Network hospitals
12000+
Incurred claim ratio
79.04%%
Sum insured
Up to 2 Cr
No. of Plans
1
Solvency Ratio
1.7
Pan India Presence
200+
HDFC ERGO Koti Suraksha is a health insurance plan that provides a sum insured of up to INR 1 crore. Koti Suraksha Plan by the HDFC ERGO Insurance Company is divided into two sections wherein section A is a health cover with an add-on critical illness cover and a separate health cover which is a floater option with Hospital Cash Benefit. Koti Suraksha is a policy that gives you a cover of Rs. 1 crore at affordable premiums. Investing in one crore insurance is imperative to beat the ever-rising medical inflation and protect yourself and your family. Hdfc ergo Koti Suraksha covers medical expenses such as COVID-19, hospitalization expenses, surgery expenses, daycare procedures, AYUSH treatment, and more.
HDFC ERGO Koti Suraksha is not just a simple health care plan but also a wellness partner, providing value-added services like access to nutrition, fitness, and psychological counseling via a health coach and discounts on OPD, pharmacy bills, and diagnostic centers. HDFC ERGO Koti Suraksha is divided into platinum and titanium options offering different coverage options. Hdfc ergo koti suraksha provides optional covers like overseas treatment and emergency worldwide coverage to support insurance holders in the face of adversity.
To understand HDFC ERGO Koti Suraksha Plan Insurance in detail, take a look at the below table:
Minimum: 18 years Maximum: 65 years
Individual and Family Health Insurance
50 L | 1 Cr
30 Days
Lifelong
1/2/3 Years
*Initial Waiting Period is the time period between the issuance of the policy and the time it starts actively. During this period, a policyholder has to wait to avail of the benefits offered under a health insurance plan.
Read more specifications in the brochure.
With wide coverage options available, HDFC ERGO Koti Suraksha Plan Insurance Plan allows you to choose your ideal coverage as per your family’s health requirements. Take a look at the coverage under every SI option available and choose your ideal coverage:
Room Rent
Covered
ICU Charges
Covered
Pre-Hospitalization
Covered
Post-Hospitalization
Covered
Domiciliary Hospitalization
Covered
Daycare Treatment
Covered
OPD Charges
Covered
COVID-19 Treatment
Covered
Cataract
Covered
No Claim Bonus
Covered
Automatic Restoration
Covered
Daily Hospital Cash
Covered
Organ Donor
Covered
Maternity Cover
Not Covered
New Born Baby Cover
Not Covered
AYUSH Treatment
Covered
IVF Treatment
Not Covered
Modern Treatment
Not Covered
Ambulance
Covered
Air Ambulance
Covered
Compassionate Travel
Not Covered
Global Coverage
Not Covered
E-Consultation
Not Covered
Health Check-Up
Covered
Second Medical Opinion
Not Covered
Vaccination
Not Covered
Co-payment
Covered
Sub-limits
Covered
The room rent limit is the maximum bed charge you can claim if you are hospitalised. Common Room categories covered under room rent are all kinds of rooms including single, private and AC rooms (except suite).
It is a special hospital department where patients with serious medical conditions are treated.
Medical expenses incurred before hospitalisation of the policyholder.
Medical expenses incurred after the discharge of the policyholder from the hospital.
Domiciliary hospitalization or home care treatments are the arrangements for an insured individual due to the unavailability of medical amenities in hospitals, or in a case where an insured member can not be admitted to the hospital due to an inability. The treatment should last equal to or more than 72 hours to get financial coverage.
Treatments that can be completed within 24 hours of hospitalization like blood dialysis, cataracts, etc.
Covers the cost of doctor consultations and prescribed medical tests that may not require hospitalization. .
It includes the treatment cost for COVID-19 with a confirmative diagnosis from a government-approved centre.
A common eye condition in which your vision gets blurred due to cloudy formation in your eyes.
For every claim-free year, insurance companies reward policyholders with an increase in the sum insured amount as a no-claim bonus or cumulative bonus on policy renewal. However, in the case of a claim, this bonus amount either lapses or is reduced by a certain percentage varying from one plan to the other.
