Page 5 - One-pager - HDFC ERGO GHI with OPD HDFC Bk

Table of Benefits (Amount in Rs.)

Coverage/ Plans Basic Plan Premium Plan World Wide Plan
Sum Insured (in Lac INR) 5/10/25/50 5/10/25/50 50/100
Hospitalisation Expenses (In-patient) Covered Covered Covered
Day Care Treatment All day care All day care All day care
Covered upto Sum Insured
Home Healthcare Covered upto Sum Insured Covered upto Sum Insured
(within India)
Pre - Post Hospitalisation (days) 90 & 180 days 90 & 180 days 90 & 180 days
Covered upto Base Covered upto Base Covered upto Base Sum
Alternative Treatment Sum Insured Sum Insured Insured (within India)
Covered upto Base Covered upto Base Covered upto Base Sum
Organ Donor Expenses
Sum Insured Sum Insured Insured (within India)
Covered upto Base Covered upto Base Covered upto Base Sum
Domiciliary Hospitalisation
Sum Insured Sum Insured Insured (within India)
Road Ambulance Cover (India only) 5,000 per hospitalisation 5,000 per hospitalisation 10,000 per hospitalisation
Convalescence benefit (for at least 10,000 10,000 10,000 (within India)
10 days of contd. hospitalisation)
Air Ambulance ( India Only ) At Actuals At Actuals At Actuals
100% of Base Sum Insured
Restore Benefit 100% of Base Sum Insured 100% of Base Sum Insured (within India)
Unlimited times for any Illness
Unlimited Restore Unlimited times (For any Illness) Unlimited times (For any Illness)
(within India)
10% for every claim free year
Cumulative Bonus^ NA
upto 100% NA
Home Nursing Cover 1,000 up to 15,days 1,000 up to 15,days 1,000 upto 15 days (within India)
50% of base Sum Insured 50% of base Sum Insured upon
upon completion of each completion of each policy year,
Plus Benefit~ NA
policy year, max upto max upto 100%, irrespective of
100%, irrespective of claim claim ( within India )
Protect Benefit NA Applicable Applicable (within India)
Inflation Protector NA NA Increase as per CPI (within India)
Compassionate visit ( > 5 days ) NA NA upto 20,000 (within India)
Global Hospitalisation Cover
(outside India only) NA NA Covered within Base
Co-payment of 10% Sum Insured
Road Ambulance Cover NA NA Upto 35,000 per hospitalisation
(outside India only)
Air Ambulance ( outside India ) NA NA At Actuals
Individual (within India)
Sum Insured 5L: 2,000 Individual
HDFC ERGO Group OPD Care Sum Insured 10L: 4,000 Sum Insured 5/10L: 4,000
(Add-on) - Doctor Consultations Sum Insured 25/50 L: 7,500 Sum Insured 25/50 L: 7,500 Individual
(In-person), Investigations Cover, Sum Insured 50/100L: 7,500
(Pathology + Radiology), Floater Floater
Pharmacy Cover Sum Insured 5L: 5,000 Sum Insured 5/10/25/50L: Floater
Sum Insured 10/25/50L: 10,000 Sum Insured 50/100L:
10,000
10,000