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HDFC ERGO General Insurance Company Limited

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

1. Medical Expenses 3. Domiciliary Hospitalization

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

6. Day Care Procedures 9. Alternative Treatments


We will pay for the Medical Expenses as listed under Section A1 on We will pay Medical Expenses as listed under Section A1
Hospitalization of Insured Person in Hospital or Day Care Centre on Hospitalization of Insured Person for following Alternative
for Day Care Treatment. Treatments prescribed by Medical Practitioner
Indicative list of Day Care Treatment is attached in Annexure I • Ayurvedic
(Please refer at the end of this document) • Unani
Insured Person shall bear specified percentage of admissible Claim • Siddha
amount under each and every Claim If Co-payment under Section
• Homeopathy
C-14 is opted and specified in the Schedule of Coverage in the
Policy Schedule provided that;
i. The procedure performed on the Insured Person cannot be
7. Road Ambulance
carried out on Outpatient basis
We will pay for expenses incurred on Road Ambulance Services if
ii. The treatment has been undertaken in a government Hospital
Insured Person is required;
or in any institute recognized by government and/or accredited
i. to be transferred to the nearest Hospital following an by Quality Council of India/National Accreditation Board or
emergency (namely a sudden, urgent, unexpected occurrence authorised medical council of the respective country/state
or event, bodily alteration or occasion requiring immediate as applicable
medical attention)
iii. In the event of admissible Claim under this Cover, no Claim
ii. or from one Hospital to another Hospital shall be admissible under Section A 1 for Allopathic treatment
iii. of from Hospital to Home (within same City) following of same Illness or Injury
Hospitalization Insured Person shall bear specified percentage of admissible Claim
provided that Claim under Section A1 and A6 is admissible under amount under each and every Claim If Co-payment under Section
the Policy. C-14 is opted and specified in the Schedule of Coverage in the
Policy Schedule
Insured Person shall bear specified percentage of admissible Claim

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

1. Preventive Health Check-Up No. of Healthy Weeks Discount on Renewal


After every four consecutive, continuous and Claim free Policy Years Accumulated Premium
with Us, We will pay towards cost of Preventive Health Check- up to
1-4 0.50%
specified percentage (as mentioned on the Schedule of Coverage)
of Sum Insured for those Insured Persons who were Insured under 5-8 1.00%
the previous 4 Policy years with Us. 9-12 2.00%
Other terms and Conditions applicable to this Benefit
13-16 3.00%
• This benefit will not be carried forward if not utilized.
17-26 6.00%
• Eligibility to avail Health Check-up will be in accordance to
lower of expiring Policy Sum Insured or Renewed Policy Sum 27-36 7.50%
Insured.
Above 36 10.00%
• This cover is applicable only to Insured Person covered under
all four Policy Years and who continue to remain insured in Steps to accumulate Healthy Weeks
the subsequent Policy Year/Renewal. Step 1 - The my:health Mobile app must be downloaded on
• Availing of Claim under this Cover will not impact the Sum the mobile.
Insured or the eligibility for Cumulative Bonus Step 2 - You can start accumulating Healthy Weeks by tracking
physical activity trough the Wearable device linked to Our my:
2. Cumulative Bonus health mobile app and Your Policy number
On each Renewal of the Policy with Us, We will apply 5% of Basic We encourage and recognize all types of exercise/fitness
Sum Insured under expiring Policy as Cumulative Bonus in the activities by making use of wearable devices to track and
Policy provided that; record the activities Insured Person engages in.
i. There has been no claim under the Policy in expiring year under
Section A Application of Fitness discount @ Renewal

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.

Table A • Customer Engagement: Monthly newsletters, Diet


consultation, health tips
Pre-existing Diseases Test
• Specialized programs: like stress management,
Diabetes HbA1c Pregnancy Care, Work life balance management.
Hypertension Blood Pressure reading These services will be available through Our my: health mobile
app
Hyperlipidemia Total Cholesterol
Disclaimer applicable to my: health Mobile app and
Cardiovascular Diseases ECG
associated services
Hypothyroidism Thyroid function tests It is agreed and understood that Our my:health mobile app and
Obesity BMI Wellness services intention is not to provide specific medical
advice but rather to provide users with information to better
Application of Health Incentive understand their health and their diagnosed disorders. The
• Annual Policy: Discount amount accrued during the information is not a substitute for professional medical care
expiring Policy year will be applied on the Renewal by a qualified doctor or other health care professional.
Premium corresponding to expiring Policy Sum The information provided is general in nature and is not
Insured and for Insured Person covered under expiring specific to you. You must never rely on any information
Policy obtained using this app for any medical diagnosis or
recommendation for medical treatment or as an alternative
• Multi Year Policy:
to medical advice from your physician or other professional
o Discount amount earned on yearly basis will be healthcare provider. If you think you may be suffering from
accumulated till Policy End date. any medical condition you should seek immediate medical
o On Renewal of the Policy, total discount amount attention.
accrued each year will be applied on Renewal Reliance on any information on this App is solely at your own
Premium of subsequent year and for Insured risk. HDFC EGRO General Insurance Company Limited do
Person covered under expiring Policy. not assume any liability towards any loss or damage arising
• For Policies covering more than one Insured Person, out of or in relation to any opinion, actual or alleged errors,
Healthy Weeks for each Insured Person will be tracked omissions and representations, any decision made or action
and accrued. Such discount will be applicable on taken or not taken in reliance upon the information.
individual Renewal Premium for both Individual and
Floater Sum Insured basis Policies. Section C: Optional Covers
• Premium will be discounted to the extent applicable to These Covers are optional and applicable only if opted for and up to the
coverage corresponding to expiring Policy. Sum Insured or limits mentioned on the Schedule of Coverage in the
Policy Schedule.
• In case of Increase in Sum Insured at Renewal, discount
amount will be applied on the premium corresponding 1. Preventive Health Check-Up - Booster
to expiring Policy Sum Insured. On opting this Cover, Insured Person will be entitled for Health
• Fitness discount @ Renewal will be applied only on Check up every year as per option given below irrespective of
Renewal of Policy with Us and only if accrued. Claims made under the Policy;

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

i. Pre-Hospitalization and post-Hospitalization expenses are Sum Insured options available:


not payable under this cover • Rs. 1,000
ii. We will not pay any expenses related to ectopic pregnancy • Rs. 2,000
under this cover. Ectopic pregnancy will be covered as a part • Rs. 3,000
of expenses under Section A1 only.
• Rs. 4,000
iii. Treatment for impotency, treatment to effect infertility,
• Rs 5,000
surrogate or vicarious pregnancy, voluntary termination of
pregnancy, procedures to assist birth control, contraceptive • Rs. 7,500
supplies. • Rs. 10,000
• Rs. 15,000
Sum Insured options and applicability:
• Rs. 25,000
Sr. Normal Cesarean Termination Vaccination OPD Child Infertility
No. Delivery Section of sub-limit as Treatment Care
• Rs. 40,000
Pregnancy per Normal in Pre 6. Sum Insured Rebound
Delivery & Post
We will add to the Sum Insured, an amount equivalent to the
Natal
admissible Claim amount, subject to maximum of Basic Sum
period
Insured, on subsequent Hospitalization of the Insured Person during
1 15,000 25,000 15,000 5,000 Up to limit Up to Upto
Policy Year subject to;
2 20,000 40,000 20,000 5,000 of Sum limit of 50% of
3 25,000 40,000 25,000 5,000 Insured Sum Sum i. Total of Basic Sum Inured under Hospitalization Cover,
4 35,000 50,000 35,000 5,000 under Insured Insured Cumulative/Extended Cumulative Bonus (if applicable)
5 50,000 75,000 50,000 15,000 Parent under for earned and Sum Insured Rebound will be available to all
6 50,000 1,00,000 50,000 15,000 and Child Parent Normal Insured Persons for all claims under Section A during the
7 75,000 1,00,000 75,000 15,000 care and Delivery current Policy Year and subject to the condition that a single
8 80,000 2,00,000 80,000 25,000 Cover Child Sum claim in a Policy Year cannot exceed the sum of Basic Sum
9 1,00,000 1,50,000 1,00,000 25,000 care Insured Insured and the Cumulative/Extended Cumulative Bonus (if
Cover under opted) earned
Parent ii. In case of treatment for Chemotherapy and Dialysis, Sum
& Child Insured Rebound will be applicable only once in lifetime of
care Policy
Cover i. This cover will be applicable annually for policies with
term more than one year.
4. Air Ambulance Cover
ii. Any unutilized amount of Sum Insured Rebound cannot
We will pay for Air Ambulance transportation in an airplane or
be carried over to next Policy Year or Renewal Policy
helicopter for Emergency Care which requires immediate and rapid
ambulance transportation as prescribed by a Medical Practitioner, iii. The Sum Insured Rebound can be utilized for Claims
from the site of first occurrence of the Illness/ Accident to the nearest under Section A only.
Hospital, that ground transportation cannot provide. Claim would Illustration 1
be reimbursed up to the actual expenses subject to a maximum
Time Claim Sum Cumulative Admissible SI Total SI Payable
of Sum Insured as specified on the Schedule of Coverage in the No. Insured Bonus Claim Rebound Rebound amount
Policy Schedule. available available amount Available till date

Exclusion: 3 months 3,00,000 30,000 2,50,000 0 0 2,50,000


1
5 months 50,000 30,000 1,40,000 0 0 80,000
We will not pay for return transportation to the Insured Person’s
home by air ambulance 9 months 2 0 0 2,50,000 3,00,000 3,00,000 2,50,000
11 months 3 0 0 70,000 50,000 3,00,000 50,000

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 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.

Exclusions specific to Outpatient Dental Treatment Major Illness Covered


i. Cosmetic surgery, dentures, dental prosthesis, dental 1 Cancer of specified 6 Major Organ/Bone
implants, orthodontics, orthognathic surgery, jaw alignment severity Marrow Transplant
or treatment for the temporomandibular (jaw) joint, or upper
2 Open Chest CABG 7 Stroke resulting in
and lower jaw bone surgery and surgery related to the
temporomandibular (jaw) unless necessitated by an acute permanent symptoms
traumatic injury due to an accident or cancer 3 Myocardial Infarction 8 Surgery of Aorta
(First Heart Attack of
Sum Insured options available:
specific severity)
• Up to 1% of Sum Insured subject to maximum of Rs 5,000
4 Kidney Failure requiring 9 Primary (Idiopathic)
• Up to 1% of Sum Insured subject to maximum of Rs 20,000 regular dialysis Pulmonary
Hypertension
8. External Medical Aids
After every two consecutive and continuous Policy Year with Us, 5 Multiple Sclerosis with
We will pay up to 50% of cost incurred towards following Medical Persisting Symptoms
Expenses subject to maximum of Sum Insured as mentioned in the
Schedule of Coverage, on the Policy Schedule; Sum Insured options available
i. One pair of spectacles or one pair of contact lenses, The option can be availed only up to the age of 65 years (age last
birthday) and for Sum Insured of of Rs2 Lacs to 5 Lacs. Once the
ii. A hearing aid
option is availed, Renewal shall be available for lifetime.
Other terms
10. Non-Medical Expenses cover
• The Cover is applicable only to Insured Person covered
under two consecutive and continuous Policy Years and who We will pay for Non-Medical Expenses up to the limit mentioned
continue to remain insured in the subsequent Policy Year/ in Schedule of Coverage in the Policy Schedule on Medically
Renewal necessary Hospitalization of Insured Person for claims admissible
• Under a Family Floater Policy, Our liability shall be limited to under Section A1, 2 & 3.
either one pair of spectacles or contact lenses or hearing aid In view of this Cover, Exclusion xxi), shall stand covered up to the
per family. extent mentioned above.
• Medical Expenses incurred under this Cover shall be Insured Person shall bear specified percentage of admissible Claim
prescribed by our Network Provider and is payable only once amount under each and every Claim If Co-payment under Section
after block of every two consecutive and continuous Policy C-14 is opted and specified in the Schedule of Coverage in the
Year with Us. 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 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.

Option 1 General Waiting Period 30 Days Options available:


Waiting Period for listed 24 Months 5%, 10%, 15%, 20%, 25%
illnesses and Procedures
Waiting Period for Preexisting 36 Months 15. Major Illness – Benefit
conditions If the eldest Insured Person covered under the Policy suffers from
Option 2 General Waiting Period 30 Days Major Illness as listed below, whose diagnosis first commence/
Waiting Period for listed 24 Months occurs after the applicable Waiting Period from commencement
illnesses and Procedures of first Policy with Us, We will pay Sum Insured as mentioned on
the Schedule of Coverage.
Waiting Period for Preexisting 24 Months
conditions The Coverage under this benefit shall cease to exist upon
occurrence of any one Major Illness covered for which Claim is
12. Extended Cumulative Bonus admitted by the Company.
On availing this cover, Cumulative Bonus percentage mentioned
Major Illness Covered
under Section B2 – Cumulative Bonus will stand modified as
1 Cancer of specified 7 Permanent Paralysis
mentioned in Schedule of Coverage on the Policy Schedule
severity of Limbs
subject to;
2 Open Chest CABG 8 Stroke resulting in
i. Once the Extended Cumulative Bonus benefit is availed by
Permanent Symptoms
the Insured Person, it cannot be opted out at subsequent
3 Myocardial Infarction 9 Surgery of Aorta
Renewal.
(First Heart Attack of
2. All other terms and Conditions of Renewal Benefits Section specific severity)
B, ii shall remain unaltered.
4 Kidney Failure requiring 10 Primary (Idiopathic)
Options available: regular dialysis Pulmonary
Hypertension
• 10% up o a maximum of 100%
5 Major Organ/Bone 11 Open Heart
• 25% up to a maximum of 200% Marrow Transplant Replacement or Repair
• 50% up to a maximum of 200% of Heart Valves
6 Multiple Sclerosis with
13. Room Rent Modification Option Persisting Symptoms
On availing this option, limits specified under Section A1 i and A ii
Survival Period
will stand modified as below.
Claim under this Cover is payable only if Insured Person survives
i. Room Rent, boarding & Nursing – limit of 1% of the Basic
30 days from the diagnosis, fulfillment of the definition of the Major
Sum Insured subject to maximum of Rs. 5,000 per day illness covered and with confirmatory diagnosis of the conditions
ii. Intensive care unit – limit of 2% of the Basic Sum Insured covered while the Insured Person is alive (A claim would not be
subject to maximum of Rs. 10,000 per day admitted if the diagnosis is made post mortem)

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

Internal Congenital diseases Non infective Arthritis


18. Global Health Cover
Diseases of gall bladder Urogenital system e.g.
On availing this Cover, We will pay the Expenses incurred outside
including cholecystitis Kidneystone, Urinary Bladder
India under Sections and Covers given below.
Stone
Pancreatitis Ulcer and erosion of stomach
and duodenum

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

xxvii) Any treatment or part of a treatment that is not of a 2. Type of Policy:


Reasonable and Customary charge, not Medically
• Individual Sum Insured Option under base policy and
Necessary; treatments or drugs not supported by a
my:health Critical Illness Add on
prescription.
• Floater Sum Insured for base policy and my:health Hospital
xxviii) Expenses for Artificial limbs, crutches or any other external
Cash Benefit Add on
appliance and/or device used for diagnosis or treatment
(except when used intra-operatively). 3. Coverage for Dependents
xxix) Any Claim arising due to Non-disclosure of Pre-existing • Individual Sum Insured Option:
Illness or Material fact as sought to be declared on the
Proposal form • Proposer • Spouse
• Dependent Children • Dependant Parents/in laws
General Conditions
• Grand Mother • Grand Father
1. Entry Age:
• Grand Son • Grand Daughter
Base Cover
• Daughter in Law • Son in law
Proposer Adult Dependent Child/Children
• Minimum Entry • Minimum Entry • Minimum Entry • Sister • Brother
Age – 18 Years· Age – 18 Years· Age – 91 days· • Sister in law • Nephew
• Maximum Entry • Maximum Entry • Maximum Entry • Niece • Brother in law
Age – Lifetime Age - Lifetime Age - 25 years
• Floater Sum Insured Option: Self, Spouse, dependent
Entry Entry
children* and dependent parents/parents in law can be
Optional covers: covered under floater option. Floater option of 2 Adult, 2
Proposer Adult Dependent Child/Children Parents and 2 Children is not available for Sum Insured below
3 lacs
• Minimum Entry • Minimum Entry • Minimum Entry
Age – 18 Years Age – 18 Years Age – 91 days * Dependent children: A child is considered a dependent for
insurance purposes until his 25th birthday provided he is
financially dependent, on the proposer.

