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HDFC ERGO Health Suraksha Policy Details

HDFC ERGO General Insurance Company Limited has issued a Health Suraksha Policy to Mr. Arunkumar Kanagasabai. The policy provides ₹1,000,000 sum insured for family floater coverage. Mr. Kanagasabai paid a premium of ₹25,100 for the policy which is valid from May 11, 2022 to May 10, 2023. The policy covers hospitalization expenses as well as pre-and post-hospitalization costs.

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0% found this document useful (0 votes)
113 views3 pages

HDFC ERGO Health Suraksha Policy Details

HDFC ERGO General Insurance Company Limited has issued a Health Suraksha Policy to Mr. Arunkumar Kanagasabai. The policy provides ₹1,000,000 sum insured for family floater coverage. Mr. Kanagasabai paid a premium of ₹25,100 for the policy which is valid from May 11, 2022 to May 10, 2023. The policy covers hospitalization expenses as well as pre-and post-hospitalization costs.

Uploaded by

instatest3580
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
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  • Insurance Welcome Note
  • Policy Schedule
  • Agent Contact Information

HDFC ERGO General Insurance Company Limited

43653152648058401

Date: 11/05/2022
Dear Mr. Arunkumar Kanagasabai
161, Anna Nagar, Orathur
Chidambaram, Cuddalore.
Tamil Nadu, Pin Code: 608201.

We thank you for trusting HDFC ERGO General Insurance. Enclosed herewith is your insurance policy which has been confirmed on the basis of
the information and declaration given by you.

Product Name Policy No. Sum Insured (₹) Premium (₹)


(Inclusive of ST @15%)
Health Suraksha Policy 43653152648058401/1 1,000,000.00 25,100.00

The insurance policy enclosed herewith represents a written agreement confirming the terms of the cover agreed as per our telephonic
Conversation with you.

To ensure seamless & hassle – free services, we request you to kindly check your contact and other details on your policy schedule on the
Basis of which the insurance is issued. In case of any discrepancy please call our toll free 1800 2 700 700.

For any further assistance on your policy or to know more about other products, please free to contact us. We once again thank you for
Choosing HDFC ERGO and heartily welcome you to our growing family.

For HDFC ERGO General Insurance Company Ltd.

Karan Chopra
Head – Retail Business Group

--------------------------------------------------------------------------------------------------------------------------

HDFC ERGO General Insurance Company Limited

Dear Mr. Arunkumar Kanagasabai

Subject: Certificate for the purpose of deduction under section 80 D of Income Tax (Amendment) Act, 1986*

This is to certify that we have received an amount of ₹25,100 (RUPEES TWENTY-FIVE THOUSAND ONE HUNDRED RUPEESAND
ZERO PAISE Only) towards the premium for Health Suraksha Policy, Policy No 43653152648058401/1 issued to
Arunkumar Kanagasabai for the period 11/05/2022 to 10/05/2023.

Note:
1. This is subject to the provisions of Section 80D of income tax (Amendment) Act, 1986 as amended from time to time.
2. This certificate must be surrendered to the company in case of cancellation of this policy. In event of incorrect representation of this
declaration the liability shall be upon the policy holder.

Date:11/05/2022 For HDFC ERGO General Insurance Company Ltd.


Policy Issuing Office: Mumbai

Duly Constituted Attorney

Registered & Corporate Office: 1 st Floor, 165 -166 Backbay Reclamation, H. T. Parekh Marg, Church gate, Mumbai- 400 020.
Customer Service Address: 6th Floor, Leela Business Park, Andheri Kurla Road, Andheri(E), Mumbai - 400 059.
Tel: +91 22 6638 3600 | Fax: 91 22 6638 3699 | Care@[Link] |[Link]. IRDA Reg. No. 125. CIN: U66010MH2002PLC134869
HDFC ERGO General Insurance Company Limited

POLICY SCHEDULE
Policy No. 43653152648058401

Health Suraksha Policy


SILVER PLAN

Proposer Name MR ARUNKUMAR KANAGASABAI Premium Frequency Family


Correspondence 161, ANNA NAGAR, ORATHUR, Permanent 161, ANNA NAGAR, ORATHUR,
Address CHIDAMBARAM, CUDDALORE-608201. Address CHIDAMBARAM, CUDDALORE- 608201.

Mobile Phone E Mail Policy Type Family Floater

Period of Insurance From Date & Time 11/05/2022 00:00 hrs. To Date & Time 10/05/2023 Midnight

Insured Person’s Details & Sum Insured


Insured Name Relationship Date of Birth Member ID 1st Policy Portability
Inception Sum Insured (₹) Pre-Existing
Disease

ARUNKUMAR KANAGASABAI Self 05/06/1988 11/05/2022

Sum Insured (₹) 1,000,000.00 CB Amount (₹) 0.00


In case of increase in the Sum insured at renewal, waiting period will apply afresh in relation to the amount by which the Sum Insured has been enhanced.

Coverage Details
Coverage Details Coverage Details

In-Patient Treatment Covered Pre-hospitalization(days) 60

Post-hospitalization (days) 90 Day Care Procedure Covered

Domiciliary Treatment Covered Organ Donor Expenses Covered

Emergency Ambulance Charges (Limit per hospitalization) Upto Rs 2000 Ayurvedic/Unani/Siddha/Homeopathic Covered

Health Checkup per family (Post 4 claims free years) Upto 1% Sum Enhanced Cumulative Bonus 10 % of Sum
Insure; Maximum Insured; Maximum
Upto Rs 5000 100%

Regain Benefit 100 % of basic


Sum Insured

The policy Wording attached herewith includes all the standard coverages offered by the Company to its Customers. Your entitlement for coverage/benefits shall be
Restricted to the coverages benefits as mentioned in this policy Schedule issued to you. Please read the policy Wording in conjunction with the Policy Schedule. For Any
Clarification, please call out toll free number.

