
HDFC ERGO Medisure Super Top Up
95
Claim Settlement Ratio
15000
Network Hospitals
0
Customer Rating
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95
Claim Settlement Ratio
15000
Network Hospitals
0
Customer Rating
Our Verdict
Expert Review: HDFC ERGO Health Insurance
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About
About HDFC ERGO Health Insurance
Inclusions and Exclusions
Inclusions and Exclusions of HDFC ERGO Insurance Company Limited
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.
Waiting Period
Initial Waiting Period: 30 days from the policy's inception, applicable to all illnesses except those resulting from accidents.
Specific Diseases and Treatments: 24 months for certain listed illnesses and surgical procedures.
Pre-existing Diseases: 36 months before coverage begins for any pre-existing conditions declared 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.
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.
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 the company
FAQs
Frequently Asked Questions
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