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

Section A Hospitalsation Cover

1 Medical Expenses Covered Covered Covered Covered Covered Covered

Room Rent At Actual At Actual At Actual At Actual At Actual At Actual

ICU At Actuals At Actuals At Actuals At Actuals At Actuals At Actuals

a Mental Healthcare Covered Covered Covered Covered Covered Covered

2 Home Healthcare Covered Covered Covered Covered Covered Covered

3 Domicilliary Covered Covered Covered Covered Covered Covered


Hospitalisation

4 Pre-Hospitalisation 60 days 60 days 60 days 60 days 60 days 60 days


cover

5 Post-Hospitalisation 180 Days 180 Days 180 Days 180 Days 180 Days 180 Days
cover

6 Day Care Covered Covered Covered Covered Covered Covered


Procedures

7 Road Ambulance SI 1 to 5 L - SI 6 to SI 6to 50 L - 3,500 SI 6 to 50 L - 3,500 Above 50 L - SI 25 to 50 L -


Rs 2000 50 L - 3,500 Above 50 L - 15,000 3,500 Above 50 L
15,000 - 15,000

8 Organ Donor Covered Covered Covered Covered Covered Covered


Expenses

9 Alternative Covered Covered Covered Covered Covered Covered


Treatments

Section B Renewal Benefits

1 my:Health Active Covered Covered Covered Covered Covered Covered

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%

Section C Optional Covers

1 Preventive Health Covered Coverd Coverd Covered Covered Covered


Check Up- Booster

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 - - - - - -

i Maternity Expenses Covered Covered Covered Covered Covered Covered

ii Pre and Post Natal Covered Covered Covered Covered Covered Covered
Expenses

iii Infertility Treatment Covered Covered Covered Covered Covered Covered

3 II Child Care Covered Covered Covered Covered Covered Covered

i New Born Baby Covered Covered Covered Covered Covered Covered


Cover

ii Vaccination Covered Covered Covered Covered Covered Covered


Charges

3 III Waiting Period Optional - 3 Optional - 3 Yr Optional - 3 Yr Optional - 3 Yr Optional - 3 Yr Optional - 3 Yr


Modification option Yr

4 Air Ambulance Not Covered upto ` 2 lacs upto ` 2 lacs upto ` 5 Lacs upto ` 10 Lacs upto ` 10 Lacs
Cover

5 Recovery Benefit ` 5,000 ` 15,000 ` 15,000 ` 25,000 ` 40,000 ` 40,000

6 Sum Insured Covered Covered Covered Covered Covered Covered


Rebound

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

10 Non Medical Optional Optional Optional Optional Optional Optional


Expenses cover

11 Waiting Period Covered Optional - 3 Yr Covered Covered Covered 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 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

12 Extended Optional Optional Optional Optional Optional Optional


Cumulative Bonus 25% subject 25% subject to 25% subject to 50% subject to max 50% subject to max 50% subject to max
to max 200% max 200% max 200% 200% 200% 200%
50% subject 50% subject to 50% subject to
to max 200% max 200% max 200%

13 Room Rent Optional Optional Optional Optional Optional Optional


Modification option

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

Pre exisitng Waiting 3 years 4 years 3 years 3 years 3 years 3 Years


Period

Parent and Child 4 years 4 years 4 years 4 years 4 years 4 years


Care Booster -
Waiting Period

Add on Covers

1 my:Health Critical Optional Optional Optional Optional Optional Optional


Illness Add on

Second Opinion for In-built In-built In-built In-built In-built In-built


Critical Illness

2 my:health Hospital Optional Optional Optional Optional Optional Optional


Cash Add-on

Hospital Cash - Per 1000, 2000 3000, 5000 3000, 5000 3000, 5000, 7500 5000, 7500, 10,000 5000, 7500, 10,000
day

Hospital Cash - ICU In-built In-built In-built In-built In-built In-built

Hospital Cash Not Covered Not Covered Not Covered Not Covered Not Covered Covered
(Global)

Companion Benefit In-built In-built In-built In-built In-built In-built

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

Sr No Covers Classic Silver Gold Platinum Global

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

Section A Hospitalsation Cover

1 Medical Expenses Covered Covered Covered Covered Covered

Room Rent At Actual At Actual At Actual At Actual At Actual

ICU At Actuals At Actuals At Actuals At Actuals At Actuals

a Mental Healthcare Covered Covered Covered Covered Covered

2 Home Healthcare Covered Covered Covered Covered Covered

3 Domicilliary Covered Covered Covered Covered Covered


Hospitalisation

4 Pre-Hospitalisation 60 days 60 days 60 days 60 days 60 days


cover

5 Post- 180 Days 180 Days 180 Days 180 Days 180 Days
Hospitalisation
cover

6 Day Care Covered Covered Covered Covered Covered


Procedures

7 Road Ambulance SI 1 to 5 L - Rs 2000 SI 1 to 5 L - SI 1 to 5 L - SI 1 to 5 L - SI 25 to 50 L - 3,500


Rs 2000 SI 7.5 to Rs 2000 SI 7.5 to Rs 2000SI 7.5 to Above 50 L - 15,000
50 L - 3,500 25 L - 3,500 25 L - 3,500

8 Organ Donor Covered Covered Covered Covered Covered


Expenses

9 Alternative Covered Covered Covered Covered Covered


Treatments

Section B Renewal Benefits

1 my:Health Active Covered Applicable Applicable Applicable Covered

2 Preventive Health Covered Covered Covered Covered Covered


Check up

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%

Section C Optional Covers

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

2I Parent Care Covered Optional Covered Covered 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 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

i Maternity Expenses Various Various - - -

ii OPD Expenses Various Various Rs. 1,500 Rs 2,500 Rs 5,000, Rs 7,000

2 II Child Care Various Various - - -

i New Born Baby Various Various Rs 2,000 Rs 3,500 Rs 6,000, Rs 10,000


Cover

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

6 Sum Insured Covered Optional Optional Optional Optional


Rebound

7 Outpatient dental Not Covered Optional Optional Upto 1% of Sum upto 1% of SI


treatment Upto 1% of Sum Upto 1% of Sum Insured subject to maximum upto
Insured subject to Insured subject to maximum of 5,000 20,000
maximum of 5,000 maximum of 5,000
or maximum of or maximum of
20,000 20,000

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

12 Extended Not Covered Optional Optional Optional Optional


Cumulative Bonus 10% subjecto to max 10% subjecto to max 10% subjecto to max 10% subjecto to max
100% 100% 100% 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 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%

15 Major Illness – Not Covered Optional Optional Optional Optional


Benefit 11 CI upto Basic SI 11 CI upto Basic 11 CI upto Basic 11 CI upto Basic SI
of 50% or 100 % SI of 50% or 100 % SI of 50% or 100 % of 50% or 100 %
suject to max Rs 10 suject to max Rs 10 suject to max Rs 10 suject to max Rs 10
lacs only lacs only lacs only lacs only

16 E-Opinion Not Covered Optional Covered Covered Covered

17 Hospital Cash Not Covered Optional Optional Optional Optional


500 / 1,000 / 1,500 / 500 / 1,000 / 1,500 / 500 / 1,000 / 1,500 / 500 / 1,000 / 1,500 /
2,000 / 2,500 2,000 / 2,500 2,000 / 2,500 2,000 / 2,500
Maximum of 30 days Maximum of 30 days Maximum of 30 days Maximum of 30 days
Maximum of 60 days Maximum of 60 days Maximum of 60 days Maximum of 60 days

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

Pre exisitng Waiting 3 years 4 years 4 years 4 years 4 years


Period

Parent and Child 3 years 4 years 4 years 4 years 4 years


Care Booster -
Waiting Period

Add on Covers

1 my:Health Critical Not Covered Not Covered Not Covered Not Covered Not Covered
Illness Add on

Second Opinion for Not Covered - - - -


Critical Illness

2 my:health Hospital Not Covered Not Covered Not Covered Not Covered Not Covered
Cash Add-on

Hospital Cash - Per - - - - -


day

Hospital Cash - ICU - - - - -

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

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 5,619 NA NA NA NA NA NA NA NA NA
18-35 7,185 10,778 12,574 14,370 8,622 9,700 10,778 17,963 22,993 1,796
36-45 8,518 12,777 14,907 17,036 10,222 11,500 12,777 21,296 27,258 2,130
46-50 11,058 16,586 19,351 22,115 13,269 14,928 16,586 27,644 35,384 2,764
51-55 14,282 21,424 24,994 28,565 17,139 19,281 21,424 35,706 45,704 2,764
56-60 16,521 24,782 28,912 33,042 19,825 22,304 24,782 41,303 52,868 2,764
61-65 22,566 33,849 39,490 45,132 27,079 30,464 33,849 56,414 72,211 2,764
66-70 28,622 42,933 50,089 57,244 34,347 38,640 42,933 71,555 91,591 2,764
71-75 36,677 55,015 64,185 73,354 44,012 49,514 55,015 91,692 117,366 2,764
76-80 36,677 55,015 64,185 73,354 44,012 49,514 55,015 91,692 117,366 2,764
>80 36,677 55,015 64,185 73,354 44,012 49,514 55,015 91,692 117,366 2,764

Premium Exclusive of GST


Sum Insured 4,00,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 6,500 NA NA NA NA NA NA NA NA NA
18-35 8,301 12,451 14,527 16,602 9,961 11,206 12,451 20,752 26,563 2,075
36-45 9,830 14,745 17,203 19,661 11,796 13,271 14,745 24,576 31,457 2,458
46-50 12,749 19,124 22,311 25,499 15,299 17,212 19,124 31,873 40,798 3,187
51-55 16,454 24,681 28,795 32,908 19,745 22,213 24,681 41,135 52,653 3,187
56-60 19,065 28,598 33,364 38,130 22,878 25,738 28,598 47,663 61,008 3,187
61-65 26,009 39,014 45,516 52,019 31,211 35,113 39,014 65,023 83,230 3,187
66-70 32,965 49,448 57,689 65,930 39,558 44,503 49,448 82,413 105,489 3,187
71-75 42,220 63,329 73,884 84,439 50,664 56,996 63,329 105,549 135,103 3,187
76-80 42,220 63,329 73,884 84,439 50,664 56,996 63,329 105,549 135,103 3,187
>80 42,220 63,329 73,884 84,439 50,664 56,996 63,329 105,549 135,103 3,187

Premium Exclusive of GST


Sum Insured 5,00,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 7,165 NA NA NA NA NA NA NA NA NA
18-35 9,138 13,707 15,992 18,277 10,966 12,337 13,707 22,846 29,243 2,285
36-45 10,812 16,218 18,921 21,623 12,974 14,596 16,218 27,029 34,598 2,703
46-50 14,009 21,014 24,516 28,019 16,811 18,913 21,014 35,023 44,830 3,502
51-55 18,066 27,099 31,615 36,132 21,679 24,389 27,099 45,165 57,811 3,502
56-60 20,969 31,454 36,696 41,939 25,163 28,309 31,454 52,423 67,102 3,502
61-65 28,573 42,860 50,003 57,146 34,288 38,574 42,860 71,433 91,434 3,502
66-70 36,189 54,283 63,330 72,378 43,427 48,855 54,283 90,472 115,804 3,502
71-75 46,323 69,484 81,065 92,646 55,587 62,536 69,484 115,807 148,233 3,502
76-80 46,323 69,484 81,065 92,646 55,587 62,536 69,484 115,807 148,233 3,502
>80 46,323 69,484 81,065 92,646 55,587 62,536 69,484 115,807 148,233 3,502

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

Premium Exclusive of GST


Sum Insured 4,00,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 5,277 NA NA NA NA NA NA NA NA NA
18-35 6,723 10,085 11,766 13,446 8,068 9,076 10,085 16,808 21,514 1,681
36-45 7,956 11,933 13,922 15,911 9,547 10,740 11,933 19,889 25,458 1,989
46-50 10,300 15,451 18,026 20,601 12,360 13,905 15,451 25,751 32,961 2,575
51-55 13,279 19,919 23,239 26,559 15,935 17,927 19,919 33,198 42,494 2,575
56-60 15,437 23,155 27,015 30,874 18,524 20,840 23,155 38,592 49,398 2,575
61-65 21,020 31,531 36,786 42,041 25,225 28,378 31,531 52,551 67,266 2,575
66-70 26,616 39,924 46,578 53,232 31,939 35,931 39,924 66,540 85,171 2,575
71-75 34,056 51,084 59,598 68,112 40,867 45,976 51,084 85,140 108,979 2,575
76-80 34,056 51,084 59,598 68,112 40,867 45,976 51,084 85,140 108,979 2,575
>80 34,056 51,084 59,598 68,112 40,867 45,976 51,084 85,140 108,979 2,575

Premium Exclusive of GST


Sum Insured 5,00,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 5,826 NA NA NA NA NA NA NA NA NA
18-35 7,410 11,115 12,967 14,819 8,892 10,003 11,115 18,524 23,711 1,852
36-45 8,758 13,136 15,326 17,515 10,509 11,823 13,136 21,894 28,025 2,189
46-50 11,326 16,989 19,821 22,652 13,591 15,290 16,989 28,315 36,243 2,832
51-55 14,587 21,881 25,528 29,175 17,505 19,693 21,881 36,469 46,680 2,832
56-60 16,994 25,491 29,739 33,988 20,393 22,942 25,491 42,485 54,381 2,832
61-65 23,107 34,661 40,438 46,214 27,729 31,195 34,661 57,768 73,943 2,832
66-70 29,232 43,848 51,156 58,464 35,079 39,463 43,848 73,080 93,543 2,832
71-75 37,378 56,068 65,412 74,757 44,854 50,461 56,068 93,446 119,611 2,832
76-80 37,378 56,068 65,412 74,757 44,854 50,461 56,068 93,446 119,611 2,832
>80 37,378 56,068 65,412 74,757 44,854 50,461 56,068 93,446 119,611 2,832

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

Premium Exclusive of GST


Sum Insured 4,00,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 4,858 NA NA NA NA NA NA NA NA NA
18-35 6,182 9,273 10,819 12,364 7,419 8,346 9,273 15,456 19,783 1,546
36-45 7,313 10,969 12,797 14,625 8,775 9,872 10,969 18,282 23,401 1,828
46-50 9,461 14,191 16,556 18,921 11,353 12,772 14,191 23,652 30,274 2,365
51-55 12,191 18,286 21,334 24,382 14,629 16,458 18,286 30,477 39,011 2,365
56-60 14,193 21,289 24,837 28,386 17,031 19,160 21,289 35,482 45,417 2,365
61-65 19,310 28,965 33,792 38,620 23,172 26,068 28,965 48,275 61,792 2,365
66-70 24,439 36,658 42,768 48,877 29,326 32,992 36,658 61,097 78,204 2,365
71-75 31,257 46,885 54,700 62,514 37,508 42,197 46,885 78,142 100,022 2,365
76-80 31,257 46,885 54,700 62,514 37,508 42,197 46,885 78,142 100,022 2,365
>80 31,257 46,885 54,700 62,514 37,508 42,197 46,885 78,142 100,022 2,365

Premium Exclusive of GST


Sum Insured 5,00,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 5,366 NA NA NA NA NA NA NA NA NA
18-35 6,817 10,226 11,930 13,634 8,180 9,203 10,226 17,043 21,814 1,704
36-45 8,053 12,080 14,093 16,107 9,664 10,872 12,080 20,133 25,771 2,013
46-50 10,406 15,609 18,210 20,812 12,487 14,048 15,609 26,015 33,299 2,602
51-55 13,395 20,092 23,441 26,790 16,074 18,083 20,092 33,487 42,863 2,602
56-60 15,631 23,446 27,354 31,262 18,757 21,102 23,446 39,077 50,019 2,602
61-65 21,233 31,849 37,158 42,466 25,480 28,665 31,849 53,082 67,946 2,602
66-70 26,847 40,270 46,982 53,694 32,216 36,243 40,270 67,117 85,910 2,602
71-75 34,312 51,467 60,045 68,623 41,174 46,321 51,467 85,779 109,797 2,602
76-80 34,312 51,467 60,045 68,623 41,174 46,321 51,467 85,779 109,797 2,602
>80 34,312 51,467 60,045 68,623 41,174 46,321 51,467 85,779 109,797 2,602

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

Premium Exclusive of GST


Sum Insured 10,00,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 9,219 NA NA NA NA NA NA NA NA NA
18-35 11,768 17,652 20,594 23,536 14,122 15,887 17,652 29,420 37,658 2,942
36-45 13,969 20,953 24,445 27,937 16,762 18,858 20,953 34,922 44,700 3,492
46-50 18,213 27,320 31,873 36,427 21,856 24,588 27,320 45,534 58,283 4,553
51-55 23,495 35,243 41,116 46,990 28,194 31,718 35,243 58,738 75,184 4,553
56-60 27,270 40,905 47,722 54,539 32,724 36,814 40,905 68,174 87,263 4,553
61-65 37,167 55,750 65,042 74,333 44,600 50,175 55,750 92,917 1,18,934 4,553
66-70 47,099 70,648 82,423 94,198 56,519 63,584 70,648 1,17,747 1,50,717 4,553
71-75 60,281 90,422 1,05,492 1,20,563 72,338 81,380 90,422 1,50,703 1,92,900 4,553
76-80 60,281 90,422 1,05,492 1,20,563 72,338 81,380 90,422 1,50,703 1,92,900 4,553
>80 60,281 90,422 1,05,492 1,20,563 72,338 81,380 90,422 1,50,703 1,92,900 4,553

