Prospectus My Health Suraksha
Prospectus My Health Suraksha
Prospectus My Health Suraksha
Prospectus
my:health Suraksha
Key features of the policy: • 20 Lacs • 22.5 Lacs • 25 Lacs • 30 Lacs
1. Multiple sum insured options ranging from 1 Lac to Rs 5 Cr available • 35 Lacs • 40 Lacs • 45 Lacs • 50 Lacs
under this policy. • 75 Lacs • 1 Cr • 1.5 Cr • 2 Cr
2. Comprehensive policy with 9 Base covers with 18 optional covers • 2.5 Cr • 3 Cr • 3.5 Cr • 4 Cr
3. Any age entry option with lifetime renewal • 4.5 Cr • 5 Cr
4. Unique plan with coverage for hospitalization expenses anywhere 2. Home Healthcare
in the world Insured Person can avail Hospitalization at home under Home
5. Exclusive covers like Air ambulance cover, Recovery benefit, Healthcare for Illnesses including but not limited to following
Infertility cover. Medically Necessary Treatment, if prescribed by treating Medical
Practitioner. We will pay Medical Expenses under Section A1
6. Wellness features like Fitness discount@ renewal, Health incentives
incurred for treatment of such Illness where opted.
for maintenance of health
• Gastroenteritis
7. Flexi benefits like choosing room rent capping, co pay in order to
avail discounts on premium • Bronchopneumonia
• Respiratory tract infection
8. Various discount options to like family discount, online policy
discount, long term policy discount, loyalty discount • Chemotherapy
• Pancreatitis
9. Long term policy options up to 3 years with attractive premium rate
• Dengue
10. Option to pay yearly premium in 3,6 and 12 equal installments
• COPD management
Coverage • Hepatitis
• Fever management
Section A: Hospitalization Cover
This Cover can be availed through Cashless Facility only as
We will pay under below listed Covers On Medically Necessary
procedure given under Claims Procedure.
Hospitalization of an Insured Person due to Illness or Injury sustained
or contracted during the Policy Period. The payment is subject to Sum Insured Person shall bear specified percentage of admissible Claim
Insured and limits including Cumulative Bonus if applicable as specified amount under each and every Claim If Co-payment under Section
on the Schedule of Coverage in the Policy Schedule. Subject to otherwise C-14 is opted and specified in the Schedule of Coverage in the
terms and conditions of the Policy. Policy Schedule
i. Room rent, boarding and Nursing charges We will pay the Medical Expenses incurred on Domiciliary
Hospitalization of the Insured Person provided that:
ii. Intensive Care Unit charges
i. It has been prescribed by the treating Medical Practitioner
iii. Consultation fees
and
iv. Anesthesia, blood, oxygen, operation theatre charges, surgical
appliances ii. the condition the Insured Person is such that he/she could
not be removed to a Hospital
v. Medicines, drugs and consumables
or
vi. Diagnostic procedures
iii. the Medical Necessary Treatment is taken at Home on account
vii. The Cost of prosthetic and other devices or equipment if
of non-availability of room in Hospital
implanted internally during a Surgical Procedure.
Insured Person shall bear specified percentage of admissible Claim Expenses incurred on Domiciliary Hospitalization in respect to
amount under each and every Claim If Co-payment under Section following treatment are excluded under the Policy
C-14 is opted and specified in the Schedule of Coverage in the a. Asthma, Bronchitis, Tonsillitis and Upper Respiratory Tract
Policy Schedule infection including Laryngitis and Pharyngitis, Cough and
Cold, Influenza,
a) Mental Healthcare
b. Arthritis, Gout and Rheumatism,
If an Insured Person is hospitalized for any Mental Illness contracted
c. Chronic Nephritis and Nephritic Syndrome,
during the Policy period We will pay Medical Expenses under
Section A in accordance with The Mental Health Care Act, 2017, d. Diarrhoea and all type of Dysenteries including Gastroenteritis,
subsequent amendments and other applicable laws and Rules e. Diabetes Mellitus and Insipidus,
provided that; f. Epilepsy,
i. The Hospitalization is prescribed by a Medical Practitioner
g. Hypertension,
for Mental Illness
h. Psychiatric or Psychosomatic Disorders of all kinds,
ii. The Hospitalization is done in Mental Health Establishment
i. Pyrexia of unknown Origin,
Sum Insured options available: j. Post Hospitalization Expenses are excluded if Insured Person
• 1 Lac • 2 Lacs • 3 Lacs • 4 Lacs opts for Domiciliary Hospitalization,
• 5 Lacs • 6 Lacs • 7.5 Lacs • 9 Lacs Insured Person shall bear specified percentage of admissible Claim
• 10 Lacs • 12.5 Lacs • 15 Lacs • 17.5 Lacs amount under each and every Claim If Co-payment under Section
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 1
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
HDFC ERGO General Insurance Company Limited
Prospectus
my:health Suraksha
C-14 is opted and specified in the Schedule of Coverage in the amount under each and every Claim If Co-payment under Section
Policy Schedule C-14 is opted and specified in the Schedule of Coverage in the
Policy Schedule
4. Pre-Hospitalization cover
Sum Insured options available:
We will pay for the Medical Expenses incurred during the 60 days
immediately before Hospitalization of an Insured Person, provided • Rs.2,000
that such Medical Expenses are incurred for the same Illness/Injury • Rs.3,500,
for which subsequent Hospitalization was required and Claim under
• Rs.15,000
Section A1 is admissible under the Policy.
Where Insured Person has opted for Home Healthcare treatment
under Section A2, Pre-Hospitalization expenses are payable up to 8. Organ Donor Expenses
60 days prior to start of the Medical treatment.
We will pay Medical Expenses as listed under Section A1 towards
Insured Person shall bear specified percentage of admissible Claim organ donor’s Hospitalization for harvesting of the donated organ
amount under each and every Claim If Co-payment under Section where an Insured Person is the recipient, provided that;
C-14 is opted and specified in the Schedule of Coverage in the
• The organ donor is any person whose organ has been
Policy Schedule
made available in accordance and in compliance with The
Transplantation of Human Organ (amendment) Act, 2011,
5. Post-Hospitalization cover
Transplantation of Human Organs and Tissues Rules, 2014
We will pay for the Medical Expenses incurred upto 180 days from and other applicable laws and rules.
the day Insured Person is discharged from Hospital provided that
• Hospitalization Claim under Section A1 is admissible under
such costs are incurred in respect of the same Illness/Injury for
the Policy
which the earlier Hospitalization was required and Claim under
Section A1 or A 6 is admissible under the Policy • The Organ Donor ’s Pre-Hospitalization and Post-
Hospitalization expenses are excluded under the Policy
Where Insured Person has opted for Home Healthcare treatment
under Section A2, Post Hospitalization expenses are payable up • Any other Medical Expenses or Hospitalization consequent
to 180 days post completion of the medical treatment. to the harvesting is excluded under the Policy
Insured Person shall bear specified percentage of admissible Claim Insured Person shall bear specified percentage of admissible Claim
amount under each and every Claim If Co-payment under Section amount under each and every Claim If Co-payment under Section
C-14 is opted and specified in the Schedule of Coverage in the C-14 is opted and specified in the Schedule of Coverage in the
Policy Schedule Policy Schedule
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 2
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
HDFC ERGO General Insurance Company Limited
Prospectus
my:health Suraksha
Section B: Renewal Benefits Healthy Weeks Discounts
ii. Cumulative Bonus will be reduced at the same rate as accrued in • Annual Policy: Discount amount accrued based on
the event of admissible Claim under Section A of the Policy. Number of accumulated Healthy Weeks during the
expiring Policy Year will be applied on the Renewal
iii. Cumulative Bonus can be accumulated upto 50% of Basic Sum
Premium for expiring Policy Sum Insured and for Insured
Insured.
Person covered under expiring Policy
iv. Cumulative Bonus applied will be applicable only to Insured Person
• Multi Year Policy:
covered under expiring Policy and who continue to remain insured
on Renewal. o Fitness discount earned on yearly basis will be
accumulated till Policy End date.
v. In case of multiyear policies, Cumulative Bonus that has accrued
for the second and third Policy Year will be credited on Renewal. o On Renewal of the Policy, total discount amount
Accrued Cumulative Bonus may be utilized in case of any Claim accrued each Policy Year will be applied on
during Policy tenure Renewal Premium of subsequent year and for
Insured Person covered under expiring Policy
3. my: Health Active • For Policies covering more than one Insured Person,
A. Fitness discount @ Renewal Healthy Weeks for each Insured Person will be tracked
and accrued. Such discount will be applicable on
Insured Person can avail discount on Renewal Premium by
individual Renewal Premium for both Individual and
accumulating Healthy Weeks as per table given below.
Floater Sum Insured basis Policies.
One Healthy Week can be accumulated by;
• Premium will be discounted to the extent applicable to
• Recording minimum 50,000 steps in a week subject to coverage corresponding to expiring Policy.
maximum 15,000 steps per day, tracked through Your
• In case of Increase in Sum Insured at Renewal, discount
wearable device linked to Our my: health mobile app
amount will be applied on the premium corresponding
and Your Policy number
to expiring Policy Sum Insured .
OR
• Fitness discount @ Renewal will be applied only on
• burning total of 900 calories upto maximum of 300 Renewal of Policy with Us and only if accrued.
calories in one exercise session per day, tracked Your
wearable device linked to Our my: health mobile app B. Health Incentive
and Your Policy number This Program encourages Insured Persons to maintain good
• Fitness discount @ Renewal is applicable for Adult health and avail incentives as listed below.
Insured Persons only. Any Person covered as Child Under this Program, Insured Person having Pre-Existing
Dependent, irrespective of the Age is excluded. Diseases or Obesity (BMI above 30) as listed under table A
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 3
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
HDFC ERGO General Insurance Company Limited
Prospectus
my:health Suraksha
below, will be eligible for reduction in Medical Underwriting C. Wellness services:
Loading applied on first inception of the Policy with Us The services listed below are available to all Insured Person
provided that; through Our Network Provider on Our my: health mobile app
i. Insured Person shall undergo medical tests and/or BMI only. Availing of services under this Section will not impact
check-up as listed below minimum 3 months prior to the Sum Insured or the eligibility for Cumulative Bonus.
expiry of Policy Year (For Multiyear Policies) or before
i. Health Coach:
Renewal (For Annual Policies).
An Insured Person will have access to Health Coaching
ii. Medical test shall be done at Your own cost through our
services in areas such as:
Network Provider on Our my: health mobile app.
• Disease management
iii. If the test parameters are within normal limits, We
will apply 50% discount on the Medical Underwriting • Activity and fitness
loading applied for corresponding Pre-Existing Disease • Nutrition
or Obesity as applicable on Renewal of the Policy with • Weight management.
Us.
These services will be available through Our my: health mobile
iv. If the test parameters at subsequent Renewal are not app as a chat service or as a call back facility.
within normal limits or Medical test reports are not
ii. Wellness services
submitted in accordance with i and ii above, the discount
amount applied on Medical Underwriting loading will be • Discounts: on OPD, Pharmaceuticals, pharmacy,
zero diagnostic centres.
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 4
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
HDFC ERGO General Insurance Company Limited
Prospectus
my:health Suraksha
i. We will reimburse the cost of Preventive Health Check-up up ii. We will not pay any expenses related to ectopic pregnancy
to limits mentioned on the Schedule of Coverage. under this cover. Ectopic pregnancy will be covered as a part
Or of expenses under Section A1 only.
iii. Treatment for impotency, treatment to effect infertility,
ii. Insured Person shall have the option to undergo Health
surrogate or vicarious pregnancy, voluntary termination of
Check-Up at our Network Service Provider in accordance to
pregnancy, procedures to assist birth control, contraceptive
criteria given below.
supplies.
Sum Insured Tests Sum Insured options and applicability:
Upto 2 Lacs Medical Examination Report, Complete Blood
Sr Normal Cesarean Termination OPD Child
Count Urine R, Fasting Blood Sugar, Serum
No Delivery Section of treatment Care
Creatinine, Lipid Profile, Electro Cardio Gram
Pregnancy in Pre
3 Lac and Chest X Ray , 2D echo/ Stress test, PSA & Post
above for Males, PAP smear for Females, Medical Natal
Examination Report, Complete Blood Count period
Urine R, Fasting Blood Sugar, Serum Creatinine,
1 15,000 25,000 15,000 1,500 2,000
Lipid Profile, Electro Cardio Gram
2 25,000 40,000 25,000 2,500 3,500
Other Terms and Conditions applicable to this Cover
3 50,000 1,00,000 50,000 5,000 6,000
• This benefit will not be carried forward if not utilized within 60
4 80,000 2,00,000 80,000 7,000 10,000
days of Policy Anniversary/Renewal date.
• On opting this Cover, Renewal Benefit 1, Preventive Health 3. Parent and Child care Cover – Booster
Check up under Section B stands deleted. We will pay to the Insured Person subject to waiting period as
mentioned in the Schedule of Coverage on the Policy Schedule
2. Parent and Child care Cover - Basic under Covers as given below.
We will pay to the Insured Person subject to waiting period as Entry age for this cover is restricted upto 45 years and coverage
mentioned in the Schedule of Coverage on the Policy Schedule is available for lifetime subject to Renewal of the Policy.
under Covers as given below.
1. Parent Care
Entry age for this cover is restricted upto 45 years and coverage
i. Medical Expenses for a delivery (including caesarean
is available for lifetime subject to Renewal of the Policy.
section) on Hospitalization or the lawful medical termination
A. Parent Care of pregnancy during the Policy Period
i. Medical Expenses under Section A1 for Maternity ii. OPD Treatment in Pre-natal and post-natal period up to the
Expenses limited up to 2 deliveries or 1 delivery and 1 limit of this cover, provided Claim under Maternity Expenses
termination or 2 terminations during the lifetime of the is admissible under the Policy
Insured Person iii. Infertility Treatment: Medical Expenses listed under Section
ii. OPD Treatment in Pre-natal and Post-natal period A1 incurred for infertility treatment, assisted reproductive
provided Claim under Maternity Expenses is admissible treatments like IVF undertaken on advice of a Medical
under the Policy. Practitioner, up to 50% of Normal Delivery Sum Insured under
this Cover. This cover is applicable for both Male and Female
B. Child Care Insured Person
We will pay/cover following expenses towards Child Care
for New Born Baby under this cover if Claim for Maternity 2. Child Care
Expenses is admissible under the Policy. We will pay following expenses towards Child Care for New
i. We will pay Medical Expenses listed under Section A1 Born Baby under this cover if Claim for Maternity Expenses is
within Sum Insured for Parent Care towards treatment admissible under the Policy.
of a New Born Baby as per limit mentioned on Schedule a) New Born baby cover:
of Coverage. We will pay Medical Expenses listed under Section A1
ii. New Born Baby Cover – We will cover New Born towards treatment of a New Born Baby within the limit of
Baby immediately after the birth as per original terms Sum Insured under this cover as mentioned in Schedule of
of the Policy on receipt of completed proposal form and Coverage on the Policy Schedule
Premium received within 90 days of birth of Baby and
subject to acceptance by Us. b) Vaccination Charges:
If this Cover is opted, General exclusion ix) under General We will pay expenses incurred on vaccination for New Born
Exclusions, Section E, stands deleted. Baby as per National Immunization Schedule until New Born
Baby completes 1 year of age subject to maximum of Sum
Exclusions applicable to this Cover. Insured under this Cover. subject to maximum of sub limit of
i. Pre-Hospitalization and post-Hospitalization expenses are Sum Insured under this Cover. subject to maximum of sub
not payable under this cover limit of Sum Insured under this Cover.
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 5
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
HDFC ERGO General Insurance Company Limited
Prospectus
my:health Suraksha
If opted, this cover General exclusion ix), x), xx) under General Sum Insured options available:
Exclusions, Section E and Optional Cover 2 “Parent and Child • Rs 2,00,000
Cover – Basic” under Section C stands deleted.
• Rs 5,00,000
3. Waiting Period modification Option • Rs 10,00,000
On availing this option, Waiting Period listed under Section E 1, iv,
5. Recovery Benefit
will stand modified as mentioned in the Schedule of Coverage on
the Policy Schedule. We will pay Sum Insured as specified on the Schedule of Coverage
in the Policy Schedule upon Medically Necessary Hospitalization of
All other terms and conditions of the Parent & Child Care Cover - an Insured Person exceeding 10 consecutive and continuous days
Booster shall remain unaltered. and for which Claim is admissible under Section A I – Hospitalization
Waiting period modification options under Parent and child cover Cover.
are 2 years/3 years This benefit is not applicable if Medical treatment is taken under
Exclusions applicable to this Cover. Section A2 - Home Healthcare and A3 – Domiciliary Hospitalization
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 6
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
HDFC ERGO General Insurance Company Limited
Prospectus
my:health Suraksha
Illustration 2
• Claim under this Section will not affect Cumulative Bonus
under Section B2, condition ii
Time Claim Sum Cumulative Admissible SI Total SI Payable
No. Insured Bonus Claim Rebound Rebound amount Sum Insured options available:
available amount till date
• Up to maximum of Rs 5,000
3 months 1 3,00,000 30,000 2,50,000 0 0 2,50,000
• Up to maximum of Rs 20,000
6 months 2 50,000 30,000 1,40,000 2,50,000 2,50,000 1,40,000
=250,000- 3,00,000 2,40,000 9. Major Illness Hospitalization Expenses
9 months 3 0 0 2,50,000 60,000+
50,000 We will pay for Medical Expenses incurred and admissible under
Section A1, up to additional Sum Insured equivalent to Basic Sum
=240,000
Insured, on Medically necessary Hospitalization of Insured Person
11 months 4 0 0 70,000 0 3,00,000 0 for Major illnesses listed below whose diagnosis first commence/
7. Outpatient Dental Treatment occurs after the applicable waiting period from commencement of
the first Policy with Us, subject to the following;
After three consecutive and continuous Policy Years with Us, We
will pay 50% of Medical Expenses incurred by Insured Person i. Waiting Period – The coverage is subject to Waiting Period as
mentioned on Schedule of Coverage on the Policy Schedule
towards Dental Treatment prescribed by Medical Practitioner up to
the amount as mentioned in the Schedule of Coverage on the Policy ii. Claim for each Major Illness is payable only once during
Schedule. Claim under this Section can be availed only through our the lifetime of Policy with Us. However, Insured Person will
Network Provider. The Cover is applicable only to Insured Person continue to be covered under this Section for other Major
covered under three consecutive and continuous Policy Years and Illnesses.
who continue to remain insured in the subsequent Policy Year/ iii. Claim under this Cover is admissible only when total of Basic
Renewal Sum Insured is completely utilized.
The Coverage is applicable only towards cost of X-rays, extractions, iv. The additional Sum Insured under this Cover is exclusive
amalgam or composite fillings, root canal treatments and prescribed and specific for the treatment of the first occurrence of the
drugs for the same. above Critical Illness undertaken in a Hospital/Nursing Home
Claim under this Section will not affect Cumulative Bonus under as an in-patient and will not be available for other illnesses/
Section B2, condition ii. hospitalization.
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 7
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
HDFC ERGO General Insurance Company Limited
Prospectus
my:health Suraksha
11. Waiting period Modification Option shall be paid in the same proportion as the admissible rate per day
On availing this option, Waiting Periods listed under E 1 – i, ii and bears to the actual rate per day of Room Rent charges
iii, will stand modified as mentioned in Schedule of Coverage on Insured Person shall bear specified percentage of admissible Claim
the Policy Schedule following Section. amount under each and every Claim If Co-payment under Section
Section A – Hospitalization Cover C-14 is opted and specified in the Schedule of Coverage in the
Section C4 – Air Ambulance Policy Schedule. This cover is available for Sum Insured up to Rs
Section C5 – Recovery Benefit 5 Lacs only.
Section C9 – Major Illness Hospitalization Expenses
14. Co-Payment
Section C17 –Hospital Cash
On availing this option, Co-Payment as mentioned on the
Secti on C18 – Global Health Cover
Schedule of Coverage in the Policy Schedule will be applied
All other terms and Conditions of the respective Section and Policy
on each and every admissible claim after Deductible/Excess
shall remain unaltered.
wherever applicable under the Policy. Once the Co-Payment
Options Available: option is availed by the Insured Person, it cannot be opted out of
Option Conditions Waiting period at subsequent Renewal.
Waiting Period
Proportionate deduction:
• A waiting period of 90 days shall apply for all claims under
In case expenses incurred on i and ii above exceed respective
this cover
applicable limits, expenses incurred under Section A1, iii and iv,
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 8
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
HDFC ERGO General Insurance Company Limited
Prospectus
my:health Suraksha
Sum insured available:
Section A: Hospitalization Cover
• 50% or 100% of Basic Sum Insured or Rs 10 Lacs whichever
A1 Medical Expenses A7 Road Ambulance
is lower
A4 Pre-Hospitalization A8 Organ Donor Expenses
16. E-Opinion cover
We will pay expenses incurred towards second Medical Opinion
A5 Post-Hospitalization A9 Alternative Treatments
availed from Medical Practitioner in respect of Major Illness
cover
covered and listed below under the Policy through our Network
Provider. A6 Day Care Procedures
The Coverage under this benefit shall cease to exist upon availing
Second Opinion for any one Major Illness as listed below.
Section C: Optional Covers
Major Illness Covered C1 Preventive Health C8 External Medical Aids
1 Cancer of specified 7 Permanent Paralysis Check-Up - Booster
severity of Limbs C2 Parent and Child care C9 Major Illness
2 Open Chest CABG 8 Stroke resulting in Cover - Basic Hospitalization Expenses
Permanent Symptoms C3 Parent and Child care C10 Non-Medical Expenses
3 Myocardial Infarction 9 Surgery of Aorta Cover – Booster cover
(First Heart Attack of C4 Air Ambulance Cover C15 Major Illness – Benefit
specific severity)
C5 Recovery Benefit C16 E-Opinion
4 Kidney Failure requiring 10 Primary (Idiopathic)
C6 Sum Insured Rebound C17 Hospital Cash
regular dialysis Pulmonary
Hypertension C7 Outpatient Dental
Treatment
5 Major Organ/Bone 11 Open Heart
Marrow Transplant Replacement or Repair
Global Cover is applicable subject to following terms and conditions
of Heart Valves
i. Global coverage for expenses towards all the listed covers is
6 Multiple Sclerosis with applicable and effective only if mentioned on the Schedule of
Persisting Symptoms Coverage in the Policy Schedule.
ii. A Deductible of USD 100 will apply for expenses under all
Disclaimer - E- Opinion Services are being offered by Network
the respective covers separately for each and every claim.
providers through its portal/mail/App or what so ever electronic form
to Policyholders/Insured of HDFC ERGO GENERAL INSURANCE iii. Claims on Reimbursement basis will be payable in INR only.
COMPANY LIMITED. In no event shall HDFC ERGO be liable All other terms and conditions of the respective Section and Covers
for any direct, indirect, punitive, incidental, special consequential under the policy shall remain unaltered
damages or any other damages whatsoever caused to the
Policyholders/Insured of HDFC ERGO while receiving the services Section E: Waiting Periods & Exclusions (also applicable
from Network providers.
for Hospital Cash optional cover)
1. Waiting Periods
17. Hospital Cash Claims under the Policy are covered subject to waiting Period as
We will pay per day Sum Insured up to maximum Number of days specified below.
and in manner as specified in Schedule of Coverage on the Policy i) General waiting period: claim arising due to condition
Schedule, for each continuous and completed period of 24 hours for which appearance of signs/symptoms, consultation,
of Medically Necessary Hospitalization of an eldest Insured Person investigation, treatment or admission started within 30 days
in the Policy and for which Claim is admissible under Section A – from Policy Commencement Date, except for the claims
Hospitalization Cover. arising due to an Accident.
ii) Waiting Period for listed illnesses and Procedures: 24
Sum insured available:
months for all Illnesses and Surgical Procedures listed below
• Per day benefit: Rs 500/ Rs 1,000/ Rs 1,500/ Rs 2,000/ however this waiting period will not be applicable where the
Rs 2,500 underlying cause is cancer(s) .
• No of days: Maximum of 30 days/ 60 days a. Illnesses
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 9
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
HDFC ERGO General Insurance Company Limited
Prospectus
my:health Suraksha
military or air force operation, racing, diving, aviation, scuba
All forms of Cirrhosis Gastro Esophageal Reflux
Disorder (GERD) diving, parachuting, hang-gliding, rock or mountain climbing
of a professional or semi-professional nature.
Perineal Abscesses Perianal Abscesses
iv) The abuse or the consequences of the abuse of tobacco,
Cataract Fissure/fistula in anus,
intoxicants or hallucinogenic substances such as drugs
Haemorrhoids including
and alcohol, including smoking cessation programs and
Pilonidal sinus Gout and rheumatism the treatment of nicotine addiction or alcohol addiction
Benign tumors, cysts, Osteoarthritis and programs, any other substance abuse treatment or services,
nodules, polyps including osteoporosis or supplies.
breast lumps v) Treatment of Obesity and any weight control program.
Polycystic ovarian diseases Fibroids (fibromyoma)
vi) Sleep-apnoea, Parkinson and Alzheimer’s disease, general
Sinusitis, Rhinitis Tonsillitis debility or exhaustion (“run-down condition”).
Skin tumors Benign Hyperplasia of Prostate vii) Congenital external diseases, defects or anomalies,
b. Surgical Procedures viii) Stem cell harvesting, or growth hormone therapy. Venereal
disease, sexually transmitted disease or Illness;
Adenoidectomy, tonsillectomy Tympanoplasty,
ix) Pregnancy (including voluntary termination), miscarriage
Mastoidectomy
(except as a result of an Accident or Illness), maternity or
Dilatation and curettage (D&C) Nasal concha resection birth (including caesarean section) except in the case of
Myomectomy for fibroids Surgery of Genito urinary ectopic pregnancy.
system x) Treatment to treat infertility any fertility, sub-fertility or
Surgery on prostate Cholecystectomy assisted conception procedure,
Hernia Hydrocele/Rectocele xi) Sterility, treatment whether to affect infertility, surrogate or
Surgery for prolapsed inter Joint replacement surgeries vicarious pregnancy, birth control, contraceptive supplies
vertebral disc or services including complications arising due to supplying
Surgery for varicose veins Surgery for Nasal septum services.
and varicose ulcers deviation xii) Dental Treatment and surgery of any kind, unless requiring
Surgery for Perianal Fissurectomy, Hospitalization.
Abscesses Haemorrhoidectomy, xiii) Treatment and supplies for analysis and adjustments of
Fistulectomy, ENT surgeries spinal subluxation, diagnosis and treatment by manipulation
of the skeletal structure or for muscle stimulation by any
iii) Waiting Period for Pre-existing conditions: means except treatment of fractures (excluding hairline
A waiting period of 48 months shall apply for all Pre-existing fractures) and dislocations of the mandible and extremities).
