Marine Cargo Insurance: Meaning and Scope

What is Marine Cargo Insurance

Marine Cargo Insurance provides cover in respect of loss of or damage to goods during transit by rail, road, sea or air.

There are two types of cover:

-Overseas (Import/ Export )
-Inland (Domestic)

Who can take Marine Cargo Insurance

This depends upon the terms of sale –INCOTERMS(International Commercial Terms)

FOB or C & F: Buyer arranges Insurance from FOB Point to warehouse

CIF: Seller arranges insurance up to warehouse of Buyer

CIF Port: Seller arranges insurance up to Port. Buyer arranges insurance from Port to final destination/warehouse (normally with the requirement of pre-acceptance inspection if the cover is All Risk)

Scope Of Cover

-Insurance

-Cost

-Freight

-Custom Duty

-Incidentals

Perils Covered(Overseas Transit)

Risk ICC –A ICC –B ICC -C
Fire, Explosion Yes Yes Yes
Vessel stranded, grounded or sunk Yes Yes Yes
Overturning of land conveyance Yes Yes Yes
Collision with external object other than water Yes Yes Yes
Discharge of cargo at port of distress Yes Yes Yes
General Average Yes Yes Yes
Jettison Yes Yes Yes
Earthquake, Lightning Yes Yes No
Washing overboard Yes Yes No
Entry of sea, lake or river water Yes Yes No
Total loss of any package lost overboard, while loading / unloading Yes Yes No
Any other risk not specifically excluded Yes No No

Perils Covered(Inland Transit)

Risk ITC –A ITC –B ITC -C
Fire, Lightning Yes Yes Yes
Collision with or by the carrying vehicle Yes Yes No
Overturning or derailment or similar accidents Yes Yes No
Breakage of bridge Yes Yes No
Earthquake, Volcanic eruption Yes No No
Flood, Inundation, Storm etc. Yes No No
Any other risk not specifically excluded Yes No No

 

Travel Insurance For Schengen Countries

Travel insurance is mandatory for Schengen visa countries. The Schengen visa basically allows the visa holder to travel to any (or all) member countries using one single visa, thus avoiding the hassle and expense of obtaining individual visas for each country. This is particularly beneficial for persons who wish to visit several European countries during the same trip.

Travelers obtain the visa from the Consulate of the country of their main destination. If your main destination cannot be determined, the country you first enter is responsible for granting your visa.

One thing many travelers may not know about the Schengen visa application process, however, is that they must provide proof of health insurance to obtain it. The insurance is designed to pay expenses that might arise in connection with repatriation for medical reasons, urgent medical attention, and/or emergency hospital treatment.

Since June 2004, travelers who are subject to the visa requirement to stay or transit in one or several Schengen countries must demonstrate, in support of their visa application that they are in possession of adequate and valid travel insurance. In other words, without travel insurance, the visa will not be issued.

Two different Schengen visas require travel insurance

The short stay visa (category C), is the most common Schengen visa, issued for purposes of tourism, business, family or private visit or to get married. The transit visa (category B) is issued to entitle travelers who are going from one outside State to another outside State to pass through the territories of the Schengen states. Category A, the airport transit visa, does not require travel insurance.

Though all Schengen countries are in Europe, travelers should not confuse Schengen countries with European Union (EU) countries. Schengen and EU demarcate two different agreements between European countries. The Schengen area consists of the following countries within the Europe zone: Schengen States of Austria, Belgium, the Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Iceland, Italy, Latvia, Liechtenstein, Lithuania, Luxembourg, Malta, the Netherlands, Norway, Poland, Portugal, Slovakia, Slovenia, Spain, Sweden, and Switzerland as well as the European Union Member States of Bulgaria, Croatia, Cyprus and Romania.

Certain states, two of them being the United Kingdom and Ireland, do not belong to the Schengen area.  In regards to France and the Netherlands, the Schengen Convention only applies to their European territories. The Principality of Monaco, for example, allows entry on its territory without any formality to the holder of a Schengen visa.