Premium Exclusive of GST


Sum Insured 15,00,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 11,078 NA NA NA NA NA NA NA NA NA
18-35 14,167 21,250 24,792 28,334 17,000 19,125 21,250 35,417 45,334 3,542
36-45 16,819 25,229 29,433 33,638 20,183 22,706 25,229 42,048 53,821 4,205
46-50 21,937 32,906 38,390 43,874 26,325 29,615 32,906 54,843 70,199 5,484
51-55 28,322 42,483 49,564 56,644 33,986 38,235 42,483 70,805 90,631 5,484
56-60 32,786 49,179 57,376 65,572 39,343 44,261 49,179 81,966 1,04,916 5,484
61-65 44,752 67,128 78,316 89,504 53,702 60,415 67,128 1,11,880 1,43,206 5,484
66-70 56,753 85,129 99,318 1,13,506 68,103 76,616 85,129 1,41,882 1,81,609 5,484
71-75 72,694 1,09,040 1,27,214 1,45,387 87,232 98,136 1,09,040 1,81,734 2,32,619 5,484
76-80 72,694 1,09,040 1,27,214 1,45,387 87,232 98,136 1,09,040 1,81,734 2,32,619 5,484
>80 72,694 1,09,040 1,27,214 1,45,387 87,232 98,136 1,09,040 1,81,734 2,32,619 5,484

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

Premium Exclusive of GST


Sum Insured 10,00,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 7,490 NA NA NA NA NA NA NA NA NA
18-35 9,537 14,305 16,689 19,073 11,444 12,874 14,305 23,841 30,517 2,384
36-45 11,317 16,975 19,805 22,634 13,580 15,278 16,975 28,292 36,214 2,829
46-50 14,749 22,124 25,811 29,499 17,699 19,912 22,124 36,873 47,198 3,687
51-55 19,005 28,507 33,258 38,009 22,806 25,656 28,507 47,511 60,815 3,687
56-60 22,138 33,207 38,741 44,275 26,565 29,886 33,207 55,344 70,841 3,687
61-65 30,110 45,165 52,693 60,221 36,132 40,649 45,165 75,276 96,353 3,687
66-70 38,118 57,177 66,706 76,236 45,742 51,459 57,177 95,295 1,21,978 3,687
71-75 48,734 73,102 85,285 97,469 58,481 65,791 73,102 1,21,836 1,55,950 3,687
76-80 48,734 73,102 85,285 97,469 58,481 65,791 73,102 1,21,836 1,55,950 3,687
>80 48,734 73,102 85,285 97,469 58,481 65,791 73,102 1,21,836 1,55,950 3,687

Premium Exclusive of GST


Sum Insured 15,00,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 8,982 NA NA NA NA NA NA NA NA NA
18-35 11,462 17,193 20,059 22,924 13,755 15,474 17,193 28,655 36,679 2,866
36-45 13,605 20,408 23,809 27,210 16,326 18,367 20,408 34,013 43,536 3,401
46-50 17,738 26,608 31,042 35,477 21,286 23,947 26,608 44,346 56,763 4,435
51-55 22,879 34,319 40,039 45,759 27,455 30,887 34,319 57,198 73,214 4,435
56-60 26,566 39,849 46,491 53,132 31,879 35,864 39,849 66,415 85,011 4,435
61-65 36,199 54,299 63,349 72,398 43,439 48,869 54,299 90,498 1,15,837 4,435
66-70 45,867 68,801 80,268 91,735 55,041 61,921 68,801 1,14,669 1,46,776 4,435
71-75 58,698 88,047 1,02,721 1,17,396 70,438 79,242 88,047 1,46,745 1,87,834 4,435
76-80 58,698 88,047 1,02,721 1,17,396 70,438 79,242 88,047 1,46,745 1,87,834 4,435
>80 58,698 88,047 1,02,721 1,17,396 70,438 79,242 88,047 1,46,745 1,87,834 4,435

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

Premium Exclusive of GST


Sum Insured 10,00,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 6,897 NA NA NA NA NA NA NA NA NA
18-35 8,771 13,157 15,350 17,543 10,526 11,841 13,157 21,929 28,069 2,193
36-45 10,408 15,612 18,213 20,815 12,489 14,050 15,612 26,019 33,305 2,602
46-50 13,562 20,342 23,733 27,123 16,274 18,308 20,342 33,904 43,397 3,390
51-55 17,465 26,197 30,564 34,930 20,958 23,578 26,197 43,662 55,888 3,390
56-60 20,378 30,567 35,662 40,756 24,454 27,510 30,567 50,945 65,210 3,390
61-65 27,691 41,536 48,459 55,382 33,229 37,383 41,536 69,227 88,610 3,390
66-70 35,039 52,558 61,318 70,077 42,046 47,302 52,558 87,597 1,12,124 3,390
71-75 44,775 67,163 78,357 89,550 53,730 60,446 67,163 1,11,938 1,43,280 3,390
76-80 44,775 67,163 78,357 89,550 53,730 60,446 67,163 1,11,938 1,43,280 3,390
>80 44,775 67,163 78,357 89,550 53,730 60,446 67,163 1,11,938 1,43,280 3,390

Premium Exclusive of GST


Sum Insured 15,00,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 8,263 NA NA NA NA NA NA NA NA NA
18-35 10,535 15,802 18,436 21,069 12,642 14,222 15,802 26,337 33,711 2,634
36-45 12,503 18,755 21,880 25,006 15,004 16,879 18,755 31,258 40,010 3,126
46-50 16,299 24,448 28,523 32,598 19,559 22,003 24,448 40,747 52,156 4,075
51-55 21,013 31,520 36,773 42,026 25,216 28,368 31,520 52,533 67,242 4,075
56-60 24,433 36,650 42,758 48,866 29,320 32,985 36,650 61,083 78,186 4,075
61-65 33,267 49,900 58,217 66,533 39,920 44,910 49,900 83,166 1,06,453 4,075
66-70 42,135 63,203 73,736 84,270 50,562 56,882 63,203 1,05,338 1,34,832 4,075
71-75 53,899 80,849 94,324 1,07,798 64,679 72,764 80,849 1,34,748 1,72,478 4,075
76-80 53,899 80,849 94,324 1,07,798 64,679 72,764 80,849 1,34,748 1,72,478 4,075
>80 53,899 80,849 94,324 1,07,798 64,679 72,764 80,849 1,34,748 1,72,478 4,075

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

Premium Exclusive of GST


Sum Insured 10,00,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 8,589 NA NA NA NA NA NA NA NA NA
18-35 10,957 16,435 19,174 21,914 13,148 14,792 16,435 27,392 35,062 2,739
36-45 13,001 19,501 22,751 26,001 15,601 17,551 19,501 32,502 41,602 3,250
46-50 16,943 25,415 29,651 33,886 20,332 22,873 25,415 42,358 54,218 4,236
51-55 21,849 32,773 38,236 43,698 26,219 29,496 32,773 54,622 69,917 4,236
56-60 25,380 38,071 44,416 50,761 30,457 34,264 38,071 63,451 81,218 4,236
61-65 34,573 51,860 60,503 69,147 41,488 46,674 51,860 86,433 110,635 4,236
66-70 43,799 65,698 76,648 87,597 52,558 59,128 65,698 109,497 140,156 4,236
71-75 56,043 84,065 98,075 112,086 67,252 75,658 84,065 140,108 179,338 4,236
76-80 56,043 84,065 98,075 112,086 67,252 75,658 84,065 140,108 179,338 4,236
>80 56,043 84,065 98,075 112,086 67,252 75,658 84,065 140,108 179,338 4,236

Premium Exclusive of GST


Sum Insured 15,00,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 10,309 NA NA NA NA NA NA NA NA NA
18-35 13,176 19,764 23,058 26,352 15,811 17,788 19,764 32,941 42,164 3,294
36-45 15,638 23,457 27,366 31,276 18,766 21,111 23,457 39,095 50,042 3,909
46-50 20,388 30,583 35,680 40,777 24,466 27,524 30,583 50,971 65,243 5,097
51-55 26,315 39,473 46,051 52,630 31,578 35,525 39,473 65,788 84,208 5,097
56-60 30,485 45,727 53,348 60,969 36,582 41,154 45,727 76,212 97,551 5,097
61-65 41,592 62,387 72,785 83,183 49,910 56,149 62,387 103,979 133,093 5,097
66-70 52,731 79,096 92,279 105,462 63,277 71,187 79,096 131,827 168,739 5,097
71-75 67,527 101,291 118,173 135,055 81,033 91,162 101,291 168,819 216,088 5,097
76-80 67,527 101,291 118,173 135,055 81,033 91,162 101,291 168,819 216,088 5,097
>80 67,527 101,291 118,173 135,055 81,033 91,162 101,291 168,819 216,088 5,097

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

Premium Exclusive of GST


Sum Insured 10,00,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 6,983 NA NA NA NA NA NA NA NA NA
18-35 8,884 13,326 15,547 17,768 10,661 11,993 13,326 22,210 28,429 2,221
36-45 10,537 15,806 18,440 21,075 12,645 14,226 15,806 26,344 33,720 2,634
46-50 13,725 20,588 24,019 27,451 16,470 18,529 20,588 34,313 43,921 3,431
51-55 17,678 26,517 30,936 35,356 21,213 23,865 26,517 44,195 56,569 3,431
56-60 20,613 30,920 36,074 41,227 24,736 27,828 30,920 51,534 65,963 3,431
61-65 28,019 42,028 49,033 56,037 33,622 37,825 42,028 70,047 89,660 3,431
66-70 35,456 53,185 62,049 70,913 42,548 47,866 53,185 88,641 113,460 3,431
71-75 45,317 67,976 79,305 90,635 54,381 61,178 67,976 113,293 145,015 3,431
76-80 45,317 67,976 79,305 90,635 54,381 61,178 67,976 113,293 145,015 3,431
>80 45,317 67,976 79,305 90,635 54,381 61,178 67,976 113,293 145,015 3,431

Premium Exclusive of GST


Sum Insured 15,00,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 8,364 NA NA NA NA NA NA NA NA NA
18-35 10,666 15,998 18,665 21,331 12,799 14,398 15,998 26,664 34,130 2,666
36-45 12,655 18,982 22,145 25,309 15,185 17,084 18,982 31,636 40,494 3,164
46-50 16,491 24,737 28,859 32,982 19,789 22,263 24,737 41,228 52,771 4,123
51-55 21,263 31,894 37,210 42,526 25,516 28,705 31,894 53,157 68,041 4,123
56-60 24,711 37,066 43,244 49,421 29,653 33,359 37,066 61,777 79,074 4,123
61-65 33,652 50,479 58,892 67,305 40,383 45,431 50,479 84,131 107,687 4,123
66-70 42,627 63,940 74,596 85,253 51,152 57,546 63,940 106,566 136,405 4,123
71-75 54,536 81,804 95,438 109,072 65,443 73,624 81,804 136,340 174,515 4,123
76-80 54,536 81,804 95,438 109,072 65,443 73,624 81,804 136,340 174,515 4,123
>80 54,536 81,804 95,438 109,072 65,443 73,624 81,804 136,340 174,515 4,123

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

Premium Exclusive of GST


Sum Insured 10,00,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 6,432 NA NA NA NA NA NA NA NA NA
18-35 8,173 12,260 14,303 16,346 9,808 11,034 12,260 20,433 26,154 2,043
36-45 9,693 14,539 16,962 19,386 11,631 13,085 14,539 24,232 31,017 2,423
46-50 12,622 18,933 22,089 25,244 15,147 17,040 18,933 31,555 40,391 3,156
51-55 16,248 24,371 28,433 32,495 19,497 21,934 24,371 40,619 51,992 3,156
56-60 18,979 28,468 33,213 37,958 22,775 25,622 28,468 47,447 60,733 3,156
61-65 25,771 38,657 45,100 51,542 30,925 34,791 38,657 64,428 82,468 3,156
66-70 32,596 48,894 57,043 65,192 39,115 44,005 48,894 81,490 104,307 3,156
71-75 41,640 62,459 72,869 83,279 49,968 56,214 62,459 104,099 133,247 3,156
76-80 41,640 62,459 72,869 83,279 49,968 56,214 62,459 104,099 133,247 3,156
>80 41,640 62,459 72,869 83,279 49,968 56,214 62,459 104,099 133,247 3,156

Premium Exclusive of GST


Sum Insured 15,00,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 7,696 NA NA NA NA NA NA NA NA NA
18-35 9,805 14,707 17,158 19,609 11,766 13,236 14,707 24,512 31,375 2,451
36-45 11,632 17,447 20,355 23,263 13,958 15,703 17,447 29,079 37,221 2,908
46-50 15,155 22,732 26,521 30,309 18,186 20,459 22,732 37,887 48,495 3,789
51-55 19,531 29,296 34,179 39,061 23,437 26,366 29,296 48,827 62,498 3,789
56-60 22,731 34,096 39,779 45,462 27,277 30,687 34,096 56,827 72,739 3,789
61-65 30,930 46,395 54,128 61,860 37,116 41,756 46,395 77,325 98,977 3,789
66-70 39,162 58,743 68,534 78,324 46,994 52,869 58,743 97,905 125,318 3,789
71-75 50,082 75,122 87,643 100,163 60,098 67,610 75,122 125,204 160,261 3,789
76-80 50,082 75,122 87,643 100,163 60,098 67,610 75,122 125,204 160,261 3,789
>80 50,082 75,122 87,643 100,163 60,098 67,610 75,122 125,204 160,261 3,789

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

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 15,267 NA NA NA NA NA NA NA NA NA
18-35 19,544 29,316 34,202 39,088 23,453 26,384 29,316 48,860 62,540 4,886
36-45 23,235 34,853 40,662 46,471 27,882 31,368 34,853 58,088 74,353 5,809
46-50 30,442 45,664 53,274 60,885 36,531 41,097 45,664 76,106 97,416 7,611
51-55 39,304 58,956 68,782 78,608 47,165 53,060 58,956 98,260 1,25,772 7,611
56-60 45,468 68,202 79,569 90,937 54,562 61,382 68,202 1,13,671 1,45,498 7,611
61-65 62,073 93,110 1,08,628 1,24,146 74,488 83,799 93,110 1,55,183 1,98,634 7,611
66-70 78,737 1,18,105 1,37,790 1,57,474 94,484 1,06,295 1,18,105 1,96,842 2,51,958 7,611
71-75 1,00,854 1,51,281 1,76,495 2,01,708 1,21,025 1,36,153 1,51,281 2,52,135 3,22,733 7,611
76-80 1,00,854 1,51,281 1,76,495 2,01,708 1,21,025 1,36,153 1,51,281 2,52,135 3,22,733 7,611
>80 1,00,854 1,51,281 1,76,495 2,01,708 1,21,025 1,36,153 1,51,281 2,52,135 3,22,733 7,611

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 24,241 NA NA NA NA NA NA NA NA NA
18-35 31,123 46,685 54,466 62,247 37,348 42,017 46,685 77,809 99,595 7,781
36-45 36,995 55,493 64,742 73,991 44,394 49,944 55,493 92,488 1,18,385 9,249
46-50 48,418 72,627 84,731 96,835 58,101 65,364 72,627 1,21,044 1,54,937 12,104
51-55 62,605 93,908 1,09,559 1,25,210 75,126 84,517 93,908 1,56,513 2,00,336 12,104
56-60 72,098 1,08,147 1,26,172 1,44,197 86,518 97,333 1,08,147 1,80,246 2,30,714 12,104
61-65 98,690 1,48,034 1,72,707 1,97,379 1,18,427 1,33,231 1,48,034 2,46,724 3,15,806 12,104
66-70 1,25,339 1,88,009 2,19,344 2,50,679 1,50,407 1,69,208 1,88,009 3,13,349 4,01,086 12,104
71-75 1,60,772 2,41,157 2,81,350 3,21,543 1,92,926 2,17,042 2,41,157 4,01,929 5,14,469 12,104
76-80 1,60,772 2,41,157 2,81,350 3,21,543 1,92,926 2,17,042 2,41,157 4,01,929 5,14,469 12,104
>80 1,60,772 2,41,157 2,81,350 3,21,543 1,92,926 2,17,042 2,41,157 4,01,929 5,14,469 12,104

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 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

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 12,365 NA NA NA NA NA NA NA NA NA
18-35 15,799 23,699 27,649 31,599 18,959 21,329 23,699 39,499 50,558 3,950
36-45 18,786 28,179 32,875 37,572 22,543 25,361 28,179 46,965 60,115 4,696
46-50 24,630 36,945 43,102 49,260 29,556 33,250 36,945 61,575 78,816 6,157
51-55 31,769 47,654 55,596 63,538 38,123 42,888 47,654 79,423 101,661 6,157
56-60 36,857 55,286 64,500 73,714 44,229 49,757 55,286 92,143 117,943 6,157
61-65 50,233 75,349 87,908 100,466 60,280 67,814 75,349 125,582 160,745 6,157
66-70 63,667 95,501 111,418 127,335 76,401 85,951 95,501 159,168 203,736 6,157
71-75 81,479 122,218 142,588 162,958 97,775 109,997 122,218 203,697 260,733 6,157
76-80 81,479 122,218 142,588 162,958 97,775 109,997 122,218 203,697 260,733 6,157
>80 81,479 122,218 142,588 162,958 97,775 109,997 122,218 203,697 260,733 6,157