Conditions declared and/or accepted at the time of applying xiv) Circumcisions (unless necessitated by Illness or Injury
first policy with us. an forming part of treatment); treatment for correction of
iv) Waiting Period for Parent & Child Care Cover- Basic/ vision due to refractive error, aesthetic or change-of-life
Parent Child Cover - Booster (Section C, 2 and 3) treatments of any description such as sex transformation
operations.
A waiting period of 48 months shall apply for all Claims under
Parent & Child Care Cover – Basic/Parent & Child Cover - xv) Plastic surgery or cosmetic surgery or treatments to change
Booster appearance unless necessary as a part of Medically
Necessary Treatment certified by the attending Medical
2. General Exclusions Practitioner for reconstruction following an Accident, cancer
We will not make any payment for any claim in respect of any or burns.
Insured Person directly or indirectly for, caused by, arising from xvi) Experimental, investigational or Unproven treatments,
or in any way attributable to any of the following unless expressly devices and pharmacological regimens.
stated to the contrary in this Policy: xvii) Admission primarily for diagnostic purposes not related
i) War or any act of war, invasion, act of foreign enemy, war to Illness for which Hospitalization has been done and
like operations (whether war be declared or not or caused Conditions for which In patient Hospitalization is not
during service in the armed forces of any country), civil war, warranted.
public defence, rebellion, revolution, insurrection, military xviii) Any Convalescence, cure, rest cure, sanatorium treatment,
or usurped acts, nuclear weapons/materials, chemical and rehabilitation measures, private duty nursing, respite care,
biological weapons, radiation of any kind. long-term nursing care or custodial care.
ii) Any Insured Person committing or attempting to commit a xix) Preventive care, any physical, psychiatric or psychological
breach of law with criminal intent, or intentional self-injury examinations or testing if doesn’t required Hospitalization;
or attempted suicide or suicide while mentally sound or enteral feedings (infusion formulas via a tube into the upper
unsound. gastrointestinal tract) and other nutritional and electrolyte
iii) Any Insured Person’s participation or involvement in naval, supplements, unless certified to be required by the attending
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 10
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
HDFC ERGO General Insurance Company Limited
Prospectus
my:health Suraksha
Medical Practitioner as a direct consequence of an otherwise
• Maximum Entry • Maximum Entry • Maximum Entry
covered claim.
Age – Lifetime Age - Lifetime Age - 25 years
xx) Vaccination including inoculation and immunisations (Except Entry Entry
post bite treatment), • Except for Critical • Except for Critical
xxi) Non-Medical expenses such as charges for admission, Illness cover for Illness cover for
discharge, registration, Items of personal comfort and which maximum which maximum
convenience including but not limited to television (wherever Entry Age is Entry Age is
specifically charged for) , charges for access to telephone restricted to 65 restricted to 65
and telephone calls (wherever specifically charged for), years. years.
foodstuffs (except patient‘s diet), cosmetics, hygiene • Parent & Child • Parent & Child
articles, body care products and bath additive, barber or Care Cover – Care Cover –
beauty service, guest service as well as similar incidental Basic & Booster Basic & Booster
services and supplies, and medical supplies including – Entry Age Up – Entry Age Up
elastic stockings, diabetic test strips, Charges related to a to 45 Years to 45 Years
Hospital stay not expressly mentioned as being covered,
including but not limited to, administration, documentation Add on Covers:
and filing. Full list of Non-Medical expenses is available at my:health Critical Illness Add on
www.hdfcergo.com.
Proposer Adult Dependent
xxii) Vitamins and tonics unless vitamins and tonics are certified
to be required by the attending Medical Practitioner as a • Minimum Entry Age – • Minimum Entry Age –
direct consequence of an otherwise covered claim. 18 Years· 18 Years·
xxiii) Treatment rendered by a Medical Practitioner which is • Maximum Entry Age – • Maximum Entry Age –
outside his discipline or the discipline for which he is licensed; 65 years 65 years
treatments rendered by a Medical Practitioner who is a
my:health Hospital Cash Benefit Add on
member of an Insured Person’s family, or stays with him,
xxiv) Treatment taken on Outpatient basis Proposer Adult Dependent Child/Children
xxv) The provision or fitting of hearing aids, spectacles or contact • Minimum Entry • Minimum Entry • Minimum Entry
lenses. Age – 18 Years Age – 18 Years· Age – 91 days
xxvi) Any treatment and associated expenses for alopecia, • Maximum Entry • Maximum Entry • Maximum Entry
baldness, wigs, or toupees, and similar products. optometric Age – Lifetime Age - Lifetime Age - 25 years
therapy. Entry Entry
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 11
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
HDFC ERGO General Insurance Company Limited
Prospectus
my:health Suraksha
4. Policy period For proposals where, Single Person is to be insured, he/she
• This policy can be issued for 1 year/ 2 years/ 3 years. shall be required to undergo Pre Policy Checkup as given
below.
5. Sum Insured – Add on covers
Sum Insured Up to 17 Yrs 18 yrs to 45 Yrs
my:health Critical Rs 1 Lac to 5 crs in multiples Rs. 1 Lacs to No Pre Policy Check Set 1
Illness Add on of 1 Lac 20 Lacs required
my:health Daily Per Day benefit Rs. 25 Lacs and No Pre Policy Check Set 2
Cash Benefit Add on Above required
• Rs 500 • Rs 1,000
• Rs 1,500 • Rs 2,000 Guidelines for Pre Policy Check ups
• Rs 2,500 • Rs 3,000 • Pre Policy Checkup will be conducted at our Network provider
• Rs 5,000 • Rs 7,500 • Where ever Pre Policy Checkup is conducted at our
Network provider, 100% of the Medical test charges will be
• Rs 10,000
reimbursed on acceptance of proposal. In case Customer
6. Pre Policy Check ups Insists on a Checkup outside our Network provider, 50% of
the Medical test charges will be reimbursed on acceptance
The PPC tests required will be as per the below PPC grid. This grid
of Proposal.
may be subject to change based on the company policy in future
& will be guided by our experience • If Proposal is declined post Pre Policy Checkup, 50% of the
Medical test charges will be reimbursed
Sum Insured for the purpose of Underwriting will be total of Base
Sum Insured and optional/add-on covers which are offered on • Medical Reports are considered valid for up to 3 months
benefit basis • In case of any positive health declaration on the proposal
Pre Policy and Financial Underwriting Matrix form the relevant medical tests shall be advised in addition
to the above grid tests
Sum Insured Upto 17 18 yrs to 45 to 60 Age >61 Financial
7. Loadings
in INR Yrs 45 Yrs years yrs Underwriting
i. We may apply Medical Underwriting loading on the premium,
1 Lac to NA NA Set 1 Set 2 Not
based on the declarations made in the proposal form and
10 Lacs Applicable
the health status, habits and lifestyle, past medical records,
12.5 Lacs to NA NA Set 2 Set 3 Not and the results of the Pre-Policy medical examination of the
20 Lacs Applicable persons proposed for insurance.
25 Lacs to NA Set 1 Set 2 Set 3 Applicable ii. The maximum Medical Underwriting loading shall not exceed
1 Crore 35% for each diagnosis / medical condition and a total of 100%
1.50 Crore to NA Set 2 Set 3 Set 3 Applicable for each Insured Person
5 Crore iii. Medical Underwriting loadings will be applied from
• Set 1: ME, RUA, CBC, Sr Creatinine, Lipid Profile, SGPT, Commencement date of the Policy including subsequent
GGTP, SGOT, HBA1C, ECG Renewal(s) with Us or on increased Sum Insured. We will
not apply any additional loading on Your policy premium at
• Set 2 : Set 1, HBsAg, TMT/2D Echo, USG Abdomen & Pelvis,
Renewal based on claim experience in Your Policy. However
Chest X ray, CEA
increase or decrease of discount in Medical Underwriting
• Set 3 : Set 2, PSA (Males), Pap Smear & Sonomamography loading is subject to terms mentioned under Section 3B –
(Females), Microalbumin, BUN, Sr Uric Acid, ANA Health Incentives
Medical tests: iv. We will inform You about the applicable Medical underwriting
loading with time bound exclusion (if any) through a counter
ME = Medical Examination CBC = Complete Blood Count
offer letter and will issue the Policy only on Your acceptance
(Report)
within 15 days of the receipt of such counter offer letter. In
ECG = Electro Cardio Gram FBS = Fasting Blood Sugar
case, you neither accept the counter offer nor revert to Us
Lipids = Lipid Profile Sr Creatinine = Serum
within 15 days, We shall cancel Your application and refund
Creatinine
the premium paid within next 7 days.
LFT = Liver Function Test RFT = Renal Function Test
PSA = Prostate Specific TMT = Treadmill Test 8. Free Look period
antigen
A period of 15 days from the date of receipt of the Policy document
RUA = Routine Urine SGPT = Serum Glutamic
is available to review the terms and conditions of this Policy. You
Examination Pyruvic Transaminase
have the option of cancelling the Policy stating the reasons for
USG = Ultrasonogram HBsAg = Hepatitis B Surface
cancellation, if You have any objections to any of the terms and
Antigen
conditions.
GGT = Gamma-Glutamyl 2D ECHO-2D Echocardiogram
Transpeptidase • We shall refund the premium paid after adjusting the amounts
CEA=Carcinoembryogenic spent on stamp duty charges, Medical examination (wherever
Antigen applicable) and proportionate premium (If Policy has already
commenced).
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 12
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
HDFC ERGO General Insurance Company Limited
Prospectus
my:health Suraksha
• Cancellation will be allowed only if there are no admissible 12. Cancellation (Other than free look Period)
claims under the Policy as on date of Cancellation. You may cancel this Policy at any time by giving Us written notice.
• Free Look period is not applicable on Renewal The cancellation shall be from the date of receipt of such written
notice. In case of any claim made during Policy Year, no premium
9. Grace Period will be refunded for that Policy Year.
i. A Grace Period of 30 days is available for Renewal of the For Policies where instalment option is not availed and no claim has
Policy. Any Illness, disease or condition contracted during been made under the Policy, We will refund premium in accordance
Grace Period will not be covered and will be treated as Pre- with the table below:
existing diseases.
Month Policy Policy Policy
ii. Policies for which Premium is received after the Grace Period
Tenure 1 Tenure 2 Tenure 3
shall be considered as a fresh policy.
Year Year Year
10. Renewal Up to 1 Month 85.0% 92.5% 95.0%
i. This policy is ordinarily renewable for lifetime except
Up to 3 Month 70.0% 85.0% 90.0%
on grounds of fraud, non-disclosure of material facts or
misrepresentation as sought to be declared in the proposal Up to 6 Month 45.0% 70.0% 80.0%
form or non-cooperation by the insured
Up to 12 Month 0.0% 45.0% 60.0%
ii. We are not under any obligation to send renewal notice or
reminders. Up to 15 Month NA 30.0% 50.0%
iii. For dependent children, Policy is renewable up to 25 years. Up to 18 Month NA 20.0% 45.0%
After the completion of maximum Renewal age of dependent
children, a separate proposal form should be submitted to us Up to 24 Month NA 0.0% 30.0%
at the time of Renewal. Credit of continuity/waiting periods, Up to 27 Month NA NA 20.0%
earned Cumulative Bonus and Healthy Weeks discount
accrued for all the previous Policy Years would be extended Up to 30 Month NA NA 12.5%
in the Renewal under new Policy.
Up to 36 Month NA NA 0.0%
iv. You can apply for enhancement of Sum Insured or change
in plan at the time of Renewal by submitting a fresh proposal For Policies where Premium is paid by instalment, additional
form to Us. All waiting periods as defined in the Policy shall conditions as given below will be applicable.
apply afresh for the enhanced Sum Insured from the effective i. When yearly payment option is chosen, cancellation grid as
date of enhancement. per 1-Year Tenure policies will be applicable
ii. For all other options, 50% of current instalment premium will
11. Portability
be refunded when the current period is less than 6 months
Health Insurance portability can be availed under this Policy if; in to the policy year. For instalment after 6 months, no refund
i. The proposed Insured Person was continuously covered will be payable.
under any similar health insurance policy with any other iii. In case of admissible claim under the Policy, future instalments
Insurance company for the current policy year will be adjusted in the claim amount
ii. The proposed Insured Person was insured continuously and and no refund of any premium will be applicable during policy
without a break under another retail or Group health insurance year.
policy with Us.
13. Premium Tier
Procedure to avail Portability: For the purpose of policy issuance, the premium will be computed
a. The Portability of Policy can be availed of by submitting the basis the city of residence provided by the Insured Person in the
completed Proposal form, portability annexure along with proposal form. Classification of cities would be as under:
previous policy documents and Renewal notice of expiring
• Tier 1a: Delhi and NCR region
policy, at least 45 days in advance, but not earlier than 60
days, from the expiry of the existing health insurance policy. • Tier 1b: Mumbai, Mumbai Suburban and Navi Mumbai, Pune,
Surat, Ahmedabad, Varodara
b. Policy can be ported on at the time of Renewal of the existing
health insurance policy. • Tier 2: Rest of India
c. Waiting period credits shall be extended to Pre-Existing Conditions:
Diseases and time bound exclusions/waiting periods.
i. On payment of Tier 1a premiums, an Insured Person can
d. If the proposed Sum Insured is higher than the Sum insured avail treatment all over India without any co-payment.
under the expiring policy, all waiting periods under Section E
ii. On payment of Tier 1b premium, an Insured Person can avail
shall be applicable on the increased Sum Insured.
treatment at Tier1b cities and Tier 2 cities without any Co-
e. Portability shall be applicable to the Sum Insured under
Payment. However if an Insured Person avails a treatment
previous Policy and to the Cumulative Bonus acquired under
in Tier 1a cities , 20% Co-Payment shall be applicable on
that Policy
admissible claim amount.
f. We will process Portability application within 15 days of
iii. On payment of Tier 2 premium, an Insured Person can avail
receiving the complete proposal form and Portability Form.
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 13
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
HDFC ERGO General Insurance Company Limited
Prospectus
my:health Suraksha
treatment at Tier 2 cities without any Co-Payment. However
Loyalty If insured has purchased polices for more
if an Insured Person avails a treatment in Tier 1a or Tier1b
Discount than 1 product from us, 2.5% discount of
cities, 20% Co-Payment shall be applicable on admissible
my:health Suraksha premium is offered
claim amount.
iv. Co-Payment under ii and iii above will not be applied If an Total maximum discount of all mentioned above, should not exceed
Insured Person opts for Hospitalization with Room Rent 20% of the total premium per policy
up to Rs 2,500 per day or on Hospitalization for Medically
Other Discounts
Necessary treatment following an Accident
Long term policy discount - A discount of 7.5% and 12.5% shall
14. Premium Payment Option be offered on premium, in case a policy is purchased for 2-year and
i. Insured Person shall have the option to pay Policy premium 3-year tenure respectively with Annual Premium Payment option
in total at the inception of Policy or in installments as per subject to no installment.
options as below
16. Sum Insured Enhancement
Options Installment Premium Option The Insured Person member can apply for enhancement of Sum
Option 1 Annual Insured at the time of renewal. The acceptance of enhancement of
Sum Insured would be based on the health condition of the Insured
Option 2 Half Yearly
Persons& claim history of the policy.
Option 3 Quarterly
17. Revision/ Modification of the product
Option 4 Monthly
We may revise the Renewal premium payable under the Policy
ii. No Additional charges, on the existing premium are applicable or the terms of cover, with the prior approval from Insurance
irrespective of the Installment Option selected. Regulatory and Development Authority of India. We will intimate
iii. Grace Period of 15 days in case of Monthly premium You of any such changes at least 3 months prior to date of such
payment option and 30 days for half yearly and Quarterly revision or modification
premium payment option shall be applicable. Claim related
to any Illness diagnosed during the Grace Period will not be 18. Withdrawal of the Product
admissible under the Policy. i. We may withdraw this product with the prior approval from
iv. If case of non-receipt of Installment Premium on the Insurance Regulatory and Development Authority of India.
Installment due date or before expiry of the grace period, the ii. We will intimate You of any such changes at least 3 months
Policy shall stand cancelled and the Premium for unexpired prior to date of such revision or modification.
period will be refunded as below
iii. In such an event of withdrawal of this product, You can choose
a. When yearly payment option is chosen, cancellation to renew this policy under any of Our similar Health insurance
grid as per 1 Year Tenure policies will be applicable products.
b. For all other Premium Payment options, 50% of current iv. Credit of continuity/waiting periods for all the previous policy
installment premium will be refunded when the current years would be extended in the new policy, provided the policy
period is less than 6 months in to the Policy Year. For has been continuously renewed with Us
installment after 6 months, no refund will be payable.
c. No refund of any premium in case of any claim during 19. Payment of Claim
Policy Year. i. If there are any deficiencies in the necessary claim documents
15. Discounts which are not met or are partially met, We will send a
maximum of 3 (three) reminders following which We will
Family Discount A discount of 10% on the premium shall be send a closure letter or make a part-payment if We have not
offered if 2 or more of any of eligible family received the deficiency documents after 45 days from the
members are covered under an Individual date of the initial request for such documents
Sum Insured policy with the Company
ii. On receipt of all the documents and on being satisfied with
Online Policy A discount of 5% on the premium shall be regard to the admissibility of the claim as per policy terms
Discount offered for all policies purchased online, and conditions, We shall offer within a period of 30 days a
through our website directly from the settlement of the claim to the insured.
Company. iii. Upon acceptance of an offer of settlement by the Insured
Employee 10% discount will be offered on the person, the payment of the amount due shall be made within
Discount premium, to Employees of HDFC and 7 days from the date of acceptance of the offer by the insured.
ERGO Group companies in case the In the cases of delay in the payment We shall be liable to pay
policies are bought through direct channels interest at a rate which is 2% above the bank rate prevalent
of the Company at the beginning of the financial year in which the claim is
reviewed by it.
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 14
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
HDFC ERGO General Insurance Company Limited
Prospectus
my:health Suraksha
iv. However, where the circumstances of a claim warrant an vi. If requested by Us and at Our cost, the Insured Person must
investigation, We will initiate and complete such investigation submit to medical examination by Our Medical Practitioner
at the earliest, in any case not later than 30 days from the as often as We consider reasonable and necessary and We/
date of receipt of last necessary document. In such cases, Our representatives must be permitted to inspect the medical
We will settle the claim within 45 days from the date of and Hospitalization records pertaining to the Insured Person’s
receipt of last necessary document. In case of delay beyond treatment and to investigate the circumstances pertaining to
stipulated 45 days, the Company will be liable to pay interest the claim.
at a rate which is 2% above the bank rate from the date of vii. We and Our representatives must be given all reasonable
receipt of last necessary document to the date of payment co-operation in investigating the claim in order to assess Our
of claim. liability and quantum in respect of the cl
v. If We, for any reason decide to reject the claim the reasons
regarding the rejection shall be communicated to You in writing 20. Additional Benefits
within 30 days of the receipt of documents. • Income Tax Benefit as per Sec 80 D of the IT Act on the premiums
paid for this policy, except for Personal Accident Section.
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 15
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
HDFC ERGO General Insurance Company Limited
Prospectus
my:health Suraksha
Claims Procedure
Procedure Cashless Hospitalization Cashless claims Reimbursement Home Healthcare
Emergencies Planned for Hospitalizations Claims Claims
outside India
Claim Intimation You shall intimate the Claims to us through any available mode of communication as specified in the Policy, Health Card
or our Website
Claim Intimation Within 24 hours At least 72 hours Within 24 hours Within 48 hours of Immediately on
Timelines of the Emergency prior to the planned of the Emergency admission or before diagnosis of Illness
Hospitalization Hospitalization Hospitalization discharge from the
Hospital, whichever
At least 72 hours
is earlier
prior to the planned
Hospitalization
Particulars to be i. The health card issued by Us Following particulars
provided to Us for ii. KYC documents in addition to
Claim notification those listed under
iii. The Policy Number
Hospitalization Claim:
iv. Name of the Policyholder
i. Treatment details
v. Name and address of Insured Person in respect of whom the request is being made
ii. Preferred date
vi. Nature of the Illness/Injury and the treatment/Surgery required and time for initial
vii. Name and address of the attending Medical Practitioner assessment
viii. Hospital where treatment/Surgery is proposed to be taken or /Hospital where the Insured
person is admitted
ix. Proposed /Actual Date of admission
Particulars to be i. Policy Number Following particulars
provided for pre- ii. Name of the Insured person(s) named in the Policy schedule in addition to
authorization availing treatment those listed under
Hospitalization Claim:
iii. Nature of disease/Illness/Injury
Not Applicable Probable date of start of
iv. Name and address of the attending Medical Practitioner/Hospital
treatment
v. Date of admission & probable date of discharge
vi. Approximate Claim Expenses
vii. Any other relevant information as required
Process for i. If the particulars are not provided i. We shall send On receipt of duly filled
obtaining Pre- in full or are insufficient for Us Release Of pre authorization form
Authorization to consider the request, We will Information form to with other sufficient
request additional information or the Insured Person details to assess the
documentation for signature and request, We will inform
ii. On receipt of duly filled pre consent. our Home Healthcare
authorization form the Network ii. After receiving the service provider who
Provider along with other sufficient signed Release Of will follow the following
details to assess the request, Information form, process:
We may;· We will retrieve i. Meet the
• Issue the authorization letter hospitalization treating medical
specifying the sanctioned documents along practitioner
amount any specific limitation with invoices. and verify the
on the claim and non-payable requirement
items, if applicable along with the
prescription/
or
discharge
• Reject the request for pre- summary (if
authorization specifying reasons applicable) and
for the rejection. the condition of
the patient
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 16
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
HDFC ERGO General Insurance Company Limited
Prospectus
my:health Suraksha
Procedure Cashless Hospitalization Cashless claims Reimbursement Home Healthcare
Emergencies Planned for Hospitalizations Claims Claims
outside India
iii. If these details are ii. Verify the past
not provided in full medical history of
or are insufficient the patient
for Us to consider iii. Complete physical
the request, We will examination of the
request additional patient
information or
iv. Check if the
documentation
patient requires
iii. On receipt of any equipment,
the complete devices etc
documents We
v. Share the care
may·
plan and treatment
• issue the cost estimation
guarantee of with Us.
payment specifying
v. On receipt of
the sanctioned
the complete
amount, any
documents We
specific limitation
may;
on the claim and
non-payable items, • issue the
if applicable or authorization
letter specifying
• reject the
the sanctioned
request for pre-
amount, any
authorization
specific limitation
specifying reasons
on the claim and
for the rejection
non-payable
items, if applicable
or
• reject the
request for pre-
authorization
specifying reasons
for the rejection.
List of Claim Not Applicable As enlisted below Not Applicable
documents
List of Documents for Reimbursement Claims: x. All original medicine / pharmacy bills along with prescription by
i. Duly signed, stamped and completed Claim Form Medical Practitioner
ii. Photo ID & Age Proof xi. MLC / FIR Copy – in Accidental cases only
iii. Copy of claim intimation lett er / reference of Claim Intimation xii. Copy of Death Summary and copy of Death Certificate (in death
Number in the absence of main claim documents claims only)
iv. Copy of the Network Provider’s Registration Certificate / Hospital xiii. Pre and Post-Operative Imaging reports
registration no in case of Hospitalization xiv. Copy of indoor case papers with nursing sheet detailing medical
v. Original Discharge Card / Day Care Summary / Transfer Summary history of the patient, treatment details, and patient’s progress
vi. Original final Hospital Bill with all original deposit and final payment xv. Original invoice for Vaccination and payment receipt
receipt xvi. KYC documents
vii. Original invoice with payment receipt and implant stickers for all
implants used during surgeries e.g. lens sticker and invoice in Conditions for obtaining Cashless facility:
cataract Surgery, stent invoice and sticker in Angioplasty Surgery. i. Cashless facility can be availed only at Our Network Provider.
viii. All previous consultation papers indicating history and treatment The complete list of Network Providers and empanelled Service
details for current Illness Providers is available on Our website and can be obtained by
ix. All original diagnostic reports (including imaging and laboratory) contacting Us.
along with prescription by Medical Practitioner and invoice / bill ii. We reserve the right to modify, add or restrict any Network Provider
with receipt from diagnostic center for Cashless Facilities at Our sole discretion. The same shall be
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 17
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
HDFC ERGO General Insurance Company Limited
Prospectus
my:health Suraksha
duly updated on Our website. You shall check the updated list of except such rebate as may be allowed in accordance with the
Network Providers before applying for Cashless Claim. prospectus or tables of the insurers.
iii. Pre-authorization is valid for 15 days from date of issuance and 2. Any person making default in complying with the provision of this
if all the details of the Hospitalization/treatment, including dates, section shall be punishable with fine which may extend to Ten Lakh
Hospital and locations match with the details as per Cashless Rupees.
authorized.
IRDAI Regulation No 5- This policy is subject to regulation 5 of IRDAI
iv. We will make payment for the Cashless authorized amount directly (Protection of Policyholder’s Interests) Regulation
to the Network Provider.
DISCLAIMER: THE ABOVE IS DESCRIPTIVE ONLY. THE ACTUAL
v. If the claim is not notified to Us within the specified time limits, then TERMS AND CONDITIONS CAN BE FOUND IN THE POLICY
We shall be provided the reasons for the delay in writing. We will DOCUMENT. INSURED’S ARE ADVISED TO READ THE POLICY
condone such delay on merits where the delay has been proved DOCUMENT COMPLETELY FOR A FULL DESCRIPTION OF THE
to be for reasons beyond the claimant’s control TERMS AND CONDITIONS OF COVERAGE AND THE EXCLUSIONS
RELATING THERETO.