Schengen visa insurance requirements:

Travel Insurance For Schengen Countries must meet the following requirements:

  • Medical coverage of at least Euro 30,000.
  • Medical evacuation/ repatriation must be covered.

Schengen visa insurance can be easily bought online from www.insurancepandit.com with medical coverage typically purchased in limits of $50,000; $100,000; $250,000 and $500,000. The policy document can then be shown to the Consulate from which you are applying for a visa and also carried with your throughout your trip to the Schengen countries.

It would be a wise idea to carry traveler’s insurance no matter what the destination, and this requirement for the Schengen visa should not be something travelers resist, but rather view as a welcome formality.

APPROVED LIST OF INDIAN TRAVEL INSURANCE COMPANIES OF THE CONSULAR POSTS OF SCHENGEN STATES PROVIDING TRAVELMEDICAL INSURANCES FOR SCHENGEN VISA PROCEDURE EFFECTIVE OF 15ST JANUARY 2015_

  • COMPANY NAME                                                APPROVED FULL COVERAGE OF AGE GROUPS
  • Apollo Munich Health Insurance Company                    6 months – 70 years
  • Bajaj Allianz General Insurance Company                      6 months – 70 years
  • Cholamandalam MS General Insurance Company        3 month – 70 years
  • Future Generali India Insurance Company                     6 months – 70 years
  • HDFC ERGO General Insurance Company                     3 months – 70 years
  • ICICI Lombard General Insurance Company                  3 months – 50 years
  •    Policies for Schengen Countries                                           51-85 years
  • IFFCO – Tokio General Insurance Company                     3 months – 70 years
  • National Insurance Company                                               6 months – 60 years
  • Schengen Plan                                                                              61-80 years
  • Reliance General Insurance Company                                3 months – 70 years
  • Religare Health Insurance Company Explore Europe and Explore Platinum Plans          without age limit
  • Royal Sundaram Alliance Insurance Company                 3 months – 70 years
  • SBI General Insurance Company                                         6 months – 70 years
  • Star Health & Allied Insurance Company                          6 months – 70 years
  • Tata AIG General Insurance Company                              6 months – 55 years
  • Travel Guard (without Sublimits)                                          56-70 years
  • Travel Guard Senior (without Sublimits)                            71years and above
  • The New India Assurance Company                                   6 months – 70 years
  • The Oriental Insurance Company                                       6 months – 60 years
  • United India Insurance Company                                       6 months – 70 years
  • Universal Sompo General Insurance Company                6 months – 70 years

 Calculate Premium|  Compare Plans|  Get Quote |   Travel FAQ |  Travel Coverage

International Travel Insurance : Are Pre existing Health Conditions Covered

International Travel Insurance For Pre existing Health Conditions

Majority of the aged people traveling abroad have some form of pre-existing conditions (Blood pressure, Diabetes, Arthritis, Heart problems, dialysis, tumor, etc). Some insurers namely Religare, Tata AIG and Cholamandalam MS cover preexisting conditions in life threatening emergency situations till the patient is stable, or to relieve acute pain. In Cholamandalam plans, the cover is up to the sum insured, Tata AIG restricts it to US$1500 and Religare to 10% of the Sum Insured up to a maximum of US$10000. Unfortunately, there is no travel medical insurance plan which fully covers pre-existing conditions.

A question one might ask is whether it is feasible to buy a travel health insurance, when pre-existing conditions are not covered. The answer lies in practicality. It must be noted that not all health issues are due to pre-existing conditions. The probability of any health hazard due to pre-existing condition in most cases is 5 to 10%. It is the other 90%, you should think about. You surely need a health insurance to protect yourself from escalating health expenses.

Two common health concerns are general sickness/illness due to change of weather, food habits etc. and road accidents, as one road trips most of the time while travelling abroad.

Having a travel health insurance will give you the peace of mind and you can enjoy your vacation or business trip.

