation or involvement of an Insured Person in naval,military or air force operation, racing, in a professional or semiprofessional nature
  • From engaging in or participation in adventure sports includingbut not limited to winter sports, skydiving/parachuting, hanggliding, bungee jumping, scuba diving, mountain climbing(where ropes or guides are customarily used), riding or drivingin races or rallies using a motorized vehicle or bicycle, caving orpot-holing, hunting or equestrian activities, skin diving or otherunderwater activity, rafting or canoeing involving white waterrapids, yachting or boating outside coastal waters, participationin any Professional Sports, any bodily contact sport or any otherhazardous or potentially dangerous sport for which the Insuredis untrained, unless specifically covered under the Policy;
  • Abuse or the consequences of the abuse of intoxicants orhallucinogenic substances such as intoxicating drugs andalcohol including smoking cessation programs and thetreatment of nicotine addiction or any other substance abusetreatment or services, or supplies
Disclaimer: “For the detailed list of exclusions under the policy, kindly refer to the same provided in your policy kit”

Claims documents for CancerCover

  • Claim Form duly signed by the Insured Person
  • Copy of Discharge Summary / Discharge Certificate
  • First consultation letter from treating Medical Practitioner
  • Medical certificate confirming diagnosis, and the treatment from Medical Practitioner
  • Certificate from treating Medical Practitioner, specifying the duration and etiology
  • OT Notes in case of Surgery
  • Medical certificate from treating Medical Practitioner specifying the diagnosis and need for the surgery
  • MLC/FIR copy/ certificate regarding abuse of Alcohol/intoxicating agent if applicable
  • All pathological and radiological Investigation Reports We may require the Insured Person to undergomedical examination by Medical Practitioner authorized by Us to obtain an independent medical opinion forthe processing of the claim. Any cost towards such a medical examination will be borne by Us.
  • NEFT details & cancelled cheque

Individual plan has to be separate for every individual. Floater covers all in family (max. 2 Adults and Children upto 25 years and Dependent parents) and provides one sum insured to all, hence there is saving of premium.

There is No maximum exit age for HDFC Ergo medical insurance.

Sub limit defines the capping of insurance amount, for specific surgeries and medical procedures, which reduces the premium of the plan. You can also opt for an add on cover by paying extra premium to remove the sub- limits under the policy.

The duration only after which a claim can be made is called the waiting period.

The premium paid on a health insurance policy is eligible for deduction under Section 80D of the Income Tax Act. So save with your policy now!

Brochure

Review HDFC ERGO Women Cancer Plus Plan brochure to understand coverage details.


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Proposal form

Fill the online HDFC ERGO Women Cancer Plus Plan proposal form.


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Policy wordings

Review HDFC ERGO Women Cancer Plus Plan policy wordings which explains the terms and conditions.

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CIN: U66000KA2018PTC117713 | IRDAI Web aggregator License Code Number: IRDAI / INT / WBA /53/ 2018, Valid till 07/08/2025
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