It is a benefit in which an insurance company restores the amount of sum insured completely or up to a certain percentage after it gets fully exhausted in treatments. This restoration amount may vary from one plan to the other.
Daily hospital cash or Hospicash is a cash amount that you receive each day during the time of hospitalization to cover your non-medical expenses.
It is a cover that includes the cost of the procedure for removing the damaged or malfunctioning organs from the body. In most of the cases, the insurer pays for the hospitalization and transplant expenses for both the parties i.e. the donor and the receiver.
It refers to the cover that includes expenses for normal and c-section deliveries.
It takes care of the medical expenses that arise due to the hospitalisation of the newborn baby in case of any childbirth complications, medical challenges, and so on. Some of the common treatments that are covered under the newborn cover and these common treatments can vary from plan to plan:
Refers to the cost of medicines and procedures used under AYUSH (Ayurveda, Yoga & Naturopathy, Unani, Siddha, and Homeopathy) treatment.
In Vitro Fertilization (IVF) is a method of assisted reproductive technology. The common expenses incurred under IVF and infertility treatments are settled or reimbursed for:
Medical treatments that demand the use of modern technology and advanced machinery such as robotic surgeries, stem cell therapy, etc.
An ambulance is used to move the patient from home to the hospital, transfer them to another hospital, and take them for different tests outside the hospital.
Air ambulances are specially prepared planes that transfer the patient from one place to another in case of a health emergency.
Refers to the travelling expenses of a family member who’s visiting the hospital to look after the patient when the policyholder gets admitted to a hospital outside his/her residential city.
Any kind of medical/health emergency when you are outside of India is covered for hospitalization expenses, modern and specific treatments, etc.
If a policy offers e-consultation it allows policyholders to connect with a doctor for medical consultation through video chat, audio call, or chatbot.
A facility where the policyholder can avail of free health check-ups after fulfilling the company's eligibility criteria. In most cases, the insured member/s gets an annual health check-up cover.
If the policyholder wants, they may opt for a second medical opinion wherein the policyholder can consult another doctor within the company’s network of medical practitioners.
Coverage against the expenses incurred on vaccinations of either the newborn baby, for an animal bite, etc is provided by the insurance companies.
In the co-payment clause, policyholders have to pay a preset amount (either compulsorily or voluntarily) of the hospitalisation expense on their own and the insurer will pay the rest of the medical bill amount.
Sub limit is a condition in which the insurer will have to pay the medical expense up to a certain percentage and the remaining amount will have to be paid by the policyholder. For instance, if your policy covers room rent for upto 20% of the sum insured, but the expense of the same is more than 25%, you will have to pay the rest amount, i.e. 5%, for your room rent.
Below-mentioned are the benefits that come under the Koti Suraksha Plan HDFC ERGO.
HDFC Ergo Health Insurance Plan Detailed Review
HDFC ERGO Health Insurance Network Hospitals are present in 31 states nationwide. With a wide network of hospitals, HDFC ERGO Health Insurance ensures that you are medically secured, irrespective of the city you reside in.
To understand how much one needs to pay, let us go through the example below wherein we have illustrated the sample premiums.
Age (in years) | 10 | 35 | 40 |
Premium Payable | 11,285 | 14,456 | 14,456 |
*Premium calculated for Sum Insured INR 50 L*
Age (in years) | 10 | 35 | 40 |
Premium Payable | 34,464 | 47,269 | 64,194 |
*Premium calculated for Sum Insured INR 50 L*
Age (in years) | 10 | 35 | 40 |
Premium Payable | 5,113 | 6,893 | 9,246 |
*Premium calculated for Sum Insured INR 40 L in Excess of 10 Lakhs*
Permanent diseases or health conditions that are not included under HDFC ERGO Koti Suraksha are:
Hospitalization out of war, riot, strike, and nuclear weapons
Intentional self-injury
AIDS
Miscarriage, and abortion
Congenital disease
Infertility and in vitro fertilization
Certain diseases and treatments are covered under this plan after a certain time period. Read the details below:
Listed ailments after 24 Months
Pre-existing diseases after 48 Months
To cater to the different medical needs of an individual & their family, HDFC ERGO Health Insurance offers several Health Plans ranging from senior citizen plans to specialized plans for autistic children, to health insurance for cardiac patients, and many more.Take a look below to HDFC ERGO Health Insurance plans explore more:
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HDFC My: Health Women Suraksha is a comprehensive policy that is designed to cater to the evolving needs of health and well-being of today's women. T...