Is There Any Solution for Visitors with Pre-Existing Conditions?
The most common pre-existing conditions we hear about are blood pressure and diabetes. Even though, people with these conditions can be in good and stable condition, they may be dependent on medicines, insulin or regular checkup.
While it is true that, pre-existing conditions might not be covered , there are certain ways you can take precautions to prepare yourself for such a situation and avoid it from taking toll on you.

Here are few common and proven tips:

  • Buy a good Overseas Medical Insurance Plan.
  • Get a thorough and complete medical checkup done before you travel abroad. This will be useful for your trip and also help diagnose any hidden medical issue/s. It helps you stay assured and feel secure.
  • Carry sufficient amounts of medicines from your home country.
  • People with High-blood pressure and/or Diabetes should consider buying self measuring equipments .These are inexpensive and very useful. The price of these vary between $15 to $100.
  • Pay attention to your eating habits, walk/exercise regularly, make friends, measure your blood pressure and sugar on a regular basis.
  • Host children should not make hectic plans for their parents. They must ask them from time to time whether they have any problems. Parents should not feel offended to receive instructions from their children as it is for their well-being and safety.

How can one determine the pre-existing medical conditions for travel insurance?

In simpler terms, any medical condition that existed before you secured your international travel insurance is a pre-existing condition.

There are 3 general ways in which a health condition can be linked with a pre-existing condition:

1. Health History Form
All new patients are required to fill out this form before visiting any doctor in the United States and other countries. The form seeks information about the general health history of the patient and makes it binding on the doctor to properly diagnose and treat the patient.

2. Attending Physician’s Opinion
During the consultation, the doctor or physician may ask the patient specific questions about his/her health history for proper diagnosis and treatment. The information will be used by the doctor to form an opinion about the health history of the patient, whether there was any pre-existing condition, and share the same with the travel insurance company.

3. Diagnosis and Lab Results
The doctor will communicate to the travel insurance company, the diagnostic results of the patient in the form of Doctor Notes , should there be any relevant information pertaining to a pre-existing condition.

 

 

 Why pre-existing conditions are not covered by overseas health insurance plans?
Travel insurance plans are short terms plans. If the insurers start covering pre-existing conditions, they will end up paying much more than they receive from the premiums they generate, and they will not be able to run their businesses profitable.

 

Why should one purchase visitor medical insurance even if it does not cover pre-existing conditions?
Medical and health service costs in the USA and other countries are very high. The costs can be financially devastating especially in case of any emergency or accident and subsequent hospitalization. Visitors’ insurance is a means to insure against such unforeseen medical emergencies and should not be seen as a means to get medical treatment for existing medical problems.

 Calculate Premium|  Compare Plans|  Get Quote |   Travel FAQ |  Travel Coverage

Clinical Trial Liability Insurance in India

What is a clinical trial

It is a process of finding effective medicine which is tested first on animals and then human cells for eradication/ cure and administration of disease. The study and research undertaken falls under the clinical trial procedures and the pharmaceutical company which innovate the first approved drug have commercial advantage and standing in the market share.

Clinical Trial Liability Insurance

Clinical Trial Liability Insurance provides cover against legal liability arising out of lack of care, negligence resulting in injury or death of the subject. Insufficient/improper disclosure and conflict of interest may also become subject matter of suit.

What does a Clinical Trial Liability Insurance Policy cover

The Clinical Trial Insurance policy covers legal liability arising out of:

-Negligence / overdose, resulting bodily Injury or death of Research Subject participating in the trial

-Legal Costs & expenses including Defence cost

-Cover for Research dependents, heirs, executors, administrators and legal representatives and  pay compensation as mentioned in the policy

-Manslaughter defence costs (Ethics Committee)

-Cover can be extended to cover full medical expenses

What is excluded in a Clinical Trial Insurance Policy

-War and invasion; and Terrorism

-Legal Liability due to ionising radiations or contamination by radioactivity from any nuclear fuel or from any nuclear waste

-Prior or Subsequent Discovery of Loss

-Inefficacy of Product

-Costs incurred on repair or replacement

-Product Recall

-Claims arising out of any Medical Malpractice of any Medical Person

Required Documents:

-List of the names of the (Participants /Patients)

-Informed consent form from all the participants

-Confirmation of the usage of the drugs prescribed by WHO

-Company Profile

-Sum Insured / Period required

International Travel Health Insurance: Why should you buy it

You are perfectly fit and fine ; and been planning your trip abroad for weeks and months. Why would you need travel insurance or overseas health insurance, you might think. But then, there is always a possibility of some unexpected occurrence, an unforeseen emergency, no matter how perfect the planning is. Unfortunate events such as baggage loss, passport loss, a medical emergency or an accident can affect your trip. Having Overseas Travel Insurance protects you from all such perils. It ensures that in the unknown foreign land, you are not left stranded in any kind of an emergency. After all ,you do not want anything to ruin your hard earned holiday, foreign study or your crucial business meeting.

Who can take International Travel Health Insurance?

Any person going abroad can take overseas travel insurance – a tourist, a businessman or a corporate executive,student, a person visiting his family members.

Is International Travel Health Insurance mandatory for all countries?

Travel insurance is mandatory for Schengen visa countries. The Schengen visa basically allows the visa holder to travel to any (or all) member countries using one single visa, thus avoiding the hassle and expense of obtaining individual visas for each country. This is particularly beneficial for persons who wish to visit several European countries during the same trip.

It would be a wise idea to carry traveler’s insurance no matter what the destination, and this requirement for the Schengen visa should not be something travelers resist, but rather view as a welcome formality.

Even if you are travelling to countries where travel health insurance is not mandatory, it would be wise to carry traveler’s insurance as it protects the traveler in the event of emergencies or circumstances that create any type of interruption or disturbance in the trip plans. Travel insurance is basically a means to minimize the financial risks that can occur due to  Medical emergency , Trip Cancellation/Interruption , Passport loss and legal expenses , Events like delay or missed departure , loss or delay in arrival of baggage, Loss of cash, or valuables etc.

 Calculate Premium|  Compare Plans|  Get Quote |   Travel FAQ |  Travel Coverage

Bajaj Extra Care Top Up Health Insurance Plan

 Bajaj Extra Care Top Up Health Insurance is a top-up health insurance plan that allows one to extend  existing health insurance cover by  two/three times at a significantly lower cost, should the need arise. If the claim amount is more than the deductible, the amount above the deductible amount opted for will be payable by Bajaj Extra Care Top Up Health Insurance, up to the sum insured opted for. Deductible means the amount stated in the schedule which shall be borne by the insured with respect to each and every hospitalization claim incurred within the policy period. The company’s liability to make any payment for each and every claim under the policy is in excess of the deductible. Each and every hospitalization would be considered as a separate claim except relapse within 45 days, which will be treated as the same claim.

Main Features of Bajaj Extra Care Top Up Health Insurance

-Minimum Entry Age:  18

-Maximum Entry Age: 70

-Children from 3 months to 5 years can be covered if both the parents are insured under the same plan

-Children from 6 years to 18 years can be covered if either of the parents is covered with us

-Children from 18 years to 25 years can be covered as self-proposer or as dependents

-No pre-acceptance medical checkup up to 55 years of age, subject to a clean proposal form

-Pre-existing diseases covered after waiting period of 4 years

-This policy can be taken on Individual Basis and also on Floater basis

-Lifetime Renewal

-A free look period of 15 days from the date of receipt of the policy is available for reviewing the policy terms and conditions (Not Applicable for Renewals)

-Amount paid by any mode other than by cash for this insurance is eligible for relief under Section 80 D of the Income Tax Act.

Benefits of Bajaj Extra Care Top Up Health Insurance

In-Patient Hospitalization Expenses

Pre and Post Hospitalization expenses

60 days and 90 days respectively

Pre-Existing Diseases / Illness

Covered after 4 years of continuous Insurance without break with any Non Life Indian Insurance Company

-Emergency ambulance charges for transporting the insured patient to the hospital up to Rs.3000 per policy period

A Bajaj Allianz Health Card which provides a number of discounts at health and fitness centers across the country.

