HDFC Ergo – Easy Health – Product benefit table

HDFC Ergo Easy Health Product benefit table

Benefits Easy Health
Sum Insured (In Lacs) 1Lac, 2 Lac, 3 Lac, 4 Lac, 5 Lac, 7.5 Lac, 10 Lac, 15 Lac 2 Lac, 3 Lac, 4 Lac, 5 Lac, 7.5 Lac, 10 Lac, 15 Lac
Plans Standard Standard
Policy Type Individual Family Floater
Entry age 91 days to 65 years
Policy Term 1, 2 years
Relationship members covered under one policy 6 members
Inpatient Treatment Covered
Day Care Procedures Covered
Pre-Hospitalisation 60days
Post-Hospitalisation 90days
Domiciliary Treatment Covered
Organ Donor Covered
Ambulance Up to Rs. 2000 per hospitalisation
Emergency Air Ambulance Not Covered
Recovery Benefit Not Covered
AYUSH Benefit Up to Rs. 20,000
Daily Cash for choosing shared accommodation’s Rs.500 per day, Maximum Rs.3,000
Daily Cash for accompanying an Insured child Not Covered
Vaccination (in case of Post Bite Treatment) Not Covered
Out-Patient Treatment Cover after waiting period of 3 years Not Covered
a) Out-patient Consultation
b) Diagnostic Tests
c) Dental Treatment
d)Spectacles, Contact Lens, Hearing Aids
E-Opinion in respect of a Critical Illness Not Covered
Convalescence Benefit Not Covered
Maternity Expenses Not Covered
New Born Baby Cover Not Covered
Restore Benefit Not covered
HIV & Mental illnesses treatmen Covered
Cumulative Bonus  10% for every claim-free year accumulating up to 100% (in the event of a claim, CB will be reduced by 10% of SI on the next renewal).
Health Check-up Up to 1% of Sum Insured per Insured Person, only once at the end of a block of every continuous four claim free years. Up to 1% of Sum Insured / Policy, only once at the end of a block of every continuous four claim free years
Second Opinion Not Covered
Specialist Consultation Not Covered
Wellness Not Covered
Critical Advantage Rider Offered (where base Sum Insured is Rs.10 lacs & above)
Hospital Daily Cash Not Covered
Family Discounts 5% if 2 members are covered and 10% if 3 or more family members NA
Long Term Discount 7.5% Discount on premium if Insured Person is paying premium of 2 years
Stay Active Up to 8% discount on renewal premium subject to insured member achieving the average number of steps in each time interval prescribed in the grid by either walking or running regularly to keep fit. The discount will be accrued by the customer at defined time intervals and cumulated at the end of the policy period and offered as a discount on renewal premium.
Pre-existing diseases 36months