HDFC Life provides a variety of Health Insurance Plans & Mediclaim Policies that offer financial security to meet health related contingencies. Due to changing lifestyles, health issues have not just escalated, they have increasingly become more complex in nature. It becomes imperative therefore to have a health insurance plan in place, thus your financial planning is incomplete if you have not accounted for health.
Health Insurance Plans
There are certain basic forms of health insurance. The different types of health insurance policies include:
Individual Health Plan
Senior Citizen Health Plan
Critical Illness Insurance
Cancer Insurance Plan
Features of health insurance plan
Comprehensive, fixed benefit, health insurance plan that provides coverage against Critical Illness, Surgeries & HospitalizationFlexibility to choose between 1, 2 or all 3 benefits. Customize your health plan based on your requirement by opting any one of 7 Plan OptionsLump sum payout upon diagnosis of any one of 18 Critical IllnessesLump sum payout against 138 Surgical ProceduresDaily Hospital Cash Benefit in case of hospitalizationSimplified issuance process, no requirement to undergo any medicalsFlexibility to pay Regular or Single premium based on your convenienceTax Benefits subject to provisions contained under Section 80D of the Income Tax Act 1961
Advantages of health insurance plans
Option to choose 1,2 or all 3 of the following benefits under this planDaily Hospital Cash BenefitSurgical BenefitCritical Illness BenefitDaily Hospital Cash Benefit *:1% and 2% of Sum Insured shall be payable per day in case of Hospitalization on admission into Non ICU room and ICU Room respectivelyBenefit payable shall be for a maximum of 20 days (for Non ICU room) and 10 days (for ICU room) per yearBenefit payable shall be for a maximum of 60 days (for Non ICU room) and 30 days (for ICU room) during the policy termSurgical Benefit*:Lump sum payout up to 100% of the Sum Insured against 138 surgeries, based on the severity of the surgeryCritical Illness Benefit*:100% of the Sum Insured shall be payable in case diagnosed with any one of 18 Critical Illnesses specifiedMultiple claims up to 100% of the Sum Insured shall be allowed under Daily Hospital Cash Benefit and Surgical BenefitHassle free policy issuance without any Medical Underwriting*Please read the Sales Brochure carefully for more terms and conditions
Eligibility of health insurance plan
Survival Period :
A 30 days survival period between the date of diagnosis of a Critical Illness and the date of eligibility for benefit payment would be applicable
Waiting Period^ :
60 days waiting period shall be applicable for Daily Hospital Cash Benefit and Surgical Benefit90 days waiting period shall be applicable for Critical Illness Benefit1 year and 2 year waiting period shall be applicable for specific conditionsWaiting period shall not be applicable for hospitalization or any specified surgery undergone or critical illness (such as major head trauma) due to an accident
Health is the most important asset you have. Every aspect of your life is dependent on your good health. Due to changing lifestyles, health issues have escalated, thus imposing extra financial burden on the family. It becomes imperative therefore to have a health insurance product in
place, to ensure that no matter how critical your illness, it does not impair your financial security.
Keeping the above in mind, we have developed a health insurance product which will provide a lump sum amount if you are hospitalized or undergo any Surgical Procedure or are diagnosed with Critical Illness.