Section 41 of Insurance Act 1938 (Prohibition of Rebates):
Note: Policy Term and Conditions & Premium rates are subject to
1. No person shall allow or offer to allow, either directly or indirectly,
change with prior approval from IRDAI.
as an inducement to any person to take or renew or continue an
insurance in respect of any kind of risk relating to lives or property
in India, any rebate of the whole or part of the commission payable
or any rebate of premium shown on the policy, nor shall any person
taking out or renewing or continuing a policy accept any rebate,
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 18
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
HDFC ERGO General Insurance Company Limited
Prospectus
my:health Suraksha
New Business Plans
Sr No Covers Silver Smart Gold Essential Gold Smart Platinum Smart Diamond Global Smart
Basic Sum Insured 3 Lacs / 4 6 Lacs / 7.50 Lacs 6 Lacs / 7.5 Lacs / 17.50 Lacs / 20 1 Crore / 1.50 25 Lacs / 30 Lacs /
in ` Lacs / 5 Lacs / 9 Lacs / 10 Lacs 9 Lacs / 10 Lacs / Lacs / 22.50 Lacs / Crore / 2 Crore 35 Lacs / 40 Lacs /
/ 12.50 Lacs / 12.5 Lacs / 25 Lacs / 30 Lacs / / 2.50 Crore / 3 45 Lac / 50 Lacs /
15 Lacs 15 Lacs 35 Lacs / 40 Lacs / Crore / 3.50 Crore 75 Lacs / 1 Crore /
45 Lacs / 50 Lacs / / 4 Crore / 4.50 1.50 Crore / 2 Crore /
75 Lacs Crore / 5 Crore 2.50 Crore / 3 Crore /
3.50 Crore / 4 Crore /
4.50 Crore / 5 Crore
5 Post-Hospitalisation 180 Days 180 Days 180 Days 180 Days 180 Days 180 Days
cover
2 Preventive Health Not Covered Not Covered Not Covered Not Covered Not Covered Not Covered
Check up
3 Cumulative Bonus 10% at each 10% at each claim 10% at each claim 25% at each claim 25% at each claim 25% at each claim
claim free yr, free yr, max 100% free yr, max 100% free yr, max 200% free yr, max 200% free yr, max 200%
max 100%
2 Parent and Child Not Covered Not Covered Not Covered Not Covered Not Covered Not Covered
Care Cover - Basic
2I Parent Care Not Covered Not Covered Not Covered Not Covered Not Covered Not Covered
i Maternity Expenses Not Covered Not Covered Not Covered Not Covered Not Covered Not Covered
ii OPD Expenses Not Covered Not Covered Not Covered Not Covered Not Covered Not Covered
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 19
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
HDFC ERGO General Insurance Company Limited
Prospectus
my:health Suraksha
Sr No Covers Silver Smart Gold Essential Gold Smart Platinum Smart Diamond Global Smart
2 II Child Care Not Covered Not Covered Not Covered Not Covered Not Covered Not Covered
i New Born Baby Not Covered Not Covered Not Covered Not Covered Not Covered Not Covered
Cover
3 Parent and Child (1) Optional (1) Optional – (1) Optional – (1) Optional – (1) Optional – (1) Optional –
Care Cover – –Upto 15,000 Upto 15,000 for Upto 15,000 for Upto 25,000 for Upto 50,000 for Upto 50,000 for
Booster for Normal Normal Delivery Normal Delivery Normal Delivery Normal Delivery Normal Delivery
Delivery and and 25,000 for C and 25,000 for C and 40,000 for C and 75,000 for C and 75,000 for C
25,000 for section Delivery section Delivery section Delivery, section Delivery section Delivery,
C section (2) Upto 25,000 (2) Upto 25,000 Termination 25,000 (2) Upto 1 Lac for Termination limit
Delivery – for Normal for Normal (2) Upto 50,000 for Normal Delivery 50,000
(2) Upto Delivery and Delivery and Normal Delivery and 1.50 Lacs for C (2) Upto
25,000 for 40,000 for C 40,000 for C and 75,000 for C section Delivery 1 Lac for Normal
Normal section Delivery section Delivery section Delivery. Delivery and
Delivery and Termination limit 1.50 Lacs for C
40,000 for 50,000 section Delivery.
C section Termination limit
Delivery 100,000
3I Parent Care - - - - - -
ii Pre and Post Natal Covered Covered Covered Covered Covered Covered
Expenses
4 Air Ambulance Not Covered upto ` 2 lacs upto ` 2 lacs upto ` 5 Lacs upto ` 10 Lacs upto ` 10 Lacs
Cover
7 Outpatient dental Not Covered Not Covered Not Covered Not Covered Not Covered Not Covered
treatment
8 External Medical Not Covered Not Covered Not Covered Not Covered Not Covered Not Covered
Aids
9 Major Illness Not Covered Not Covered Not Covered Not Covered Not Covered Not Covered
Hospitalisation
Expenses
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 20
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
HDFC ERGO General Insurance Company Limited
Prospectus
my:health Suraksha
Sr No Covers Silver Smart Gold Essential Gold Smart Platinum Smart Diamond Global Smart
14 Co-payment 10% / 20% 15% / 25% 15% / 25% 15% / 25% 15% / 25% 15% / 25%
15 Major Illness – Not Covered Not Covered Not Covered Not Covered Not Covered Not Covered
Benefit
16 E-Opinion Not Covered Not Covered Not Covered Not Covered Not Covered Not Covered
17 Hospital Cash Not Covered Not Covered Not Covered Not Covered Not Covered Not Covered
18 Global Health Cover Not Covered Not Covered Not Covered Not Covered Not Covered Covered
Entry Age Any age Any age Entry Any age Entry Any age Entry Any age Entry Any age Entry
Entry
Renewal Age Lifetime Lifetime renewal Lifetime renewal Lifetime renewal Lifetime renewal Lifetime renewal
renewal
Add on Covers
Hospital Cash - Per 1000, 2000 3000, 5000 3000, 5000 3000, 5000, 7500 5000, 7500, 10,000 5000, 7500, 10,000
day
Hospital Cash Not Covered Not Covered Not Covered Not Covered Not Covered Covered
(Global)
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 21
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
HDFC ERGO General Insurance Company Limited
Prospectus
my:health Suraksha
Renewal Plans
Basic Sum Insured 3 Lacs / 4 Lacs / 1 lac/ 2 lacs / 3 Lacs 1 lac/ 2 lacs / 3 Lacs 2 lacs / 3 Lacs / 4 25 Lacs / 50 Lacs /
in ` 5 Lacs / 4 Lacs / 5 Lacs / / 4 Lacs / 5 Lacs / Lacs / 5 Lacs / 7.5 75 Lacs / 1 Crore /
7.5 Lacs / 10 Lacs / 7.5 Lacs / 10 Lacs / Lacs / 10 Lacs / 15 1.50 Crore / 2 Crore
15 Lacs / 20 Lacs / 15 Lacs / 20 Lacs / Lacs / 20 Lacs / 25
25 Lacs / 50 Lacs 25 Lacs / 50 Lacs Lacs / 50 Lacs
5 Post- 180 Days 180 Days 180 Days 180 Days 180 Days
Hospitalisation
cover
3 Cumulative Bonus 5% of Sum Insured, 5% of Sum Insured, 5% of Sum Insured, 5% of Sum Insured, 5% at each claim
maximum 50% maximum 50% maximum 50% maximum 50% free yr, max 50%
1 Preventive Health Not Covered Not Covered Not Covered Not Covered Not Covered
Check Up- Booster
2 Parent and Child Covered 25,000 / Optional with 15,000 / 25,000 25,000 / 40,000 For SI 25 to 50L -
Care Cover - Basic 40,000 following options 50,000 / 100,000
15000 / 25,000 From 75 L to 2 Cr -
25,000 / 40,000 80,000 / 200,000
50,000 / 100,000
80,000 / 200,000
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 22
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
HDFC ERGO General Insurance Company Limited
Prospectus
my:health Suraksha
Sr No Covers Classic Silver Gold Platinum Global
3 Parent and Child Not Covered Not Covered Not covered Not Covered Not Covered
Care Cover -
Booster
3I Parent Care - - - - -
i Maternity Expenses Not Covered Not Covered Not Covered Not Covered Not Covered
ii Pre and Post Natal Not Covered Not Covered Not Covered Not Covered Not Covered
Expenses
iii Infertility Treatment Not Covered Not Covered Not Covered Not Covered Not Covered
3 II Child Care Not Covered Not Covered Not Covered Not Covered Not Covered
i New Born Baby Not Covered Not Covered Not Covered Not Covered Not Covered
Cover
ii Vaccination Not Covered Not Covered Not Covered Not Covered Not Covered
Charges
3 III Waiting Period Not Covered Not Covered Not Covered Not Covered Not Covered
Modification option
4 Air Ambulance Not Covered Not Covered Not Covered Not Covered Not Covered
Cover
5 Recovery Benefit ` 10,000 Optional1% of Sum 1% of Sum Insured, 1% of Sum Insured, Covered. Upto
Insured, max 10,000 max 10,000 max 10,000 40,000
8 External Medical Not Covered Optional Optional Upto maximum of Maximum upto
Aids Upto maximum of Upto maximum of 5,000 ` 20,000
5,000 5,000
Upto maximum of Upto maximum of
20,000 20,000
9 Major Illness Optional Not Covered Not Covered Not Covered Not Covered
Hospitalisation
Expenses
10 Non Medical Optional Not Covered Not Covered Not Covered Optional
Expenses cover
11 Waiting Period Covered Not applicable Not Covered Not Covered Not Covered
Modification option
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 23
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
HDFC ERGO General Insurance Company Limited
Prospectus
my:health Suraksha
Sr No Covers Classic Silver Gold Platinum Global
13 Room Rent Optional Not Applicable Not Applicable Not Applicable Optional
Modification option
14 Co-payment 10%/20% Optional 10%, 15%, Optional 10%, 15%, Optional 10%, 15%, Optional 10%, 15%,
20%, 25% 20%, 25% 20%, 25% 20%, 25%
18 Global Health Not Covered Not Covered Not Covered Not Covered Covered
Cover
Entry Age Any age Entry Any age Entry Any age Entry Any age Entry Any age Entry
Renewal Age Lifetime renewal Lifetime renewal Lifetime renewal Lifetime renewal Lifetime renewal
Add on Covers
1 my:Health Critical Not Covered Not Covered Not Covered Not Covered Not Covered
Illness Add on
2 my:health Hospital Not Covered Not Covered Not Covered Not Covered Not Covered
Cash Add-on
Hospital Cash - - - - -
(Global)
Companion Benefit - - - - -
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 24
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
HDFC ERGO General Insurance Company Limited
Prospectus
my:health Suraksha Premium Rate Chart - Silver Smart
my:health Suraksha
Tier 1a
Delhi/NCR
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 25
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
HDFC ERGO General Insurance Company Limited
Prospectus
my:health Suraksha
Tier 1b
Mumbai, Mumbai Suburban and Navi Mumbai, Pune, Surat, Varodara, Ahmedabad
Premium Exclusive of GST
Sum Insured 3,00,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 4,556 NA NA NA NA NA NA NA NA NA
18-35 5,813 8,720 10,173 11,627 6,976 7,848 8,720 14,533 18,603 1,453
36-45 6,888 10,332 12,054 13,776 8,266 9,299 10,332 17,220 22,042 1,722
46-50 8,928 13,392 15,624 17,856 10,714 12,053 13,392 22,320 28,570 2,232
51-55 11,522 17,283 20,163 23,044 13,826 15,555 17,283 28,805 36,870 2,232
56-60 13,366 20,049 23,391 26,732 16,039 18,044 20,049 33,416 42,772 2,232
61-65 18,228 27,342 31,898 36,455 21,873 24,607 27,342 45,569 58,329 2,232
66-70 23,101 34,651 40,427 46,202 27,721 31,186 34,651 57,752 73,923 2,232
71-75 29,578 44,367 51,762 59,157 35,494 39,931 44,367 73,946 94,650 2,232
76-80 29,578 44,367 51,762 59,157 35,494 39,931 44,367 73,946 94,650 2,232
>80 29,578 44,367 51,762 59,157 35,494 39,931 44,367 73,946 94,650 2,232
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 26
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
HDFC ERGO General Insurance Company Limited
Prospectus
my:health Suraksha
Tier 2
Rest of India
Premium Exclusive of GST
Sum Insured 3,00,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 4,192 NA NA NA NA NA NA NA NA NA
18-35 5,343 8,014 9,350 10,686 6,412 7,213 8,014 13,357 17,097 1,336
36-45 6,329 9,494 11,076 12,658 7,595 8,544 9,494 15,823 20,253 1,582
46-50 8,198 12,297 14,346 16,396 9,837 11,067 12,297 20,495 26,233 2,049
51-55 10,575 15,863 18,507 21,151 12,690 14,277 15,863 26,438 33,841 2,049
56-60 12,284 18,427 21,498 24,569 14,741 16,584 18,427 30,711 39,310 2,049
61-65 16,740 25,110 29,295 33,480 20,088 22,599 25,110 41,851 53,569 2,049
66-70 21,208 31,812 37,114 42,416 25,449 28,630 31,812 53,019 67,865 2,049
71-75 27,144 40,716 47,502 54,289 32,573 36,645 40,716 67,861 86,862 2,049
76-80 27,144 40,716 47,502 54,289 32,573 36,645 40,716 67,861 86,862 2,049
>80 27,144 40,716 47,502 54,289 32,573 36,645 40,716 67,861 86,862 2,049
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 27
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
HDFC ERGO General Insurance Company Limited
Prospectus
my:health Suraksha Premium Rate Chart - Gold Smart
my:health Suraksha
Tier 1a
Delhi/NCR
Premium Exclusive of GST
Sum Insured 7,50,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 8,432 NA NA NA NA NA NA NA NA NA
18-35 10,752 16,128 18,816 21,504 12,902 14,515 16,128 26,880 34,407 2,688
36-45 12,761 19,142 22,332 25,523 15,314 17,228 19,142 31,903 40,836 3,190
46-50 16,636 24,954 29,113 33,272 19,963 22,459 24,954 41,590 53,236 4,159
51-55 21,451 32,176 37,538 42,901 25,741 28,958 32,176 53,626 68,642 4,159
56-60 24,933 37,400 43,633 49,866 29,920 33,660 37,400 62,333 79,786 4,159
61-65 33,954 50,931 59,419 67,908 40,745 45,838 50,931 84,885 1,08,652 4,159
66-70 43,010 64,515 75,267 86,020 51,612 58,063 64,515 1,07,524 1,37,631 4,159
71-75 55,024 82,536 96,292 1,10,048 66,029 74,282 82,536 1,37,560 1,76,076 4,159
76-80 55,024 82,536 96,292 1,10,048 66,029 74,282 82,536 1,37,560 1,76,076 4,159
>80 55,024 82,536 96,292 1,10,048 66,029 74,282 82,536 1,37,560 1,76,076 4,159
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 28
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
HDFC ERGO General Insurance Company Limited
Prospectus
my:health Suraksha
Tier 1b
Mumbai, Mumbai Suburban and Navi Mumbai, Pune, Surat, Varodara, Ahmedabad
Premium Exclusive of GST
Sum Insured 7,50,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 6,858 NA NA NA NA NA NA NA NA NA
18-35 8,721 13,081 15,262 17,442 10,465 11,773 13,081 21,802 27,907 2,180
36-45 10,348 15,522 18,108 20,695 12,417 13,969 15,522 25,869 33,113 2,587
46-50 13,483 20,225 23,596 26,966 16,180 18,202 20,225 33,708 43,146 3,371
51-55 17,363 26,045 30,386 34,727 20,836 23,441 26,045 43,408 55,563 3,371
56-60 20,262 30,393 35,459 40,524 24,314 27,354 30,393 50,655 64,838 3,371
61-65 27,531 41,297 48,180 55,062 33,037 37,167 41,297 68,828 88,100 3,371
66-70 34,836 52,253 60,962 69,671 41,803 47,028 52,253 87,089 1,11,474 3,371
71-75 44,514 66,771 77,900 89,028 53,417 60,094 66,771 1,11,285 1,42,445 3,371
76-80 44,514 66,771 77,900 89,028 53,417 60,094 66,771 1,11,285 1,42,445 3,371
>80 44,514 66,771 77,900 89,028 53,417 60,094 66,771 1,11,285 1,42,445 3,371
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 29
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
HDFC ERGO General Insurance Company Limited
Prospectus
my:health Suraksha
Tier 2
Rest of India
Premium Exclusive of GST
Sum Insured 7,50,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 6,318 NA NA NA NA NA NA NA NA NA
18-35 8,025 12,037 14,043 16,049 9,629 10,833 12,037 20,061 25,679 2,006
36-45 9,520 14,280 16,660 19,040 11,424 12,852 14,280 23,800 30,464 2,380
46-50 12,402 18,603 21,704 24,804 14,883 16,743 18,603 31,005 39,687 3,101
51-55 15,962 23,943 27,933 31,924 19,154 21,549 23,943 39,905 51,078 3,101
56-60 18,660 27,991 32,656 37,321 22,393 25,192 27,991 46,651 59,713 3,101
61-65 25,329 37,993 44,326 50,658 30,395 34,194 37,993 63,322 81,053 3,101
66-70 32,033 48,049 56,057 64,065 38,439 43,244 48,049 80,082 1,02,505 3,101
71-75 40,910 61,366 71,593 81,821 49,093 55,229 61,366 1,02,276 1,30,913 3,101
76-80 40,910 61,366 71,593 81,821 49,093 55,229 61,366 1,02,276 1,30,913 3,101
>80 40,910 61,366 71,593 81,821 49,093 55,229 61,366 1,02,276 1,30,913 3,101
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 30
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
HDFC ERGO General Insurance Company Limited
Prospectus
my:health Suraksha Premium Rate Chart - Gold Essential
my:health Suraksha
Tier 1a
Delhi/NCR
Premium Exclusive of GST
Sum Insured 7,50,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 7,865 NA NA NA NA NA NA NA NA NA
18-35 10,023 15,034 17,540 20,045 12,027 13,531 15,034 25,057 32,072 2,506
36-45 11,891 17,836 20,808 23,781 14,269 16,052 17,836 29,726 38,050 2,973
46-50 15,493 23,240 27,113 30,986 18,592 20,916 23,240 38,733 49,578 3,873
51-55 19,969 29,954 34,946 39,938 23,963 26,958 29,954 49,923 63,901 3,873
56-60 23,232 34,848 40,656 46,464 27,879 31,363 34,848 58,080 74,343 3,873
61-65 31,619 47,429 55,334 63,239 37,943 42,686 47,429 79,048 101,182 3,873
66-70 40,039 60,059 70,068 80,078 48,047 54,053 60,059 100,098 128,125 3,873
71-75 51,209 76,814 89,616 102,419 61,451 69,133 76,814 128,023 163,870 3,873
76-80 51,209 76,814 89,616 102,419 61,451 69,133 76,814 128,023 163,870 3,873
>80 51,209 76,814 89,616 102,419 61,451 69,133 76,814 128,023 163,870 3,873
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 31
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
HDFC ERGO General Insurance Company Limited
Prospectus
my:health Suraksha
Tier 1b
Mumbai, Mumbai Suburban and Navi Mumbai, Pune, Surat, Varodara, Ahmedabad
Premium Exclusive of GST
Sum Insured 7,50,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 6,402 NA NA NA NA NA NA NA NA NA
18-35 8,134 12,201 14,235 16,268 9,761 10,981 12,201 20,335 26,029 2,034
36-45 9,646 14,470 16,881 19,293 11,576 13,023 14,470 24,116 30,868 2,412
46-50 12,561 18,842 21,982 25,123 15,074 16,958 18,842 31,403 40,196 3,140
51-55 16,169 24,253 28,296 32,338 19,403 21,828 24,253 40,422 51,740 3,140
56-60 18,889 28,333 33,056 37,778 22,667 25,500 28,333 47,222 60,444 3,140
61-65 25,647 38,471 44,883 51,295 30,777 34,624 38,471 64,118 82,072 3,140
66-70 32,438 48,658 56,767 64,877 38,926 43,792 48,658 81,096 103,803 3,140
71-75 41,437 62,156 72,515 82,874 49,724 55,940 62,156 103,593 132,599 3,140
76-80 41,437 62,156 72,515 82,874 49,724 55,940 62,156 103,593 132,599 3,140
>80 41,437 62,156 72,515 82,874 49,724 55,940 62,156 103,593 132,599 3,140
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 32
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
HDFC ERGO General Insurance Company Limited
Prospectus
my:health Suraksha
Tier 2
Rest of India
Premium Exclusive of GST
Sum Insured 7,50,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 5,900 NA NA NA NA NA NA NA NA NA
18-35 7,486 11,230 13,101 14,973 8,984 10,107 11,230 18,716 23,957 1,872
36-45 8,877 13,315 15,534 17,754 10,652 11,984 13,315 22,192 28,406 2,219
46-50 11,556 17,334 20,223 23,112 13,867 15,601 17,334 28,890 36,980 2,889
51-55 14,866 22,299 26,015 29,732 17,839 20,069 22,299 37,165 47,571 2,889
56-60 17,400 26,100 30,449 34,799 20,880 23,490 26,100 43,499 55,679 2,889
61-65 23,600 35,400 41,300 47,199 28,320 31,860 35,400 58,999 75,519 2,889
66-70 29,832 44,749 52,207 59,665 35,799 40,274 44,749 74,581 95,464 2,889
71-75 38,086 57,130 66,651 76,173 45,704 51,417 57,130 95,216 121,876 2,889
76-80 38,086 57,130 66,651 76,173 45,704 51,417 57,130 95,216 121,876 2,889
>80 38,086 57,130 66,651 76,173 45,704 51,417 57,130 95,216 121,876 2,889
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 33
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
HDFC ERGO General Insurance Company Limited
Prospectus
my:health Suraksha Premium Rate Chart - Platinum Smart
my:health Suraksha
Tier 1a
Delhi/NCR
Premium Exclusive of GST
Sum Insured 20,00,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 13,382 NA NA NA NA NA NA NA NA NA
18-35 17,112 25,668 29,945 34,223 20,534 23,101 25,668 42,779 54,757 4,278
36-45 20,345 30,518 35,604 40,690 24,414 27,466 30,518 50,863 65,105 5,086
46-50 26,667 40,000 46,667 53,334 32,000 36,000 40,000 66,667 85,334 6,667
51-55 34,410 51,615 60,217 68,819 41,292 46,453 51,615 86,024 1,10,111 6,667
56-60 39,875 59,812 69,781 79,750 47,850 53,831 59,812 99,687 1,27,600 6,667
61-65 54,382 81,574 95,169 1,08,765 65,259 73,416 81,574 1,35,956 1,74,024 6,667
66-70 68,949 1,03,423 1,20,660 1,37,897 82,738 93,081 1,03,423 1,72,371 2,20,635 6,667
71-75 88,269 1,32,404 1,54,471 1,76,538 1,05,923 1,19,163 1,32,404 2,20,673 2,82,461 6,667
76-80 88,269 1,32,404 1,54,471 1,76,538 1,05,923 1,19,163 1,32,404 2,20,673 2,82,461 6,667
>80 88,269 1,32,404 1,54,471 1,76,538 1,05,923 1,19,163 1,32,404 2,20,673 2,82,461 6,667
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 34
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
HDFC ERGO General Insurance Company Limited
Prospectus
my:health Suraksha
Premium Exclusive of GST
Sum Insured 75,00,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 29,551 NA NA NA NA NA NA NA NA NA
18-35 37,975 56,963 66,456 75,950 45,570 51,266 56,963 94,938 1,21,520 9,494
36-45 45,137 67,706 78,990 90,274 54,165 60,935 67,706 1,12,843 1,44,439 11,284
46-50 59,054 88,580 1,03,344 1,18,107 70,864 79,722 88,580 1,47,634 1,88,972 14,763
51-55 76,392 1,14,589 1,33,687 1,52,785 91,671 1,03,130 1,14,589 1,90,981 2,44,456 14,763
56-60 87,855 1,31,783 1,53,747 1,75,710 1,05,426 1,18,604 1,31,783 2,19,638 2,81,137 14,763
61-65 1,20,355 1,80,533 2,10,622 2,40,711 1,44,426 1,62,480 1,80,533 3,00,888 3,85,137 14,763
66-70 1,52,914 2,29,371 2,67,600 3,05,828 1,83,497 2,06,434 2,29,371 3,82,285 4,89,325 14,763
71-75 1,96,225 2,94,337 3,43,393 3,92,449 2,35,470 2,64,903 2,94,337 4,90,562 6,27,919 14,763
76-80 1,96,225 2,94,337 3,43,393 3,92,449 2,35,470 2,64,903 2,94,337 4,90,562 6,27,919 14,763
>80 1,96,225 2,94,337 3,43,393 3,92,449 2,35,470 2,64,903 2,94,337 4,90,562 6,27,919 14,763
Tier 1b
Mumbai, Mumbai Suburban and Navi Mumbai, Pune, Surat, Varodara, Ahmedabad
Premium Exclusive of GST
Sum Insured 20,00,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 10,852 NA NA NA NA NA NA NA NA NA
18-35 13,847 20,771 24,232 27,694 16,616 18,694 20,771 34,618 44,311 3,462
36-45 16,466 24,699 28,815 32,932 19,759 22,229 24,699 41,165 52,691 4,116
46-50 21,599 32,399 37,799 43,199 25,919 29,159 32,399 53,998 69,118 5,400
51-55 27,840 41,761 48,721 55,681 33,409 37,585 41,761 69,601 89,089 5,400
56-60 32,367 48,551 56,643 64,734 38,841 43,696 48,551 80,918 103,575 5,400
61-65 44,059 66,089 77,104 88,119 52,871 59,480 66,089 110,148 140,990 5,400
66-70 55,810 83,715 97,668 111,620 66,972 75,344 83,715 139,525 178,592 5,400
71-75 71,377 107,065 124,909 142,753 85,652 96,358 107,065 178,442 228,405 5,400
76-80 71,377 107,065 124,909 142,753 85,652 96,358 107,065 178,442 228,405 5,400
>80 71,377 107,065 124,909 142,753 85,652 96,358 107,065 178,442 228,405 5,400
