HDFC ERGO my: Health Women Suraksha Health Insurance

Brief Overview

Over the past few years, the social set-up has seen a lot of changes. A major reason for this change has been the paradigm shift in the role of women. Today, a woman not only manages her family, but she is also a professional. Though you always find her taking care of everyone’s health, it is commonly seen that she often puts her own well being in the back seat. 

There is no denying that women are the backbone of every household. It becomes the responsibility of each family member to see that the women of the house are covered against all kinds of illnesses and injuries. 

HDFC Ergo has made a name for itself in the Indian health insurance industry. They also have quite a few health insurance plans exclusively for women. One such plan is my: health Women Suraksha.

Best Features of HDFC Ergo my: health Women Suraksha Plan

1. An all-inclusive health insurance policy catering exclusively to women
2. Sum insured can range from INR 3 lakhs to INR 24 lakhs
3. You can select a policy term up to 3 years
4. Attractive discounts are offered under the plan
5. Pay a premium as per your convenience- monthly/ quarterly/ half-yearly/ yearly
6. You can cover all the female family members under a single policy
7. Covers women-specific illnesses and surgeries
8. Multiple plans are offered under my: health Women Suraksha Plan
9. Covers pregnancy and newborn baby
10. From your granddaughter to your grandmother, you can cover 9 relations including yourself, in this policy

Benefits of HDFC Ergo my: health Women Suraksha Plan

1. Wide Coverage
   Get the following coverage:
   1. Cancer Cover
   2. Major Illness
   3. Surgical Procedure
   4. Cardiac Ailment and Procedures
   5. Critical Illnesses
   6. Assault and burn injuries
2. Sum Insured Options
   HDFC Ergo my: health Women Suraksha Plan offers you a lot of choice in the sum insured that you select. It ranges from INR 3 lakhs to INR 24 lakhs. You can select the one that suits your insurance needs as well as your budget.
3. Multiple Plans
   You can opt for:
   • Women Cancer Plus Plan
   • Women CI Essential Plan
   • Women CI Comprehensive Plan
4. Relationships Covered
   You can cover yourself, your dependent daughter, dependent mother, daughter-in-law, sister, sister-in-law, niece, grandmother and granddaughter.
5. Second Medical Opinion
   Under post-diagnosis support, you can avail the facility of a second medical opinion.
6. Additional Features
   You can further enhance the coverage of your plan by opting for optional covers such as:
   • Pregnancy complications
   • Newborn complications
   • Loss of job/income
   • Post diagnosis support
7. Reduced Premium Benefit
   In case you are diagnosed with any covered minor condition, you will be eligible for a 50% waive-off on the annual premium on renewal of 5 policy years.
8. Policy Period
   The policy tenure can also be as per your convenience, select a policy term of 1 year, 2 years or 3 years.
9. Wellness Benefits
   With my: health Women Suraksha Plan, you can get access to my: Health Active App, and avail various benefits, discounts and other health incentives.
10. Health Check-ups
    You will be eligible for a preventive health-checkup at the time of policy renewal.

Plan Details of HDFC Ergo my: Health Women Suraksha Plan

• Waiting Period
  The waiting period is applicable as follows:
  1. From 90 to 180 days as per the specified diseases in your particular policy
  2. 1 year waiting period for pregnancy and newborn issues
  3. 4 years for all pre-existing conditions
  4. The plan also comes with a 7-day survival period
• Free Look Period
  The insured person is allowed a 15 day free-look period at the inception of the policy. You can review the terms and conditions of the policy, and if you do not feel completely satisfied with the policy, you can return it to the company. The health insurance premium paid by you will be refunded after deducting the expenses incurred by the company.

What is not Covered in HDFC Ergo my: health Women Suraksha Plan?

The following situations are not covered under my: health Women Suraksha Plan:

1. Injuries due to participation in adventure sports
2. Injuries that are self-inflicted/ suicide attempt
3. Injuries caused due to war/ war-like situations/ revolution
4. Sexually transmitted diseases
5. Cosmetic surgeries/ weight loss procedures

These are the most common exclusions, for a more detailed list, kindly refer to the policy document. 

Renewal Process of HDFC Ergo my: health Women Suraksha Plan

Renewing my: health Women Suraksha Plan on time is very important as it helps you enjoy the policy benefits without a break. You can renew the policy in the following ways:

1. Visit the company website and go to  “Renewal”
2. Give a missed call on 1800 315 7272 and get guidance from an executive
3. You can call on  022 6234 6234 / 0120 6234 6234 for an instant renewal
4. Send a  Cheque or Demand Draft in favour of ‘HDFC ERGO General Insurance Company Ltd’ to the Customer service office
5. Visit the nearest branch office and renew the policy offline
6. Get in touch with an authorised insurance agent

Claim Process of HDFC Ergo my: Health Women Suraksha Plan

When you need to file a claim, see to it that you follow all the company-issued guidelines carefully so that the process of health insurance claim settlement can be smooth and quick. Also, make sure that you notify the company well in time when a claim is being raised.

• Before 48 hours in case of a planned hospitalisation
• Within 24 hours in case of emergency hospitalisation

Cashless Claim 
When a cashless health insurance claim is to be made, you must seek treatment in a network hospital. For this, you need to get a pre-authorisation. Send an email to  preauth@hdfcergo.com to get the approval. Once at the hospital, present this form and your Health Card at the hospital Help Desk. The executives will help you with a cashless settlement.

Reimbursement Claim 
In case of reimbursement, you need to register your claim in any of the given ways. After your treatment, you need to send the required documents (listed below) to: 

HDFC ERGO General Insurance company Ltd, 
5th floor, Tower 1, Stellar IT Park, C-25, Sector-62, 
Noida, UP, India - 201301

Required Documents
Submit the following documents in case of a claim: 

• Valid Photo ID document
• KYC documents
• Claim Form
• Health Card or Policy Papers
• Doctor’s prescription advising hospitalisation
• All investigations, tests, medicines, consultations etc
• Treatment-related bills and receipts
• Discharge Summary
• Bill of Ambulance Service, if any
• Medico-Legal Certificate or an FIR in case of an accidental injury
• Bank Account details, cancelled cheque

HDFC Ergo Health Insurance - Policy Network Hospitals

A healthcare centre or a hospital that has a collaboration with HDFC Ergo is called a network hospital. In these hospitals, you can get cashless treatment. HDFC Ergo has a network of 10,000 well-renowned hospitals which means that expert healthcare is never far. God forbid, if you are ever in a medical emergency,  you need not run around managing funds for your treatment. The bill will be settled by HDFC Ergo.  A big benefit of a network hospital is that there is hardly any paperwork that is required. The procedures are carried out by the company representatives and the final bill is cleared by the company directly. This saves you a lot of time and effort, and thus makes the claim process smooth and quick.

Review of HDFC Ergo my: Health Women Suraksha Plan

When you think of fulfilling your and your family health insurance needs, you would want to select a plan that offers wide coverage and comes with a variety of benefits. In a time when there are so many risks to a woman’s health, HDFC Ergo my: health Women Suraksha Plan benefits the women in every possible way. Designed exclusively for the woman who looks beyond her own needs and worries about everyone else, my: health Women Suraksha Plan is a great plan that offers comprehensive coverage to women-specific diseases and surgeries. 

HDFC Ergo Health Insurance - Customer Care Details