Benefits of health insurance plan
BENEFIT STRUCTURE A. Daily Hospital Cash Benefit
I In case of hospitalization, due to any injury, sickness or disease, you will receive 1% of Sum Insured as Daily Hospital Cash Benefit if admitted in Non ICU room and 2% of Sum Insured if admitted in ICU room
I The benefit will be payable as a lump sum amount at the end of stay in the Hospital for each and every completed and continuous hospitalization for more than 24 hours as a result of injury, Sickness or
disease. The benefit amount payable will be calculated as mentioned below:
. Daily Hospital Cash Benefit " (Number of Days admitted1)
I Daily Hospital Cash Benefit will be payable for a maximum of 20 days
per year in case you are admitted in Non ICU room and 10 days per year if admitted in ICU rooms
BENEFIT STRUCTURE A. Daily Hospital Cash Benefit
I In case of hospitalization, due to any injury, sickness or disease, you will receive 1% of Sum Insured as Daily Hospital Cash Benefit if admitted in Non ICU room and 2% of Sum Insured if admitted in ICU room
I The benefit will be payable as a lump sum amount at the end of stay in the Hospital for each and every completed and continuous hospitalization for more than 24 hours as a result of injury, Sickness or
disease. The benefit amount payable will be calculated as mentioned below:
. Daily Hospital Cash Benefit " (Number of Days admitted1)
I Daily Hospital Cash Benefit will be payable for a maximum of 20 days
per year in case you are admitted in Non ICU room and 10 days per year if admitted in ICU rooms
I Daily Hospital Cash Benefit will be payable subject to a maximum of 60 and 30 days if admitted in Non lCU and ICU rooms, respectively during the entire policy term
I The ICU and non lCU benefits will be independent and subject to their respective limits (as stated above)
I In case the maximum benefit limits applicable during the policy term have been used up, the cover for Daily Hospital Cash Benefit shall cease for the remaining policy term. However, other benefits (such as Surgical Benefit or Critical Illness Benefit), if applicable shall continue to be in force
I There is a waiting period of 60 days from the date of commencement or reinstatement of the cover whichever occurs later, except where such expenses are incurred for treatment of a condition caused by an Accident
8. Surgical Benefit:
I Surgical Benefit will be payable if you have to undergo any of the 138 surgeries mentioned in Annexure 2, provided the surgery is done: 0 by a qualified surgeon for a surgical operation and I performed at a hospital due to injury or sickness for surgical procedures advised by an independent medical practitioner, and the policy is inforce 0 during the policy term
I In case you have to undergo a surgery during the policy term, the
benefit payable shall be ascertained on the basis of the Category of the Surggy as shown below:
BENEFIT STRUCTURE A. Daily Hospital Cash Benefit
I In case of hospitalization, due to any injury, sickness or disease, you will receive 1% of Sum Insured as Daily Hospital Cash Benefit if admitted in Non ICU room and 2% of Sum Insured if admitted in ICU room
I The benefit will be payable as a lump sum amount at the end of stay in the Hospital for each and every completed and continuous hospitalization for more than 24 hours as a result of injury, Sickness or
disease. The benefit amount payable will be calculated as mentioned below:
. Daily Hospital Cash Benefit " (Number of Days admitted1)
I Daily Hospital Cash Benefit will be payable for a maximum of 20 days
per year in case you are admitted in Non ICU room and 10 days per year if admitted in ICU rooms
I Daily Hospital Cash Benefit will be payable subject to a maximum of 60 and 30 days if admitted in Non lCU and ICU rooms, respectively during the entire policy term
I The ICU and non lCU benefits will be independent and subject to their respective limits (as stated above)
I In case the maximum benefit limits applicable during the policy term have been used up, the cover for Daily Hospital Cash Benefit shall cease for the remaining policy term. However, other benefits (such as Surgical Benefit or Critical Illness Benefit), if applicable shall continue to be in force
I There is a waiting period of 60 days from the date of commencement or reinstatement of the cover whichever occurs later, except where such expenses are incurred for treatment of a condition caused by an Accident
8. Surgical Benefit:
I Surgical Benefit will be payable if you have to undergo any of the 138 surgeries mentioned in Annexure 2, provided the surgery is done: 0 by a qualified surgeon for a surgical operation and I performed at a hospital due to injury or sickness for surgical procedures advised by an independent medical practitioner, and the policy is inforce 0 during the policy term
I In case you have to undergo a surgery during the policy term, the
benefit payable shall be ascertained on the basis of the Category of the Surggy as shown below:
I You are entitled to make multiple claims up to maximum of 100% of Sum Insured during the policy term
I You are not allowed to claim for the same surgery more than once. However, multiple claims from the same category can be made.
I In case 100% of the Sum Insured has been used up, the cover for Surgical Benefit will cease for the remaining policy term. However, other benefits (such as Daily Hospital Cash Benefit and Critical Illness Benefit, if applicable) will continue to be in force.