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 35
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
HDFC ERGO General Insurance Company Limited
Prospectus
my:health Suraksha
Premium Exclusive of GST
Sum Insured 50,00,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 19,569 NA NA NA NA NA NA NA NA NA
18-35 25,095 37,642 43,916 50,189 30,114 33,878 37,642 62,737 80,303 6,274
36-45 29,831 44,747 52,205 59,663 35,798 40,272 44,747 74,579 95,461 7,458
46-50 39,059 58,589 68,354 78,118 46,871 52,730 58,589 97,648 124,989 9,765
51-55 50,474 75,711 88,329 100,947 60,568 68,140 75,711 126,184 161,516 9,765
56-60 58,234 87,351 101,909 116,468 69,881 78,616 87,351 145,584 186,348 9,765
61-65 79,626 119,439 139,345 159,252 95,551 107,495 119,439 199,065 254,803 9,765
66-70 101,077 151,615 176,884 202,153 121,292 136,453 151,615 252,691 323,445 9,765
71-75 129,577 194,365 226,759 259,153 155,492 174,928 194,365 323,941 414,645 9,765
76-80 129,577 194,365 226,759 259,153 155,492 174,928 194,365 323,941 414,645 9,765
>80 129,577 194,365 226,759 259,153 155,492 174,928 194,365 323,941 414,645 9,765
Tier 2
Rest of India
Premium Exclusive of GST
Sum Insured 20,00,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 9,985 NA NA NA NA NA NA NA NA NA
18-35 12,728 19,092 22,273 25,455 15,273 17,182 19,092 31,819 40,729 3,182
36-45 15,136 22,704 26,488 30,272 18,163 20,433 22,704 37,839 48,434 3,784
46-50 19,862 29,792 34,758 39,723 23,834 26,813 29,792 49,654 63,557 4,965
51-55 25,588 38,382 44,779 51,176 30,706 34,544 38,382 63,970 81,882 4,965
56-60 29,793 44,689 52,138 59,586 35,752 40,221 44,689 74,482 95,338 4,965
61-65 40,520 60,780 70,910 81,039 48,624 54,702 60,780 101,299 129,663 4,965
66-70 51,305 76,958 89,784 102,610 61,566 69,262 76,958 128,263 164,176 4,965
71-75 65,585 98,377 114,773 131,169 78,702 88,539 98,377 163,962 209,871 4,965
76-80 65,585 98,377 114,773 131,169 78,702 88,539 98,377 163,962 209,871 4,965
>80 65,585 98,377 114,773 131,169 78,702 88,539 98,377 163,962 209,871 4,965
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 36
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
HDFC ERGO General Insurance Company Limited
Prospectus
my:health Suraksha
Premium Exclusive of GST
Sum Insured 25,00,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 11,370 NA NA NA NA NA NA NA NA NA
18-35 14,516 21,773 25,402 29,031 17,419 19,596 21,773 36,289 46,450 3,629
36-45 17,260 25,890 30,205 34,521 20,712 23,301 25,890 43,151 55,233 4,315
46-50 22,637 33,955 39,615 45,274 27,164 30,560 33,955 56,592 72,438 5,659
51-55 29,186 43,778 51,075 58,371 35,023 39,401 43,778 72,964 93,394 5,659
56-60 33,905 50,857 59,333 67,809 40,685 45,771 50,857 84,761 108,495 5,659
61-65 46,173 69,260 80,803 92,346 55,408 62,334 69,260 115,433 147,754 5,659
66-70 58,500 87,751 102,376 117,001 70,201 78,976 87,751 146,251 187,201 5,659
71-75 74,836 112,254 130,963 149,671 89,803 101,028 112,254 187,089 239,474 5,659
76-80 74,836 112,254 130,963 149,671 89,803 101,028 112,254 187,089 239,474 5,659
>80 74,836 112,254 130,963 149,671 89,803 101,028 112,254 187,089 239,474 5,659
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 37
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
HDFC ERGO General Insurance Company Limited
Prospectus
my:health Suraksha Premium Rate Chart - Diamond
my:health Suraksha
Tier 1a
Delhi/NCR
Premium Exclusive of GST
Sum Insured 1,00,00,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 34,367 NA NA NA NA NA NA NA NA NA
18-35 44,144 66,216 77,252 88,288 52,973 59,594 66,216 1,10,360 1,41,260 11,036
36-45 52,505 78,758 91,884 1,05,010 63,006 70,882 78,758 1,31,263 1,68,017 13,126
46-50 68,886 1,03,329 1,20,550 1,37,772 82,663 92,996 1,03,329 1,72,215 2,20,435 17,221
51-55 89,061 1,33,591 1,55,857 1,78,122 1,06,873 1,20,232 1,33,591 2,22,652 2,84,995 17,221
56-60 1,02,548 1,53,823 1,79,460 2,05,097 1,23,058 1,38,440 1,53,823 2,56,371 3,28,155 17,221
61-65 1,40,360 2,10,540 2,45,630 2,80,720 1,68,432 1,89,486 2,10,540 3,50,900 4,49,152 17,221
66-70 1,78,266 2,67,399 3,11,965 3,56,532 2,13,919 2,40,659 2,67,399 4,45,664 5,70,450 17,221
71-75 2,28,645 3,42,967 4,00,129 4,57,290 2,74,374 3,08,671 3,42,967 5,71,612 7,31,664 17,221
76-80 2,28,645 3,42,967 4,00,129 4,57,290 2,74,374 3,08,671 3,42,967 5,71,612 7,31,664 17,221
>80 2,28,645 3,42,967 4,00,129 4,57,290 2,74,374 3,08,671 3,42,967 5,71,612 7,31,664 17,221
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 38
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
HDFC ERGO General Insurance Company Limited
Prospectus
my:health Suraksha
Premium Exclusive of GST
Sum Insured 2,50,00,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 48,704 NA NA NA NA NA NA NA NA NA
18-35 62,643 93,965 1,09,626 1,25,286 75,172 84,568 93,965 1,56,608 2,00,458 15,661
36-45 74,488 1,11,732 1,30,354 1,48,976 89,386 1,00,559 1,11,732 1,86,220 2,38,361 18,622
46-50 97,603 1,46,404 1,70,805 1,95,206 1,17,123 1,31,764 1,46,404 2,44,007 3,12,329 24,401
51-55 1,26,287 1,89,430 2,21,001 2,52,573 1,51,544 1,70,487 1,89,430 3,15,716 4,04,117 24,401
56-60 1,45,092 2,17,638 2,53,911 2,90,184 1,74,110 1,95,874 2,17,638 3,62,730 4,64,294 24,401
61-65 1,98,858 2,98,286 3,48,001 3,97,715 2,38,629 2,68,458 2,98,286 4,97,144 6,36,344 24,401
66-70 2,52,717 3,79,076 4,42,255 5,05,434 3,03,261 3,41,168 3,79,076 6,31,793 8,08,695 24,401
71-75 3,24,368 4,86,552 5,67,644 6,48,736 3,89,242 4,37,897 4,86,552 8,10,920 10,37,978 24,401
76-80 3,24,368 4,86,552 5,67,644 6,48,736 3,89,242 4,37,897 4,86,552 8,10,920 10,37,978 24,401
>80 3,24,368 4,86,552 5,67,644 6,48,736 3,89,242 4,37,897 4,86,552 8,10,920 10,37,978 24,401
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 39
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
HDFC ERGO General Insurance Company Limited
Prospectus
my:health Suraksha
Premium Exclusive of GST
Sum Insured 4,00,00,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 60,651 NA NA NA NA NA NA NA NA NA
18-35 78,059 1,17,089 1,36,604 1,56,119 93,671 1,05,380 1,17,089 1,95,148 2,49,790 19,515
36-45 92,807 1,39,210 1,62,412 1,85,614 1,11,368 1,25,289 1,39,210 2,32,017 2,96,982 23,202
46-50 1,21,534 1,82,301 2,12,684 2,43,067 1,45,840 1,64,070 1,82,301 3,03,834 3,88,908 30,383
51-55 1,57,308 2,35,962 2,75,289 3,14,616 1,88,770 2,12,366 2,35,962 3,93,270 5,03,385 30,383
56-60 1,80,545 2,70,818 3,15,954 3,61,090 2,16,654 2,43,736 2,70,818 4,51,363 5,77,744 30,383
61-65 2,47,606 3,71,408 4,33,310 4,95,211 2,97,127 3,34,268 3,71,408 6,19,014 7,92,338 30,383
66-70 3,14,760 4,72,140 5,50,830 6,29,520 3,77,712 4,24,926 4,72,140 7,86,900 10,07,232 30,383
71-75 4,04,137 6,06,206 7,07,241 8,08,275 4,84,965 5,45,586 6,06,206 10,10,344 12,93,240 30,383
76-80 4,04,137 6,06,206 7,07,241 8,08,275 4,84,965 5,45,586 6,06,206 10,10,344 12,93,240 30,383
>80 4,04,137 6,06,206 7,07,241 8,08,275 4,84,965 5,45,586 6,06,206 10,10,344 12,93,240 30,383
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 40
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
HDFC ERGO General Insurance Company Limited
Prospectus
my:health Suraksha
Tier 1b
Mumbai, Mumbai Suburban and Navi Mumbai, Pune, Surat, Varodara, Ahmedabad
Premium Exclusive of GST
Sum Insured 1,00,00,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 27,731 NA NA NA NA NA NA NA NA NA
18-35 35,581 53,371 62,266 71,161 42,697 48,034 53,371 88,952 1,13,858 8,895
36-45 42,330 63,495 74,077 84,660 50,796 57,145 63,495 1,05,824 1,35,455 10,582
46-50 55,593 83,390 97,288 1,11,187 66,712 75,051 83,390 1,38,983 1,77,899 13,898
51-55 71,830 1,07,745 1,25,702 1,43,660 86,196 96,970 1,07,745 1,79,574 2,29,855 13,898
56-60 82,856 1,24,283 1,44,997 1,65,711 99,427 1,11,855 1,24,283 2,07,139 2,65,138 13,898
61-65 1,13,283 1,69,924 1,98,245 2,26,565 1,35,939 1,52,932 1,69,924 2,83,207 3,62,505 13,898
66-70 1,43,804 2,15,705 2,51,656 2,87,607 1,72,564 1,94,135 2,15,705 3,59,509 4,60,171 13,898
71-75 1,84,336 2,76,505 3,22,589 3,68,673 2,21,204 2,48,854 2,76,505 4,60,841 5,89,876 13,898
76-80 1,84,336 2,76,505 3,22,589 3,68,673 2,21,204 2,48,854 2,76,505 4,60,841 5,89,876 13,898
>80 1,84,336 2,76,505 3,22,589 3,68,673 2,21,204 2,48,854 2,76,505 4,60,841 5,89,876 13,898
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 41
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
HDFC ERGO General Insurance Company Limited
Prospectus
my:health Suraksha
Premium Exclusive of GST
Sum Insured 2,50,00,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 39,239 NA NA NA NA NA NA NA NA NA
18-35 50,431 75,646 88,254 1,00,861 60,517 68,082 75,646 1,26,077 1,61,378 12,608
36-45 59,976 89,964 1,04,958 1,19,952 71,971 80,968 89,964 1,49,940 1,91,923 14,994
46-50 78,645 1,17,968 1,37,629 1,57,291 94,374 1,06,171 1,17,968 1,96,613 2,51,665 19,661
51-55 1,01,712 1,52,568 1,77,996 2,03,424 1,22,054 1,37,311 1,52,568 2,54,280 3,25,478 19,661
56-60 1,17,007 1,75,510 2,04,762 2,34,013 1,40,408 1,57,959 1,75,510 2,92,517 3,74,421 19,661
61-65 1,60,240 2,40,360 2,80,420 3,20,481 1,92,288 2,16,324 2,40,360 4,00,601 5,12,769 19,661
66-70 2,03,568 3,05,352 3,56,244 4,07,136 2,44,281 2,74,816 3,05,352 5,08,919 6,51,417 19,661
71-75 2,61,176 3,91,764 4,57,058 5,22,352 3,13,411 3,52,588 3,91,764 6,52,940 8,35,763 19,661
76-80 2,61,176 3,91,764 4,57,058 5,22,352 3,13,411 3,52,588 3,91,764 6,52,940 8,35,763 19,661
>80 2,61,176 3,91,764 4,57,058 5,22,352 3,13,411 3,52,588 3,91,764 6,52,940 8,35,763 19,661
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 42
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
HDFC ERGO General Insurance Company Limited
Prospectus
my:health Suraksha
Premium Exclusive of GST
Sum Insured 4,00,00,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 48,830 NA NA NA NA NA NA NA NA NA
18-35 62,806 94,209 1,09,910 1,25,611 75,367 84,788 94,209 1,57,014 2,00,978 15,701
36-45 74,681 1,12,022 1,30,692 1,49,362 89,617 1,00,819 1,12,022 1,86,703 2,38,980 18,670
46-50 97,855 1,46,783 1,71,247 1,95,710 1,17,426 1,32,105 1,46,783 2,44,638 3,13,137 24,464
51-55 1,26,614 1,89,920 2,21,574 2,53,227 1,51,936 1,70,928 1,89,920 3,16,534 4,05,164 24,464
56-60 1,45,466 2,18,199 2,54,565 2,90,932 1,74,559 1,96,379 2,18,199 3,63,664 4,65,491 24,464
61-65 1,99,372 2,99,057 3,48,900 3,98,743 2,39,246 2,69,152 2,99,057 4,98,429 6,37,989 24,464
66-70 2,53,371 3,80,057 4,43,400 5,06,743 3,04,046 3,42,051 3,80,057 6,33,428 8,10,788 24,464
71-75 3,25,209 4,87,814 5,69,116 6,50,418 3,90,251 4,39,032 4,87,814 8,13,023 10,40,669 24,464
76-80 3,25,209 4,87,814 5,69,116 6,50,418 3,90,251 4,39,032 4,87,814 8,13,023 10,40,669 24,464
>80 3,25,209 4,87,814 5,69,116 6,50,418 3,90,251 4,39,032 4,87,814 8,13,023 10,40,669 24,464
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 43
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
HDFC ERGO General Insurance Company Limited
Prospectus
my:health Suraksha
Tier 2
Rest of India
Premium Exclusive of GST
Sum Insured 1,00,00,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 25,456 NA NA NA NA NA NA NA NA NA
18-35 32,645 48,967 57,128 65,289 39,174 44,070 48,967 81,612 1,04,463 8,161
36-45 38,841 58,261 67,971 77,682 46,609 52,435 58,261 97,102 1,24,291 9,710
46-50 51,036 76,553 89,312 1,02,071 61,243 68,898 76,553 1,27,589 1,63,314 12,759
51-55 65,922 98,882 1,15,363 1,31,843 79,106 88,994 98,882 1,64,804 2,10,949 12,759
56-60 76,103 1,14,155 1,33,181 1,52,207 91,324 1,02,740 1,14,155 1,90,259 2,43,531 12,759
61-65 1,03,998 1,55,998 1,81,997 2,07,997 1,24,798 1,40,398 1,55,998 2,59,996 3,32,795 12,759
66-70 1,31,987 1,97,981 2,30,978 2,63,974 1,58,385 1,78,183 1,97,981 3,29,968 4,22,359 12,759
71-75 1,69,144 2,53,716 2,96,002 3,38,288 2,02,973 2,28,344 2,53,716 4,22,860 5,41,261 12,759
76-80 1,69,144 2,53,716 2,96,002 3,38,288 2,02,973 2,28,344 2,53,716 4,22,860 5,41,261 12,759
>80 1,69,144 2,53,716 2,96,002 3,38,288 2,02,973 2,28,344 2,53,716 4,22,860 5,41,261 12,759
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 44
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
HDFC ERGO General Insurance Company Limited
Prospectus
my:health Suraksha
Premium Exclusive of GST
Sum Insured 2,50,00,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 35,994 NA NA NA NA NA NA NA NA NA
18-35 46,243 69,365 80,926 92,487 55,492 62,429 69,365 1,15,608 1,47,979 11,561
36-45 55,000 82,500 96,250 1,10,000 66,000 74,250 82,500 1,37,500 1,76,000 13,750
46-50 72,145 1,08,218 1,26,254 1,44,290 86,574 97,396 1,08,218 1,80,363 2,30,865 18,036
51-55 93,286 1,39,929 1,63,250 1,86,572 1,11,943 1,25,936 1,39,929 2,33,214 2,98,515 18,036
56-60 1,07,377 1,61,065 1,87,909 2,14,754 1,28,852 1,44,959 1,61,065 2,68,442 3,43,606 18,036
61-65 1,46,999 2,20,499 2,57,249 2,93,999 1,76,399 1,98,449 2,20,499 3,67,498 4,70,398 18,036
66-70 1,86,716 2,80,073 3,26,752 3,73,431 2,24,059 2,52,066 2,80,073 4,66,789 5,97,490 18,036
71-75 2,39,509 3,59,264 4,19,141 4,79,018 2,87,411 3,23,337 3,59,264 5,98,773 7,66,429 18,036
76-80 2,39,509 3,59,264 4,19,141 4,79,018 2,87,411 3,23,337 3,59,264 5,98,773 7,66,429 18,036
>80 2,39,509 3,59,264 4,19,141 4,79,018 2,87,411 3,23,337 3,59,264 5,98,773 7,66,429 18,036
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 45
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
HDFC ERGO General Insurance Company Limited
Prospectus
my:health Suraksha
Premium Exclusive of GST
Sum Insured 4,00,00,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 44,777 NA NA NA NA NA NA NA NA NA
18-35 57,576 86,363 1,00,757 1,15,151 69,091 77,727 86,363 1,43,939 1,84,242 14,394
36-45 68,466 1,02,699 1,19,816 1,36,932 82,159 92,429 1,02,699 1,71,165 2,19,092 17,117
46-50 89,736 1,34,605 1,57,039 1,79,473 1,07,684 1,21,144 1,34,605 2,24,341 2,87,157 22,434
51-55 1,16,089 1,74,134 2,03,156 2,32,179 1,39,307 1,56,721 1,74,134 2,90,223 3,71,486 22,434
56-60 1,33,438 2,00,157 2,33,516 2,66,876 1,60,126 1,80,141 2,00,157 3,33,595 4,27,001 22,434
61-65 1,82,833 2,74,250 3,19,958 3,65,667 2,19,400 2,46,825 2,74,250 4,57,083 5,85,067 22,434
66-70 2,32,323 3,48,484 4,06,564 4,64,645 2,78,787 3,13,635 3,48,484 5,80,806 7,43,432 22,434
71-75 2,98,147 4,47,220 5,21,756 5,96,293 3,57,776 4,02,498 4,47,220 7,45,366 9,54,069 22,434
76-80 2,98,147 4,47,220 5,21,756 5,96,293 3,57,776 4,02,498 4,47,220 7,45,366 9,54,069 22,434
>80 2,98,147 4,47,220 5,21,756 5,96,293 3,57,776 4,02,498 4,47,220 7,45,366 9,54,069 22,434
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 46
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
HDFC ERGO General Insurance Company Limited
Prospectus
my:health Suraksha Premium Rate Chart - Global Smart
my:health Suraksha
Tier 1a
Delhi/NCR
Premium Exclusive of GST
Sum Insured 25,00,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 32,094 NA NA NA NA NA NA NA NA NA
18-35 41,200 61,801 72,101 82,401 49,440 55,620 61,801 1,03,001 1,31,841 10,300
36-45 49,091 73,637 85,910 98,183 58,910 66,273 73,637 1,22,728 1,57,092 12,273
46-50 58,880 88,320 1,03,040 1,17,760 70,656 79,488 88,320 1,47,200 1,88,417 14,720
51-55 76,142 1,14,213 1,33,249 1,52,284 91,371 1,02,792 1,14,213 1,90,355 2,43,655 14,720
56-60 87,832 1,31,748 1,53,706 1,75,664 1,05,399 1,18,573 1,31,748 2,19,581 2,81,063 14,720
61-65 1,20,174 1,80,261 2,10,305 2,40,348 1,44,209 1,62,235 1,80,261 3,00,435 3,84,557 14,720
66-70 1,52,657 2,28,985 2,67,150 3,05,314 1,83,188 2,06,087 2,28,985 3,81,642 4,88,502 14,720
71-75 1,95,725 2,93,587 3,42,518 3,91,450 2,34,870 2,64,228 2,93,587 4,89,312 6,26,319 14,720
76-80 1,95,725 2,93,587 3,42,518 3,91,450 2,34,870 2,64,228 2,93,587 4,89,312 6,26,319 14,720
>80 1,95,725 2,93,587 3,42,518 3,91,450 2,34,870 2,64,228 2,93,587 4,89,312 6,26,319 14,720
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 47
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
HDFC ERGO General Insurance Company Limited
Prospectus
my:health Suraksha
Premium Exclusive of GST
Sum Insured 40,00,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 45,220 NA NA NA NA NA NA NA NA NA
18-35 58,137 87,206 1,01,741 1,16,275 69,765 78,486 87,206 1,45,344 1,86,040 14,534
36-45 69,218 1,03,826 1,21,131 1,38,435 83,061 93,444 1,03,826 1,73,044 2,21,496 17,304
46-50 82,853 1,24,280 1,44,993 1,65,706 99,424 1,11,852 1,24,280 2,07,133 2,65,130 20,713
51-55 1,07,218 1,60,827 1,87,632 2,14,437 1,28,662 1,44,745 1,60,827 2,68,046 3,43,098 20,713
56-60 1,23,348 1,85,022 2,15,859 2,46,695 1,48,017 1,66,519 1,85,022 3,08,369 3,94,713 20,713
61-65 1,69,008 2,53,512 2,95,764 3,38,016 2,02,810 2,28,161 2,53,512 4,22,520 5,40,826 20,713
66-70 2,14,809 3,22,214 3,75,916 4,29,618 2,57,771 2,89,992 3,22,214 5,37,023 6,87,389 20,713
71-75 2,75,635 4,13,452 4,82,361 5,51,269 3,30,762 3,72,107 4,13,452 6,89,087 8,82,031 20,713
76-80 2,75,635 4,13,452 4,82,361 5,51,269 3,30,762 3,72,107 4,13,452 6,89,087 8,82,031 20,713
>80 2,75,635 4,13,452 4,82,361 5,51,269 3,30,762 3,72,107 4,13,452 6,89,087 8,82,031 20,713
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 48
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
HDFC ERGO General Insurance Company Limited
Prospectus
my:health Suraksha
Premium Exclusive of GST
Sum Insured 75,00,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 63,345 NA NA NA NA NA NA NA NA NA
18-35 81,526 1,22,289 1,42,671 1,63,052 97,831 1,10,060 1,22,289 2,03,815 2,60,884 20,382
36-45 97,010 1,45,515 1,69,768 1,94,021 1,16,412 1,30,964 1,45,515 2,42,526 3,10,433 24,253
46-50 1,15,958 1,73,937 2,02,926 2,31,916 1,39,149 1,56,543 1,73,937 2,89,895 3,71,065 28,989
51-55 1,50,132 2,25,198 2,62,731 3,00,264 1,80,158 2,02,678 2,25,198 3,75,329 4,80,422 28,989
56-60 1,72,392 2,58,588 3,01,686 3,44,783 2,06,870 2,32,729 2,58,588 4,30,979 5,51,654 28,989
61-65 2,36,444 3,54,665 4,13,776 4,72,887 2,83,732 3,19,199 3,54,665 5,91,109 7,56,619 28,989
66-70 3,00,636 4,50,954 5,26,113 6,01,272 3,60,763 4,05,859 4,50,954 7,51,590 9,62,035 28,989
71-75 3,85,984 5,78,976 6,75,471 7,71,967 4,63,180 5,21,078 5,78,976 9,64,959 12,35,148 28,989
76-80 3,85,984 5,78,976 6,75,471 7,71,967 4,63,180 5,21,078 5,78,976 9,64,959 12,35,148 28,989
>80 3,85,984 5,78,976 6,75,471 7,71,967 4,63,180 5,21,078 5,78,976 9,64,959 12,35,148 28,989
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 49
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
HDFC ERGO General Insurance Company Limited
Prospectus
my:health Suraksha
Premium Exclusive of GST
Sum Insured 2,00,00,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 89,878 NA NA NA NA NA NA NA NA NA
18-35 1,15,763 1,73,645 2,02,585 2,31,526 1,38,916 1,56,280 1,73,645 2,89,408 3,70,442 28,941
36-45 1,37,694 2,06,541 2,40,964 2,75,388 1,65,233 1,85,887 2,06,541 3,44,234 4,40,620 34,423
46-50 1,64,417 2,46,626 2,87,730 3,28,834 1,97,301 2,21,963 2,46,626 4,11,043 5,26,135 41,104
51-55 2,12,949 3,19,424 3,72,662 4,25,899 2,55,539 2,87,482 3,19,424 5,32,374 6,81,438 41,104
56-60 2,44,183 3,66,275 4,27,321 4,88,367 2,93,020 3,29,648 3,66,275 6,10,458 7,81,387 41,104
61-65 3,35,157 5,02,736 5,86,525 6,70,314 4,02,188 4,52,462 5,02,736 8,37,893 10,72,503 41,104
66-70 4,26,271 6,39,407 7,45,975 8,52,543 5,11,526 5,75,466 6,39,407 10,65,679 13,64,069 41,104
71-75 5,47,515 8,21,272 9,58,151 10,95,030 6,57,018 7,39,145 8,21,272 13,68,787 17,52,048 41,104
76-80 5,47,515 8,21,272 9,58,151 10,95,030 6,57,018 7,39,145 8,21,272 13,68,787 17,52,048 41,104
>80 5,47,515 8,21,272 9,58,151 10,95,030 6,57,018 7,39,145 8,21,272 13,68,787 17,52,048 41,104
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 50
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
HDFC ERGO General Insurance Company Limited
Prospectus
my:health Suraksha
Premium Exclusive of GST
Sum Insured 3,50,00,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 1,14,763 NA NA NA NA NA NA NA NA NA
18-35 1,47,873 2,21,810 2,58,778 2,95,746 1,77,448 1,99,629 2,21,810 3,69,683 4,73,194 36,968
36-45 1,75,850 2,63,775 3,07,737 3,51,700 2,11,020 2,37,397 2,63,775 4,39,625 5,62,720 43,963
46-50 2,09,866 3,14,799 3,67,266 4,19,732 2,51,839 2,83,319 3,14,799 5,24,665 6,71,572 52,467
51-55 2,71,865 4,07,797 4,75,763 5,43,730 3,26,238 3,67,017 4,07,797 6,79,662 8,69,967 52,467
56-60 3,11,515 4,67,273 5,45,152 6,23,030 3,73,818 4,20,546 4,67,273 7,78,788 9,96,849 52,467
61-65 4,27,738 6,41,607 7,48,542 8,55,477 5,13,286 5,77,447 6,41,607 10,69,346 13,68,763 52,467
66-70 5,44,102 8,16,153 9,52,179 10,88,204 6,52,923 7,34,538 8,16,153 13,60,255 17,41,127 52,467
71-75 6,99,012 10,48,517 12,23,270 13,98,023 8,38,814 9,43,666 10,48,517 17,47,529 22,36,837 52,467
76-80 6,99,012 10,48,517 12,23,270 13,98,023 8,38,814 9,43,666 10,48,517 17,47,529 22,36,837 52,467
>80 6,99,012 10,48,517 12,23,270 13,98,023 8,38,814 9,43,666 10,48,517 17,47,529 22,36,837 52,467
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 51
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
HDFC ERGO General Insurance Company Limited
Prospectus
my:health Suraksha
Premium Exclusive of GST
Sum Insured 50,000,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 139,106 NA NA NA NA NA NA NA NA NA
18-35 179,285 268,928 313,749 358,570 215,142 242,035 268,928 448,213 573,712 44,821
36-45 213,177 319,765 373,059 426,353 255,812 287,789 319,765 532,942 682,165 53,294
46-50 254,327 381,491 445,073 508,654 305,193 343,342 381,491 635,818 813,847 63,582
51-55 329,499 494,249 576,624 658,999 395,399 444,824 494,249 823,748 1,054,398 63,582
56-60 377,383 566,075 660,421 754,767 452,860 509,467 566,075 943,458 1,207,627 63,582
61-65 518,307 777,460 907,037 1,036,614 621,968 699,714 777,460 1,295,767 1,658,582 63,582
66-70 659,371 989,057 1,153,900 1,318,743 791,246 890,151 989,057 1,648,428 2,109,988 63,582
71-75 847,215 1,270,822 1,482,626 1,694,429 1,016,658 1,143,740 1,270,822 2,118,037 2,711,087 63,582
76-80 847,215 1,270,822 1,482,626 1,694,429 1,016,658 1,143,740 1,270,822 2,118,037 2,711,087 63,582