-OPD discounts at select outlets.

-Discounts on Pathologies at select outlets.

-Discount on Radiology at select outlets.

-Discounts on Wellness Test at select outlets.

-Discounts on Pharmacy.

Exclusions

-Any diseases contracted during first 30 days of the policy start date

-Four years waiting period for joint replacement surgery unless such joint replacement surgery is necessitated by accidental bodily injury

-Expenses attributable to self-inflicted injury (resulting from suicide, attempted suicide)

-Expenses arising out of or attributable to alcohol or drug use/misuse/abuse

-Cost of spectacles/contact lenses, dental treatment

-Medical expenses incurred for treatment of AIDS

-Treatment arising from or traceable to pregnancy and childbirth, miscarriage, abortion and its consequences

-Congenital disease

Calculate Premium|  Compare Plans |  Get Quote|  Health FAQ

Apollo Munich Optima Super : A Super Top up Health Insurance Plan

Apollo Munich Optima Super is a super top-up health insurance plan, which enhances total health insurance coverage on cost-sharing basis. Under this plan, the policyholder gets the benefit of high deductible, wherein all the medical bills for the year are considered. In case, sum of all bills is above the threshold limit, one can claim for the amount above the threshold limit.

Optima Super is a cost-effective top up plan to consider, if one is covered under a group health insurance plan as it can be easily converted into a normal health plan during a certain phase of life like retirement.

Main Features of  Apollo Munich Optima Super Top Up Insurance

-Minimum Entry Age:  5 years

-Maximum Entry Age: 65 years

– Coverage for a dependent child from the 91st day (if either parent is covered under this policy).

-No medical tests up to the age of 45 years and for sum insured below 15 lakhs

-Lifetime Renewal

-Pre-existing diseases covered after four continuous renewals

-Option to convert the plan to a full fledged Indemnity Health Insurance plan with no underwriting or medicals is available only at renewal between 55-60 years provided the insured has enrolled under this policy before the age of 50 years and has renewed with the company continuously without a break.

-Amount paid by any mode other than by cash for this insurance is eligible for relief under Section 80 D of the Income Tax Act.

Benefits of Apollo Munich Optima Super Top Up Insurance

In patient Treatment

Medical expenses for room rent, boarding expenses, nursing, ICU, anesthesia, blood, oxygen, medicines, drugs and consumables, diagnostic procedures etc

Pre and Post Hospitalization

60 days and 90 days respectively

Day care procedures as mentioned in policy terms and conditions

Organ Donor

Treatment expenses for the organ donor at the time of organ transplant

Ambulance Service-

Expenses incurred if ambulance service is used on the way to hospital for hospitalization (up to Rs. 2000)

 Pre-Existing Diseases / Illness

Covered after 4 years of continuous Insurance without break

Healthline – Option to ring and reach experts and avail their help in primary consultation, health-related counseling, individual referrals, health information, nutrition and diet. The services on the Healthline are available at no extra cost to the customers.

Health Risk Assessment – Every Apollo Munich Health Insurance customer has an access to a health risk assessment tool, which helps to profile each member’s health status through their website. Upon assessment, members will be offered personalized wellness recommendations on diet, lifestyle and nutrition regimen.

Free-Look Period of 15 days from the date of receipt of policy documents if insured is not satisfied with the coverage and terms of the policy.