Premium Details (₹)


Basic Premium 22,800
Loadings 0.00
GST (Including Education Cess & Higher Education Cess, whenever applicable) 2,300.00
Total Premium 25,100.00

Payment Details
Cheque No./DD/Fund Transfer Date Bank Name
ERGO_CC_11022021-10265660000146-SECURE PLUS 11/05/2022 HDFC Bank Ltd

Special Conditions

Exclusions

Registered & Corporate Office: 1 st Floor, 165 -166 Backbay Reclamation, H. T. Parekh Marg, Church gate, Mumbai- 400 020.
Customer Service Address: 6th Floor, Leela Business Park, Andheri Kurla Road, Andheri(E), Mumbai - 400 059.
Tel: +91 22 6638 3600 | Fax: 91 22 6638 3699 | Care@[Link] |[Link]. IRDA Reg. No. 125. CIN: U66010MH2002PLC134869
HDFC ERGO General Insurance Company Limited

POLICY SCHEDULE
Policy No. 4965 3152 6480 5824 01

Health Suraksha Policy


SILVER PLAN

List of Endorsements
End No Description Effective Date

For Claim Services Phone 1800 2000 700 / 1800 2001 999 Fax no. 1800 2000 600 Email healthclaims@[Link]
Address HDFC ERGO General Insurance Company Ltd. 5th floor, Tower 1, Stellar IT Park. C-25, Sector -62, Noida - 201301

If the premium is not realized the policy shall be valid from inception.
Consolidated stamp duty for this insurance Policy is paid by Demand Draft, vide Receipt/Challan no 2837052201415 dated 20/12/2014 as prescribed in
Government Notification Revenue and Forest Department No. Mudarank 2004/4125/CR 690/M-1, dated 31/12/2004.
Policy Issuing Office: Mumbai

Agent Name: HDFC BANK LTD HDFC ERGO General Insurance Company Ltd.

Agent Code: 201587086428 Tel No. 91-22-28561818


Duly Constituted Attorney

Registered & Corporate Office: 1 st Floor, 165 -166 Backbay Reclamation, H. T. Parekh Marg, Church gate, Mumbai- 400 020.
Customer Service Address: 6th Floor, Leela Business Park, Andheri Kurla Road, Andheri(E), Mumbai - 400 059.
Tel: +91 22 6638 3600 | Fax: 91 22 6638 3699 | Care@[Link] |[Link]. IRDA Reg. No. 125. CIN: U66010MH2002PLC134869

Common questions

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HDFC ERGO advises policyholders to check the contact and other details on their policy schedule. In case of any discrepancies, policyholders are instructed to call the toll-free number 1800 2 700 700 for rectification and assistance .

The waiting period policy stipulates that if the sum insured is increased at renewal, a new waiting period will apply afresh to the amount by which the sum insured has been enhanced. This means any amount over the original coverage will be subject to the standard waiting periods as stated in the policy terms .

Domiciliary treatment coverage allows insured persons to receive certain types of medical treatments at home when hospitalization is not feasible. This provides flexibility and can be particularly beneficial for patients unable to be moved or in case hospitals are full, thus offering comfort and continuity of care without the additional costs of hospitalization .

The Health Suraksha Policy provides coverage for Ayurvedic, Unani, Siddha, and Homeopathic treatments. This indicates HDFC ERGO includes a wider range of medical interventions beyond allopathic medicine within their insurance coverage, allowing policyholders to claim expenses incurred under these alternative treatments .

Under the HDFC ERGO insurance policy, Emergency Ambulance Charges are covered up to a limit of ₹2000 per hospitalization. This provides financial assistance in covering the cost of ambulance services in emergencies, ensuring quick and effective transportation to hospitals .

The Enhanced Cumulative Bonus offers an additional 10% of the sum insured as a benefit, up to a maximum of 100%. This effectively increases the coverage offered without raising the premium cost, potentially providing significant financial benefit to policyholders who do not claim frequently, as their cover amount can double over time through the cumulative bonus mechanism .

The policy schedule states that Arunkumar Kanagasabai's Health Suraksha Policy is active from 11/05/2022 at 00:00 hours to 10/05/2023 at midnight, providing coverage for exactly one year .

The Health Suraksha Policy provides a health checkup benefit up to 1% of the sum insured, with a maximum limit of ₹5000, available to the policyholders after four consecutive claim-free years. This feature encourages preventive health measures by offering financial support for regular health checkups .

The 'Regain Benefit' feature is crucial as it restores the entire basic sum insured of the policy without any additional cost when the original sum insured is exhausted within the policy term. This means the policyholder can have a second round of full coverage within the same policy year, which is especially beneficial during high-cost medical emergencies or catastrophic illnesses, providing expanded financial protection .

The policy document states that the certificate is subject to the provisions of Section 80D of the Income Tax (Amendment) Act, 1986, as amended from time to time. It also requires that the certificate must be surrendered to the company in case of policy cancellation, and liability for incorrect representation rests with the policyholder .

HDFC ERGO General Insurance Company Limited 
Registered & Corporate Office: 1st Floor, 165 -166 Backbay Reclamation, H. T. Pa
Registered & Corporate Office: 1st Floor, 165 -166 Backbay Reclamation, H. T. Parekh Marg, Church gate, Mumbai- 400 020. 
Cus
Registered & Corporate Office: 1st Floor, 165 -166 Backbay Reclamation, H. T. Parekh Marg, Church gate, Mumbai- 400 020. 
Cus

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