>80 847,215 1,270,822 1,482,626 1,694,429 1,016,658 1,143,740 1,270,822 2,118,037 2,711,087 63,582
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 52
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
HDFC ERGO General Insurance Company Limited
Prospectus
my:health Suraksha
Tier 1b
Mumbai, Mumbai Suburban and Navi Mumbai, Pune, Surat, Varodara, Ahmedabad
Premium Exclusive of GST
Sum Insured 25,00,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 29,062 NA NA NA NA NA NA NA NA NA
18-35 37,288 55,932 65,254 74,576 44,746 50,339 55,932 93,220 1,19,322 9,322
36-45 44,442 66,664 77,774 88,885 53,331 59,997 66,664 1,11,106 1,42,216 11,111
46-50 52,807 79,210 92,412 1,05,614 63,368 71,289 79,210 1,32,017 1,68,982 13,202
51-55 68,270 1,02,404 1,19,472 1,36,539 81,923 92,164 1,02,404 1,70,674 2,18,463 13,202
56-60 78,835 1,18,252 1,37,961 1,57,670 94,602 1,06,427 1,18,252 1,97,087 2,52,272 13,202
61-65 1,07,803 1,61,704 1,88,655 2,15,606 1,29,364 1,45,534 1,61,704 2,69,507 3,44,969 13,202
66-70 1,36,912 2,05,368 2,39,595 2,73,823 1,64,294 1,84,831 2,05,368 3,42,279 4,38,117 13,202
71-75 1,75,481 2,63,221 3,07,092 3,50,962 2,10,577 2,36,899 2,63,221 4,38,702 5,61,539 13,202
76-80 1,75,481 2,63,221 3,07,092 3,50,962 2,10,577 2,36,899 2,63,221 4,38,702 5,61,539 13,202
>80 1,75,481 2,63,221 3,07,092 3,50,962 2,10,577 2,36,899 2,63,221 4,38,702 5,61,539 13,202
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 53
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
HDFC ERGO General Insurance Company Limited
Prospectus
my:health Suraksha
Premium Exclusive of GST
Sum Insured 40,00,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 40,917 NA NA NA NA NA NA NA NA NA
18-35 52,585 78,878 92,024 1,05,171 63,102 70,990 78,878 1,31,463 1,68,273 13,146
36-45 62,620 93,930 1,09,585 1,25,240 75,144 84,537 93,930 1,56,550 2,00,384 15,655
46-50 74,235 1,11,352 1,29,910 1,48,469 89,081 1,00,217 1,11,352 1,85,586 2,37,550 18,559
51-55 96,046 1,44,069 1,68,080 1,92,092 1,15,255 1,29,662 1,44,069 2,40,115 3,07,347 18,559
56-60 1,10,579 1,65,869 1,93,514 2,21,159 1,32,695 1,49,282 1,65,869 2,76,449 3,53,854 18,559
61-65 1,51,452 2,27,177 2,65,040 3,02,903 1,81,742 2,04,460 2,27,177 3,78,629 4,84,645 18,559
66-70 1,92,465 2,88,697 3,36,813 3,84,929 2,30,957 2,59,827 2,88,697 4,81,161 6,15,886 18,559
71-75 2,46,906 3,70,359 4,32,085 4,93,812 2,96,287 3,33,323 3,70,359 6,17,265 7,90,099 18,559
76-80 2,46,906 3,70,359 4,32,085 4,93,812 2,96,287 3,33,323 3,70,359 6,17,265 7,90,099 18,559
>80 2,46,906 3,70,359 4,32,085 4,93,812 2,96,287 3,33,323 3,70,359 6,17,265 7,90,099 18,559
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 54
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
HDFC ERGO General Insurance Company Limited
Prospectus
my:health Suraksha
Premium Exclusive of GST
Sum Insured 75,00,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 57,288 NA NA NA NA NA NA NA NA NA
18-35 73,710 1,10,564 1,28,992 1,47,419 88,452 99,508 1,10,564 1,84,274 2,35,871 18,427
36-45 87,722 1,31,583 1,53,513 1,75,444 1,05,266 1,18,425 1,31,583 2,19,305 2,80,710 21,931
46-50 1,03,824 1,55,736 1,81,692 2,07,648 1,24,589 1,40,163 1,55,736 2,59,560 3,32,237 25,956
51-55 1,34,403 2,01,604 2,35,205 2,68,806 1,61,284 1,81,444 2,01,604 3,36,007 4,30,089 25,956
56-60 1,54,416 2,31,624 2,70,228 3,08,832 1,85,299 2,08,461 2,31,624 3,86,040 4,94,131 25,956
61-65 2,11,727 3,17,590 3,70,522 4,23,454 2,54,072 2,85,831 3,17,590 5,29,317 6,77,526 25,956
66-70 2,69,178 4,03,768 4,71,062 5,38,357 3,23,014 3,63,391 4,03,768 6,72,946 8,61,371 25,956
71-75 3,45,538 5,18,307 6,04,692 6,91,076 4,14,646 4,66,476 5,18,307 8,63,845 11,05,722 25,956
76-80 3,45,538 5,18,307 6,04,692 6,91,076 4,14,646 4,66,476 5,18,307 8,63,845 11,05,722 25,956
>80 3,45,538 5,18,307 6,04,692 6,91,076 4,14,646 4,66,476 5,18,307 8,63,845 11,05,722 25,956
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 55
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
HDFC ERGO General Insurance Company Limited
Prospectus
my:health Suraksha
Premium Exclusive of GST
Sum Insured 2,00,00,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 81,252 NA NA NA NA NA NA NA NA NA
18-35 1,04,632 1,56,948 1,83,106 2,09,264 1,25,558 1,41,253 1,56,948 2,61,580 3,34,822 26,158
36-45 1,24,467 1,86,700 2,17,817 2,48,933 1,49,360 1,68,030 1,86,700 3,11,167 3,98,293 31,117
46-50 1,47,138 2,20,707 2,57,492 2,94,276 1,76,566 1,98,636 2,20,707 3,67,845 4,70,842 36,785
51-55 1,90,551 2,85,826 3,33,464 3,81,101 2,28,661 2,57,243 2,85,826 4,76,377 6,09,762 36,785
56-60 2,18,585 3,27,877 3,82,523 4,37,169 2,62,302 2,95,089 3,27,877 5,46,462 6,99,471 36,785
61-65 2,99,959 4,49,938 5,24,928 5,99,918 3,59,951 4,04,945 4,49,938 7,49,897 9,59,868 36,785
66-70 3,81,474 5,72,211 6,67,579 7,62,948 4,57,769 5,14,990 5,72,211 9,53,685 12,20,716 36,785
71-75 4,89,918 7,34,877 8,57,356 9,79,836 5,87,902 6,61,389 7,34,877 12,24,795 15,67,737 36,785
76-80 4,89,918 7,34,877 8,57,356 9,79,836 5,87,902 6,61,389 7,34,877 12,24,795 15,67,737 36,785
>80 4,89,918 7,34,877 8,57,356 9,79,836 5,87,902 6,61,389 7,34,877 12,24,795 15,67,737 36,785
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 56
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
HDFC ERGO General Insurance Company Limited
Prospectus
my:health Suraksha
Premium Exclusive of GST
Sum Insured 3,50,00,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 1,03,727 NA NA NA NA NA NA NA NA NA
18-35 1,33,633 2,00,450 2,33,858 2,67,266 1,60,360 1,80,405 2,00,450 3,34,083 4,27,626 33,408
36-45 1,58,929 2,38,393 2,78,125 3,17,858 1,90,715 2,14,554 2,38,393 3,97,322 5,08,572 39,732
46-50 1,87,761 2,81,642 3,28,582 3,75,523 2,25,314 2,53,478 2,81,642 4,69,403 6,00,836 46,940
51-55 2,43,210 3,64,816 4,25,618 4,86,421 2,91,852 3,28,334 3,64,816 6,08,026 7,78,273 46,940
56-60 2,78,767 4,18,151 4,87,843 5,57,535 3,34,521 3,76,336 4,18,151 6,96,918 8,92,055 46,940
61-65 3,82,710 5,74,065 6,69,742 7,65,420 4,59,252 5,16,658 5,74,065 9,56,775 12,24,672 46,940
66-70 4,86,793 7,30,190 8,51,888 9,73,587 5,84,152 6,57,171 7,30,190 12,16,983 15,57,739 46,940
71-75 6,25,329 9,37,993 10,94,325 12,50,657 7,50,394 8,44,194 9,37,993 15,63,322 20,01,052 46,940
76-80 6,25,329 9,37,993 10,94,325 12,50,657 7,50,394 8,44,194 9,37,993 15,63,322 20,01,052 46,940
>80 6,25,329 9,37,993 10,94,325 12,50,657 7,50,394 8,44,194 9,37,993 15,63,322 20,01,052 46,940
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 57
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
HDFC ERGO General Insurance Company Limited
Prospectus
my:health Suraksha
Premium Exclusive of GST
Sum Insured 5,00,00,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 1,25,714 NA NA NA NA NA NA NA NA NA
18-35 1,62,004 2,43,006 2,83,507 3,24,008 1,94,405 2,18,705 2,43,006 4,05,010 5,18,413 40,501
36-45 1,92,642 2,88,963 3,37,123 3,85,283 2,31,170 2,60,066 2,88,963 4,81,604 6,16,453 48,160
46-50 2,27,501 3,41,252 3,98,128 4,55,003 2,73,002 3,07,127 3,41,252 5,68,754 7,28,005 56,875
51-55 2,94,725 4,42,088 5,15,769 5,89,451 3,53,670 3,97,879 4,42,088 7,36,813 9,43,121 56,875
56-60 3,37,642 5,06,462 5,90,873 6,75,283 4,05,170 4,55,816 5,06,462 8,44,104 10,80,453 56,875
61-65 4,63,662 6,95,493 8,11,408 9,27,324 5,56,394 6,25,944 6,95,493 11,59,155 14,83,718 56,875
66-70 5,89,823 8,84,735 10,32,191 11,79,646 7,07,788 7,96,261 8,84,735 14,74,558 18,87,434 56,875
71-75 7,57,796 11,36,694 13,26,142 15,15,591 9,09,355 10,23,024 11,36,694 18,94,489 24,24,946 56,875
76-80 7,57,796 11,36,694 13,26,142 15,15,591 9,09,355 10,23,024 11,36,694 18,94,489 24,24,946 56,875
>80 7,57,796 11,36,694 13,26,142 15,15,591 9,09,355 10,23,024 11,36,694 18,94,489 24,24,946 56,875
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 58
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
HDFC ERGO General Insurance Company Limited
Prospectus
my:health Suraksha
Tier 2
Rest of India
Premium Exclusive of GST
Sum Insured 25,00,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 28,022 NA NA NA NA NA NA NA NA NA
18-35 35,947 53,920 62,907 71,893 43,136 48,528 53,920 89,866 1,15,029 8,987
36-45 42,848 64,272 74,985 85,697 51,418 57,845 64,272 1,07,121 1,37,115 10,712
46-50 50,725 76,087 88,768 1,01,449 60,870 68,478 76,087 1,26,812 1,62,319 12,681
51-55 65,570 98,355 1,14,748 1,31,140 78,684 88,520 98,355 1,63,926 2,09,825 12,681
56-60 75,750 1,13,625 1,32,562 1,51,500 90,900 1,02,262 1,13,625 1,89,375 2,42,400 12,681
61-65 1,03,561 1,55,342 1,81,232 2,07,122 1,24,273 1,39,807 1,55,342 2,58,903 3,31,396 12,681
66-70 1,31,513 1,97,270 2,30,148 2,63,026 1,57,816 1,77,543 1,97,270 3,28,783 4,20,842 12,681
71-75 1,68,540 2,52,810 2,94,944 3,37,079 2,02,248 2,27,529 2,52,810 4,21,349 5,39,327 12,681
76-80 1,68,540 2,52,810 2,94,944 3,37,079 2,02,248 2,27,529 2,52,810 4,21,349 5,39,327 12,681
>80 1,68,540 2,52,810 2,94,944 3,37,079 2,02,248 2,27,529 2,52,810 4,21,349 5,39,327 12,681
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 59
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
HDFC ERGO General Insurance Company Limited
Prospectus
my:health Suraksha
Premium Exclusive of GST
Sum Insured 40,00,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 39,442 NA NA NA NA NA NA NA NA NA
18-35 50,682 76,022 88,693 1,01,363 60,818 68,420 76,022 1,26,704 1,62,181 12,670
36-45 60,358 90,537 1,05,626 1,20,716 72,430 81,483 90,537 1,50,895 1,93,145 15,089
46-50 71,279 1,06,919 1,24,739 1,42,559 85,535 96,227 1,06,919 1,78,198 2,28,094 17,820
51-55 92,215 1,38,323 1,61,377 1,84,431 1,10,658 1,24,491 1,38,323 2,30,538 2,95,089 17,820
56-60 1,06,201 1,59,302 1,85,853 2,12,403 1,27,442 1,43,372 1,59,302 2,65,504 3,39,845 17,820
61-65 1,45,432 2,18,148 2,54,506 2,90,864 1,74,518 1,96,333 2,18,148 3,63,580 4,65,382 17,820
66-70 1,84,803 2,77,205 3,23,405 3,69,606 2,21,764 2,49,484 2,77,205 4,62,008 5,91,370 17,820
71-75 2,37,056 3,55,583 4,14,847 4,74,111 2,84,467 3,20,025 3,55,583 5,92,639 7,58,578 17,820
76-80 2,37,056 3,55,583 4,14,847 4,74,111 2,84,467 3,20,025 3,55,583 5,92,639 7,58,578 17,820
>80 2,37,056 3,55,583 4,14,847 4,74,111 2,84,467 3,20,025 3,55,583 5,92,639 7,58,578 17,820
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 60
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
HDFC ERGO General Insurance Company Limited
Prospectus
my:health Suraksha
Premium Exclusive of GST
Sum Insured 75,00,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 55,211 NA NA NA NA NA NA NA NA NA
18-35 71,030 1,06,544 1,24,302 1,42,059 85,235 95,890 1,06,544 1,77,574 2,27,295 17,757
36-45 84,537 1,26,806 1,47,940 1,69,074 1,01,445 1,14,125 1,26,806 2,11,343 2,70,519 21,134
46-50 99,664 1,49,496 1,74,412 1,99,328 1,19,597 1,34,546 1,49,496 2,49,160 3,18,924 24,916
51-55 1,29,010 1,93,515 2,25,767 2,58,020 1,54,812 1,74,163 1,93,515 3,22,525 4,12,832 24,916
56-60 1,48,252 2,22,379 2,59,442 2,96,505 1,77,903 2,00,141 2,22,379 3,70,631 4,74,408 24,916
61-65 2,03,252 3,04,878 3,55,691 4,06,504 2,43,902 2,74,390 3,04,878 5,08,130 6,50,406 24,916
66-70 2,58,392 3,87,588 4,52,187 5,16,785 3,10,071 3,48,830 3,87,588 6,45,981 8,26,855 24,916
71-75 3,31,670 4,97,505 5,80,423 6,63,341 3,98,004 4,47,755 4,97,505 8,29,176 10,61,345 24,916
76-80 3,31,670 4,97,505 5,80,423 6,63,341 3,98,004 4,47,755 4,97,505 8,29,176 10,61,345 24,916
>80 3,31,670 4,97,505 5,80,423 6,63,341 3,98,004 4,47,755 4,97,505 8,29,176 10,61,345 24,916
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 61
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
HDFC ERGO General Insurance Company Limited
Prospectus
my:health Suraksha
Premium Exclusive of GST
Sum Insured 2,00,00,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 78,294 NA NA NA NA NA NA NA NA NA
18-35 1,00,815 1,51,223 1,76,427 2,01,631 1,20,978 1,36,101 1,51,223 2,52,038 3,22,609 25,204
36-45 1,19,931 1,79,897 2,09,880 2,39,863 1,43,918 1,61,907 1,79,897 2,99,829 3,83,781 29,983
46-50 1,41,214 2,11,820 2,47,124 2,82,427 1,69,456 1,90,638 2,11,820 3,53,034 4,51,883 35,303
51-55 1,82,871 2,74,306 3,20,024 3,65,741 2,19,445 2,46,875 2,74,306 4,57,177 5,85,186 35,303
56-60 2,09,808 3,14,711 3,67,163 4,19,615 2,51,769 2,83,240 3,14,711 5,24,519 6,71,384 35,303
61-65 2,87,890 4,31,835 5,03,808 5,75,781 3,45,468 3,88,652 4,31,835 7,19,726 9,21,249 35,303
66-70 3,66,114 5,49,171 6,40,699 7,32,228 4,39,337 4,94,254 5,49,171 9,15,284 11,71,564 35,303
71-75 4,70,169 7,05,254 8,22,796 9,40,339 5,64,203 6,34,729 7,05,254 11,75,423 15,04,542 35,303
76-80 4,70,169 7,05,254 8,22,796 9,40,339 5,64,203 6,34,729 7,05,254 11,75,423 15,04,542 35,303
>80 4,70,169 7,05,254 8,22,796 9,40,339 5,64,203 6,34,729 7,05,254 11,75,423 15,04,542 35,303
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 62
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
HDFC ERGO General Insurance Company Limited
Prospectus
my:health Suraksha
Premium Exclusive of GST
Sum Insured 3,50,00,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 99,943 NA NA NA NA NA NA NA NA NA
18-35 1,28,751 1,93,126 2,25,314 2,57,501 1,54,501 1,73,813 1,93,126 3,21,877 4,12,002 32,188
36-45 1,53,127 2,29,690 2,67,972 3,06,254 1,83,752 2,06,721 2,29,690 3,82,817 4,90,006 38,282
46-50 1,80,182 2,70,273 3,15,319 3,60,364 2,16,219 2,43,246 2,70,273 4,50,455 5,76,583 45,046
51-55 2,33,385 3,50,078 4,08,425 4,66,771 2,80,063 3,15,070 3,50,078 5,83,464 7,46,833 45,046
56-60 2,67,539 4,01,308 4,68,193 5,35,078 3,21,047 3,61,177 4,01,308 6,68,847 8,56,124 45,046
61-65 3,67,271 5,50,906 6,42,724 7,34,541 4,40,725 4,95,815 5,50,906 9,18,177 11,75,266 45,046
66-70 4,67,143 7,00,715 8,17,501 9,34,287 5,60,572 6,30,644 7,00,715 11,67,859 14,94,859 45,046
71-75 6,00,065 9,00,097 10,50,113 12,00,129 7,20,077 8,10,087 9,00,097 15,00,161 19,20,206 45,046
76-80 6,00,065 9,00,097 10,50,113 12,00,129 7,20,077 8,10,087 9,00,097 15,00,161 19,20,206 45,046
>80 6,00,065 9,00,097 10,50,113 12,00,129 7,20,077 8,10,087 9,00,097 15,00,161 19,20,206 45,046
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 63
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
HDFC ERGO General Insurance Company Limited
Prospectus
my:health Suraksha
Premium Exclusive of GST
Sum Insured 5,00,00,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 1,21,122 NA NA NA NA NA NA NA NA NA
18-35 1,56,079 2,34,118 2,73,138 3,12,157 1,87,294 2,10,706 2,34,118 3,90,197 4,99,452 39,020
36-45 1,85,601 2,78,401 3,24,801 3,71,201 2,22,721 2,50,561 2,78,401 4,64,002 5,93,922 46,400
46-50 2,18,304 3,27,455 3,82,031 4,36,607 2,61,964 2,94,710 3,27,455 5,45,759 6,98,571 54,576
51-55 2,82,802 4,24,203 4,94,904 5,65,604 3,39,363 3,81,783 4,24,203 7,07,005 9,04,967 54,576
56-60 3,24,015 4,86,022 5,67,026 6,48,030 3,88,818 4,37,420 4,86,022 8,10,037 10,36,848 54,576
61-65 4,44,925 6,67,388 7,78,620 8,89,851 5,33,911 6,00,649 6,67,388 11,12,314 14,23,762 54,576
66-70 5,65,977 8,48,965 9,90,459 11,31,954 6,79,172 7,64,069 8,48,965 14,14,942 18,11,126 54,576
71-75 7,27,136 10,90,704 12,72,488 14,54,272 8,72,563 9,81,634 10,90,704 18,17,840 23,26,835 54,576
76-80 7,27,136 10,90,704 12,72,488 14,54,272 8,72,563 9,81,634 10,90,704 18,17,840 23,26,835 54,576
>80 7,27,136 10,90,704 12,72,488 14,54,272 8,72,563 9,81,634 10,90,704 18,17,840 23,26,835 54,576
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 64
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
HDFC ERGO General Insurance Company Limited
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 65
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
HDFC ERGO General Insurance Company Limited
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 66
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
Premium Exclusive of GST
Amount in INR
Sum Insured 2,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 960 1,440 1,728 1,968 1,440 1,728 1,968 2,400 3,071 240
18-35 1,037 1,555 1,867 2,126 1,555 1,867 2,126 2,592 3,318 259
36-45 1,376 2,065 2,478 2,822 2,065 2,478 2,822 3,441 4,405 344
46-50 1,682 2,523 3,028 3,448 2,523 3,028 3,448 4,205 5,383 421
51-55 2,185 3,278 3,933 4,479 3,278 3,933 4,479 5,463 6,992 421
56-60 3,190 4,786 5,743 6,540 4,786 5,743 6,540 7,976 10,209 421
61-65 5,012 7,518 9,021 10,274 7,518 9,021 10,274 12,530 16,038 421
66-70 7,825 11,737 14,085 16,041 11,737 14,085 16,041 19,562 25,040 421
71-75 12,957 19,436 23,323 26,562 19,436 23,323 26,562 32,393 41,463 421
76-80 12,957 19,436 23,323 26,562 19,436 23,323 26,562 32,393 41,463 421
>80 12,957 19,436 23,323 26,562 19,436 23,323 26,562 32,393 41,463 421
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 67
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
Premium Exclusive of GST
Amount in INR
Sum Insured 5,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 2,400 3,599 4,319 4,919 3,599 4,319 4,919 5,999 7,679 600
18-35 2,592 3,889 4,666 5,314 3,889 4,666 5,314 6,481 8,296 648
36-45 3,441 5,162 6,194 7,054 5,162 6,194 7,054 8,603 11,012 860
46-50 4,205 6,308 7,570 8,621 6,308 7,570 8,621 10,513 13,457 1,051
51-55 5,463 8,194 9,833 11,198 8,194 9,833 11,198 13,657 17,480 1,051
56-60 7,976 11,964 14,357 16,351 11,964 14,357 16,351 19,940 25,524 1,051
61-65 12,530 18,794 22,553 25,686 18,794 22,553 25,686 31,324 40,095 1,051
66-70 19,562 29,343 35,212 40,103 29,343 35,212 40,103 48,906 62,599 1,051
71-75 32,393 48,589 58,307 66,406 48,589 58,307 66,406 80,982 1,03,657 1,051
76-80 32,393 48,589 58,307 66,406 48,589 58,307 66,406 80,982 1,03,657 1,051
>80 32,393 48,589 58,307 66,406 48,589 58,307 66,406 80,982 1,03,657 1,051
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 68
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
HDFC ERGO General Insurance Company Limited
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 69
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
Premium Exclusive of GST
Amount in INR
Sum Insured 2,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 480 720 864 984 720 864 984 1,200 1,536 120
18-35 518 778 933 1,063 778 933 1,063 1,296 1,659 130
36-45 688 1,032 1,239 1,411 1,032 1,239 1,411 1,721 2,202 172
46-50 841 1,262 1,514 1,724 1,262 1,514 1,724 2,103 2,691 210
51-55 1,093 1,639 1,967 2,240 1,639 1,967 2,240 2,731 3,496 210
56-60 1,595 2,393 2,871 3,270 2,393 2,871 3,270 3,988 5,105 210
61-65 2,506 3,759 4,511 5,137 3,759 4,511 5,137 6,265 8,019 210
66-70 3,912 5,869 7,042 8,021 5,869 7,042 8,021 9,781 12,520 210
71-75 6,479 9,718 11,661 13,281 9,718 11,661 13,281 16,196 20,731 210
76-80 6,479 9,718 11,661 13,281 9,718 11,661 13,281 16,196 20,731 210
>80 6,479 9,718 11,661 13,281 9,718 11,661 13,281 16,196 20,731 210
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 70
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
Premium Exclusive of GST
Amount in INR
Sum Insured 5,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 1,200 1,800 2,160 2,460 1,800 2,160 2,460 2,999 3,839 300
18-35 1,296 1,944 2,333 2,657 1,944 2,333 2,657 3,241 4,148 324
36-45 1,721 2,581 3,097 3,527 2,581 3,097 3,527 4,302 5,506 430
46-50 2,103 3,154 3,785 4,311 3,154 3,785 4,311 5,257 6,729 526
51-55 2,731 4,097 4,916 5,599 4,097 4,916 5,599 6,828 8,740 526
56-60 3,988 5,982 7,179 8,176 5,982 7,179 8,176 9,970 12,762 526
61-65 6,265 9,397 11,277 12,843 9,397 11,277 12,843 15,662 20,047 526
66-70 9,781 14,672 17,606 20,051 14,672 17,606 20,051 24,453 31,300 526
71-75 16,196 24,295 29,154 33,203 24,295 29,154 33,203 40,491 51,829 526
76-80 16,196 24,295 29,154 33,203 24,295 29,154 33,203 40,491 51,829 526
>80 16,196 24,295 29,154 33,203 24,295 29,154 33,203 40,491 51,829 526
Premium Exclusive of GST
Amount in INR
Sum Insured 7,500
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 1,800 2,700 3,239 3,689 2,700 3,239 3,689 4,499 5,759 450
18-35 1,944 2,916 3,500 3,986 2,916 3,500 3,986 4,861 6,222 486
36-45 2,581 3,871 4,646 5,291 3,871 4,646 5,291 6,452 8,259 645
46-50 3,154 4,731 5,677 6,466 4,731 5,677 6,466 7,885 10,093 789
51-55 4,097 6,145 7,375 8,399 6,145 7,375 8,399 10,242 13,110 789
56-60 5,982 8,973 10,768 12,263 8,973 10,768 12,263 14,955 19,143 789
61-65 9,397 14,096 16,915 19,264 14,096 16,915 19,264 23,493 30,071 789
66-70 14,672 22,008 26,409 30,077 22,008 26,409 30,077 36,679 46,949 789
71-75 24,295 36,442 43,730 49,804 36,442 43,730 49,804 60,737 77,743 789
76-80 24,295 36,442 43,730 49,804 36,442 43,730 49,804 60,737 77,743 789
>80 24,295 36,442 43,730 49,804 36,442 43,730 49,804 60,737 77,743 789
Premium Exclusive of GST
Amount in INR
Sum Insured 10,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 2,400 3,599 4,319 4,919 3,599 4,319 4,919 5,999 7,679 600
18-35 2,592 3,889 4,666 5,314 3,889 4,666 5,314 6,481 8,296 648
36-45 3,441 5,162 6,194 7,054 5,162 6,194 7,054 8,603 11,012 860
46-50 4,205 6,308 7,570 8,621 6,308 7,570 8,621 10,513 13,457 1,051
51-55 5,463 8,194 9,833 11,198 8,194 9,833 11,198 13,657 17,480 1,051
56-60 7,976 11,964 14,357 16,351 11,964 14,357 16,351 19,940 25,524 1,051
61-65 12,530 18,794 22,553 25,686 18,794 22,553 25,686 31,324 40,095 1,051
66-70 19,562 29,343 35,212 40,103 29,343 35,212 40,103 48,906 62,599 1,051
71-75 32,393 48,589 58,307 66,406 48,589 58,307 66,406 80,982 103,657 1,051
76-80 32,393 48,589 58,307 66,406 48,589 58,307 66,406 80,982 103,657 1,051
>80 32,393 48,589 58,307 66,406 48,589 58,307 66,406 80,982 103,657 1,051
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 71
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
HDFC ERGO General Insurance Company Limited
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 72
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
HDFC ERGO General Insurance Company Limited
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 73
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
Premium Exclusive of GST
Sum Insured 1,000,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 41 NA NA NA NA NA NA NA NA NA
18-35 41 82 123 164 82 123 164 164 246 41
36-45 41 82 123 164 82 123 164 164 246 41
46-50 41 82 123 164 82 123 164 164 246 41