I There is a waiting period of 60 days from the date of commencement or reinstatement of the cover, whichever occurs later, except where such expenses are incurred for treatment of a condition caused by an Accident
C. Critical Illness Benefit:
I In case you are diagnosed with any of the 18 Critical Illness, a lump sum benefit equal to 100% of Sum Insured will be payable, provided
you survive a period of 30 days following the diagnosis of any of the below mentioned Critical illness
BENEFIT STRUCTURE A. Daily Hospital Cash Benefit
I In case of hospitalization, due to any injury, sickness or disease, you will receive 1% of Sum Insured as Daily Hospital Cash Benefit if admitted in Non ICU room and 2% of Sum Insured if admitted in ICU room
I The benefit will be payable as a lump sum amount at the end of stay in the Hospital for each and every completed and continuous hospitalization for more than 24 hours as a result of injury, Sickness or
disease. The benefit amount payable will be calculated as mentioned below:
. Daily Hospital Cash Benefit " (Number of Days admitted1)
I Daily Hospital Cash Benefit will be payable for a maximum of 20 days
per year in case you are admitted in Non ICU room and 10 days per year if admitted in ICU rooms
I Daily Hospital Cash Benefit will be payable subject to a maximum of 60 and 30 days if admitted in Non lCU and ICU rooms, respectively during the entire policy term
I The ICU and non lCU benefits will be independent and subject to their respective limits (as stated above)
I In case the maximum benefit limits applicable during the policy term have been used up, the cover for Daily Hospital Cash Benefit shall cease for the remaining policy term. However, other benefits (such as Surgical Benefit or Critical Illness Benefit), if applicable shall continue to be in force
I There is a waiting period of 60 days from the date of commencement or reinstatement of the cover whichever occurs later, except where such expenses are incurred for treatment of a condition caused by an Accident
8. Surgical Benefit:
I Surgical Benefit will be payable if you have to undergo any of the 138 surgeries mentioned in Annexure 2, provided the surgery is done: 0 by a qualified surgeon for a surgical operation and I performed at a hospital due to injury or sickness for surgical procedures advised by an independent medical practitioner, and the policy is inforce 0 during the policy term
I In case you have to undergo a surgery during the policy term, the
benefit payable shall be ascertained on the basis of the Category of the Surggy as shown below:
I You are entitled to make multiple claims up to maximum of 100% of Sum Insured during the policy term
I You are not allowed to claim for the same surgery more than once. However, multiple claims from the same category can be made.
I In case 100% of the Sum Insured has been used up, the cover for Surgical Benefit will cease for the remaining policy term. However, other benefits (such as Daily Hospital Cash Benefit and Critical Illness Benefit, if applicable) will continue to be in force.
I There is a waiting period of 60 days from the date of commencement or reinstatement of the cover, whichever occurs later, except where such expenses are incurred for treatment of a condition caused by an Accident
C. Critical Illness Benefit:
I In case you are diagnosed with any of the 18 Critical Illness, a lump sum benefit equal to 100% of Sum Insured will be payable, provided
you survive a period of 30 days following the diagnosis of any of the below mentioned Critical illness
I Critical Illness Benefit will be payable only once during the entire policy term.
I If the diagnosis is made within the policy term and the survival period crosses the end point of policy term, a valid claim arising as a result of such a diagnosis shall be considered
I Once the Critical Illness Benefit is paid, the benefit will cease for the remaining policy term. However, other benefits (such as Daily Hospital Cash Benefit and Surgical Benefit), if applicable will continue to be in force
I There is a waiting period of 90 days for Critical Illness Benefit from the date of commencement or reinstatement of the cover, whichever occurs later except in cases where the Critical Illness occurs as a result of an Accident (e.g., Major Head Trauma)
D. Maturity Benefit:
I There is no maturity benefit under this product. The policy will terminate at the end of policy term and no further benefits will be payable to you
E. Death Benefit: I There is no death benefit under the product F. Surrender Benefit
I No surrender value shall be payable if any claim has been made under this product
I The policy can only be surrendered in full, partial Surrender (i.e. surrender of a few benefits) shall not be allowed
I In case of Regular Premium paying policies, no surrender benefit is payable
I In case of Single Premium paying policies, surrender benefit payable shall be as follows:



