
HDFC ERGO Medisure Super Top Up
98%
Claim Settlement Ratio
16,000+
Network Hospitals
5.5/10
Plan Rating
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Our Verdict
Expert Review: HDFC ERGO myHealth Medisure Super Top-up
Final Verdict
About
What Is myHealth Medisure Super Top-up?
myHealth Medisure Super Top-up Ratings
myHealth Medisure Super Top-up
Insurer Rating
9.07
out of 10
Insurance Rating
5.5
out of 10
No Room Rent Limit
Yes
Consumables Covered
No
No Co-payment
Yes
Loyalty Bonus >= 500%
No
No Disease Sublimits
Yes
Unlimited Restoration
No
Additional Benefits (Informational Only — Not part of score)
PED Waiting <= 2 Years
No
Maternity Available
No
Waiting Period Waiver
No
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Inclusions and Exclusions
HDFC ERGO myHealth Medisure Super Top-up Inclusions and Exclusions
Modern Treatment
Not specified
ICU Charges
Covered within medical expenses; no separate ICU limit stated
Cumulative Bonus
10% of basic sum insured on each continuous renewal irrespective of claims, up to a maximum of 100%; not applicable if aggregate deductible is opted. Optional Cumulative Bonus Booster increases this to 50% per renewal, maximum 100%
Consumable Cover
Optional — Non-Medical Expenses Cover pays non-medical expenses up to 5% of the admissible claim amount under the hospitalisation section
Initial Waiting Period
30 days, except claims arising from an accident
Specific Waiting Period
24 months for specified illnesses and surgical procedures
Room Rent
Normal: Single A/C private room
ICU: no limit, expenses incurred will be covered by the insurance
Advanced Treatments
Robotic surgeries for precise, minimally invasive procedures.
Bariatric surgery for obesity management (as per policy terms).
Modern cancer treatments like immunotherapy and targeted therapy.
Stem cell therapy (for approved conditions).
Proton beam therapy for advanced cancer care.
Advanced cardiac procedures including transplants and minimally invasive heart surgeries.
Co-payment
The HDFC My: Health Medisure Super Top-Up Plan has a co-payment clause of 10% for individuals aged 61 years and above at the time of policy purchase.
Cashless Healthcare Providers
16,000+ Healthcare providers.
Daycare Treatment
Covered by the policy.
AYUSH Treatment
Covered in the policy.
PED Waiting Period
36 months; optional Waiting Period Modification reduces it to 24 months
Annual Health Checkup
Preventive health check-up after completion of each policy year or at renewal at a network provider, covering a listed panel including chest X-ray, 2D echo or stress test, PSA for males, PAP smear for females, medical examination report, complete blood count, urine routine, fasting blood sugar, lipid profile and ECG. The benefit is not carried forward if not used within 60 days of the policy anniversary
Post-Hospitalisation
180 days after discharge
Outpatient Department Cover (OPD Expense)
Not covered. Wellness services include discounts on OPD, pharmaceuticals, pharmacy and diagnostic centres, which are discounts rather than cover
Deductible Option
Optional — Aggregate Deductible. The insured bears the opted amount across all admissible claims in a policy year before the insurer's liability begins. Opting for it removes the Cumulative Bonus and the Sum Insured Rebound
Coverage Options
Individual sum insured or floater sum insured
Maternity Cover
Not covered — maternity and medical treatment expenses traceable to childbirth are permanently excluded
Claim Settlement Ratio
97.43%
Disease-wise sublimits
Yes — a ₹75,000 sub-limit applies to each of cataract; surgery for benign tumours, cysts, nodules or polyps; stone in the urinary system; hernia-related procedures; appendectomy; hysterectomy; fissures, piles and fistulas; and cellulitis or abscess. Optional Waiver of Disease Capping deletes these sub-limits
Restoration Benefit
Optional — Sum Insured Rebound adds an amount equal to the claim paid under the basic sum insured, up to a maximum of the basic sum insured, on subsequent hospitalisation in a policy year. A single claim cannot exceed the basic sum insured plus cumulative bonus earned; for chemotherapy and dialysis it applies only once in the policy lifetime; unused amounts do not carry forward; not available if aggregate deductible is opted
Exclusions
Pre-existing diseases are excluded until 36 months of continuous coverage have elapsed since the policy's inception.
Any illness contracted within the first 30 days from the policy commencement date is excluded, except for claims arising due to an accident.
Specific treatments and conditions, such as cataract, hysterectomy (other than for malignancy), knee replacement surgery (unless caused by an accident), and others, are excluded for the first 24 months of continuous coverage.
Expenses related to diagnostic and evaluation purposes without any treatment are excluded.
Expenses for rest cures, rehabilitation, and respite care are not covered.
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About the company
About HDFC ERGO
FAQs
Frequently Asked Questions
This content has been reviewed by J Isaac Samuel, Insurance Advisor | BQP code: 39540
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