51-55 41 82 123 164 82 123 164 164 246 41
56-60 41 82 123 164 82 123 164 164 246 41
61-65 41 82 123 164 82 123 164 164 246 41
66-70 41 82 123 164 82 123 164 164 246 41
71-75 41 82 123 164 82 123 164 164 246 41
76-80 41 82 123 164 82 123 164 164 246 41
>80 41 82 123 164 82 123 164 164 246 41
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 74
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
Premium Exclusive of GST
Sum Insured 2,500,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 41 NA NA NA NA NA NA NA NA NA
18-35 41 82 123 164 82 123 164 164 246 41
36-45 41 82 123 164 82 123 164 164 246 41
46-50 41 82 123 164 82 123 164 164 246 41
51-55 41 82 123 164 82 123 164 164 246 41
56-60 41 82 123 164 82 123 164 164 246 41
61-65 41 82 123 164 82 123 164 164 246 41
66-70 41 82 123 164 82 123 164 164 246 41
71-75 41 82 123 164 82 123 164 164 246 41
76-80 41 82 123 164 82 123 164 164 246 41
>80 41 82 123 164 82 123 164 164 246 41
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 75
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
HDFC ERGO General Insurance Company Limited
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 76
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
HDFC ERGO General Insurance Company Limited
my:health Suraksha Premium Rate Chart of Optional Benefit External Medical Aids (5000)
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 77
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
Premium Exclusive of GST Premium Exclusive of GST Premium Exclusive of GST
Sum Insured 2,500,000 Sum Insured 4,000,000 Sum Insured 7,500,000
Age 1A Age 1A Age 1A
0-17 475 0-17 475 0-17 475
18-35 555 18-35 555 18-35 555
36-45 590 36-45 590 36-45 590
46-50 1,210 46-50 1,210 46-50 1,210
51-55 1,210 51-55 1,210 51-55 1,210
56-60 1,210 56-60 1,210 56-60 1,210
61-65 1,050 61-65 1,050 61-65 1,050
66-70 1,050 66-70 1,050 66-70 1,050
71-75 1,050 71-75 1,050 71-75 1,050
76-80 1,050 76-80 1,050 76-80 1,050
>80 1,050 >80 1,050 >80 1,050
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 78
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
Premium Exclusive of GST Premium Exclusive of GST Premium Exclusive of GST
Sum Insured 20,000,000 Sum Insured 35,000,000 Sum Insured 50,000,000
Age 1A Age 1A Age 1A
0-17 475 0-17 475 0-17 475
18-35 555 18-35 555 18-35 555
36-45 590 36-45 590 36-45 590
46-50 1,210 46-50 1,210 46-50 1,210
51-55 1,210 51-55 1,210 51-55 1,210
56-60 1,210 56-60 1,210 56-60 1,210
61-65 1,050 61-65 1,050 61-65 1,050
66-70 1,050 66-70 1,050 66-70 1,050
71-75 1,050 71-75 1,050 71-75 1,050
76-80 1,050 76-80 1,050 76-80 1,050
>80 1,050 >80 1,050 >80 1,050
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 79
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
HDFC ERGO General Insurance Company Limited
my:health Suraksha Premium Rate Chart of Optional Benefit External Medical Aids (20000)
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 80
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
Premium Exclusive of GST Premium Exclusive of GST Premium Exclusive of GST
Sum Insured 2,500,000 Sum Insured 4,000,000 Sum Insured 7,500,000
Age 1A Age 1A Age 1A
0-17 1,900 0-17 1,900 0-17 1,900
18-35 2,220 18-35 2,220 18-35 2,220
36-45 2,360 36-45 2,360 36-45 2,360
46-50 4,840 46-50 4,840 46-50 4,840
51-55 4,840 51-55 4,840 51-55 4,840
56-60 4,840 56-60 4,840 56-60 4,840
61-65 4,200 61-65 4,200 61-65 4,200
66-70 4,200 66-70 4,200 66-70 4,200
71-75 4,200 71-75 4,200 71-75 4,200
76-80 4,200 76-80 4,200 76-80 4,200
>80 4,200 >80 4,200 >80 4,200
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 81
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
Premium Exclusive of GST Premium Exclusive of GST Premium Exclusive of GST
Sum Insured 20,000,000 Sum Insured 35,000,000 Sum Insured 50,000,000
Age 1A Age 1A Age 1A
0-17 1,900 0-17 1,900 0-17 1,900
18-35 2,220 18-35 2,220 18-35 2,220
36-45 2,360 36-45 2,360 36-45 2,360
46-50 4,840 46-50 4,840 46-50 4,840
51-55 4,840 51-55 4,840 51-55 4,840
56-60 4,840 56-60 4,840 56-60 4,840
61-65 4,200 61-65 4,200 61-65 4,200
66-70 4,200 66-70 4,200 66-70 4,200
71-75 4,200 71-75 4,200 71-75 4,200
76-80 4,200 76-80 4,200 76-80 4,200
>80 4,200 >80 4,200 >80 4,200
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 82
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
HDFC ERGO General Insurance Company Limited
my:health Suraksha Premium Rate Chart of Optional Benefit Hospital Cash - 30 days
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 83
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
HDFC ERGO General Insurance Company Limited
my:health Suraksha Premium Rate Chart of Optional Benefit Hospital Cash - 60 days
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 84
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
HDFC ERGO General Insurance Company Limited
my:health Suraksha Premium Rate Chart of Optional Benefit Major Illness Benefit
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 85
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
HDFC ERGO General Insurance Company Limited
my:health Suraksha Premium Rate Chart of Optional Benefit Major Illness Hospitalization Expenses
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 86
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
HDFC ERGO General Insurance Company Limited
my:health Suraksha Premium Rate Chart of Optional Benefit Outpatient Dental Treatment (5000)
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 87
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
Premium Exclusive of GST
Sum Insured 400,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 710 NA NA NA NA NA NA NA NA NA
18-35 1,215 1,823 2,126 2,430 1,458 1,640 1,823 3,038 3,888 304
36-45 1,215 1,823 2,126 2,430 1,458 1,640 1,823 3,038 3,888 304
46-50 1,425 2,138 2,494 2,850 1,710 1,924 2,138 3,563 4,560 356
51-55 1,565 2,348 2,739 3,130 1,878 2,113 2,348 3,913 5,008 356
56-60 1,540 2,310 2,695 3,080 1,848 2,079 2,310 3,850 4,928 356
61-65 1,360 2,040 2,380 2,720 1,632 1,836 2,040 3,400 4,352 356
66-70 1,165 1,748 2,039 2,330 1,398 1,573 1,748 2,913 3,728 356
71-75 1,010 1,515 1,768 2,020 1,212 1,364 1,515 2,525 3,232 356
76-80 1,010 1,515 1,768 2,020 1,212 1,364 1,515 2,525 3,232 356
>80 1,010 1,515 1,768 2,020 1,212 1,364 1,515 2,525 3,232 356
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 88
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
Premium Exclusive of GST
Sum Insured 1,000,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 760 NA NA NA NA NA NA NA NA NA
18-35 1,295 1,943 2,266 2,590 1,554 1,748 1,943 3,238 4,144 324
36-45 1,295 1,943 2,266 2,590 1,554 1,748 1,943 3,238 4,144 324
46-50 1,515 2,273 2,651 3,030 1,818 2,045 2,273 3,788 4,848 379
51-55 1,665 2,498 2,914 3,330 1,998 2,248 2,498 4,163 5,328 379
56-60 1,640 2,460 2,870 3,280 1,968 2,214 2,460 4,100 5,248 379
61-65 1,450 2,175 2,538 2,900 1,740 1,958 2,175 3,625 4,640 379
66-70 1,240 1,860 2,170 2,480 1,488 1,674 1,860 3,100 3,968 379
71-75 1,080 1,620 1,890 2,160 1,296 1,458 1,620 2,700 3,456 379
76-80 1,080 1,620 1,890 2,160 1,296 1,458 1,620 2,700 3,456 379
>80 1,080 1,620 1,890 2,160 1,296 1,458 1,620 2,700 3,456 379
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 89
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
Premium Exclusive of GST
Sum Insured 2,500,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 760 NA NA NA NA NA NA NA NA NA
18-35 1,295 1,943 2,266 2,590 1,554 1,748 1,943 3,238 4,144 324
36-45 1,295 1,943 2,266 2,590 1,554 1,748 1,943 3,238 4,144 324
46-50 1,515 2,273 2,651 3,030 1,818 2,045 2,273 3,788 4,848 379
51-55 1,665 2,498 2,914 3,330 1,998 2,248 2,498 4,163 5,328 379
56-60 1,640 2,460 2,870 3,280 1,968 2,214 2,460 4,100 5,248 379
61-65 1,450 2,175 2,538 2,900 1,740 1,958 2,175 3,625 4,640 379
66-70 1,240 1,860 2,170 2,480 1,488 1,674 1,860 3,100 3,968 379
71-75 1,080 1,620 1,890 2,160 1,296 1,458 1,620 2,700 3,456 379
76-80 1,080 1,620 1,890 2,160 1,296 1,458 1,620 2,700 3,456 379
>80 1,080 1,620 1,890 2,160 1,296 1,458 1,620 2,700 3,456 379
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 90
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
Premium Exclusive of GST
Sum Insured 4,000,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 760 NA NA NA NA NA NA NA NA NA
18-35 1,295 1,943 2,266 2,590 1,554 1,748 1,943 3,238 4,144 324
36-45 1,295 1,943 2,266 2,590 1,554 1,748 1,943 3,238 4,144 324
46-50 1,515 2,273 2,651 3,030 1,818 2,045 2,273 3,788 4,848 379
51-55 1,665 2,498 2,914 3,330 1,998 2,248 2,498 4,163 5,328 379
56-60 1,640 2,460 2,870 3,280 1,968 2,214 2,460 4,100 5,248 379
61-65 1,450 2,175 2,538 2,900 1,740 1,958 2,175 3,625 4,640 379
66-70 1,240 1,860 2,170 2,480 1,488 1,674 1,860 3,100 3,968 379
71-75 1,080 1,620 1,890 2,160 1,296 1,458 1,620 2,700 3,456 379
76-80 1,080 1,620 1,890 2,160 1,296 1,458 1,620 2,700 3,456 379
>80 1,080 1,620 1,890 2,160 1,296 1,458 1,620 2,700 3,456 379
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 91
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
Premium Exclusive of GST
Sum Insured 7,500,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 760 NA NA NA NA NA NA NA NA NA
18-35 1,295 1,943 2,266 2,590 1,554 1,748 1,943 3,238 4,144 324
36-45 1,295 1,943 2,266 2,590 1,554 1,748 1,943 3,238 4,144 324
46-50 1,515 2,273 2,651 3,030 1,818 2,045 2,273 3,788 4,848 379
51-55 1,665 2,498 2,914 3,330 1,998 2,248 2,498 4,163 5,328 379
56-60 1,640 2,460 2,870 3,280 1,968 2,214 2,460 4,100 5,248 379
61-65 1,450 2,175 2,538 2,900 1,740 1,958 2,175 3,625 4,640 379
66-70 1,240 1,860 2,170 2,480 1,488 1,674 1,860 3,100 3,968 379
71-75 1,080 1,620 1,890 2,160 1,296 1,458 1,620 2,700 3,456 379
76-80 1,080 1,620 1,890 2,160 1,296 1,458 1,620 2,700 3,456 379
>80 1,080 1,620 1,890 2,160 1,296 1,458 1,620 2,700 3,456 379
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 92
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
Premium Exclusive of GST
Sum Insured 20,000,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 760 NA NA NA NA NA NA NA NA NA
18-35 1,295 1,943 2,266 2,590 1,554 1,748 1,943 3,238 4,144 324
36-45 1,295 1,943 2,266 2,590 1,554 1,748 1,943 3,238 4,144 324
46-50 1,515 2,273 2,651 3,030 1,818 2,045 2,273 3,788 4,848 379
51-55 1,665 2,498 2,914 3,330 1,998 2,248 2,498 4,163 5,328 379
56-60 1,640 2,460 2,870 3,280 1,968 2,214 2,460 4,100 5,248 379
61-65 1,450 2,175 2,538 2,900 1,740 1,958 2,175 3,625 4,640 379
66-70 1,240 1,860 2,170 2,480 1,488 1,674 1,860 3,100 3,968 379
71-75 1,080 1,620 1,890 2,160 1,296 1,458 1,620 2,700 3,456 379
76-80 1,080 1,620 1,890 2,160 1,296 1,458 1,620 2,700 3,456 379
>80 1,080 1,620 1,890 2,160 1,296 1,458 1,620 2,700 3,456 379
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 93
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
Premium Exclusive of GST
Sum Insured 35,000,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 760 NA NA NA NA NA NA NA NA NA
18-35 1,295 1,943 2,266 2,590 1,554 1,748 1,943 3,238 4,144 324
36-45 1,295 1,943 2,266 2,590 1,554 1,748 1,943 3,238 4,144 324
46-50 1,515 2,273 2,651 3,030 1,818 2,045 2,273 3,788 4,848 379
51-55 1,665 2,498 2,914 3,330 1,998 2,248 2,498 4,163 5,328 379
56-60 1,640 2,460 2,870 3,280 1,968 2,214 2,460 4,100 5,248 379
61-65 1,450 2,175 2,538 2,900 1,740 1,958 2,175 3,625 4,640 379
66-70 1,240 1,860 2,170 2,480 1,488 1,674 1,860 3,100 3,968 379
71-75 1,080 1,620 1,890 2,160 1,296 1,458 1,620 2,700 3,456 379
76-80 1,080 1,620 1,890 2,160 1,296 1,458 1,620 2,700 3,456 379
>80 1,080 1,620 1,890 2,160 1,296 1,458 1,620 2,700 3,456 379
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 94
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
Premium Exclusive of GST
Sum Insured 50,000,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 760 NA NA NA NA NA NA NA NA NA
18-35 1,295 1,943 2,266 2,590 1,554 1,748 1,943 3,238 4,144 324
36-45 1,295 1,943 2,266 2,590 1,554 1,748 1,943 3,238 4,144 324
46-50 1,515 2,273 2,651 3,030 1,818 2,045 2,273 3,788 4,848 379
51-55 1,665 2,498 2,914 3,330 1,998 2,248 2,498 4,163 5,328 379
56-60 1,640 2,460 2,870 3,280 1,968 2,214 2,460 4,100 5,248 379
61-65 1,450 2,175 2,538 2,900 1,740 1,958 2,175 3,625 4,640 379
66-70 1,240 1,860 2,170 2,480 1,488 1,674 1,860 3,100 3,968 379
71-75 1,080 1,620 1,890 2,160 1,296 1,458 1,620 2,700 3,456 379
76-80 1,080 1,620 1,890 2,160 1,296 1,458 1,620 2,700 3,456 379
>80 1,080 1,620 1,890 2,160 1,296 1,458 1,620 2,700 3,456 379
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 95
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
HDFC ERGO General Insurance Company Limited
my:health Suraksha Premium Rate Chart of Optional Benefit Outpatient Dental Treatment (20000)
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 96
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
Premium Exclusive of GST
Sum Insured 400,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 2,840 NA NA NA NA NA NA NA NA NA
18-35 4,860 7,290 8,505 9,720 5,832 6,561 7,290 12,150 15,552 1,215
36-45 4,860 7,290 8,505 9,720 5,832 6,561 7,290 12,150 15,552 1,215
46-50 5,700 8,550 9,975 11,400 6,840 7,695 8,550 14,250 18,240 1,425
51-55 6,260 9,390 10,955 12,520 7,512 8,451 9,390 15,650 20,032 1,425
56-60 6,160 9,240 10,780 12,320 7,392 8,316 9,240 15,400 19,712 1,425
61-65 5,440 8,160 9,520 10,880 6,528 7,344 8,160 13,600 17,408 1,425
66-70 4,660 6,990 8,155 9,320 5,592 6,291 6,990 11,650 14,912 1,425
71-75 4,040 6,060 7,070 8,080 4,848 5,454 6,060 10,100 12,928 1,425
76-80 4,040 6,060 7,070 8,080 4,848 5,454 6,060 10,100 12,928 1,425
>80 4,040 6,060 7,070 8,080 4,848 5,454 6,060 10,100 12,928 1,425
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 97
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
Premium Exclusive of GST
Sum Insured 1,000,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 3,040 NA NA NA NA NA NA NA NA NA
18-35 5,180 7,770 9,065 10,360 6,216 6,993 7,770 12,950 16,576 1,295
36-45 5,180 7,770 9,065 10,360 6,216 6,993 7,770 12,950 16,576 1,295
46-50 6,060 9,090 10,605 12,120 7,272 8,181 9,090 15,150 19,392 1,515
51-55 6,660 9,990 11,655 13,320 7,992 8,991 9,990 16,650 21,312 1,515
56-60 6,560 9,840 11,480 13,120 7,872 8,856 9,840 16,400 20,992 1,515
61-65 5,800 8,700 10,150 11,600 6,960 7,830 8,700 14,500 18,560 1,515
66-70 4,960 7,440 8,680 9,920 5,952 6,696 7,440 12,400 15,872 1,515
71-75 4,320 6,480 7,560 8,640 5,184 5,832 6,480 10,800 13,824 1,515
76-80 4,320 6,480 7,560 8,640 5,184 5,832 6,480 10,800 13,824 1,515
>80 4,320 6,480 7,560 8,640 5,184 5,832 6,480 10,800 13,824 1,515
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 98
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
Premium Exclusive of GST
Sum Insured 2,500,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 3,040 NA NA NA NA NA NA NA NA NA
18-35 5,180 7,770 9,065 10,360 6,216 6,993 7,770 12,950 16,576 1,295
36-45 5,180 7,770 9,065 10,360 6,216 6,993 7,770 12,950 16,576 1,295
46-50 6,060 9,090 10,605 12,120 7,272 8,181 9,090 15,150 19,392 1,515
51-55 6,660 9,990 11,655 13,320 7,992 8,991 9,990 16,650 21,312 1,515
56-60 6,560 9,840 11,480 13,120 7,872 8,856 9,840 16,400 20,992 1,515
61-65 5,800 8,700 10,150 11,600 6,960 7,830 8,700 14,500 18,560 1,515
66-70 4,960 7,440 8,680 9,920 5,952 6,696 7,440 12,400 15,872 1,515
71-75 4,320 6,480 7,560 8,640 5,184 5,832 6,480 10,800 13,824 1,515
76-80 4,320 6,480 7,560 8,640 5,184 5,832 6,480 10,800 13,824 1,515
>80 4,320 6,480 7,560 8,640 5,184 5,832 6,480 10,800 13,824 1,515
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 99
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
Premium Exclusive of GST
Sum Insured 4,000,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 3,040 NA NA NA NA NA NA NA NA NA
18-35 5,180 7,770 9,065 10,360 6,216 6,993 7,770 12,950 16,576 1,295
36-45 5,180 7,770 9,065 10,360 6,216 6,993 7,770 12,950 16,576 1,295
46-50 6,060 9,090 10,605 12,120 7,272 8,181 9,090 15,150 19,392 1,515
51-55 6,660 9,990 11,655 13,320 7,992 8,991 9,990 16,650 21,312 1,515
56-60 6,560 9,840 11,480 13,120 7,872 8,856 9,840 16,400 20,992 1,515
61-65 5,800 8,700 10,150 11,600 6,960 7,830 8,700 14,500 18,560 1,515
66-70 4,960 7,440 8,680 9,920 5,952 6,696 7,440 12,400 15,872 1,515
71-75 4,320 6,480 7,560 8,640 5,184 5,832 6,480 10,800 13,824 1,515
76-80 4,320 6,480 7,560 8,640 5,184 5,832 6,480 10,800 13,824 1,515
>80 4,320 6,480 7,560 8,640 5,184 5,832 6,480 10,800 13,824 1,515
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 100
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
Premium Exclusive of GST
Sum Insured 7,500,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 3,040 NA NA NA NA NA NA NA NA NA
18-35 5,180 7,770 9,065 10,360 6,216 6,993 7,770 12,950 16,576 1,295
36-45 5,180 7,770 9,065 10,360 6,216 6,993 7,770 12,950 16,576 1,295
46-50 6,060 9,090 10,605 12,120 7,272 8,181 9,090 15,150 19,392 1,515
51-55 6,660 9,990 11,655 13,320 7,992 8,991 9,990 16,650 21,312 1,515
56-60 6,560 9,840 11,480 13,120 7,872 8,856 9,840 16,400 20,992 1,515
61-65 5,800 8,700 10,150 11,600 6,960 7,830 8,700 14,500 18,560 1,515
66-70 4,960 7,440 8,680 9,920 5,952 6,696 7,440 12,400 15,872 1,515
71-75 4,320 6,480 7,560 8,640 5,184 5,832 6,480 10,800 13,824 1,515
76-80 4,320 6,480 7,560 8,640 5,184 5,832 6,480 10,800 13,824 1,515
>80 4,320 6,480 7,560 8,640 5,184 5,832 6,480 10,800 13,824 1,515
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 101
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
Premium Exclusive of GST
Sum Insured 20,000,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 3,040 NA NA NA NA NA NA NA NA NA
18-35 5,180 7,770 9,065 10,360 6,216 6,993 7,770 12,950 16,576 1,295
36-45 5,180 7,770 9,065 10,360 6,216 6,993 7,770 12,950 16,576 1,295
46-50 6,060 9,090 10,605 12,120 7,272 8,181 9,090 15,150 19,392 1,515
51-55 6,660 9,990 11,655 13,320 7,992 8,991 9,990 16,650 21,312 1,515
56-60 6,560 9,840 11,480 13,120 7,872 8,856 9,840 16,400 20,992 1,515
61-65 5,800 8,700 10,150 11,600 6,960 7,830 8,700 14,500 18,560 1,515
66-70 4,960 7,440 8,680 9,920 5,952 6,696 7,440 12,400 15,872 1,515
71-75 4,320 6,480 7,560 8,640 5,184 5,832 6,480 10,800 13,824 1,515
76-80 4,320 6,480 7,560 8,640 5,184 5,832 6,480 10,800 13,824 1,515
>80 4,320 6,480 7,560 8,640 5,184 5,832 6,480 10,800 13,824 1,515
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 102
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
Premium Exclusive of GST
Sum Insured 35,000,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 3,040 NA NA NA NA NA NA NA NA NA
18-35 5,180 7,770 9,065 10,360 6,216 6,993 7,770 12,950 16,576 1,295
36-45 5,180 7,770 9,065 10,360 6,216 6,993 7,770 12,950 16,576 1,295
46-50 6,060 9,090 10,605 12,120 7,272 8,181 9,090 15,150 19,392 1,515
51-55 6,660 9,990 11,655 13,320 7,992 8,991 9,990 16,650 21,312 1,515
56-60 6,560 9,840 11,480 13,120 7,872 8,856 9,840 16,400 20,992 1,515
61-65 5,800 8,700 10,150 11,600 6,960 7,830 8,700 14,500 18,560 1,515
66-70 4,960 7,440 8,680 9,920 5,952 6,696 7,440 12,400 15,872 1,515
71-75 4,320 6,480 7,560 8,640 5,184 5,832 6,480 10,800 13,824 1,515
76-80 4,320 6,480 7,560 8,640 5,184 5,832 6,480 10,800 13,824 1,515
>80 4,320 6,480 7,560 8,640 5,184 5,832 6,480 10,800 13,824 1,515
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 103
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
Premium Exclusive of GST
Sum Insured 50,000,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 3,040 NA NA NA NA NA NA NA NA NA
18-35 5,180 7,770 9,065 10,360 6,216 6,993 7,770 12,950 16,576 1,295
36-45 5,180 7,770 9,065 10,360 6,216 6,993 7,770 12,950 16,576 1,295
46-50 6,060 9,090 10,605 12,120 7,272 8,181 9,090 15,150 19,392 1,515
51-55 6,660 9,990 11,655 13,320 7,992 8,991 9,990 16,650 21,312 1,515
56-60 6,560 9,840 11,480 13,120 7,872 8,856 9,840 16,400 20,992 1,515
61-65 5,800 8,700 10,150 11,600 6,960 7,830 8,700 14,500 18,560 1,515
66-70 4,960 7,440 8,680 9,920 5,952 6,696 7,440 12,400 15,872 1,515
71-75 4,320 6,480 7,560 8,640 5,184 5,832 6,480 10,800 13,824 1,515
76-80 4,320 6,480 7,560 8,640 5,184 5,832 6,480 10,800 13,824 1,515
>80 4,320 6,480 7,560 8,640 5,184 5,832 6,480 10,800 13,824 1,515
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 104
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
HDFC ERGO General Insurance Company Limited
my:health Suraksha Premium Rate Chart of Optional Benefit Parent and Child care Cover Basic
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 105
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
HDFC ERGO General Insurance Company Limited
my:health Suraksha Premium Rate Chart of Optional Benefit Parent and Child care Cover Booster
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 106
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
HDFC ERGO General Insurance Company Limited
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 107
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
Premium Exclusive of GST
Amount in INR
Sum Insured 4,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 9 NA NA NA NA NA NA NA NA NA
18-35 10 15 17 20 12 13 15 25 32 3
36-45 27 41 48 55 33 37 41 69 88 7
46-50 33 50 58 66 40 45 50 83 106 8
51-55 53 79 92 105 63 71 79 132 169 8
56-60 69 104 121 138 83 93 104 173 221 8
61-65 104 156 182 208 125 140 156 260 333 8
66-70 148 221 258 295 177 199 221 369 472 8
71-75 191 286 334 382 229 258 286 477 611 8
76-80 191 286 334 382 229 258 286 477 611 8
>80 191 286 334 382 229 258 286 477 611 8
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 108
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
Premium Exclusive of GST
Amount in INR
Sum Insured 10,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 23 NA NA NA NA NA NA NA NA NA
18-35 25 37 44 50 30 34 37 62 80 6
36-45 69 103 120 137 82 92 103 171 219 17
46-50 83 125 145 166 100 112 125 208 266 21
51-55 132 197 230 263 158 178 197 329 421 21