Exclusions

-30 days waiting period will apply to all claims, except if any insured person suffers an accident

-Two years exclusions for specific diseases

-Non-allopathic treatment

-Expenses arising from HIV or AIDS and related diseases

-Mental disorder or insanity, cosmetic surgery, weight control treatment

-Abuse of intoxicant or hallucinogenic substance like drugs and alcohol

-Hospitalization due to war / acts of war, nuclear, chemical / biological weapon & radiation of any kind

-Pregnancy, dental and external aids and appliances unless covered under specific plans

-Experimental, investigatory or unproven treatment, devices and pharmacological regimens

-Congenital disease

-Tests and treatment relating to infertility and in vitro fertilization

Calculate Premium|  Compare Plans |  Get Quote|  Health FAQ

Religare Enhance Super Top Up Health Insurance

Religare Enhance Super Top Up Insurance is a super top up health insurance policy that works alongside your current health insurance policy and enhances it to provide you a greater coverage at a much lower premium. Enhance Super Top up plan works on the simple principle of Policy Deductible, which is the pre specified amount that the insured will bear, through your own finances or another health insurance policy, during a medical event. Any amount over and above the policy deductible will be borne by the company.

Main Features of  Religare Enhance Super Top Up Insurance

-Minimum Entry Age:  5 years

-Maximum Entry Age: No age bar

-No medical tests up to the age of 45 years and for sum insured below 15 lakhs

-Lifetime Renewal

-Pre-existing diseases covered after four continuous renewals

– Copay of 20% of claim for each member who enrolls at the age of 61 or more

Loading of premium(15%, 30%, 50%) on pre  existing ailments, based on the assessment of the extra risk by the underwriter

-After 4 years of continuous coverage,  option to convert your deductible plan to Comprehensive Health Insurance Plan (without any deductible)

-Amount paid by any mode other than by cash for this insurance is eligible for relief under Section 80 D of the Income Tax Act.

Benefits of Religare Enhance Super Top Up Insurance

In patient Treatment

Medical expenses for room rent, boarding expenses, nursing, ICU, anesthesia, blood, oxygen, medicines, drugs and consumables, diagnostic procedures etc

Pre and Post Hospitalization

30 days and 60 days respectively

Day care procedures as mentioned in policy terms and conditions

 Pre-Existing Diseases / Illness

Covered after 4 years of continuous Insurance without break

Free-Look Period of 15 days from the date of receipt of policy documents if insured is not satisfied with the coverage and terms of the policy.

Exclusions

-30 days waiting period will apply to all claims, except if any insured person suffers an accident

-Two years exclusions for specific diseases

-Non-allopathic treatment

-Expenses arising from HIV or AIDS and related diseases

-Mental disorder or insanity, cosmetic surgery, weight control treatment

-Abuse of intoxicant or hallucinogenic substance like drugs and alcohol

-Hospitalization due to war / acts of war, nuclear, chemical / biological weapon & radiation of any kind

-Pregnancy, dental and external aids and appliances unless covered under specific plans

-Experimental, investigatory or unproven treatment, devices and pharmacological regimens

 

-Congenital disease

-Tests and treatment relating to infertility and in vitro fertilization

 

Calculate Premium|  Compare Plans |  Get Quote|  Health FAQ

Super Top up Health Insurance vs Top up Health Insurance

What is a top up health insurance plan

A top up health insurance policy covers the medical expenses beyond the threshold level/deductible one has chosen. This is a good choice if you want to add additional cover  to your existing Insurance Policy with very less premium or if you are yet to opt for medical insurance, you can buy top-up policy to take medical insurance cover beyond a threshold limit that you can afford.

Having an existing health insurance policy is not a mandatory requirement for buying a top up health insurance plan. Your top up plan will simply pay the claim amount over and above the threshold limit you have opted for.

Super Top up Health Insurance vs Top up Health Insurance

Now, there are two kinds of plans being offered by Indian insurers, top up and super top up. What is the difference between these two, one might wonder. Top up plans cover hospitalization expenses on per hospitalization or per claim basis, that means they will pay if the claim amount for a single hospitalization is over and above the threshold limit or deductible opted for.On the other hand, Super top up plans cover aggregate hospitalization expenses during the policy period exceeding the Threshold Level.

To make this difference more clear, let us take an example.

Suppose you have an existing health insurance for Rs 500000 and a top up plan for Rs 1000000 with a threshold limit of Rs500000.