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The Arogya Sanjeevani Policy from HDFC ERGO is a basic plan designed for individual or family floater coverage. It provides you with the precise medic...
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Are you sceptical about finding the best health insurance plan that protects you and your family under one roof? Read further to learn about the exclu...
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Individual
Accidental deaths or injuries can be devastating, it can attack your physical, emotional, mental, and financial status to ruin your happy life moment...
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Critical Illness Health Insurance
iCan Cancer Insurance is a cancer-specific plan offered by HDFC Health Insurance Company. The plan covers medical expenses incurred during the treatme...
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Individual and Family Health Insurance
HDFC ERGO Health Suraksha Plan is a comprehensive plan from the house of HDFC ERGO Insurance Company that aims at providing 360-degree protection agai...
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Individual
HDFC ERGO Health Insurance offers an Energy Diabetes plan which is ideal for those who are suffering from diabetes Type 1, diabetes mellitus Type...
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Individual and Family Health Insurance
HDFC ERGO Health Insurance's Health Wallet plan by HDFC ERGO Health Insurance is a comprehensive health insurance plan that not only ensures your heal...
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Top Up and Super Top Up
HDFC Ergo super top-up plan is the best option by HDFC Ergo to ensure a cushion of ample cover to get the best medical treatment without any restricti...
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Individual and Family Health Insurance
HDFC ERGO Koti Suraksha is a health insurance plan that provides a sum insured of up to INR 1 crore. Koti Suraksha Plan by the HDFC ERGO Insurance Com...
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Individual and Family Health Insurance
HDFC ERGO Optima Restore Policy is the best-selling plan of HDFC ERGO since its launch. It offers comprehensive health cover to you and your fami...
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Hdfc Ergo Koti Suraksha plan age eligibility criteria is 91 days to 25 years for dependent children and 18 years to 65 years.
The value-added services offered by hdfc ergo koti suraksha are Health Coach: It provides a health coaching facility to help insurance holders with disease management, nutrition, activity and fitness, weight management, and psychological counselling. Wellness Services: Insurance holders are provided with discounts on OPD expenses, diagnostics, and pharmacy, along with a monthly newsletter, diet-related consultations, and health tips. These value-added services can be availed via the Hdfc Ergo mobile app.
Hdfc Ergo Koti Suraksha is a 1 crore plan that offers multiple benefits to insurance holders: In case you are the sole breadwinner of the family you must invest in a 1 crore health plan as you are responsible for the health and wellness of your family. If there are any liabilities on you it is possible that you might need a higher sum insured and a 1 crore health plan, like hdfc ergo koti suraksha might be helpful. In case you select a low-coverage health plan, there is a big possibility that you will have to pay medical treatment bills out of your hard-earned savings. 1 Crore health insurance plan can take care of your medical expenses allowing your savings to be used for your liabilities
Hdfc ergo koti suraksha offers emergency worldwide coverage and overseas treatment as optional coverage under section A of the health insurance plan. Emergency worldwide coverage pays medical expenses on medically necessary hospitalization of an insured person outside India due to a life-threatening situation where such treatment cannot be postponed until the Insured has returned to India. Whereas, Overseas treatment pays for medical expenses incurred outside India for the treatment of Major Illnesses like Cancer, Kidney failure, Major organ/bone marrow transplants, and more.
No, maternity cover or newborn baby cover is not available under hdfc ergo koti Suraksha.
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February 5, 2023
Asia/Kolkata
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