56-60 173 259 302 345 207 233 259 432 553 21
61-65 260 390 455 520 312 351 390 650 832 21
66-70 369 554 646 738 443 498 554 923 1,181 21
71-75 477 716 835 954 572 644 716 1,193 1,527 21
76-80 477 716 835 954 572 644 716 1,193 1,527 21
>80 477 716 835 954 572 644 716 1,193 1,527 21
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 109
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
Premium Exclusive of GST
Amount in INR
Sum Insured 40,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 92 NA NA NA NA NA NA NA NA NA
18-35 100 150 175 200 120 135 150 250 320 25
36-45 274 411 480 548 329 370 411 685 877 69
46-50 332 498 581 665 399 449 498 831 1,063 83
51-55 527 790 922 1,053 632 711 790 1,316 1,685 83
56-60 691 1,036 1,209 1,382 829 933 1,036 1,727 2,211 83
61-65 1,040 1,560 1,820 2,080 1,248 1,404 1,560 2,600 3,329 83
66-70 1,476 2,215 2,584 2,953 1,772 1,993 2,215 3,691 4,724 83
71-75 1,908 2,862 3,340 3,817 2,290 2,576 2,862 4,771 6,107 83
76-80 1,908 2,862 3,340 3,817 2,290 2,576 2,862 4,771 6,107 83
>80 1,908 2,862 3,340 3,817 2,290 2,576 2,862 4,771 6,107 83
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 110
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
HDFC ERGO General Insurance Company Limited
my:health Suraksha Rates for Optional Benefits as Percentage of Loading and Discounts
Co-payment
Co-payment Percentage of Base Premium
5% 5%
10% 10%
15% 20%
20% 25%
25% 30%
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 111
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
HDFC ERGO General Insurance Company Limited
Tier 1a
Delhi/NCR
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 112
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
Premium Exclusive of GST
Sum Insured 400,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 5,618 NA NA NA NA NA NA NA NA NA
18-35 7,172 10,759 12,552 14,345 8,607 9,683 10,759 17,931 22,952 1,793
36-45 8,464 12,697 14,813 16,929 10,157 11,427 12,697 21,161 27,086 2,116
46-50 10,975 16,462 19,206 21,949 13,170 14,816 16,462 27,437 35,119 2,744
51-55 14,145 21,217 24,753 28,289 16,974 19,095 21,217 35,362 45,263 2,744
56-60 16,305 24,457 28,533 32,609 19,565 22,011 24,457 40,761 52,174 2,744
61-65 22,218 33,327 38,882 44,436 26,662 29,994 33,327 55,545 71,098 2,744
66-70 28,112 42,168 49,196 56,224 33,735 37,951 42,168 70,281 89,959 2,744
71-75 36,012 54,018 63,021 72,024 43,215 48,617 54,018 90,031 115,239 2,744
76-80 36,012 54,018 63,021 72,024 43,215 48,617 54,018 90,031 115,239 2,744
>80 36,012 54,018 63,021 72,024 43,215 48,617 54,018 90,031 115,239 2,744
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 113
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
Premium Exclusive of GST
Sum Insured 1,000,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 8,107 NA NA NA NA NA NA NA NA NA
18-35 10,365 15,548 18,140 20,731 12,439 13,993 15,548 25,914 33,169 2,591
36-45 12,244 18,366 21,427 24,488 14,693 16,529 18,366 30,610 39,181 3,061
46-50 15,891 23,837 27,810 31,783 19,070 21,453 23,837 39,728 50,852 3,973
51-55 20,498 30,747 35,871 40,995 24,597 27,672 30,747 51,244 65,593 3,973
56-60 23,600 35,400 41,300 47,200 28,320 31,860 35,400 59,000 75,520 3,973
61-65 32,199 48,299 56,349 64,398 38,639 43,469 48,299 80,498 103,037 3,973
66-70 40,774 61,161 71,355 81,548 48,929 55,045 61,161 101,936 130,478 3,973
71-75 52,259 78,388 91,453 104,518 62,711 70,550 78,388 130,647 167,229 3,973
76-80 52,259 78,388 91,453 104,518 62,711 70,550 78,388 130,647 167,229 3,973
>80 52,259 78,388 91,453 104,518 62,711 70,550 78,388 130,647 167,229 3,973
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 114
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
Premium Exclusive of GST
Sum Insured 2,500,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 13,507 NA NA NA NA NA NA NA NA NA
18-35 17,334 26,000 30,334 34,667 20,800 23,400 26,000 43,334 55,467 4,333
36-45 20,524 30,786 35,917 41,048 24,629 27,708 30,786 51,310 65,677 5,131
46-50 26,708 40,062 46,739 53,416 32,050 36,056 40,062 66,770 85,466 6,677
51-55 34,519 51,779 60,409 69,039 41,423 46,601 51,779 86,299 110,462 6,677
56-60 39,625 59,437 69,343 79,250 47,550 53,493 59,437 99,062 126,799 6,677
61-65 54,233 81,350 94,908 108,467 65,080 73,215 81,350 135,583 173,546 6,677
66-70 68,818 103,226 120,431 137,635 82,581 92,904 103,226 172,044 220,216 6,677
71-75 88,315 132,472 154,551 176,629 105,978 119,225 132,472 220,787 282,607 6,677
76-80 88,315 132,472 154,551 176,629 105,978 119,225 132,472 220,787 282,607 6,677
>80 88,315 132,472 154,551 176,629 105,978 119,225 132,472 220,787 282,607 6,677
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 115
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
Tier 1b
Mumbai, Mumbai Suburban and Navi Mumbai, Pune, Surat, Varodara, Ahmedabad
Premium Exclusive of GST
Sum Insured 100,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 2,872 NA NA NA NA NA NA NA NA NA
18-35 3,687 5,531 6,452 7,374 4,424 4,977 5,531 NA NA 922
36-45 4,367 6,550 7,642 8,733 5,240 5,895 6,550 NA NA 1,092
46-50 5,684 8,525 9,946 11,367 6,820 7,673 8,525 NA NA 1,421
51-55 7,347 11,021 12,858 14,694 8,817 9,919 11,021 NA NA 1,421
56-60 8,432 12,647 14,755 16,863 10,118 11,383 12,647 NA NA 1,421
61-65 11,543 17,315 20,201 23,087 13,852 15,583 17,315 NA NA 1,421
66-70 14,650 21,975 25,638 29,300 17,580 19,778 21,975 NA NA 1,421
71-75 18,803 28,204 32,905 37,606 22,563 25,384 28,204 NA NA 1,421
76-80 18,803 28,204 32,905 37,606 22,563 25,384 28,204 NA NA 1,421
>80 18,803 28,204 32,905 37,606 22,563 25,384 28,204 NA NA 1,421
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 116
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
Premium Exclusive of GST
Sum Insured 400,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 4,559 NA NA NA NA NA NA NA NA NA
18-35 5,806 8,710 10,161 11,613 6,968 7,839 8,710 14,516 18,581 1,452
36-45 6,841 10,262 11,972 13,682 8,209 9,236 10,262 17,103 21,892 1,710
46-50 8,854 13,281 15,495 17,708 10,625 11,953 13,281 22,136 28,333 2,214
51-55 11,396 17,094 19,943 22,792 13,675 15,385 17,094 28,490 36,467 2,214
56-60 13,163 19,745 23,036 26,326 15,796 17,770 19,745 32,908 42,122 2,214
61-65 17,899 26,848 31,323 35,797 21,478 24,163 26,848 44,747 57,276 2,214
66-70 22,615 33,922 39,576 45,230 27,138 30,530 33,922 56,537 72,368 2,214
71-75 28,944 43,416 50,652 57,888 34,733 39,075 43,416 72,361 92,622 2,214
76-80 28,944 43,416 50,652 57,888 34,733 39,075 43,416 72,361 92,622 2,214
>80 28,944 43,416 50,652 57,888 34,733 39,075 43,416 72,361 92,622 2,214
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 117
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
Premium Exclusive of GST
Sum Insured 1,000,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 6,570 NA NA NA NA NA NA NA NA NA
18-35 8,382 12,573 14,668 16,764 10,058 11,315 12,573 20,955 26,822 2,095
36-45 9,887 14,830 17,302 19,774 11,864 13,347 14,830 24,717 31,638 2,472
46-50 12,812 19,218 22,421 25,624 15,375 17,296 19,218 32,030 40,999 3,203
51-55 16,506 24,759 28,886 33,012 19,807 22,283 24,759 41,265 52,820 3,203
56-60 19,038 28,557 33,317 38,077 22,846 25,702 28,557 47,596 60,922 3,203
61-65 25,927 38,890 45,372 51,854 31,112 35,001 38,890 64,817 82,966 3,203
66-70 32,791 49,187 57,384 65,582 39,349 44,268 49,187 81,978 104,932 3,203
71-75 41,995 62,992 73,491 83,990 50,394 56,693 62,992 104,987 134,384 3,203
76-80 41,995 62,992 73,491 83,990 50,394 56,693 62,992 104,987 134,384 3,203
>80 41,995 62,992 73,491 83,990 50,394 56,693 62,992 104,987 134,384 3,203
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 118
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
Premium Exclusive of GST
Sum Insured 2,500,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 10,904 NA NA NA NA NA NA NA NA NA
18-35 13,975 20,963 24,457 27,951 16,770 18,867 20,963 34,938 44,721 3,494
36-45 16,534 24,800 28,934 33,067 19,840 22,320 24,800 41,334 52,908 4,133
46-50 21,495 32,243 37,616 42,990 25,794 29,018 32,243 53,738 68,784 5,374
51-55 27,762 41,643 48,583 55,524 33,314 37,478 41,643 69,404 88,838 5,374
56-60 31,902 47,853 55,828 63,804 38,282 43,067 47,853 79,754 102,086 5,374
61-65 43,614 65,421 76,325 87,228 52,337 58,879 65,421 109,035 139,565 5,374
66-70 55,302 82,953 96,779 110,605 66,363 74,658 82,953 138,256 176,967 5,374
71-75 70,938 106,407 124,141 141,876 85,126 95,766 106,407 177,345 227,001 5,374
76-80 70,938 106,407 124,141 141,876 85,126 95,766 106,407 177,345 227,001 5,374
>80 70,938 106,407 124,141 141,876 85,126 95,766 106,407 177,345 227,001 5,374
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 119
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
Tier 2
Rest of India
Premium Exclusive of GST
Sum Insured 100,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 2,635 NA NA NA NA NA NA NA NA NA
18-35 3,382 5,072 5,918 6,763 4,058 4,565 5,072 NA NA 845
36-45 4,004 6,005 7,006 8,007 4,804 5,405 6,005 NA NA 1,001
46-50 5,209 7,814 9,117 10,419 6,251 7,033 7,814 NA NA 1,302
51-55 6,733 10,099 11,782 13,465 8,079 9,089 10,099 NA NA 1,302
56-60 7,729 11,594 13,526 15,458 9,275 10,434 11,594 NA NA 1,302
61-65 10,577 15,866 18,511 21,155 12,693 14,280 15,866 NA NA 1,302
66-70 13,421 20,131 23,487 26,842 16,105 18,118 20,131 NA NA 1,302
71-75 17,222 25,834 30,139 34,445 20,667 23,250 25,834 NA NA 1,302
76-80 17,222 25,834 30,139 34,445 20,667 23,250 25,834 NA NA 1,302
>80 17,222 25,834 30,139 34,445 20,667 23,250 25,834 NA NA 1,302
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 120
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
Premium Exclusive of GST
Sum Insured 400,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 4,196 NA NA NA NA NA NA NA NA NA
18-35 5,338 8,007 9,342 10,676 6,406 7,206 8,007 13,345 17,082 1,335
36-45 6,285 9,427 10,998 12,569 7,542 8,484 9,427 15,712 20,111 1,571
46-50 8,127 12,191 14,223 16,254 9,753 10,972 12,191 20,318 26,007 2,032
51-55 10,453 15,680 18,294 20,907 12,544 14,112 15,680 26,134 33,451 2,032
56-60 12,086 18,129 21,151 24,172 14,503 16,316 18,129 30,215 38,675 2,032
61-65 16,418 24,627 28,731 32,835 19,701 22,164 24,627 41,044 52,537 2,032
66-70 20,730 31,095 36,277 41,460 24,876 27,985 31,095 51,825 66,336 2,032
71-75 26,521 39,781 46,411 53,042 31,825 35,803 39,781 66,302 84,866 2,032
76-80 26,521 39,781 46,411 53,042 31,825 35,803 39,781 66,302 84,866 2,032
>80 26,521 39,781 46,411 53,042 31,825 35,803 39,781 66,302 84,866 2,032
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 121
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
Premium Exclusive of GST
Sum Insured 1,000,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 6,042 NA NA NA NA NA NA NA NA NA
18-35 7,702 11,553 13,478 15,403 9,242 10,397 11,553 19,254 24,645 1,925
36-45 9,079 13,618 15,888 18,157 10,894 12,256 13,618 22,697 29,052 2,270
46-50 11,756 17,635 20,574 23,513 14,108 15,871 17,635 29,391 37,620 2,939
51-55 15,138 22,706 26,491 30,275 18,165 20,436 22,706 37,844 48,440 2,939
56-60 17,474 26,211 30,580 34,948 20,969 23,590 26,211 43,685 55,917 2,939
61-65 23,776 35,664 41,608 47,552 28,531 32,098 35,664 59,440 76,084 2,939
66-70 30,054 45,081 52,594 60,108 36,065 40,573 45,081 75,135 96,173 2,939
71-75 38,476 57,714 67,332 76,951 46,171 51,942 57,714 96,189 123,122 2,939
76-80 38,476 57,714 67,332 76,951 46,171 51,942 57,714 96,189 123,122 2,939
>80 38,476 57,714 67,332 76,951 46,171 51,942 57,714 96,189 123,122 2,939
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 122
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
Premium Exclusive of GST
Sum Insured 2,500,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 10,012 NA NA NA NA NA NA NA NA NA
18-35 12,824 19,236 22,442 25,648 15,389 17,312 19,236 32,060 41,036 3,206
36-45 15,165 22,748 26,539 30,331 18,198 20,473 22,748 37,913 48,529 3,791
46-50 19,708 29,561 34,488 39,415 23,649 26,605 29,561 49,269 63,064 4,927
51-55 25,445 38,167 44,528 50,890 30,534 34,350 38,167 63,612 81,423 4,927
56-60 29,254 43,881 51,194 58,508 35,105 39,493 43,881 73,134 93,612 4,927
61-65 39,973 59,960 69,953 79,946 47,968 53,964 59,960 99,933 127,914 4,927
66-70 50,668 76,002 88,669 101,337 60,802 68,402 76,002 126,671 162,138 4,927
71-75 64,980 97,470 113,715 129,960 77,976 87,723 97,470 162,450 207,936 4,927
76-80 64,980 97,470 113,715 129,960 77,976 87,723 97,470 162,450 207,936 4,927
>80 64,980 97,470 113,715 129,960 77,976 87,723 97,470 162,450 207,936 4,927
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 123
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
HDFC ERGO General Insurance Company Limited
Tier 1a
Delhi/NCR
Premium Exclusive of GST
Sum Insured 100,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 3,606 NA NA NA NA NA NA NA NA NA
18-35 5,073 7,630 8,929 10,228 6,120 6,916 7,712 NA NA 1,186
36-45 6,010 9,035 10,568 12,101 7,244 8,181 9,117 NA NA 1,399
46-50 7,817 11,746 13,731 15,716 9,413 10,620 11,828 NA NA 1,810
51-55 9,194 13,811 16,141 18,470 11,066 12,480 13,893 NA NA 1,810
56-60 10,539 15,828 18,494 21,159 12,679 14,295 15,910 NA NA 1,810
61-65 14,427 21,661 25,299 28,937 17,346 19,544 21,743 NA NA 1,810
66-70 18,313 27,490 32,100 36,709 22,009 24,791 27,572 NA NA 1,810
71-75 23,501 35,272 41,178 47,084 28,234 31,794 35,354 NA NA 1,810
76-80 23,501 35,272 41,178 47,084 28,234 31,794 35,354 NA NA 1,810
>80 23,501 35,272 41,178 47,084 28,234 31,794 35,354 NA NA 1,810
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 124
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
Premium Exclusive of GST
Sum Insured 400,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 5,668 NA NA NA NA NA NA NA NA NA
18-35 7,916 11,894 13,904 15,914 9,532 10,754 11,976 19,851 25,445 1,837
36-45 9,356 14,054 16,424 18,793 11,260 12,698 14,136 23,450 30,053 2,164
46-50 12,124 18,206 21,268 24,329 14,581 16,435 18,288 30,371 38,911 2,793
51-55 14,238 21,378 24,968 28,559 17,119 19,289 21,460 35,657 45,677 2,793
56-60 16,415 24,642 28,777 32,911 19,730 22,227 24,724 41,098 52,641 2,793
61-65 22,363 33,565 39,187 44,808 26,868 30,258 33,647 55,969 71,677 2,793
66-70 28,301 42,472 49,578 56,684 33,994 38,274 42,554 70,814 90,678 2,793
71-75 36,244 54,387 63,478 72,570 43,526 48,997 54,469 90,672 116,096 2,793
76-80 36,244 54,387 63,478 72,570 43,526 48,997 54,469 90,672 116,096 2,793
>80 36,244 54,387 63,478 72,570 43,526 48,997 54,469 90,672 116,096 2,793
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 125
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
Premium Exclusive of GST
Sum Insured 1,000,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 8,171 NA NA NA NA NA NA NA NA NA
18-35 11,437 17,176 20,066 22,956 13,757 15,508 17,258 28,654 36,713 2,639
36-45 13,548 20,343 23,761 27,179 16,291 18,358 20,425 33,932 43,469 3,119
46-50 17,576 26,385 30,810 35,235 21,124 23,796 26,467 44,002 56,359 4,035
51-55 20,670 31,026 36,224 41,423 24,837 27,973 31,108 51,737 66,260 4,035
56-60 23,814 35,741 41,725 47,709 28,609 32,216 35,823 59,596 76,319 4,035
61-65 32,500 48,771 56,927 65,083 39,033 43,943 48,853 81,312 104,116 4,035
66-70 41,184 61,797 72,124 82,451 49,454 55,666 61,879 103,022 131,905 4,035
71-75 52,777 79,186 92,411 105,636 63,365 71,317 79,268 132,004 169,001 4,035
76-80 52,777 79,186 92,411 105,636 63,365 71,317 79,268 132,004 169,001 4,035
>80 52,777 79,186 92,411 105,636 63,365 71,317 79,268 132,004 169,001 4,035
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 126
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
Premium Exclusive of GST
Sum Insured 2,500,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 13,571 NA NA NA NA NA NA NA NA NA
18-35 19,102 28,673 33,480 38,286 22,955 25,855 28,755 47,816 61,241 4,381
36-45 22,657 34,005 39,700 45,395 27,221 30,654 34,087 56,703 72,616 5,189
46-50 29,475 44,233 51,632 59,031 35,402 39,859 44,315 73,748 94,434 6,739
51-55 34,692 52,059 60,762 69,466 41,663 46,902 52,141 86,792 111,129 6,739
56-60 39,839 59,778 69,769 79,759 47,839 53,850 59,860 99,658 127,598 6,739
61-65 54,534 81,822 95,486 109,151 65,474 73,689 81,904 136,397 174,625 6,739
66-70 69,228 103,862 121,200 138,537 83,106 93,525 103,944 173,131 221,643 6,739
71-75 88,833 133,270 155,509 177,747 106,632 119,992 133,352 222,143 284,380 6,739
76-80 88,833 133,270 155,509 177,747 106,632 119,992 133,352 222,143 284,380 6,739
>80 88,833 133,270 155,509 177,747 106,632 119,992 133,352 222,143 284,380 6,739
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 127
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
Tier 1b
Mumbai, Mumbai Suburban and Navi Mumbai, Pune, Varodara, Ahmedabad, Surat
Premium Exclusive of GST
Sum Insured 100,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 2,915 NA NA NA NA NA NA NA NA NA
18-35 4,093 6,160 7,214 8,268 4,944 5,593 6,242 NA NA 963
36-45 4,845 7,288 8,530 9,772 5,847 6,609 7,370 NA NA 1,134
46-50 6,296 9,464 11,069 12,673 7,588 8,567 9,546 NA NA 1,464
51-55 7,401 11,123 13,004 14,885 8,914 10,059 11,205 NA NA 1,464
56-60 8,490 12,755 14,909 17,062 10,221 11,529 12,837 NA NA 1,464
61-65 11,610 17,436 20,369 23,303 13,965 15,742 17,518 NA NA 1,464
66-70 14,728 22,113 25,825 29,538 17,706 19,951 22,195 NA NA 1,464
71-75 18,892 28,358 33,112 37,865 22,703 25,571 28,440 NA NA 1,464
76-80 18,892 28,358 33,112 37,865 22,703 25,571 28,440 NA NA 1,464
>80 18,892 28,358 33,112 37,865 22,703 25,571 28,440 NA NA 1,464
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 128
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
Premium Exclusive of GST
Sum Insured 400,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 4,609 NA NA NA NA NA NA NA NA NA
18-35 6,413 9,640 11,275 12,909 7,729 8,726 9,722 16,095 20,637 1,495
36-45 7,570 11,376 13,299 15,222 9,117 10,287 11,458 18,987 24,339 1,758
46-50 9,791 14,707 17,186 19,665 11,782 13,286 14,789 24,540 31,447 2,263
51-55 11,490 17,255 20,158 23,061 13,820 15,579 17,337 28,785 36,882 2,263
56-60 13,273 19,930 23,279 26,629 15,961 17,987 20,012 33,245 42,589 2,263
61-65 18,044 27,086 31,628 36,169 21,685 24,427 27,168 45,171 57,855 2,263
66-70 22,804 34,226 39,957 45,689 27,397 30,852 34,308 57,070 73,086 2,263
71-75 29,176 43,785 51,109 58,434 35,044 39,455 43,867 73,002 93,478 2,263
76-80 29,176 43,785 51,109 58,434 35,044 39,455 43,867 73,002 93,478 2,263
>80 29,176 43,785 51,109 58,434 35,044 39,455 43,867 73,002 93,478 2,263
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 129
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
Premium Exclusive of GST
Sum Insured 1,000,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 6,633 NA NA NA NA NA NA NA NA NA
18-35 9,255 13,903 16,247 18,592 11,139 12,562 13,985 23,199 29,731 2,143
36-45 10,956 16,454 19,223 21,993 13,179 14,858 16,536 27,450 35,172 2,530
46-50 14,189 21,304 24,882 28,460 17,060 19,223 21,386 35,535 45,520 3,265
51-55 16,679 25,039 29,239 33,440 20,047 22,584 25,121 41,759 53,487 3,265
56-60 19,252 28,898 33,742 38,586 23,135 26,058 28,980 48,191 61,721 3,265
61-65 26,228 39,362 45,950 52,538 31,506 35,475 39,444 65,631 84,044 3,265
66-70 33,201 49,822 58,153 66,484 39,874 44,889 49,904 83,065 106,359 3,265
71-75 42,513 63,790 74,449 85,108 51,048 57,460 63,872 106,344 136,157 3,265
76-80 42,513 63,790 74,449 85,108 51,048 57,460 63,872 106,344 136,157 3,265
>80 42,513 63,790 74,449 85,108 51,048 57,460 63,872 106,344 136,157 3,265
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 130
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
Premium Exclusive of GST
Sum Insured 2,500,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 10,968 NA NA NA NA NA NA NA NA NA
18-35 15,408 23,132 27,015 30,898 18,522 20,868 23,214 38,581 49,420 3,541
36-45 18,267 27,421 32,018 36,616 21,953 24,728 27,503 45,729 58,569 4,192
46-50 23,740 35,631 41,597 47,563 28,521 32,117 35,713 59,412 76,084 5,436
51-55 27,934 41,922 48,937 55,951 33,554 37,779 42,004 69,898 89,505 5,436
56-60 32,116 48,194 56,253 64,313 38,571 43,424 48,276 80,350 102,884 5,436
61-65 43,915 65,893 76,903 87,912 52,731 59,353 65,975 109,849 140,643 5,436
66-70 55,712 83,589 97,548 111,507 66,888 75,279 83,671 139,343 178,395 5,436
71-75 71,456 107,205 125,099 142,994 85,780 96,533 107,287 178,702 228,774 5,436
76-80 71,456 107,205 125,099 142,994 85,780 96,533 107,287 178,702 228,774 5,436
>80 71,456 107,205 125,099 142,994 85,780 96,533 107,287 178,702 228,774 5,436
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 131
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
Tier 2
Rest of India
Premium Exclusive of GST
Sum Insured 100,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 2,679 NA NA NA NA NA NA NA NA NA
18-35 3,757 5,656 6,626 7,596 4,541 5,140 5,738 NA NA 887
36-45 4,446 6,689 7,832 8,974 5,368 6,070 6,771 NA NA 1,044
46-50 5,774 8,682 10,156 11,630 6,962 7,863 8,764 NA NA 1,345
51-55 6,787 10,201 11,928 13,655 8,177 9,230 10,283 NA NA 1,345
56-60 7,787 11,702 13,679 15,657 9,378 10,581 11,784 NA NA 1,345
61-65 10,644 15,987 18,679 21,371 12,806 14,438 16,069 NA NA 1,345
66-70 13,499 20,269 23,674 27,080 16,231 18,291 20,351 NA NA 1,345
71-75 17,311 25,987 30,346 34,704 20,806 23,438 26,069 NA NA 1,345
76-80 17,311 25,987 30,346 34,704 20,806 23,438 26,069 NA NA 1,345
>80 17,311 25,987 30,346 34,704 20,806 23,438 26,069 NA NA 1,345
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 132
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
Premium Exclusive of GST
Sum Insured 400,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 4,246 NA NA NA NA NA NA NA NA NA
18-35 5,898 8,868 10,373 11,878 7,111 8,030 8,950 14,807 18,989 1,378
36-45 6,958 10,457 12,228 13,998 8,382 9,461 10,539 17,456 22,380 1,619
46-50 8,992 13,508 15,786 18,065 10,823 12,206 13,590 22,540 28,888 2,081
51-55 10,547 15,841 18,509 21,176 12,689 14,306 15,923 26,429 33,866 2,081
56-60 12,196 18,315 21,395 24,474 14,668 16,532 18,397 30,552 39,143 2,081
61-65 16,563 24,865 29,036 33,207 19,908 22,427 24,947 41,468 53,115 2,081
66-70 20,919 31,398 36,659 41,919 25,135 28,308 31,480 52,358 67,054 2,081
71-75 26,753 40,149 46,868 53,587 32,136 36,184 40,231 66,943 85,723 2,081
76-80 26,753 40,149 46,868 53,587 32,136 36,184 40,231 66,943 85,723 2,081
>80 26,753 40,149 46,868 53,587 32,136 36,184 40,231 66,943 85,723 2,081
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 133
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
Premium Exclusive of GST
Sum Insured 1,000,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 6,106 NA NA NA NA NA NA NA NA NA
18-35 8,507 12,781 14,938 17,096 10,241 11,552 12,863 21,329 27,337 1,973
36-45 10,066 15,120 17,668 20,215 12,113 13,657 15,202 25,228 32,328 2,328
46-50 13,028 19,562 22,850 26,138 15,666 17,655 19,644 32,631 41,804 3,001
51-55 15,310 22,986 26,844 30,702 18,405 20,736 23,068 38,337 49,108 3,001
56-60 17,688 26,552 31,005 35,458 21,258 23,946 26,634 44,281 56,716 3,001
61-65 24,077 36,136 42,186 48,236 28,925 32,572 36,218 60,254 77,162 3,001
66-70 30,464 45,717 53,363 61,010 36,590 41,194 45,799 76,222 97,600 3,001
71-75 38,994 58,511 68,290 78,070 46,825 52,709 58,593 97,546 124,895 3,001
76-80 38,994 58,511 68,290 78,070 46,825 52,709 58,593 97,546 124,895 3,001
>80 38,994 58,511 68,290 78,070 46,825 52,709 58,593 97,546 124,895 3,001
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 134
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
Premium Exclusive of GST
Sum Insured 2,500,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 10,076 NA NA NA NA NA NA NA NA NA
18-35 14,141 21,232 24,798 28,364 17,002 19,158 21,314 35,415 45,367 3,253
36-45 16,762 25,163 29,384 33,606 20,147 22,696 25,245 41,966 53,753 3,849
46-50 21,774 32,682 38,156 43,630 26,162 29,463 32,764 54,497 69,792 4,989
51-55 25,617 38,447 44,882 51,317 30,774 34,651 38,529 64,105 82,090 4,989
56-60 29,467 44,222 51,619 59,017 35,394 39,849 44,304 73,730 94,411 4,989
61-65 40,274 60,432 70,531 80,630 48,362 54,438 60,514 100,747 128,992 4,989
66-70 51,078 76,638 89,438 102,239 61,327 69,023 76,720 127,757 163,566 4,989
71-75 65,498 98,267 114,673 131,078 78,630 88,490 98,349 163,806 209,708 4,989
76-80 65,498 98,267 114,673 131,078 78,630 88,490 98,349 163,806 209,708 4,989
>80 65,498 98,267 114,673 131,078 78,630 88,490 98,349 163,806 209,708 4,989
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 135
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
HDFC ERGO General Insurance Company Limited
Tier 1a
Delhi/NCR
Premium Exclusive of GST
Sum Insured 200,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 5,353 NA NA NA NA NA NA NA NA NA
18-35 7,853 11,523 13,378 15,234 9,346 10,476 11,605 NA NA 2,212
36-45 9,039 13,283 15,426 17,569 10,761 12,063 13,365 NA NA 2,497
46-50 12,059 17,505 20,248 22,991 14,262 15,924 17,587 NA NA 3,645
51-55 13,380 19,486 22,559 25,632 15,847 17,707 19,568 NA NA 3,645
56-60 14,981 21,887 25,361 28,834 17,768 19,869 21,969 NA NA 3,645
61-65 19,219 28,324 32,897 37,470 22,886 25,646 28,406 NA NA 3,645
66-70 23,612 34,913 40,584 46,255 28,157 31,576 34,995 NA NA 3,645
71-75 29,560 43,835 50,994 58,152 35,295 39,606 43,917 NA NA 3,645
76-80 29,560 43,835 50,994 58,152 35,295 39,606 43,917 NA NA 3,645
>80 29,560 43,835 50,994 58,152 35,295 39,606 43,917 NA NA 3,645
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 136
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
Premium Exclusive of GST
Sum Insured 500,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 7,481 NA NA NA NA NA NA NA NA NA
18-35 10,938 16,150 18,777 21,404 13,048 14,640 16,232 26,575 33,896 2,897
36-45 12,623 18,660 21,699 24,738 15,062 16,902 18,742 30,734 39,210 3,291
46-50 16,633 24,365 28,252 32,139 19,751 22,099 24,447 39,830 50,679 4,655
51-55 18,512 27,183 31,540 35,896 22,005 24,635 27,265 44,526 56,691 4,655
56-60 20,900 30,766 35,719 40,672 24,871 27,859 30,848 50,497 64,333 4,655
61-65 27,064 40,092 46,626 53,160 32,300 36,237 40,174 66,147 84,410 4,655
66-70 33,355 49,527 57,634 65,741 39,848 44,729 49,609 81,873 104,540 4,655
71-75 41,895 62,338 72,580 82,821 50,096 56,258 62,420 103,223 131,868 4,655
76-80 41,895 62,338 72,580 82,821 50,096 56,258 62,420 103,223 131,868 4,655
>80 41,895 62,338 72,580 82,821 50,096 56,258 62,420 103,223 131,868 4,655
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 137
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
Premium Exclusive of GST
Sum Insured 1,500,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 11,143 NA NA NA NA NA NA NA NA NA
18-35 16,367 24,294 28,278 32,262 19,563 21,970 24,376 40,148 51,270 4,078
36-45 19,094 28,366 33,023 37,680 22,828 25,638 28,448 46,911 59,917 4,699
46-50 25,083 37,040 43,040 49,039 29,891 33,507 37,122 60,955 77,719 6,493
51-55 28,056 41,499 48,242 54,984 33,458 37,520 41,581 68,386 87,232 6,493
56-60 31,819 47,144 54,826 62,509 37,973 42,599 47,226 77,793 99,273 6,493
61-65 42,088 62,628 72,918 83,209 50,329 56,519 62,710 103,707 132,487 6,493
66-70 52,496 78,239 91,131 104,023 62,817 70,569 78,321 129,725 165,790 6,493
71-75 66,506 99,254 115,649 132,043 79,630 89,483 99,336 164,751 210,623 6,493
76-80 66,506 99,254 115,649 132,043 79,630 89,483 99,336 164,751 210,623 6,493
>80 66,506 99,254 115,649 132,043 79,630 89,483 99,336 164,751 210,623 6,493
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 138
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
Premium Exclusive of GST
Sum Insured 5,000,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 23,144 NA NA NA NA NA NA NA NA NA
18-35 34,176 51,007 59,443 67,879 40,933 46,011 51,089 84,669 108,257 7,949
36-45 40,256 60,109 70,056 80,003 48,222 54,206 60,191 99,816 127,635 9,299
46-50 52,728 78,507 91,417 104,327 63,064 70,827 78,589 130,066 166,182 12,503
51-55 59,217 88,241 102,774 117,306 70,851 79,587 88,323 146,289 186,948 12,503
56-60 67,431 100,563 117,149 133,735 80,709 90,677 100,645 166,825 213,234 12,503
61-65 91,056 136,079 158,612 181,144 109,090 122,626 136,161 226,126 289,184 12,503
66-70 114,818 171,722 200,195 228,668 137,604 154,704 171,804 285,531 365,222 12,503
71-75 146,634 219,447 255,874 292,301 175,784 197,657 219,529 365,073 467,035 12,503
76-80 146,634 219,447 255,874 292,301 175,784 197,657 219,529 365,073 467,035 12,503
>80 146,634 219,447 255,874 292,301 175,784 197,657 219,529 365,073 467,035 12,503
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 139
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
Tier 1b
Mumbai, Mumbai Suburban and Navi Mumbai, Pune, Varodara, Ahmedabad, Surat
Premium Exclusive of GST
Sum Insured 200,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 4,542 NA NA NA NA NA NA NA NA NA
18-35 6,651 9,720 11,275 12,830 7,903 8,853 9,802 NA NA 1,950
36-45 7,610 11,141 12,927 14,712 9,047 10,135 11,223 NA NA 2,186
46-50 10,193 14,706 16,982 19,259 12,023 13,405 14,788 NA NA 3,239
51-55 11,277 16,331 18,878 21,425 13,323 14,868 16,413 NA NA 3,239
56-60 12,577 18,281 21,154 24,027 14,884 16,623 18,363 NA NA 3,239
61-65 15,914 23,366 27,113 30,860 18,919 21,184 23,448 NA NA 3,239
66-70 19,405 28,603 33,223 37,842 23,109 25,897 28,685 NA NA 3,239
71-75 24,151 35,723 41,529 47,335 28,804 32,305 35,805 NA NA 3,239
76-80 24,151 35,723 41,529 47,335 28,804 32,305 35,805 NA NA 3,239
>80 24,151 35,723 41,529 47,335 28,804 32,305 35,805 NA NA 3,239
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 140
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
Premium Exclusive of GST
Sum Insured 500,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 6,321 NA NA NA NA NA NA NA NA NA
18-35 9,217 13,569 15,765 17,961 10,982 12,317 13,651 22,272 28,389 2,523
36-45 10,578 15,592 18,120 20,648 12,608 14,141 15,674 25,621 32,666 2,846
46-50 13,962 20,358 23,577 26,795 16,545 18,492 20,440 33,150 42,130 4,074
51-55 15,500 22,666 26,269 29,873 18,391 20,570 22,748 36,998 47,054 4,074
56-60 17,458 25,603 29,696 33,789 20,741 23,213 25,685 41,892 53,320 4,074
61-65 22,332 32,993 38,344 43,695 26,621 29,848 33,075 54,315 69,266 4,074
66-70 27,331 40,493 47,094 53,695 32,621 36,598 40,575 66,815 85,265 4,074
71-75 34,151 50,721 59,027 67,333 40,804 45,804 50,803 83,863 107,087 4,074
76-80 34,151 50,721 59,027 67,333 40,804 45,804 50,803 83,863 107,087 4,074
>80 34,151 50,721 59,027 67,333 40,804 45,804 50,803 83,863 107,087 4,074
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 141
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
Premium Exclusive of GST
Sum Insured 1,500,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 9,263 NA NA NA NA NA NA NA NA NA
18-35 13,578 20,110 23,396 26,683 16,215 18,203 20,192 33,174 42,343 3,471
36-45 15,779 23,394 27,222 31,050 18,850 21,163 23,476 38,624 49,310 3,978
46-50 20,753 30,545 35,461 40,378 24,694 27,661 30,627 50,129 63,862 5,552
51-55 23,175 34,177 39,699 45,221 27,600 30,930 34,259 56,183 71,612 5,552
56-60 26,240 38,776 45,064 51,352 31,279 35,068 38,858 63,847 81,421 5,552
61-65 34,418 51,122 59,495 67,867 41,124 46,164 51,204 84,531 107,941 5,552
66-70 42,733 63,595 74,046 84,498 51,102 57,389 63,677 105,318 134,550 5,552
71-75 53,954 80,426 93,683 106,939 64,567 72,538 80,508 133,371 170,456 5,552
76-80 53,954 80,426 93,683 106,939 64,567 72,538 80,508 133,371 170,456 5,552
>80 53,954 80,426 93,683 106,939 64,567 72,538 80,508 133,371 170,456 5,552
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 142
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
Premium Exclusive of GST
Sum Insured 5,000,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 18,896 NA NA NA NA NA NA NA NA NA
18-35 27,873 41,553 48,413 55,273 33,370 37,502 41,635 68,912 88,088 6,579
36-45 32,766 48,875 56,949 65,024 39,234 44,095 48,957 81,092 103,668 7,671
46-50 42,944 63,831 74,295 84,760 51,323 57,618 63,913 105,606 134,873 10,376
51-55 48,189 71,698 83,474 95,249 57,617 64,699 71,780 118,718 151,656 10,376
56-60 54,827 81,657 95,092 108,527 65,584 73,661 81,739 135,315 172,900 10,376
61-65 73,725 110,083 128,283 146,483 88,293 99,229 110,165 182,800 233,726 10,376
66-70 92,761 138,637 161,595 184,553 111,136 124,927 138,719 230,388 294,639 10,376
71-75 118,275 176,908 206,245 235,582 141,753 159,372 176,990 294,175 376,286 10,376
76-80 118,275 176,908 206,245 235,582 141,753 159,372 176,990 294,175 376,286 10,376
>80 118,275 176,908 206,245 235,582 141,753 159,372 176,990 294,175 376,286 10,376
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 143
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
Tier 2
Rest of India
Premium Exclusive of GST
Sum Insured 200,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 4,265 NA NA NA NA NA NA NA NA NA
18-35 6,239 9,102 10,554 12,005 7,409 8,296 9,184 NA NA 1,861
36-45 7,120 10,406 12,069 13,733 8,459 9,474 10,488 NA NA 2,080
46-50 9,554 13,746 15,863 17,979 11,255 12,542 13,828 NA NA 3,100
51-55 10,556 15,249 17,616 19,983 12,457 13,894 15,331 NA NA 3,100
56-60 11,753 17,045 19,712 22,378 13,894 15,511 17,127 NA NA 3,100
61-65 14,781 21,666 25,130 28,593 17,559 19,654 21,748 NA NA 3,100
66-70 17,963 26,440 30,698 34,957 21,378 23,950 26,522 NA NA 3,100
71-75 22,297 32,941 38,283 43,626 26,579 29,801 33,023 NA NA 3,100
76-80 22,297 32,941 38,283 43,626 26,579 29,801 33,023 NA NA 3,100
>80 22,297 32,941 38,283 43,626 26,579 29,801 33,023 NA NA 3,100
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 144
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
Premium Exclusive of GST
Sum Insured 500,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 5,924 NA NA NA NA NA NA NA NA NA
18-35 8,627 12,684 14,732 16,781 10,274 11,520 12,766 20,797 26,500 2,395
36-45 9,877 14,540 16,893 19,245 11,767 13,195 14,622 23,868 30,422 2,694
46-50 13,046 18,984 21,973 24,963 15,445 17,256 19,066 30,860 39,198 3,875
51-55 14,468 21,117 24,462 27,808 17,152 19,176 21,199 34,416 43,750 3,875
56-60 16,278 23,833 27,631 31,428 19,325 21,620 23,915 38,942 49,543 3,875
61-65 20,709 30,559 35,504 40,450 24,673 27,657 30,641 50,259 64,073 3,875
66-70 25,266 37,395 43,480 49,565 30,142 33,810 37,477 61,652 78,657 3,875
71-75 31,495 46,739 54,381 62,023 37,617 42,219 46,821 77,225 98,590 3,875
76-80 31,495 46,739 54,381 62,023 37,617 42,219 46,821 77,225 98,590 3,875
>80 31,495 46,739 54,381 62,023 37,617 42,219 46,821 77,225 98,590 3,875
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 145
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
Premium Exclusive of GST
Sum Insured 1,500,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 8,618 NA NA NA NA NA NA NA NA NA
18-35 12,621 18,675 21,722 24,770 15,067 16,912 18,757 30,782 39,282 3,263
36-45 14,642 21,689 25,233 28,777 17,486 19,628 21,771 35,782 45,672 3,731
46-50 19,268 28,318 32,863 37,408 22,912 25,656 28,400 46,417 59,111 5,229
51-55 21,501 31,667 36,770 41,874 25,592 28,670 31,749 51,999 66,256 5,229
56-60 24,327 35,906 41,716 47,526 28,983 32,486 35,988 59,065 75,300 5,229
61-65 31,788 47,177 54,892 62,607 37,968 42,613 47,259 77,955 99,525 5,229
66-70 39,385 58,574 68,188 77,803 47,085 52,870 58,656 96,950 123,838 5,229
71-75 49,650 73,970 86,151 98,332 59,403 66,727 74,052 122,611 156,684 5,229
76-80 49,650 73,970 86,151 98,332 59,403 66,727 74,052 122,611 156,684 5,229
>80 49,650 73,970 86,151 98,332 59,403 66,727 74,052 122,611 156,684 5,229
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 146
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
Premium Exclusive of GST
Sum Insured 5,000,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 17,440 NA NA NA NA NA NA NA NA NA
18-35 25,712 38,311 44,631 50,951 30,776 34,585 38,393 63,509 81,173 6,109
36-45 30,198 45,023 52,455 59,888 36,153 40,629 45,105 74,672 95,451 7,113
46-50 39,589 58,799 68,425 78,050 47,298 53,089 58,881 97,219 124,138 9,647
51-55 44,407 66,026 76,856 87,686 53,079 59,594 66,108 109,264 139,556 9,647
56-60 50,506 75,174 87,529 99,884 60,398 67,827 75,256 124,511 159,071 9,647
61-65 67,783 101,170 117,884 134,598 81,162 91,207 101,252 167,944 214,710 9,647
66-70 85,198 127,292 148,360 169,428 102,060 114,717 127,374 211,481 270,438 9,647
71-75 108,552 162,323 189,229 216,135 130,085 146,245 162,405 269,865 345,170 9,647
76-80 108,552 162,323 189,229 216,135 130,085 146,245 162,405 269,865 345,170 9,647
>80 108,552 162,323 189,229 216,135 130,085 146,245 162,405 269,865 345,170 9,647
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 147
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
HDFC ERGO General Insurance Company Limited
Tier 1a
Delhi/NCR
Premium Exclusive of GST
Sum Insured 2,500,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 32,263 NA NA NA NA NA NA NA NA NA
18-35 47,735 70,512 81,922 93,331 56,870 63,732 70,594 116,068 147,982 12,329
36-45 55,534 82,142 95,466 108,790 66,202 74,213 82,224 135,357 172,632 14,139
46-50 67,995 99,594 115,413 131,233 80,659 90,168 99,676 162,790 207,052 18,819
51-55 75,942 111,513 129,319 147,125 90,195 100,895 111,595 182,656 232,480 18,819
56-60 85,299 125,550 145,695 165,841 101,424 113,528 125,632 206,050 262,425 18,819
61-65 111,430 165,066 191,904 218,742 132,909 149,028 165,148 272,337 347,451 18,819
66-70 138,178 205,187 238,713 272,238 165,006 185,138 205,269 339,206 433,044 18,819
71-75 174,233 259,270 301,809 344,348 208,272 233,812 259,352 429,344 548,420 18,819
76-80 174,233 259,270 301,809 344,348 208,272 233,812 259,352 429,344 548,420 18,819
>80 174,233 259,270 301,809 344,348 208,272 233,812 259,352 429,344 548,420 18,819
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 148
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
Premium Exclusive of GST
Sum Insured 10,000,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 67,746 NA NA NA NA NA NA NA NA NA
18-35 100,368 149,463 174,031 198,599 120,031 134,788 149,545 247,653 316,410 23,773
36-45 118,166 176,089 205,072 234,054 141,360 158,766 176,171 291,936 373,054 27,759
46-50 142,601 211,503 245,974 280,445 170,187 190,886 211,585 349,305 445,791 35,043
51-55 160,124 237,787 276,639 315,490 191,214 214,541 237,869 393,112 501,864 35,043
56-60 181,558 269,937 314,148 358,358 216,934 243,477 270,019 446,696 570,452 35,043
61-65 243,836 363,675 423,615 483,555 291,796 327,777 363,757 603,352 771,151 35,043
66-70 306,781 458,092 533,768 609,444 367,330 412,752 458,174 760,714 972,574 35,043
71-75 391,014 584,441 681,175 777,910 468,409 526,466 584,523 971,296 1,242,119 35,043
76-80 391,014 584,441 681,175 777,910 468,409 526,466 584,523 971,296 1,242,119 35,043
>80 391,014 584,441 681,175 777,910 468,409 526,466 584,523 971,296 1,242,119 35,043
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 149
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
Tier 1b
Mumbai, Mumbai Suburban and Navi Mumbai, Pune, Surat, Varodara, Ahmedabad
Premium Exclusive of GST
Sum Insured 2,500,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 29,660 NA NA NA NA NA NA NA NA NA
18-35 43,873 64,720 75,163 85,607 52,236 58,519 64,802 106,413 135,623 11,489
36-45 50,945 75,258 87,435 99,612 60,695 68,017 75,340 123,884 157,947 13,141
46-50 62,001 90,601 104,922 119,243 73,465 82,074 90,683 147,803 187,868 17,515
51-55 69,184 101,377 117,493 133,610 82,086 91,772 101,459 165,762 210,856 17,515
56-60 77,576 113,965 132,180 150,395 92,156 103,102 114,047 186,742 237,711 17,515
61-65 100,811 149,137 173,320 197,504 120,166 134,692 149,219 245,789 313,470 17,515
66-70 124,663 184,915 215,061 245,207 148,788 166,892 184,997 305,418 389,796 17,515
71-75 156,856 233,205 271,400 309,594 187,420 210,354 233,287 385,902 492,815 17,515
76-80 156,856 233,205 271,400 309,594 187,420 210,354 233,287 385,902 492,815 17,515
>80 156,856 233,205 271,400 309,594 187,420 210,354 233,287 385,902 492,815 17,515
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 150
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
Premium Exclusive of GST
Sum Insured 10,000,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 61,713 NA NA NA NA NA NA NA NA NA
18-35 91,416 136,035 158,365 180,694 109,288 122,703 136,117 225,272 287,763 21,826
36-45 107,528 160,132 186,455 212,778 128,594 144,404 160,214 265,341 339,012 25,447
46-50 128,705 190,658 221,654 252,651 153,510 172,125 190,740 314,563 401,322 32,022
51-55 144,460 214,290 249,225 284,161 172,416 193,394 214,372 353,950 451,737 32,022
56-60 163,655 243,084 282,818 322,553 195,451 219,309 243,166 401,940 513,164 32,022
61-65 219,220 326,751 380,537 434,323 262,257 294,545 326,833 541,813 692,380 32,022
66-70 275,452 411,098 478,942 546,785 329,735 370,457 411,180 682,390 872,320 32,022
71-75 350,733 524,020 610,685 697,349 420,073 472,088 524,102 870,595 1,113,221 32,022
76-80 350,733 524,020 610,685 697,349 420,073 472,088 524,102 870,595 1,113,221 32,022
>80 350,733 524,020 610,685 697,349 420,073 472,088 524,102 870,595 1,113,221 32,022
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 151
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
Tier 2
Rest of India
Premium Exclusive of GST
Sum Insured 2,500,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 28,768 NA NA NA NA NA NA NA NA NA
18-35 42,549 62,733 72,846 82,959 50,647 56,731 62,815 103,103 131,386 11,201
36-45 49,371 72,898 84,681 96,465 58,807 65,893 72,980 119,950 152,911 12,799
46-50 59,945 87,518 101,325 115,132 70,999 79,299 87,600 142,664 181,291 17,068
51-55 66,867 97,901 113,439 128,976 79,305 88,644 97,983 159,969 203,441 17,068
56-60 74,928 109,993 127,546 145,099 88,979 99,527 110,075 180,122 229,237 17,068
61-65 97,170 143,675 166,949 190,222 115,797 129,777 143,757 236,686 301,818 17,068
66-70 120,029 177,964 206,951 235,939 143,227 160,636 178,046 293,833 374,967 17,068
71-75 150,898 224,268 260,973 297,678 180,271 202,310 224,350 371,007 473,749 17,068
76-80 150,898 224,268 260,973 297,678 180,271 202,310 224,350 371,007 473,749 17,068
>80 150,898 224,268 260,973 297,678 180,271 202,310 224,350 371,007 473,749 17,068
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 152
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
Premium Exclusive of GST
Sum Insured 10,000,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 59,644 NA NA NA NA NA NA NA NA NA
18-35 88,347 131,430 152,993 174,555 105,605 118,559 131,512 217,598 277,940 21,159
36-45 103,880 154,661 180,072 205,483 124,217 139,480 154,743 256,223 327,340 24,654
46-50 123,940 183,510 213,316 243,122 147,793 165,692 183,592 302,651 386,074 30,986
51-55 139,088 206,233 239,826 273,419 165,971 186,143 206,315 340,523 434,550 30,986
56-60 157,517 233,876 272,076 310,276 188,085 211,022 233,958 386,594 493,522 30,986
61-65 210,780 314,091 365,767 417,443 252,129 283,151 314,173 520,712 665,372 30,986
66-70 264,710 394,985 460,143 525,301 316,844 355,955 395,067 655,535 837,945 30,986
71-75 336,922 503,304 586,515 669,726 403,499 453,442 503,386 836,067 1,069,025 30,986
76-80 336,922 503,304 586,515 669,726 403,499 453,442 503,386 836,067 1,069,025 30,986
>80 336,922 503,304 586,515 669,726 403,499 453,442 503,386 836,067 1,069,025 30,986
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 153
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.
Waiting Period modification option (Optional cover)
HDFC ERGO General Insurance Company Limited. IRDAI Reg No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address:D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai - 400 078. Customer Service No: 022 - 6234 6234 / 0120 - 6234 6234| care@hdfcergo.com | www.hdfcergo.com. For more details on the risk factors, terms and conditions, please 154
read the sales brochure/ prospectus before concluding the sale. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: my:health Suraksha - HDFHLIP20049V041920, my:Health Hospital Cash Benefit (Add-on) - HDFHLIA19133V011819, my:Health Critical Illness - HDFHLIP19117V011819.