-If there is a single hospitalization claim for Rs 400000 in a policy period, your existing policy will pay for it

-If there is a single hospitalization claim for Rs 600000 in a policy period, your existing policy will pay Rs 500000 and remaining 100000 will be paid by top up plan

-If there are two claims for Rs 400000 each, first claim of Rs 400000 will be paid for by your regular health insurance plan and for the second claim, Rs 100000 again will be paid by the existing health insurance plan. However, the remaining Rs300000 will be borne by you as your top up plan works only when the threshold limit of Rs 500000 is crossed for a single hospitalization.

Now suppose you have an existing health insurance for Rs 500000 and a super top up plan for Rs 1000000 with a threshold limit of Rs500000

-If there is a single hospitalization claim for Rs 400000 in the policy period, your existing policy will pay for it

-If there is a single hospitalization claim for Rs 600000 in the policy period, your existing policy will pay Rs 500000 and remaining 100000 will be paid by top up plan

-If there are two claims for Rs 400000 each, that means an aggregate of Rs800000 in the policy year, your regular health policy will pay Rs 500000 and the remaining Rs300000 will be covered by your super top up plan; as the threshold limit in case of super top up plan is applicable on aggregate hospitalization expenses in the policy year.

Top up and Super Top up plans are a good way to enhance the sum insured of your regular health insurance policy for a nominal premium. Some insurers also offer the option to convert your top up plans to regular health insurance plan after the completion of a certain period or age. Moreover, they offer most of the benefits offered by a regular health plan at a much less cost.

Calculate Premium|  Compare Plans |  Get Quote|  Health FAQ

 

 

HDFC Ergo – my:health Medisure Super Top Up Insurance

HDFC Ergo my:health Medisure Super Top Up Insurance is a super top up health insurance policy that works alongside your current health insurance policy and enhances it to provide you a greater coverage at a much lower premium.  One can opt for this policy even if there is no existing health insurance policy. The initial expenses (called deductible) can either be covered by the current policy or can be paid by the insured. Once this deductible amount is crossed, my:health Medisure Super Top Up Insurance becomes active and pays the excess amount.

Main Features of HDFC Ergo – my:health Medisure Super Top Up Insurance

-Minimum Entry Age:  18

-Maximum Entry Age: 65

-Coverage for children aged 91 days till 23 Years, subject to both parents being covered under same policy

-No medical tests up to the age of 55 years if the insured has no pre-existing illness

-Lifetime Renewal

-Pre-existing diseases covered after three continuous renewals

– Copay of 10% of each and every claim for each member whose age is above 80 years

Loading of premium on pre – existing ailments which will be deduced after health check up of the customer.

-Amount paid by any mode other than by cash for this insurance is eligible for relief under Section 80 D of the Income Tax Act.

Benefits of HDFC Ergo – my:health Medisure Super Top Up Insurance

In patient Treatment

Medical expenses for room rent, boarding expenses, nursing, ICU, anesthesia, blood, oxygen, medicines, drugs and consumables, diagnostic procedures etc

Pre and Post Hospitalization

30 days and 60 days respectively

Day care procedures as mentioned in policy terms and conditions

 Pre-Existing Diseases / Illness

Covered after 3 years of continuous Insurance without break with any Non Life Indian Insurance Company

Free-Look Period of 15 days from the date of receipt of policy documents if insured is not satisfied with the coverage and terms of the policy.

 

Exclusions

 

-30 days waiting period will apply to all claims, except if any insured person suffers an accident

-Two years exclusions for specific diseases

-Non-allopathic treatment

-Expenses arising from HIV or AIDS and related diseases

-Mental disorder or insanity, cosmetic surgery, weight control treatment

-Abuse of intoxicant or hallucinogenic substance like drugs and alcohol

-Hospitalization due to war / acts of war, nuclear, chemical / biological weapon & radiation of any kind

-Pregnancy, dental and external aids and appliances unless covered under specific plans

-Experimental, investigatory or unproven treatment, devices and pharmacological regimens

 

Calculate Premium|  Compare Plans |  Get Quote|  Health FAQ