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

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 23,831 NA NA NA NA NA NA NA NA NA
18-35 30,595 45,892 53,541 61,189 36,714 41,303 45,892 76,487 97,903 7,649
36-45 36,367 54,551 63,642 72,734 43,640 49,096 54,551 90,918 116,375 9,092
46-50 47,597 71,395 83,295 95,194 57,116 64,256 71,395 118,992 152,310 11,899
51-55 61,541 92,312 107,697 123,082 73,849 83,081 92,312 153,853 196,932 11,899
56-60 70,882 106,323 124,044 141,765 85,059 95,691 106,323 177,206 226,823 11,899
61-65 97,018 145,526 169,781 194,035 116,421 130,974 145,526 242,544 310,456 11,899
66-70 123,211 184,817 215,620 246,423 147,854 166,336 184,817 308,029 394,277 11,899
71-75 158,036 237,053 276,562 316,071 189,643 213,348 237,053 395,089 505,714 11,899
76-80 158,036 237,053 276,562 316,071 189,643 213,348 237,053 395,089 505,714 11,899
>80 158,036 237,053 276,562 316,071 189,643 213,348 237,053 395,089 505,714 11,899

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

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 17,967 NA NA NA NA NA NA NA NA NA
18-35 23,028 34,541 40,298 46,055 27,633 31,087 34,541 57,569 73,688 5,757
36-45 27,375 41,063 47,906 54,750 32,850 36,956 41,063 68,438 87,600 6,844
46-50 35,850 53,776 62,738 71,701 43,020 48,398 53,776 89,626 114,721 8,963
51-55 46,314 69,471 81,050 92,628 55,577 62,524 69,471 115,785 148,205 8,963
56-60 53,480 80,220 93,590 106,960 64,176 72,198 80,220 133,700 171,136 8,963
61-65 73,089 109,634 127,906 146,179 87,707 98,671 109,634 182,723 233,886 8,963
66-70 92,757 139,136 162,325 185,515 111,309 125,223 139,136 231,894 296,824 8,963
71-75 118,880 178,321 208,041 237,761 142,657 160,489 178,321 297,201 380,417 8,963
76-80 118,880 178,321 208,041 237,761 142,657 160,489 178,321 297,201 380,417 8,963
>80 118,880 178,321 208,041 237,761 142,657 160,489 178,321 297,201 380,417 8,963

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 21,870 NA NA NA NA NA NA NA NA NA
18-35 28,064 42,096 49,112 56,128 33,677 37,887 42,096 70,160 89,805 7,016
36-45 33,360 50,040 58,380 66,720 40,032 45,036 50,040 83,400 106,752 8,340
46-50 43,669 65,503 76,420 87,337 52,402 58,953 65,503 109,172 139,740 10,917
51-55 56,449 84,674 98,786 112,898 67,739 76,206 84,674 141,123 180,637 10,917
56-60 65,063 97,594 113,860 130,125 78,075 87,835 97,594 162,657 208,201 10,917
61-65 89,016 133,523 155,777 178,031 106,819 120,171 133,523 222,539 284,850 10,917
66-70 113,027 169,541 197,798 226,054 135,633 152,587 169,541 282,568 361,687 10,917
71-75 144,942 217,412 253,648 289,883 173,930 195,671 217,412 362,354 463,813 10,917
76-80 144,942 217,412 253,648 289,883 173,930 195,671 217,412 362,354 463,813 10,917
>80 144,942 217,412 253,648 289,883 173,930 195,671 217,412 362,354 463,813 10,917

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

Premium Exclusive of GST


Sum Insured 1,50,00,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 39,677 NA NA NA NA NA NA NA NA NA
18-35 50,995 76,493 89,242 1,01,991 61,195 68,844 76,493 1,27,489 1,63,185 12,749
36-45 60,647 90,970 1,06,132 1,21,294 72,776 81,873 90,970 1,51,617 1,94,070 15,162
46-50 79,522 1,19,283 1,39,163 1,59,044 95,426 1,07,355 1,19,283 1,98,805 2,54,470 19,880
51-55 1,02,848 1,54,272 1,79,984 2,05,696 1,23,418 1,38,845 1,54,272 2,57,120 3,29,114 19,880
56-60 1,18,305 1,77,458 2,07,034 2,36,610 1,41,966 1,59,712 1,77,458 2,95,763 3,78,577 19,880
61-65 1,62,026 2,43,039 2,83,545 3,24,052 1,94,431 2,18,735 2,43,039 4,05,065 5,18,483 19,880
66-70 2,05,840 3,08,761 3,60,221 4,11,681 2,47,008 2,77,884 3,08,761 5,14,601 6,58,689 19,880
71-75 2,64,098 3,96,147 4,62,171 5,28,196 3,16,918 3,56,532 3,96,147 6,60,245 8,45,114 19,880
76-80 2,64,098 3,96,147 4,62,171 5,28,196 3,16,918 3,56,532 3,96,147 6,60,245 8,45,114 19,880
>80 2,64,098 3,96,147 4,62,171 5,28,196 3,16,918 3,56,532 3,96,147 6,60,245 8,45,114 19,880

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 44,456 NA NA NA NA NA NA NA NA NA
18-35 57,162 85,743 1,00,033 1,14,324 68,594 77,169 85,743 1,42,905 1,82,918 14,290
36-45 67,975 1,01,962 1,18,955 1,35,949 81,569 91,766 1,01,962 1,69,936 2,17,519 16,994
46-50 89,094 1,33,641 1,55,915 1,78,188 1,06,913 1,20,277 1,33,641 2,22,735 2,85,101 22,274
51-55 1,15,257 1,72,885 2,01,699 2,30,513 1,38,308 1,55,597 1,72,885 2,88,142 3,68,822 22,274
56-60 1,32,486 1,98,730 2,31,851 2,64,973 1,58,984 1,78,857 1,98,730 3,31,216 4,23,957 22,274
61-65 1,81,525 2,72,288 3,17,669 3,63,050 2,17,830 2,45,059 2,72,288 4,53,813 5,80,880 22,274
66-70 2,30,657 3,45,986 4,03,651 4,61,315 2,76,789 3,11,388 3,45,986 5,76,644 7,38,104 22,274
71-75 2,96,006 4,44,009 5,18,010 5,92,011 3,55,207 3,99,608 4,44,009 7,40,014 9,47,218 22,274
76-80 2,96,006 4,44,009 5,18,010 5,92,011 3,55,207 3,99,608 4,44,009 7,40,014 9,47,218 22,274
>80 2,96,006 4,44,009 5,18,010 5,92,011 3,55,207 3,99,608 4,44,009 7,40,014 9,47,218 22,274

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

Premium Exclusive of GST


Sum Insured 3,00,00,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 52,686 NA NA NA NA NA NA NA NA NA
18-35 67,782 1,01,673 1,18,618 1,35,564 81,338 91,506 1,01,673 1,69,455 2,16,902 16,945
36-45 80,594 1,20,891 1,41,040 1,61,189 96,713 1,08,802 1,20,891 2,01,486 2,57,902 20,149
46-50 1,05,580 1,58,370 1,84,765 2,11,160 1,26,696 1,42,533 1,58,370 2,63,950 3,37,855 26,395
51-55 1,36,627 2,04,941 2,39,097 2,73,254 1,63,952 1,84,446 2,04,941 3,41,568 4,37,206 26,395
56-60 1,56,910 2,35,364 2,74,592 3,13,819 1,88,292 2,11,828 2,35,364 3,92,274 5,02,111 26,395
61-65 2,15,107 3,22,660 3,76,437 4,30,214 2,58,128 2,90,394 3,22,660 5,37,767 6,88,342 26,395
66-70 2,73,398 4,10,097 4,78,447 5,46,796 3,28,078 3,69,087 4,10,097 6,83,495 8,74,874 26,395
71-75 3,50,958 5,26,437 6,14,176 7,01,916 4,21,149 4,73,793 5,26,437 8,77,395 11,23,065 26,395
76-80 3,50,958 5,26,437 6,14,176 7,01,916 4,21,149 4,73,793 5,26,437 8,77,395 11,23,065 26,395
>80 3,50,958 5,26,437 6,14,176 7,01,916 4,21,149 4,73,793 5,26,437 8,77,395 11,23,065 26,395

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 56,669 NA NA NA NA NA NA NA NA NA
18-35 72,921 1,09,381 1,27,611 1,45,841 87,505 98,443 1,09,381 1,82,302 2,33,346 18,230
36-45 86,701 1,30,051 1,51,726 1,73,401 1,04,041 1,17,046 1,30,051 2,16,751 2,77,442 21,675
46-50 1,13,557 1,70,335 1,98,724 2,27,114 1,36,268 1,53,302 1,70,335 2,83,892 3,63,382 28,389
51-55 1,46,967 2,20,451 2,57,193 2,93,935 1,76,361 1,98,406 2,20,451 3,67,419 4,70,296 28,389
56-60 1,68,727 2,53,091 2,95,273 3,37,455 2,02,473 2,27,782 2,53,091 4,21,818 5,39,927 28,389
61-65 2,31,356 3,47,034 4,04,873 4,62,713 2,77,628 3,12,331 3,47,034 5,78,391 7,40,340 28,389
66-70 2,94,079 4,41,119 5,14,638 5,88,158 3,52,895 3,97,007 4,41,119 7,35,198 9,41,053 28,389
71-75 3,77,548 5,66,322 6,60,708 7,55,095 4,53,057 5,09,689 5,66,322 9,43,869 12,08,153 28,389
76-80 3,77,548 5,66,322 6,60,708 7,55,095 4,53,057 5,09,689 5,66,322 9,43,869 12,08,153 28,389
>80 3,77,548 5,66,322 6,60,708 7,55,095 4,53,057 5,09,689 5,66,322 9,43,869 12,08,153 28,389

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

Premium Exclusive of GST


Sum Insured 4,50,00,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 64,633 NA NA NA NA NA NA NA NA NA
18-35 83,198 1,24,797 1,45,597 1,66,396 99,838 1,12,317 1,24,797 2,07,995 2,66,234 20,800
36-45 98,913 1,48,370 1,73,098 1,97,826 1,18,696 1,33,533 1,48,370 2,47,283 3,16,522 24,728
46-50 1,29,511 1,94,266 2,26,644 2,59,021 1,55,413 1,74,839 1,94,266 3,23,777 4,14,434 32,378
51-55 1,67,648 2,51,473 2,93,385 3,35,297 2,01,178 2,26,325 2,51,473 4,19,121 5,36,475 32,378
56-60 1,92,363 2,88,544 3,36,635 3,84,725 2,30,835 2,59,690 2,88,544 4,80,907 6,15,561 32,378
61-65 2,63,855 3,95,782 4,61,746 5,27,710 3,16,626 3,56,204 3,95,782 6,59,637 8,44,336 32,378
66-70 3,35,441 5,03,161 5,87,022 6,70,882 4,02,529 4,52,845 5,03,161 8,38,602 10,73,411 32,378
71-75 4,30,727 6,46,091 7,53,773 8,61,454 5,16,873 5,81,482 6,46,091 10,76,818 13,78,327 32,378
76-80 4,30,727 6,46,091 7,53,773 8,61,454 5,16,873 5,81,482 6,46,091 10,76,818 13,78,327 32,378
>80 4,30,727 6,46,091 7,53,773 8,61,454 5,16,873 5,81,482 6,46,091 10,76,818 13,78,327 32,378

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 68,616 NA NA NA NA NA NA NA NA NA
18-35 88,337 1,32,505 1,54,589 1,76,674 1,06,004 1,19,255 1,32,505 2,20,842 2,82,678 22,084
36-45 1,05,020 1,57,529 1,83,784 2,10,039 1,26,023 1,41,776 1,57,529 2,62,549 3,36,063 26,255
46-50 1,37,488 2,06,231 2,40,603 2,74,975 1,64,985 1,85,608 2,06,231 3,43,719 4,39,960 34,372
51-55 1,77,989 2,66,983 3,11,481 3,55,978 2,13,587 2,40,285 2,66,983 4,44,972 5,69,564 34,372
56-60 2,04,180 3,06,271 3,57,316 4,08,361 2,45,016 2,75,643 3,06,271 5,10,451 6,53,377 34,372
61-65 2,80,104 4,20,156 4,90,182 5,60,208 3,36,125 3,78,141 4,20,156 7,00,260 8,96,333 34,372
66-70 3,56,122 5,34,183 6,23,213 7,12,244 4,27,346 4,80,764 5,34,183 8,90,304 11,39,590 34,372
71-75 4,57,317 6,85,975 8,00,305 9,14,634 5,48,780 6,17,378 6,85,975 11,43,292 14,63,414 34,372
76-80 4,57,317 6,85,975 8,00,305 9,14,634 5,48,780 6,17,378 6,85,975 11,43,292 14,63,414 34,372
>80 4,57,317 6,85,975 8,00,305 9,14,634 5,48,780 6,17,378 6,85,975 11,43,292 14,63,414 34,372

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

Premium Exclusive of GST


Sum Insured 1,50,00,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 31,993 NA NA NA NA NA NA NA NA NA
18-35 41,081 61,621 71,891 82,161 49,297 55,459 61,621 1,02,702 1,31,458 10,270
36-45 48,865 73,298 85,514 97,731 58,638 65,968 73,298 1,22,163 1,56,369 12,216
46-50 64,131 96,197 1,12,229 1,28,262 76,957 86,577 96,197 1,60,328 2,05,220 16,033
51-55 82,897 1,24,346 1,45,070 1,65,794 99,477 1,11,911 1,24,346 2,07,243 2,65,271 16,033
56-60 95,504 1,43,256 1,67,132 1,91,008 1,14,605 1,28,931 1,43,256 2,38,760 3,05,613 16,033
61-65 1,30,674 1,96,012 2,28,680 2,61,349 1,56,809 1,76,410 1,96,012 3,26,686 4,18,158 16,033
66-70 1,65,938 2,48,908 2,90,392 3,31,877 1,99,126 2,24,017 2,48,908 4,14,846 5,31,003 16,033
71-75 2,12,796 3,19,193 3,72,392 4,25,591 2,55,355 2,87,274 3,19,193 5,31,989 6,80,946 16,033
76-80 2,12,796 3,19,193 3,72,392 4,25,591 2,55,355 2,87,274 3,19,193 5,31,989 6,80,946 16,033
>80 2,12,796 3,19,193 3,72,392 4,25,591 2,55,355 2,87,274 3,19,193 5,31,989 6,80,946 16,033

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 35,830 NA NA NA NA NA NA NA NA NA
18-35 46,031 69,046 80,554 92,061 55,237 62,142 69,046 1,15,077 1,47,298 11,508
36-45 54,747 82,121 95,808 1,09,495 65,697 73,909 82,121 1,36,869 1,75,192 13,687
46-50 71,815 1,07,723 1,25,676 1,43,630 86,178 96,950 1,07,723 1,79,538 2,29,808 17,954
51-55 92,858 1,39,287 1,62,501 1,85,716 1,11,429 1,25,358 1,39,287 2,32,145 2,97,145 17,954
56-60 1,06,888 1,60,332 1,87,054 2,13,776 1,28,265 1,44,299 1,60,332 2,67,220 3,42,041 17,954
61-65 1,46,327 2,19,490 2,56,072 2,92,654 1,75,592 1,97,541 2,19,490 3,65,817 4,68,246 17,954
66-70 1,85,860 2,78,790 3,25,255 3,71,720 2,23,032 2,50,911 2,78,790 4,64,650 5,94,752 17,954
71-75 2,38,409 3,57,613 4,17,215 4,76,818 2,86,091 3,21,852 3,57,613 5,96,022 7,62,908 17,954
76-80 2,38,409 3,57,613 4,17,215 4,76,818 2,86,091 3,21,852 3,57,613 5,96,022 7,62,908 17,954
>80 2,38,409 3,57,613 4,17,215 4,76,818 2,86,091 3,21,852 3,57,613 5,96,022 7,62,908 17,954

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

Premium Exclusive of GST


Sum Insured 3,00,00,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 42,436 NA NA NA NA NA NA NA NA NA
18-35 54,556 81,834 95,473 1,09,111 65,467 73,650 81,834 1,36,389 1,74,578 13,639
36-45 64,878 97,316 1,13,536 1,29,755 77,853 87,585 97,316 1,62,194 2,07,609 16,219
46-50 85,049 1,27,573 1,48,835 1,70,097 1,02,058 1,14,816 1,27,573 2,12,621 2,72,155 21,262
51-55 1,10,012 1,65,019 1,92,522 2,20,025 1,32,015 1,48,517 1,65,019 2,75,031 3,52,040 21,262
56-60 1,26,493 1,89,740 2,21,363 2,52,986 1,51,792 1,70,766 1,89,740 3,16,233 4,04,778 21,262
61-65 1,73,284 2,59,926 3,03,247 3,46,568 2,07,941 2,33,933 2,59,926 4,33,210 5,54,509 21,262
66-70 2,20,169 3,30,253 3,85,296 4,40,338 2,64,203 2,97,228 3,30,253 5,50,422 7,04,541 21,262
71-75 2,82,520 4,23,781 4,94,411 5,65,041 3,39,025 3,81,403 4,23,781 7,06,301 9,04,065 21,262
76-80 2,82,520 4,23,781 4,94,411 5,65,041 3,39,025 3,81,403 4,23,781 7,06,301 9,04,065 21,262
>80 2,82,520 4,23,781 4,94,411 5,65,041 3,39,025 3,81,403 4,23,781 7,06,301 9,04,065 21,262

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 45,633 NA NA NA NA NA NA NA NA NA
18-35 58,681 88,021 1,02,691 1,17,361 70,417 79,219 88,021 1,46,702 1,87,778 14,670
36-45 69,779 1,04,669 1,22,114 1,39,559 83,735 94,202 1,04,669 1,74,448 2,23,294 17,445
46-50 91,452 1,37,178 1,60,041 1,82,904 1,09,742 1,23,460 1,37,178 2,28,630 2,92,646 22,863
51-55 1,18,313 1,77,470 2,07,048 2,36,626 1,41,976 1,59,723 1,77,470 2,95,783 3,78,602 22,863
56-60 1,35,979 2,03,969 2,37,964 2,71,959 1,63,175 1,83,572 2,03,969 3,39,948 4,35,134 22,863
61-65 1,86,328 2,79,492 3,26,074 3,72,656 2,23,593 2,51,543 2,79,492 4,65,820 5,96,249 22,863
66-70 2,36,770 3,55,155 4,14,348 4,73,540 2,84,124 3,19,640 3,55,155 5,91,925 7,57,664 22,863
71-75 3,03,865 4,55,797 5,31,763 6,07,730 3,64,638 4,10,218 4,55,797 7,59,662 9,72,367 22,863
76-80 3,03,865 4,55,797 5,31,763 6,07,730 3,64,638 4,10,218 4,55,797 7,59,662 9,72,367 22,863
>80 3,03,865 4,55,797 5,31,763 6,07,730 3,64,638 4,10,218 4,55,797 7,59,662 9,72,367 22,863

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

Premium Exclusive of GST


Sum Insured 4,50,00,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 52,027 NA NA NA NA NA NA NA NA NA
18-35 66,931 1,00,396 1,17,129 1,33,861 80,317 90,357 1,00,396 1,67,327 2,14,178 16,733
36-45 79,583 1,19,374 1,39,270 1,59,166 95,499 1,07,437 1,19,374 1,98,957 2,54,665 19,896
46-50 1,04,259 1,56,388 1,82,452 2,08,517 1,25,110 1,40,749 1,56,388 2,60,646 3,33,627 26,065
51-55 1,34,914 2,02,371 2,36,100 2,69,828 1,61,897 1,82,134 2,02,371 3,37,286 4,31,726 26,065
56-60 1,54,952 2,32,428 2,71,166 3,09,904 1,85,943 2,09,185 2,32,428 3,87,380 4,95,847 26,065
61-65 2,12,415 3,18,623 3,71,727 4,24,831 2,54,898 2,86,761 3,18,623 5,31,038 6,79,729 26,065
66-70 2,69,972 4,04,959 4,72,452 5,39,945 3,23,967 3,64,463 4,04,959 6,74,931 8,63,912 26,065
71-75 3,46,554 5,19,830 6,06,469 6,93,107 4,15,864 4,67,847 5,19,830 8,66,384 11,08,971 26,065
76-80 3,46,554 5,19,830 6,06,469 6,93,107 4,15,864 4,67,847 5,19,830 8,66,384 11,08,971 26,065
>80 3,46,554 5,19,830 6,06,469 6,93,107 4,15,864 4,67,847 5,19,830 8,66,384 11,08,971 26,065

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 55,223 NA NA NA NA NA NA NA NA NA
18-35 71,056 1,06,584 1,24,348 1,42,111 85,267 95,925 1,06,584 1,77,639 2,27,378 17,764
36-45 84,485 1,26,727 1,47,848 1,68,969 1,01,381 1,14,054 1,26,727 2,11,211 2,70,351 21,121
46-50 1,10,662 1,65,993 1,93,658 2,21,324 1,32,794 1,49,393 1,65,993 2,76,655 3,54,118 27,665
51-55 1,43,215 2,14,822 2,50,626 2,86,430 1,71,858 1,93,340 2,14,822 3,58,037 4,58,287 27,665
56-60 1,64,439 2,46,658 2,87,767 3,28,877 1,97,326 2,21,992 2,46,658 4,11,096 5,26,203 27,665
61-65 2,25,459 3,38,189 3,94,554 4,50,918 2,70,551 3,04,370 3,38,189 5,63,648 7,21,469 27,665
66-70 2,86,574 4,29,860 5,01,504 5,73,147 3,43,888 3,86,874 4,29,860 7,16,434 9,17,036 27,665
71-75 3,67,898 5,51,847 6,43,821 7,35,796 4,41,478 4,96,662 5,51,847 9,19,745 11,77,273 27,665
76-80 3,67,898 5,51,847 6,43,821 7,35,796 4,41,478 4,96,662 5,51,847 9,19,745 11,77,273 27,665
>80 3,67,898 5,51,847 6,43,821 7,35,796 4,41,478 4,96,662 5,51,847 9,19,745 11,77,273 27,665

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

Premium Exclusive of GST


Sum Insured 1,50,00,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 29,359 NA NA NA NA NA NA NA NA NA
18-35 37,681 56,522 65,942 75,362 45,217 50,870 56,522 94,203 1,20,580 9,420
36-45 44,826 67,239 78,445 89,652 53,791 60,515 67,239 1,12,064 1,43,442 11,206
46-50 58,854 88,281 1,02,994 1,17,708 70,625 79,453 88,281 1,47,135 1,88,333 14,714
51-55 76,056 1,14,085 1,33,099 1,52,113 91,268 1,02,676 1,14,085 1,90,141 2,43,381 14,714
56-60 87,686 1,31,529 1,53,451 1,75,372 1,05,223 1,18,376 1,31,529 2,19,215 2,80,596 14,714
61-65 1,19,925 1,79,887 2,09,868 2,39,849 1,43,910 1,61,898 1,79,887 2,99,812 3,83,759 14,714
66-70 1,52,257 2,28,386 2,66,450 3,04,514 1,82,708 2,05,547 2,28,386 3,80,643 4,87,222 14,714
71-75 1,95,205 2,92,808 3,41,609 3,90,410 2,34,246 2,63,527 2,92,808 4,88,013 6,24,656 14,714
76-80 1,95,205 2,92,808 3,41,609 3,90,410 2,34,246 2,63,527 2,92,808 4,88,013 6,24,656 14,714
>80 1,95,205 2,92,808 3,41,609 3,90,410 2,34,246 2,63,527 2,92,808 4,88,013 6,24,656 14,714

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 32,872 NA NA NA NA NA NA NA NA NA
18-35 42,214 63,321 73,875 84,428 50,657 56,989 63,321 1,05,535 1,35,085 10,554
36-45 50,212 75,318 87,871 1,00,424 60,255 67,786 75,318 1,25,530 1,60,679 12,553
46-50 65,890 98,836 1,15,308 1,31,781 79,069 88,952 98,836 1,64,726 2,10,850 16,473
51-55 85,178 1,27,767 1,49,061 1,70,356 1,02,213 1,14,990 1,27,767 2,12,945 2,72,569 16,473
56-60 98,111 1,47,166 1,71,694 1,96,221 1,17,733 1,32,449 1,47,166 2,45,277 3,13,954 16,473
61-65 1,34,258 2,01,387 2,34,952 2,68,517 1,61,110 1,81,249 2,01,387 3,35,646 4,29,627 16,473
66-70 1,70,500 2,55,750 2,98,375 3,41,000 2,04,600 2,30,175 2,55,750 4,26,249 5,45,599 16,473
71-75 2,18,660 3,27,990 3,82,655 4,37,320 2,62,392 2,95,191 3,27,990 5,46,650 6,99,712 16,473
76-80 2,18,660 3,27,990 3,82,655 4,37,320 2,62,392 2,95,191 3,27,990 5,46,650 6,99,712 16,473
>80 2,18,660 3,27,990 3,82,655 4,37,320 2,62,392 2,95,191 3,27,990 5,46,650 6,99,712 16,473

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

Premium Exclusive of GST


Sum Insured 3,00,00,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 38,922 NA NA NA NA NA NA NA NA NA
18-35 50,021 75,031 87,536 1,00,042 60,025 67,528 75,031 1,25,052 1,60,067 12,505
36-45 59,489 89,233 1,04,105 1,18,978 71,387 80,310 89,233 1,48,722 1,90,364 14,872
46-50 78,009 1,17,013 1,36,516 1,56,018 93,611 1,05,312 1,17,013 1,95,022 2,49,629 19,502
51-55 1,00,887 1,51,330 1,76,552 2,01,774 1,21,064 1,36,197 1,51,330 2,52,217 3,22,838 19,502
56-60 1,16,064 1,74,096 2,03,112 2,32,128 1,39,277 1,56,686 1,74,096 2,90,160 3,71,404 19,502
61-65 1,58,944 2,38,416 2,78,152 3,17,888 1,90,733 2,14,574 2,38,416 3,97,360 5,08,621 19,502
66-70 2,01,918 3,02,877 3,53,356 4,03,836 2,42,302 2,72,589 3,02,877 5,04,795 6,46,137 19,502
71-75 2,59,055 3,88,582 4,53,346 5,18,110 3,10,866 3,49,724 3,88,582 6,47,637 8,28,976 19,502
76-80 2,59,055 3,88,582 4,53,346 5,18,110 3,10,866 3,49,724 3,88,582 6,47,637 8,28,976 19,502
>80 2,59,055 3,88,582 4,53,346 5,18,110 3,10,866 3,49,724 3,88,582 6,47,637 8,28,976 19,502

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 41,849 NA NA NA NA NA NA NA NA NA
18-35 53,798 80,697 94,147 1,07,596 64,558 72,628 80,697 1,34,496 1,72,154 13,450
36-45 63,977 95,966 1,11,961 1,27,955 76,773 86,370 95,966 1,59,944 2,04,728 15,994
46-50 83,873 1,25,809 1,46,777 1,67,745 1,00,647 1,13,228 1,25,809 2,09,682 2,68,393 20,968
51-55 1,08,488 1,62,732 1,89,854 2,16,976 1,30,186 1,46,459 1,62,732 2,71,220 3,47,162 20,968
56-60 1,24,751 1,87,126 2,18,314 2,49,502 1,49,701 1,68,414 1,87,126 3,11,877 3,99,203 20,968
61-65 1,70,889 2,56,333 2,99,055 3,41,777 2,05,066 2,30,700 2,56,333 4,27,222 5,46,844 20,968
66-70 2,17,120 3,25,680 3,79,960 4,34,240 2,60,544 2,93,112 3,25,680 5,42,801 6,94,785 20,968
71-75 2,78,601 4,17,901 4,87,551 5,57,201 3,34,321 3,76,111 4,17,901 6,96,502 8,91,522 20,968
76-80 2,78,601 4,17,901 4,87,551 5,57,201 3,34,321 3,76,111 4,17,901 6,96,502 8,91,522 20,968
>80 2,78,601 4,17,901 4,87,551 5,57,201 3,34,321 3,76,111 4,17,901 6,96,502 8,91,522 20,968

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

Premium Exclusive of GST


Sum Insured 4,50,00,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 47,704 NA NA NA NA NA NA NA NA NA
18-35 61,353 92,030 1,07,368 1,22,706 73,624 82,827 92,030 1,53,383 1,96,330 15,338
36-45 72,955 1,09,432 1,27,671 1,45,910 87,546 98,489 1,09,432 1,82,387 2,33,456 18,239
46-50 95,600 1,43,400 1,67,300 1,91,200 1,14,720 1,29,060 1,43,400 2,39,000 3,05,921 23,900
51-55 1,23,690 1,85,536 2,16,458 2,47,381 1,48,429 1,66,982 1,85,536 3,09,226 3,95,809 23,900
56-60 1,42,125 2,13,187 2,48,719 2,84,250 1,70,550 1,91,869 2,13,187 3,55,312 4,54,800 23,900
61-65 1,94,778 2,92,167 3,40,862 3,89,556 2,33,734 2,62,950 2,92,167 4,86,945 6,23,290 23,900
66-70 2,47,525 3,71,287 4,33,169 4,95,050 2,97,030 3,34,159 3,71,287 6,18,812 7,92,080 23,900
71-75 3,17,692 4,76,539 5,55,962 6,35,385 3,81,231 4,28,885 4,76,539 7,94,231 10,16,616 23,900
76-80 3,17,692 4,76,539 5,55,962 6,35,385 3,81,231 4,28,885 4,76,539 7,94,231 10,16,616 23,900
>80 3,17,692 4,76,539 5,55,962 6,35,385 3,81,231 4,28,885 4,76,539 7,94,231 10,16,616 23,900

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 50,631 NA NA NA NA NA NA NA NA NA
18-35 65,130 97,696 1,13,978 1,30,261 78,157 87,926 97,696 1,62,826 2,08,418 16,283
36-45 77,444 1,16,165 1,35,526 1,54,887 92,932 1,04,549 1,16,165 1,93,609 2,47,819 19,361
46-50 1,01,464 1,52,196 1,77,562 2,02,928 1,21,757 1,36,976 1,52,196 2,53,660 3,24,685 25,366
51-55 1,31,292 1,96,937 2,29,760 2,62,583 1,57,550 1,77,244 1,96,937 3,28,229 4,20,133 25,366
56-60 1,50,812 2,26,218 2,63,921 3,01,624 1,80,974 2,03,596 2,26,218 3,77,030 4,82,598 25,366
61-65 2,06,723 3,10,084 3,61,765 4,13,445 2,48,067 2,79,076 3,10,084 5,16,807 6,61,513 25,366
66-70 2,62,727 3,94,091 4,59,773 5,25,454 3,15,273 3,54,682 3,94,091 6,56,818 8,40,727 25,366
71-75 3,37,238 5,05,857 5,90,167 6,74,476 4,04,686 4,55,272 5,05,857 8,43,096 10,79,162 25,366
76-80 3,37,238 5,05,857 5,90,167 6,74,476 4,04,686 4,55,272 5,05,857 8,43,096 10,79,162 25,366
>80 3,37,238 5,05,857 5,90,167 6,74,476 4,04,686 4,55,272 5,05,857 8,43,096 10,79,162 25,366

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

Premium Exclusive of GST


Sum Insured 30,00,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 36,469 NA NA NA NA NA NA NA NA NA
18-35 46,846 70,269 81,981 93,692 56,215 63,242 70,269 1,17,115 1,49,907 11,712
36-45 55,800 83,700 97,650 1,11,600 66,960 75,330 83,700 1,39,500 1,78,560 13,950
46-50 66,871 1,00,307 1,17,025 1,33,742 80,245 90,276 1,00,307 1,67,178 2,13,988 16,718
51-55 86,501 1,29,751 1,51,377 1,73,002 1,03,801 1,16,776 1,29,751 2,16,252 2,76,803 16,718
56-60 99,671 1,49,506 1,74,424 1,99,341 1,19,605 1,34,555 1,49,506 2,49,177 3,18,946 16,718
61-65 1,36,452 2,04,678 2,38,791 2,72,904 1,63,743 1,84,210 2,04,678 3,41,130 4,36,647 16,718
66-70 1,73,374 2,60,061 3,03,405 3,46,749 2,08,049 2,34,055 2,60,061 4,33,436 5,54,798 16,718
71-75 2,22,361 3,33,542 3,89,132 4,44,723 2,66,834 3,00,188 3,33,542 5,55,903 7,11,556 16,718
76-80 2,22,361 3,33,542 3,89,132 4,44,723 2,66,834 3,00,188 3,33,542 5,55,903 7,11,556 16,718
>80 2,22,361 3,33,542 3,89,132 4,44,723 2,66,834 3,00,188 3,33,542 5,55,903 7,11,556 16,718

Premium Exclusive of GST


Sum Insured 35,00,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 40,844 NA NA NA NA NA NA NA NA NA
18-35 52,492 78,738 91,861 1,04,983 62,990 70,864 78,738 1,31,229 1,67,974 13,123
36-45 62,509 93,763 1,09,390 1,25,018 75,011 84,387 93,763 1,56,272 2,00,028 15,627
46-50 74,862 1,12,293 1,31,009 1,49,724 89,835 1,01,064 1,12,293 1,87,155 2,39,559 18,716
51-55 96,860 1,45,289 1,69,504 1,93,719 1,16,231 1,30,760 1,45,289 2,42,149 3,09,951 18,716
56-60 1,11,509 1,67,264 1,95,141 2,23,018 1,33,811 1,50,537 1,67,264 2,78,773 3,56,830 18,716
61-65 1,52,730 2,29,095 2,67,278 3,05,460 1,83,276 2,06,186 2,29,095 3,81,825 4,88,736 18,716
66-70 1,94,092 2,91,138 3,39,660 3,88,183 2,32,910 2,62,024 2,91,138 4,85,229 6,21,093 18,716
71-75 2,48,998 3,73,497 4,35,747 4,97,996 2,98,798 3,36,147 3,73,497 6,22,495 7,96,794 18,716
76-80 2,48,998 3,73,497 4,35,747 4,97,996 2,98,798 3,36,147 3,73,497 6,22,495 7,96,794 18,716
>80 2,48,998 3,73,497 4,35,747 4,97,996 2,98,798 3,36,147 3,73,497 6,22,495 7,96,794 18,716

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

Premium Exclusive of GST


Sum Insured 45,00,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 49,595 NA NA NA NA NA NA NA NA NA
18-35 63,783 95,675 1,11,620 1,27,566 76,540 86,107 95,675 1,59,458 2,04,106 15,946
36-45 75,926 1,13,890 1,32,871 1,51,853 91,112 1,02,501 1,13,890 1,89,816 2,42,964 18,982
46-50 90,844 1,36,266 1,58,977 1,81,688 1,09,013 1,22,640 1,36,266 2,27,110 2,90,701 22,711
51-55 1,17,577 1,76,365 2,05,760 2,35,154 1,41,092 1,58,729 1,76,365 2,93,942 3,76,246 22,711
56-60 1,35,186 2,02,779 2,36,576 2,70,372 1,62,223 1,82,501 2,02,779 3,37,966 4,32,596 22,711
61-65 1,85,286 2,77,929 3,24,250 3,70,572 2,22,343 2,50,136 2,77,929 4,63,215 5,92,915 22,711
66-70 2,35,526 3,53,290 4,12,171 4,71,053 2,82,632 3,17,961 3,53,290 5,88,816 7,53,685 22,711
71-75 3,02,271 4,53,407 5,28,975 6,04,543 3,62,726 4,08,066 4,53,407 7,55,678 9,67,268 22,711
76-80 3,02,271 4,53,407 5,28,975 6,04,543 3,62,726 4,08,066 4,53,407 7,55,678 9,67,268 22,711
>80 3,02,271 4,53,407 5,28,975 6,04,543 3,62,726 4,08,066 4,53,407 7,55,678 9,67,268 22,711

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 51,887 NA NA NA NA NA NA NA NA NA
18-35 66,740 1,00,110 1,16,796 1,33,481 80,088 90,099 1,00,110 1,66,851 2,13,569 16,685
36-45 79,440 1,19,161 1,39,021 1,58,881 95,328 1,07,244 1,19,161 1,98,601 2,54,209 19,860
46-50 95,030 1,42,545 1,66,302 1,90,059 1,14,036 1,28,290 1,42,545 2,37,574 3,04,095 23,757
51-55 1,23,003 1,84,504 2,15,255 2,46,006 1,47,603 1,66,054 1,84,504 3,07,507 3,93,609 23,757
56-60 1,41,387 2,12,081 2,47,428 2,82,774 1,69,665 1,90,873 2,12,081 3,53,468 4,52,439 23,757
61-65 1,93,812 2,90,718 3,39,171 3,87,624 2,32,575 2,61,647 2,90,718 4,84,531 6,20,199 23,757
66-70 2,46,378 3,69,567 4,31,162 4,92,756 2,95,654 3,32,610 3,69,567 6,15,945 7,88,410 23,757
71-75 3,16,223 4,74,335 5,53,391 6,32,447 3,79,468 4,26,902 4,74,335 7,90,558 10,11,915 23,757
76-80 3,16,223 4,74,335 5,53,391 6,32,447 3,79,468 4,26,902 4,74,335 7,90,558 10,11,915 23,757
>80 3,16,223 4,74,335 5,53,391 6,32,447 3,79,468 4,26,902 4,74,335 7,90,558 10,11,915 23,757

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

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 73,372 NA NA NA NA NA NA NA NA NA
18-35 94,464 1,41,696 1,65,312 1,88,928 1,13,357 1,27,526 1,41,696 2,36,159 3,02,284 23,616
36-45 1,12,384 1,68,576 1,96,672 2,24,768 1,34,861 1,51,718 1,68,576 2,80,960 3,59,629 28,096
46-50 1,34,270 2,01,405 2,34,972 2,68,540 1,61,124 1,81,264 2,01,405 3,35,675 4,29,664 33,567
51-55 1,73,870 2,60,804 3,04,272 3,47,739 2,08,644 2,34,724 2,60,804 4,34,674 5,56,383 33,567
56-60 1,99,521 2,99,281 3,49,161 3,99,041 2,39,425 2,69,353 2,99,281 4,98,802 6,38,466 33,567
61-65 2,73,746 4,10,619 4,79,055 5,47,492 3,28,495 3,69,557 4,10,619 6,84,365 8,75,987 33,567
66-70 3,48,112 5,22,168 6,09,196 6,96,224 4,17,734 4,69,951 5,22,168 8,70,280 11,13,958 33,567
71-75 4,47,024 6,70,536 7,82,292 8,94,048 5,36,429 6,03,482 6,70,536 11,17,560 14,30,477 33,567
76-80 4,47,024 6,70,536 7,82,292 8,94,048 5,36,429 6,03,482 6,70,536 11,17,560 14,30,477 33,567
>80 4,47,024 6,70,536 7,82,292 8,94,048 5,36,429 6,03,482 6,70,536 11,17,560 14,30,477 33,567

Premium Exclusive of GST


Sum Insured 1,50,00,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 80,141 NA NA NA NA NA NA NA NA NA
18-35 1,03,198 1,54,797 1,80,597 2,06,396 1,23,838 1,39,318 1,54,797 2,57,996 3,30,234 25,800
36-45 1,22,763 1,84,145 2,14,835 2,45,526 1,47,316 1,65,730 1,84,145 3,06,908 3,92,842 30,691
46-50 1,46,633 2,19,949 2,56,607 2,93,266 1,75,959 1,97,954 2,19,949 3,66,582 4,69,225 36,658
51-55 1,89,896 2,84,843 3,32,317 3,79,791 2,27,875 2,56,359 2,84,843 4,74,739 6,07,666 36,658
56-60 2,17,836 3,26,754 3,81,213 4,35,672 2,61,403 2,94,079 3,26,754 5,44,590 6,97,076 36,658
61-65 2,98,930 4,48,394 5,23,127 5,97,859 3,58,716 4,03,555 4,48,394 7,47,324 9,56,575 36,658
66-70 3,80,164 5,70,246 6,65,287 7,60,328 4,56,197 5,13,221 5,70,246 9,50,409 12,16,524 36,658
71-75 4,88,234 7,32,350 8,54,409 9,76,467 5,85,880 6,59,115 7,32,350 12,20,584 15,62,347 36,658
76-80 4,88,234 7,32,350 8,54,409 9,76,467 5,85,880 6,59,115 7,32,350 12,20,584 15,62,347 36,658
>80 4,88,234 7,32,350 8,54,409 9,76,467 5,85,880 6,59,115 7,32,350 12,20,584 15,62,347 36,658

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

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 98,534 NA NA NA NA NA NA NA NA NA
18-35 1,26,932 1,90,398 2,22,131 2,53,863 1,52,318 1,71,358 1,90,398 3,17,329 4,06,182 31,733
36-45 1,50,966 2,26,448 2,64,190 3,01,931 1,81,159 2,03,803 2,26,448 3,77,414 4,83,090 37,741
46-50 1,80,226 2,70,338 3,15,395 3,60,451 2,16,271 2,43,304 2,70,338 4,50,564 5,76,722 45,056
51-55 2,33,442 3,50,163 4,08,523 4,66,883 2,80,130 3,15,146 3,50,163 5,83,604 7,47,014 45,056
56-60 2,67,603 4,01,405 4,68,305 5,35,206 3,21,124 3,61,264 4,01,405 6,69,008 8,56,330 45,056
61-65 3,67,359 5,51,039 6,42,879 7,34,718 4,40,831 4,95,935 5,51,039 9,18,398 11,75,550 45,056
66-70 4,67,256 7,00,884 8,17,698 9,34,512 5,60,707 6,30,796 7,00,884 11,68,140 14,95,219 45,056
71-75 6,00,209 9,00,314 10,50,366 12,00,419 7,20,251 8,10,283 9,00,314 15,00,523 19,20,670 45,056
76-80 6,00,209 9,00,314 10,50,366 12,00,419 7,20,251 8,10,283 9,00,314 15,00,523 19,20,670 45,056
>80 6,00,209 9,00,314 10,50,366 12,00,419 7,20,251 8,10,283 9,00,314 15,00,523 19,20,670 45,056

Premium Exclusive of GST


Sum Insured 3,00,00,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 1,06,648 NA NA NA NA NA NA NA NA NA
18-35 1,37,402 2,06,104 2,40,454 2,74,805 1,64,883 1,85,493 2,06,104 3,43,506 4,39,688 34,351
36-45 1,63,408 2,45,112 2,85,964 3,26,816 1,96,089 2,20,600 2,45,112 4,08,519 5,22,905 40,852
46-50 1,95,046 2,92,569 3,41,330 3,90,092 2,34,055 2,63,312 2,92,569 4,87,615 6,24,147 48,761
51-55 2,52,653 3,78,980 4,42,143 5,05,307 3,03,184 3,41,082 3,78,980 6,31,633 8,08,490 48,761
56-60 2,89,559 4,34,339 5,06,729 5,79,118 3,47,471 3,90,905 4,34,339 7,23,898 9,26,589 48,761
61-65 3,97,549 5,96,323 6,95,710 7,95,098 4,77,059 5,36,691 5,96,323 9,93,872 12,72,156 48,761
66-70 5,05,679 7,58,519 8,84,938 10,11,358 6,06,815 6,82,667 7,58,519 12,64,198 16,18,173 48,761
71-75 6,49,610 9,74,416 11,36,818 12,99,221 7,79,533 8,76,974 9,74,416 16,24,026 20,78,753 48,761
76-80 6,49,610 9,74,416 11,36,818 12,99,221 7,79,533 8,76,974 9,74,416 16,24,026 20,78,753 48,761
>80 6,49,610 9,74,416 11,36,818 12,99,221 7,79,533 8,76,974 9,74,416 16,24,026 20,78,753 48,761

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

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 1,22,877 NA NA NA NA NA NA NA NA NA
18-35 1,58,344 2,37,516 2,77,101 3,16,687 1,90,012 2,13,764 2,37,516 3,95,859 5,06,700 39,586
36-45 1,88,292 2,82,438 3,29,511 3,76,584 2,25,951 2,54,195 2,82,438 4,70,731 6,02,535 47,073
46-50 2,24,687 3,37,030 3,93,201 4,49,373 2,69,624 3,03,327 3,37,030 5,61,716 7,18,997 56,172
51-55 2,91,076 4,36,615 5,09,384 5,82,153 3,49,292 3,92,953 4,36,615 7,27,691 9,31,444 56,172
56-60 3,33,471 5,00,207 5,83,575 6,66,942 4,00,165 4,50,186 5,00,207 8,33,678 10,67,108 56,172
61-65 4,57,928 6,86,892 8,01,374 9,15,856 5,49,513 6,18,203 6,86,892 11,44,820 14,65,369 56,172
66-70 5,82,525 8,73,788 10,19,419 11,65,050 6,99,030 7,86,409 8,73,788 14,56,313 18,64,081 56,172
71-75 7,48,413 11,22,619 13,09,722 14,96,825 8,98,095 10,10,357 11,22,619 18,71,031 23,94,920 56,172
76-80 7,48,413 11,22,619 13,09,722 14,96,825 8,98,095 10,10,357 11,22,619 18,71,031 23,94,920 56,172
>80 7,48,413 11,22,619 13,09,722 14,96,825 8,98,095 10,10,357 11,22,619 18,71,031 23,94,920 56,172

Premium Exclusive of GST


Sum Insured 4,50,00,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 1,30,992 NA NA NA NA NA NA NA NA NA
18-35 1,68,814 2,53,222 2,95,425 3,37,629 2,02,577 2,27,899 2,53,222 4,22,036 5,40,206 42,204
36-45 2,00,734 3,01,102 3,51,285 4,01,469 2,40,881 2,70,992 3,01,102 5,01,836 6,42,350 50,184
46-50 2,39,507 3,59,260 4,19,137 4,79,014 2,87,408 3,23,334 3,59,260 5,98,767 7,66,422 59,877
51-55 3,10,288 4,65,432 5,43,004 6,20,576 3,72,345 4,18,889 4,65,432 7,75,720 9,92,921 59,877
56-60 3,55,427 5,33,141 6,21,998 7,10,855 4,26,513 4,79,827 5,33,141 8,88,568 11,37,367 59,877
61-65 4,88,117 7,32,176 8,54,205 9,76,235 5,85,741 6,58,959 7,32,176 12,20,294 15,61,976 59,877
66-70 6,20,948 9,31,422 10,86,660 12,41,897 7,45,138 8,38,280 9,31,422 15,52,371 19,87,035 59,877
71-75 7,97,814 11,96,720 13,96,174 15,95,627 9,57,376 10,77,048 11,96,720 19,94,534 25,53,004 59,877
76-80 7,97,814 11,96,720 13,96,174 15,95,627 9,57,376 10,77,048 11,96,720 19,94,534 25,53,004 59,877
>80 7,97,814 11,96,720 13,96,174 15,95,627 9,57,376 10,77,048 11,96,720 19,94,534 25,53,004 59,877

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

Premium Exclusive of GST


Sum Insured 30,00,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 33,014 NA NA NA NA NA NA NA NA NA
18-35 42,387 63,581 74,177 84,774 50,865 57,223 63,581 1,05,968 1,35,639 10,597
36-45 50,502 75,752 88,378 1,01,003 60,602 68,177 75,752 1,26,254 1,61,605 12,625
46-50 59,950 89,924 1,04,912 1,19,899 71,939 80,932 89,924 1,49,874 1,91,838 14,987
51-55 77,528 1,16,293 1,35,675 1,55,057 93,034 1,04,663 1,16,293 1,93,821 2,48,091 14,987
56-60 89,416 1,34,125 1,56,479 1,78,833 1,07,300 1,20,712 1,34,125 2,23,541 2,86,133 14,987
61-65 1,22,352 1,83,529 2,14,117 2,44,705 1,46,823 1,65,176 1,83,529 3,05,881 3,91,528 14,987
66-70 1,55,429 2,33,144 2,72,001 3,10,859 1,86,515 2,09,830 2,33,144 3,88,573 4,97,374 14,987
71-75 1,99,289 2,98,934 3,48,756 3,98,578 2,39,147 2,69,040 2,98,934 4,98,223 6,37,726 14,987
76-80 1,99,289 2,98,934 3,48,756 3,98,578 2,39,147 2,69,040 2,98,934 4,98,223 6,37,726 14,987
>80 1,99,289 2,98,934 3,48,756 3,98,578 2,39,147 2,69,040 2,98,934 4,98,223 6,37,726 14,987

Premium Exclusive of GST


Sum Insured 35,00,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 36,965 NA NA NA NA NA NA NA NA NA
18-35 47,486 71,229 83,101 94,972 56,983 64,106 71,229 1,18,716 1,51,956 11,872
36-45 56,561 84,841 98,981 1,13,122 67,873 76,357 84,841 1,41,402 1,80,995 14,140
46-50 67,092 1,00,638 1,17,411 1,34,184 80,510 90,574 1,00,638 1,67,730 2,14,694 16,773
51-55 86,787 1,30,181 1,51,878 1,73,574 1,04,145 1,17,163 1,30,181 2,16,968 2,77,719 16,773
56-60 99,998 1,49,997 1,74,996 1,99,996 1,19,997 1,34,997 1,49,997 2,49,995 3,19,993 16,773
61-65 1,36,902 2,05,353 2,39,579 2,73,804 1,64,282 1,84,818 2,05,353 3,42,255 4,38,086 16,773
66-70 1,73,947 2,60,920 3,04,407 3,47,894 2,08,736 2,34,828 2,60,920 4,34,867 5,56,630 16,773
71-75 2,23,098 3,34,646 3,90,421 4,46,195 2,67,717 3,01,182 3,34,646 5,57,744 7,13,912 16,773
76-80 2,23,098 3,34,646 3,90,421 4,46,195 2,67,717 3,01,182 3,34,646 5,57,744 7,13,912 16,773
>80 2,23,098 3,34,646 3,90,421 4,46,195 2,67,717 3,01,182 3,34,646 5,57,744 7,13,912 16,773

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

Premium Exclusive of GST


Sum Insured 45,00,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 44,869 NA NA NA NA NA NA NA NA NA
18-35 57,684 86,527 1,00,948 1,15,369 69,221 77,874 86,527 1,44,211 1,84,590 14,421
36-45 68,679 1,03,019 1,20,189 1,37,359 82,415 92,717 1,03,019 1,71,698 2,19,774 17,170
46-50 81,377 1,22,066 1,42,410 1,62,754 97,652 1,09,859 1,22,066 2,03,443 2,60,406 20,344
51-55 1,05,305 1,57,957 1,84,283 2,10,610 1,26,366 1,42,161 1,57,957 2,63,262 3,36,975 20,344
56-60 1,21,161 1,81,741 2,12,032 2,42,322 1,45,393 1,63,567 1,81,741 3,02,902 3,87,715 20,344
61-65 1,66,001 2,49,002 2,90,502 3,32,002 1,99,201 2,24,102 2,49,002 4,15,003 5,31,204 20,344
66-70 2,10,982 3,16,473 3,69,219 4,21,964 2,53,179 2,84,826 3,16,473 5,27,455 6,75,143 20,344
71-75 2,70,714 4,06,071 4,73,750 5,41,429 3,24,857 3,65,464 4,06,071 6,76,786 8,66,286 20,344
76-80 2,70,714 4,06,071 4,73,750 5,41,429 3,24,857 3,65,464 4,06,071 6,76,786 8,66,286 20,344
>80 2,70,714 4,06,071 4,73,750 5,41,429 3,24,857 3,65,464 4,06,071 6,76,786 8,66,286 20,344

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 46,938 NA NA NA NA NA NA NA NA NA
18-35 60,355 90,533 1,05,622 1,20,711 72,426 81,480 90,533 1,50,888 1,93,137 15,089
36-45 71,853 1,07,780 1,25,743 1,43,706 86,224 97,002 1,07,780 1,79,633 2,29,930 17,963
46-50 85,118 1,27,677 1,48,957 1,70,236 1,02,142 1,14,910 1,27,677 2,12,796 2,72,378 21,280
51-55 1,10,154 1,65,232 1,92,770 2,20,309 1,32,185 1,48,709 1,65,232 2,75,386 3,52,494 21,280
56-60 1,26,703 1,90,055 2,21,731 2,53,407 1,52,044 1,71,050 1,90,055 3,16,758 4,05,451 21,280
61-65 1,73,622 2,60,433 3,03,839 3,47,244 2,08,346 2,34,390 2,60,433 4,34,055 5,55,591 21,280
66-70 2,20,682 3,31,022 3,86,193 4,41,363 2,64,818 2,97,920 3,31,022 5,51,704 7,06,181 21,280
71-75 2,83,185 4,24,777 4,95,574 5,66,370 3,39,822 3,82,300 4,24,777 7,07,962 9,06,192 21,280
76-80 2,83,185 4,24,777 4,95,574 5,66,370 3,39,822 3,82,300 4,24,777 7,07,962 9,06,192 21,280
>80 2,83,185 4,24,777 4,95,574 5,66,370 3,39,822 3,82,300 4,24,777 7,07,962 9,06,192 21,280

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

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 66,343 NA NA NA NA NA NA NA NA NA
18-35 85,395 1,28,092 1,49,441 1,70,789 1,02,474 1,15,283 1,28,092 2,13,487 2,73,263 21,349
36-45 1,01,607 1,52,411 1,77,813 2,03,215 1,21,929 1,37,170 1,52,411 2,54,018 3,25,143 25,402
46-50 1,20,192 1,80,288 2,10,336 2,40,384 1,44,230 1,62,259 1,80,288 3,00,480 3,84,614 30,048
51-55 1,55,620 2,33,430 2,72,336 3,11,241 1,86,744 2,10,087 2,33,430 3,89,051 4,97,985 30,048
56-60 1,78,664 2,67,997 3,12,663 3,57,329 2,14,397 2,41,197 2,67,997 4,46,661 5,71,726 30,048
61-65 2,45,068 3,67,603 4,28,870 4,90,137 2,94,082 3,30,842 3,67,603 6,12,671 7,84,219 30,048
66-70 3,11,613 4,67,420 5,45,323 6,23,226 3,73,936 4,20,678 4,67,420 7,79,033 9,97,162 30,048
71-75 4,00,097 6,00,146 7,00,170 8,00,194 4,80,117 5,40,131 6,00,146 10,00,243 12,80,311 30,048
76-80 4,00,097 6,00,146 7,00,170 8,00,194 4,80,117 5,40,131 6,00,146 10,00,243 12,80,311 30,048
>80 4,00,097 6,00,146 7,00,170 8,00,194 4,80,117 5,40,131 6,00,146 10,00,243 12,80,311 30,048

Premium Exclusive of GST


Sum Insured 1,50,00,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 72,457 NA NA NA NA NA NA NA NA NA
18-35 93,284 1,39,925 1,63,246 1,86,567 1,11,940 1,25,933 1,39,925 2,33,209 2,98,507 23,321
36-45 1,10,982 1,66,472 1,94,218 2,21,963 1,33,178 1,49,825 1,66,472 2,77,454 3,55,141 27,745
46-50 1,31,242 1,96,863 2,29,674 2,62,484 1,57,490 1,77,177 1,96,863 3,28,105 4,19,975 32,811
51-55 1,69,945 2,54,917 2,97,403 3,39,889 2,03,934 2,29,425 2,54,917 4,24,862 5,43,823 32,811
56-60 1,95,035 2,92,553 3,41,311 3,90,070 2,34,042 2,63,297 2,92,553 4,87,588 6,24,112 32,811
61-65 2,67,578 4,01,367 4,68,262 5,35,156 3,21,094 3,61,230 4,01,367 6,68,945 8,56,250 32,811
66-70 3,40,262 5,10,393 5,95,458 6,80,524 4,08,314 4,59,354 5,10,393 8,50,655 10,88,838 32,811
71-75 4,36,931 6,55,397 7,64,629 8,73,862 5,24,317 5,89,857 6,55,397 10,92,328 13,98,180 32,811
76-80 4,36,931 6,55,397 7,64,629 8,73,862 5,24,317 5,89,857 6,55,397 10,92,328 13,98,180 32,811
>80 4,36,931 6,55,397 7,64,629 8,73,862 5,24,317 5,89,857 6,55,397 10,92,328 13,98,180 32,811

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

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 89,069 NA NA NA NA NA NA NA NA NA
18-35 1,14,719 1,72,079 2,00,759 2,29,439 1,37,663 1,54,871 1,72,079 2,86,798 3,67,102 28,680
36-45 1,36,454 2,04,680 2,38,794 2,72,907 1,63,744 1,84,212 2,04,680 3,41,134 4,36,651 34,113
46-50 1,61,268 2,41,902 2,82,219 3,22,536 1,93,522 2,17,712 2,41,902 4,03,170 5,16,057 40,317
51-55 2,08,867 3,13,301 3,65,517 4,17,734 2,50,640 2,81,971 3,13,301 5,22,168 6,68,375 40,317
56-60 2,39,518 3,59,277 4,19,156 4,79,036 2,87,421 3,23,349 3,59,277 5,98,794 7,66,457 40,317
61-65 3,28,742 4,93,113 5,75,298 6,57,484 3,94,490 4,43,802 4,93,113 8,21,855 10,51,974 40,317
66-70 4,18,107 6,27,160 7,31,687 8,36,213 5,01,728 5,64,444 6,27,160 10,45,267 13,37,941 40,317
71-75 5,37,017 8,05,526 9,39,780 10,74,035 6,44,421 7,24,973 8,05,526 13,42,543 17,18,455 40,317
76-80 5,37,017 8,05,526 9,39,780 10,74,035 6,44,421 7,24,973 8,05,526 13,42,543 17,18,455 40,317
>80 5,37,017 8,05,526 9,39,780 10,74,035 6,44,421 7,24,973 8,05,526 13,42,543 17,18,455 40,317

Premium Exclusive of GST


Sum Insured 3,00,00,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 96,398 NA NA NA NA NA NA NA NA NA
18-35 1,24,176 1,86,264 2,17,308 2,48,352 1,49,011 1,67,638 1,86,264 3,10,441 3,97,364 31,044
36-45 1,47,691 2,21,537 2,58,460 2,95,382 1,77,229 1,99,383 2,21,537 3,69,228 4,72,612 36,923
46-50 1,74,515 2,61,772 3,05,401 3,49,029 2,09,418 2,35,595 2,61,772 4,36,287 5,58,447 43,629
51-55 2,26,039 3,39,058 3,95,568 4,52,077 2,71,246 3,05,152 3,39,058 5,65,097 7,23,324 43,629
56-60 2,59,143 3,88,714 4,53,499 5,18,285 3,10,971 3,49,842 3,88,714 6,47,856 8,29,256 43,629
61-65 3,55,726 5,33,589 6,22,520 7,11,452 4,26,871 4,80,230 5,33,589 8,89,315 11,38,323 43,629
66-70 4,52,450 6,78,675 7,91,787 9,04,900 5,42,940 6,10,807 6,78,675 11,31,125 14,47,840 43,629
71-75 5,81,173 8,71,759 10,17,053 11,62,346 6,97,408 7,84,584 8,71,759 14,52,932 18,59,754 43,629
76-80 5,81,173 8,71,759 10,17,053 11,62,346 6,97,408 7,84,584 8,71,759 14,52,932 18,59,754 43,629
>80 5,81,173 8,71,759 10,17,053 11,62,346 6,97,408 7,84,584 8,71,759 14,52,932 18,59,754 43,629

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

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 1,11,056 NA NA NA NA NA NA NA NA NA
18-35 1,43,090 2,14,635 2,50,408 2,86,180 1,71,708 1,93,172 2,14,635 3,57,725 4,57,888 35,773
36-45 1,70,166 2,55,250 2,97,791 3,40,333 2,04,200 2,29,725 2,55,250 4,25,416 5,44,533 42,542
46-50 2,01,008 3,01,512 3,51,764 4,02,016 2,41,210 2,71,361 3,01,512 5,02,520 6,43,226 50,252
51-55 2,60,382 3,90,573 4,55,669 5,20,764 3,12,458 3,51,516 3,90,573 6,50,955 8,33,222 50,252
56-60 2,98,392 4,47,588 5,22,186 5,96,784 3,58,070 4,02,829 4,47,588 7,45,980 9,54,854 50,252
61-65 4,09,694 6,14,541 7,16,964 8,19,388 4,91,633 5,53,087 6,14,541 10,24,235 13,11,021 50,252
66-70 5,21,137 7,81,705 9,11,989 10,42,273 6,25,364 7,03,534 7,81,705 13,02,841 16,67,637 50,252
71-75 6,69,484 10,04,226 11,71,598 13,38,969 8,03,381 9,03,804 10,04,226 16,73,711 21,42,350 50,252
76-80 6,69,484 10,04,226 11,71,598 13,38,969 8,03,381 9,03,804 10,04,226 16,73,711 21,42,350 50,252
>80 6,69,484 10,04,226 11,71,598 13,38,969 8,03,381 9,03,804 10,04,226 16,73,711 21,42,350 50,252

Premium Exclusive of GST


Sum Insured 4,50,00,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 1,18,385 NA NA NA NA NA NA NA NA NA
18-35 1,52,547 2,28,821 2,66,957 3,05,094 1,83,056 2,05,938 2,28,821 3,81,368 4,88,150 38,137
36-45 1,81,404 2,72,106 3,17,457 3,62,808 2,17,685 2,44,895 2,72,106 4,53,510 5,80,493 45,351
46-50 2,14,255 3,21,382 3,74,946 4,28,509 2,57,106 2,89,244 3,21,382 5,35,637 6,85,615 53,564
51-55 2,77,554 4,16,331 4,85,719 5,55,107 3,33,064 3,74,697 4,16,331 6,93,884 8,88,172 53,564
56-60 3,18,017 4,77,025 5,56,529 6,36,034 3,81,620 4,29,323 4,77,025 7,95,042 10,17,654 53,564
61-65 4,36,678 6,55,017 7,64,186 8,73,356 5,24,014 5,89,515 6,55,017 10,91,695 13,97,369 53,564
66-70 5,55,480 8,33,220 9,72,090 11,10,960 6,66,576 7,49,898 8,33,220 13,88,700 17,77,536 53,564
71-75 7,13,640 10,70,460 12,48,870 14,27,280 8,56,368 9,63,414 10,70,460 17,84,100 22,83,648 53,564
76-80 7,13,640 10,70,460 12,48,870 14,27,280 8,56,368 9,63,414 10,70,460 17,84,100 22,83,648 53,564
>80 7,13,640 10,70,460 12,48,870 14,27,280 8,56,368 9,63,414 10,70,460 17,84,100 22,83,648 53,564

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

Premium Exclusive of GST


Sum Insured 30,00,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 31,829 NA NA NA NA NA NA NA NA NA
18-35 40,858 61,287 71,502 81,717 49,030 55,159 61,287 1,02,146 1,30,747 10,215
36-45 48,685 73,027 85,199 97,370 58,422 65,725 73,027 1,21,712 1,55,792 12,171
46-50 57,576 86,364 1,00,758 1,15,152 69,091 77,728 86,364 1,43,941 1,84,244 14,394
51-55 74,452 1,11,678 1,30,291 1,48,904 89,342 1,00,510 1,11,678 1,86,130 2,38,246 14,394
56-60 85,900 1,28,851 1,50,326 1,71,801 1,03,081 1,15,966 1,28,851 2,14,751 2,74,881 14,394
61-65 1,17,518 1,76,277 2,05,657 2,35,036 1,41,022 1,58,649 1,76,277 2,93,795 3,76,058 14,394
66-70 1,49,276 2,23,915 2,61,234 2,98,553 1,79,132 2,01,523 2,23,915 3,73,191 4,77,684 14,394
71-75 1,91,378 2,87,067 3,34,912 3,82,757 2,29,654 2,58,361 2,87,067 4,78,446 6,12,411 14,394
76-80 1,91,378 2,87,067 3,34,912 3,82,757 2,29,654 2,58,361 2,87,067 4,78,446 6,12,411 14,394
>80 1,91,378 2,87,067 3,34,912 3,82,757 2,29,654 2,58,361 2,87,067 4,78,446 6,12,411 14,394

Premium Exclusive of GST


Sum Insured 35,00,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 35,635 NA NA NA NA NA NA NA NA NA
18-35 45,770 68,655 80,097 91,540 54,924 61,789 68,655 1,14,425 1,46,464 11,442
36-45 54,521 81,782 95,412 1,09,043 65,426 73,604 81,782 1,36,303 1,74,468 13,630
46-50 64,428 96,642 1,12,749 1,28,856 77,313 86,978 96,642 1,61,070 2,06,169 16,107
51-55 83,334 1,25,000 1,45,834 1,66,667 1,00,000 1,12,500 1,25,000 2,08,334 2,66,667 16,107
56-60 96,051 1,44,076 1,68,089 1,92,102 1,15,261 1,29,669 1,44,076 2,40,127 3,07,363 16,107
61-65 1,31,475 1,97,212 2,30,081 2,62,950 1,57,770 1,77,491 1,97,212 3,28,687 4,20,720 16,107
66-70 1,67,040 2,50,560 2,92,320 3,34,079 2,00,448 2,25,504 2,50,560 4,17,599 5,34,527 16,107
71-75 2,14,217 3,21,325 3,74,880 4,28,434 2,57,060 2,89,193 3,21,325 5,35,542 6,85,494 16,107
76-80 2,14,217 3,21,325 3,74,880 4,28,434 2,57,060 2,89,193 3,21,325 5,35,542 6,85,494 16,107
>80 2,14,217 3,21,325 3,74,880 4,28,434 2,57,060 2,89,193 3,21,325 5,35,542 6,85,494 16,107

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

Premium Exclusive of GST


Sum Insured 45,00,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 43,248 NA NA NA NA NA NA NA NA NA
18-35 55,593 83,390 97,288 1,11,187 66,712 75,051 83,390 1,38,983 1,77,899 13,898
36-45 66,194 99,292 1,15,840 1,32,389 79,433 89,363 99,292 1,65,486 2,11,822 16,549
46-50 78,131 1,17,196 1,36,729 1,56,262 93,757 1,05,477 1,17,196 1,95,327 2,50,019 19,533
51-55 1,01,097 1,51,645 1,76,920 2,02,194 1,21,316 1,36,481 1,51,645 2,52,742 3,23,510 19,533
56-60 1,16,352 1,74,528 2,03,616 2,32,704 1,39,622 1,57,075 1,74,528 2,90,880 3,72,326 19,533
61-65 1,59,389 2,39,083 2,78,930 3,18,778 1,91,267 2,15,175 2,39,083 3,98,472 5,10,044 19,533
66-70 2,02,566 3,03,850 3,54,491 4,05,133 2,43,080 2,73,465 3,03,850 5,06,416 6,48,213 19,533
71-75 2,59,894 3,89,841 4,54,815 5,19,788 3,11,873 3,50,857 3,89,841 6,49,735 8,31,661 19,533
76-80 2,59,894 3,89,841 4,54,815 5,19,788 3,11,873 3,50,857 3,89,841 6,49,735 8,31,661 19,533
>80 2,59,894 3,89,841 4,54,815 5,19,788 3,11,873 3,50,857 3,89,841 6,49,735 8,31,661 19,533

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 45,242 NA NA NA NA NA NA NA NA NA
18-35 58,166 87,249 1,01,791 1,16,332 69,799 78,524 87,249 1,45,415 1,86,131 14,542
36-45 69,252 1,03,877 1,21,190 1,38,503 83,102 93,490 1,03,877 1,73,129 2,21,605 17,313
46-50 81,720 1,22,580 1,43,010 1,63,440 98,064 1,10,322 1,22,580 2,04,299 2,61,503 20,430
51-55 1,05,749 1,58,624 1,85,061 2,11,498 1,26,899 1,42,761 1,58,624 2,64,373 3,38,397 20,430
56-60 1,21,669 1,82,503 2,12,920 2,43,337 1,46,002 1,64,253 1,82,503 3,04,172 3,89,340 20,430
61-65 1,66,699 2,50,049 2,91,724 3,33,399 2,00,039 2,25,044 2,50,049 4,16,748 5,33,438 20,430
66-70 2,11,871 3,17,806 3,70,774 4,23,742 2,54,245 2,86,026 3,17,806 5,29,677 6,77,986 20,430
71-75 2,71,857 4,07,785 4,75,749 5,43,714 3,26,228 3,67,007 4,07,785 6,79,642 8,69,942 20,430
76-80 2,71,857 4,07,785 4,75,749 5,43,714 3,26,228 3,67,007 4,07,785 6,79,642 8,69,942 20,430
>80 2,71,857 4,07,785 4,75,749 5,43,714 3,26,228 3,67,007 4,07,785 6,79,642 8,69,942 20,430

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

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 63,934 NA NA NA NA NA NA NA NA NA
18-35 82,285 1,23,428 1,43,999 1,64,570 98,742 1,11,085 1,23,428 2,05,713 2,63,312 20,571
36-45 97,912 1,46,868 1,71,346 1,95,824 1,17,495 1,32,181 1,46,868 2,44,780 3,13,319 24,478
46-50 1,15,365 1,73,047 2,01,888 2,30,730 1,38,438 1,55,743 1,73,047 2,88,412 3,69,167 28,841
51-55 1,49,363 2,24,045 2,61,385 2,98,726 1,79,236 2,01,640 2,24,045 3,73,408 4,77,962 28,841
56-60 1,71,513 2,57,270 3,00,148 3,43,026 2,05,816 2,31,543 2,57,270 4,28,783 5,48,842 28,841
61-65 2,35,236 3,52,853 4,11,662 4,70,471 2,82,283 3,17,568 3,52,853 5,88,089 7,52,754 28,841
66-70 2,99,099 4,48,648 5,23,423 5,98,197 3,58,918 4,03,783 4,48,648 7,47,747 9,57,116 28,841
71-75 3,84,007 5,76,011 6,72,012 7,68,014 4,60,808 5,18,409 5,76,011 9,60,018 12,28,822 28,841
76-80 3,84,007 5,76,011 6,72,012 7,68,014 4,60,808 5,18,409 5,76,011 9,60,018 12,28,822 28,841
>80 3,84,007 5,76,011 6,72,012 7,68,014 4,60,808 5,18,409 5,76,011 9,60,018 12,28,822 28,841

Premium Exclusive of GST


Sum Insured 1,50,00,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 69,823 NA NA NA NA NA NA NA NA NA
18-35 89,884 1,34,826 1,57,297 1,79,768 1,07,861 1,21,343 1,34,826 2,24,710 2,87,629 22,471
36-45 1,06,942 1,60,413 1,87,148 2,13,884 1,28,330 1,44,372 1,60,413 2,67,355 3,42,214 26,735
46-50 1,25,965 1,88,947 2,20,439 2,51,930 1,51,158 1,70,053 1,88,947 3,14,912 4,03,088 31,491
51-55 1,63,104 2,44,656 2,85,432 3,26,208 1,95,725 2,20,190 2,44,656 4,07,760 5,21,933 31,491
56-60 1,87,217 2,80,826 3,27,630 3,74,434 2,24,660 2,52,743 2,80,826 4,68,043 5,99,095 31,491
61-65 2,56,828 3,85,243 4,49,450 5,13,657 3,08,194 3,46,718 3,85,243 6,42,071 8,21,851 31,491
66-70 3,26,580 4,89,871 5,71,516 6,53,161 3,91,897 4,40,884 4,89,871 8,16,451 10,45,057 31,491
71-75 4,19,341 6,29,011 7,33,846 8,38,681 5,03,209 5,66,110 6,29,011 10,48,352 13,41,890 31,491
76-80 4,19,341 6,29,011 7,33,846 8,38,681 5,03,209 5,66,110 6,29,011 10,48,352 13,41,890 31,491
>80 4,19,341 6,29,011 7,33,846 8,38,681 5,03,209 5,66,110 6,29,011 10,48,352 13,41,890 31,491

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

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 85,824 NA NA NA NA NA NA NA NA NA
18-35 1,10,532 1,65,798 1,93,431 2,21,064 1,32,638 1,49,218 1,65,798 2,76,330 3,53,702 27,633
36-45 1,31,478 1,97,217 2,30,086 2,62,955 1,57,773 1,77,495 1,97,217 3,28,694 4,20,729 32,869
46-50 1,54,768 2,32,152 2,70,844 3,09,536 1,85,721 2,08,937 2,32,152 3,86,920 4,95,257 38,692
51-55 2,00,441 3,00,661 3,50,772 4,00,882 2,40,529 2,70,595 3,00,661 5,01,102 6,41,411 38,692
56-60 2,29,888 3,44,832 4,02,304 4,59,776 2,75,866 3,10,349 3,44,832 5,74,720 7,35,642 38,692
61-65 3,15,501 4,73,251 5,52,127 6,31,002 3,78,601 4,25,926 4,73,251 7,88,752 10,09,603 38,692
66-70 4,01,255 6,01,882 7,02,195 8,02,509 4,81,505 5,41,694 6,01,882 10,03,136 12,84,014 38,692
71-75 5,15,350 7,73,025 9,01,863 10,30,700 6,18,420 6,95,723 7,73,025 12,88,376 16,49,121 38,692
76-80 5,15,350 7,73,025 9,01,863 10,30,700 6,18,420 6,95,723 7,73,025 12,88,376 16,49,121 38,692
>80 5,15,350 7,73,025 9,01,863 10,30,700 6,18,420 6,95,723 7,73,025 12,88,376 16,49,121 38,692

Premium Exclusive of GST


Sum Insured 3,00,00,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 92,884 NA NA NA NA NA NA NA NA NA
18-35 1,19,641 1,79,462 2,09,372 2,39,283 1,43,570 1,61,516 1,79,462 2,99,103 3,82,852 29,910
36-45 1,42,302 2,13,453 2,49,029 2,84,605 1,70,763 1,92,108 2,13,453 3,55,756 4,55,367 35,576
46-50 1,67,475 2,51,212 2,93,081 3,34,950 2,00,970 2,26,091 2,51,212 4,18,687 5,35,920 41,869
51-55 2,16,913 3,25,370 3,79,598 4,33,826 2,60,296 2,92,833 3,25,370 5,42,283 6,94,122 41,869
56-60 2,48,713 3,73,070 4,35,248 4,97,427 2,98,456 3,35,763 3,73,070 6,21,783 7,95,883 41,869
61-65 3,41,386 5,12,079 5,97,425 6,82,772 4,09,663 4,60,871 5,12,079 8,53,464 10,92,435 41,869
66-70 4,34,199 6,51,298 7,59,848 8,68,398 5,21,039 5,86,169 6,51,298 10,85,497 13,89,437 41,869
71-75 5,57,707 8,36,561 9,75,988 11,15,415 6,69,249 7,52,905 8,36,561 13,94,268 17,84,664 41,869
76-80 5,57,707 8,36,561 9,75,988 11,15,415 6,69,249 7,52,905 8,36,561 13,94,268 17,84,664 41,869
>80 5,57,707 8,36,561 9,75,988 11,15,415 6,69,249 7,52,905 8,36,561 13,94,268 17,84,664 41,869

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

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 1,07,003 NA NA NA NA NA NA NA NA NA
18-35 1,37,860 2,06,790 2,41,255 2,75,720 1,65,432 1,86,111 2,06,790 3,44,650 4,41,152 34,465
36-45 1,63,952 2,45,927 2,86,915 3,27,903 1,96,742 2,21,335 2,45,927 4,09,879 5,24,645 40,988
46-50 1,92,889 2,89,334 3,37,556 3,85,778 2,31,467 2,60,400 2,89,334 4,82,223 6,17,246 48,222
51-55 2,49,858 3,74,786 4,37,251 4,99,715 2,99,829 3,37,308 3,74,786 6,24,644 7,99,544 48,222
56-60 2,86,364 4,29,546 5,01,137 5,72,728 3,43,637 3,86,592 4,29,546 7,15,910 9,16,365 48,222
61-65 3,93,156 5,89,733 6,88,022 7,86,311 4,71,787 5,30,760 5,89,733 9,82,889 12,58,098 48,222
66-70 5,00,088 7,50,132 8,75,154 10,00,176 6,00,105 6,75,119 7,50,132 12,50,220 16,00,281 48,222
71-75 6,42,422 9,63,633 11,24,238 12,84,843 7,70,906 8,67,269 9,63,633 16,06,054 20,55,749 48,222
76-80 6,42,422 9,63,633 11,24,238 12,84,843 7,70,906 8,67,269 9,63,633 16,06,054 20,55,749 48,222
>80 6,42,422 9,63,633 11,24,238 12,84,843 7,70,906 8,67,269 9,63,633 16,06,054 20,55,749 48,222

Premium Exclusive of GST


Sum Insured 4,50,00,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 1,14,062 NA NA NA NA NA NA NA NA NA
18-35 1,46,969 2,20,454 2,57,196 2,93,939 1,76,363 1,98,409 2,20,454 3,67,423 4,70,302 36,742
36-45 1,74,776 2,62,164 3,05,858 3,49,552 2,09,731 2,35,948 2,62,164 4,36,940 5,59,284 43,694
46-50 2,05,596 3,08,395 3,59,794 4,11,193 2,46,716 2,77,555 3,08,395 5,13,991 6,57,908 51,399
51-55 2,66,330 3,99,495 4,66,077 5,32,660 3,19,596 3,59,545 3,99,495 6,65,825 8,52,256 51,399
56-60 3,05,190 4,57,784 5,34,082 6,10,379 3,66,227 4,12,006 4,57,784 7,62,974 9,76,607 51,399
61-65 4,19,041 6,28,561 7,33,321 8,38,081 5,02,849 5,65,705 6,28,561 10,47,601 13,40,930 51,399
66-70 5,33,032 7,99,548 9,32,807 10,66,065 6,39,639 7,19,594 7,99,548 13,32,581 17,05,703 51,399
71-75 6,84,779 10,27,168 11,98,363 13,69,558 8,21,735 9,24,451 10,27,168 17,11,947 21,91,292 51,399
76-80 6,84,779 10,27,168 11,98,363 13,69,558 8,21,735 9,24,451 10,27,168 17,11,947 21,91,292 51,399
>80 6,84,779 10,27,168 11,98,363 13,69,558 8,21,735 9,24,451 10,27,168 17,11,947 21,91,292 51,399

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

my:health Suraksha Premium Rate Chart - Critical Illness Add on

Premium Exclusive of GST


Age Bands
9 Illness
0-17 18-35 36-45 46-50 51-55 56-60 61-65 66-70 71-75 76-80 >80
1 Year - 1.63 5.14 11.82 23.07 34.79 51.32 74.42 107.90 107.90 107.90

Premium Exclusive of GST


Age Bands
12 Illness
0-17 18-35 36-45 46-50 51-55 56-60 61-65 66-70 71-75 76-80 >80
1 Year - 1.70 5.36 12.18 23.64 35.57 52.68 76.38 110.76 110.76 110.76

Premium Exclusive of GST


Age Bands
15 Illness
0-17 18-35 36-45 46-50 51-55 56-60 61-65 66-70 71-75 76-80 >80
1 Year - 1.78 5.51 12.50 24.25 36.82 55.96 81.15 117.66 117.66 117.66

Premium Exclusive of GST


Age Bands
18 Illness
0-17 18-35 36-45 46-50 51-55 56-60 61-65 66-70 71-75 76-80 >80
1 Year - 1.88 5.76 12.89 24.86 37.54 56.93 82.55 119.69 119.69 119.69

Premium Exclusive of GST


Age Bands
25 Illness
0-17 18-35 36-45 46-50 51-55 56-60 61-65 66-70 71-75 76-80 >80
1 Year - 2.00 6.05 13.50 26.04 39.29 59.61 86.43 125.32 125.32 125.32

Premium Exclusive of GST


Age Bands
40 Illness
0-17 18-35 36-45 46-50 51-55 56-60 61-65 66-70 71-75 76-80 >80
1 Year - 2.36 6.76 14.79 28.11 42.04 63.21 91.66 132.91 132.91 132.91

Premium Exclusive of GST


Age Bands
51 Illness
0-17 18-35 36-45 46-50 51-55 56-60 61-65 66-70 71-75 76-80 >80
1 Year - 2.79 8.16 18.00 34.36 51.32 76.89 111.49 161.67 161.67 161.67

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

my:health Suraksha Premium Rate Chart - Hospital Cash Add On

Premium Exclusive of GST


Amount in INR
Sum Insured 500
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 240 360 432 492 360 432 492 600 768 60
18-35 259 389 467 531 389 467 531 648 830 65
36-45 344 516 619 705 516 619 705 860 1,101 86
46-50 421 631 757 862 631 757 862 1,051 1,346 105
51-55 546 819 983 1,120 819 983 1,120 1,366 1,748 105
56-60 798 1,196 1,436 1,635 1,196 1,436 1,635 1,994 2,552 105
61-65 1,253 1,879 2,255 2,569 1,879 2,255 2,569 3,132 4,009 105
66-70 1,956 2,934 3,521 4,010 2,934 3,521 4,010 4,891 6,260 105
71-75 3,239 4,859 5,831 6,641 4,859 5,831 6,641 8,098 10,366 105
76-80 3,239 4,859 5,831 6,641 4,859 5,831 6,641 8,098 10,366 105
>80 3,239 4,859 5,831 6,641 4,859 5,831 6,641 8,098 10,366 105

Premium Exclusive of GST


Amount in INR
Sum Insured 1,000
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

Premium Exclusive of GST


Amount in INR
Sum Insured 1,500
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 720 1,080 1,296 1,476 1,080 1,296 1,476 1,800 2,304 180
18-35 778 1,167 1,400 1,594 1,167 1,400 1,594 1,944 2,489 194
36-45 1,032 1,549 1,858 2,116 1,549 1,858 2,116 2,581 3,304 258
46-50 1,262 1,892 2,271 2,586 1,892 2,271 2,586 3,154 4,037 315
51-55 1,639 2,458 2,950 3,360 2,458 2,950 3,360 4,097 5,244 315
56-60 2,393 3,589 4,307 4,905 3,589 4,307 4,905 5,982 7,657 315
61-65 3,759 5,638 6,766 7,706 5,638 6,766 7,706 9,397 12,028 315
66-70 5,869 8,803 10,564 12,031 8,803 10,564 12,031 14,672 18,780 315
71-75 9,718 14,577 17,492 19,922 14,577 17,492 19,922 24,295 31,097 315
76-80 9,718 14,577 17,492 19,922 14,577 17,492 19,922 24,295 31,097 315
>80 9,718 14,577 17,492 19,922 14,577 17,492 19,922 24,295 31,097 315

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

Premium Exclusive of GST


Amount in INR
Sum Insured 2,500
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 3,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 1,440 2,160 2,592 2,951 2,160 2,592 2,951 3,599 4,607 360
18-35 1,555 2,333 2,800 3,189 2,333 2,800 3,189 3,889 4,977 389
36-45 2,065 3,097 3,717 4,233 3,097 3,717 4,233 5,162 6,607 516
46-50 2,523 3,785 4,542 5,173 3,785 4,542 5,173 6,308 8,074 631
51-55 3,278 4,916 5,900 6,719 4,916 5,900 6,719 8,194 10,488 631
56-60 4,786 7,179 8,614 9,811 7,179 8,614 9,811 11,964 15,314 631
61-65 7,518 11,277 13,532 15,411 11,277 13,532 15,411 18,794 24,057 631
66-70 11,737 17,606 21,127 24,062 17,606 21,127 24,062 29,343 37,560 631
71-75 19,436 29,154 34,984 39,843 29,154 34,984 39,843 48,589 62,194 631
76-80 19,436 29,154 34,984 39,843 29,154 34,984 39,843 48,589 62,194 631
>80 19,436 29,154 34,984 39,843 29,154 34,984 39,843 48,589 62,194 631

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

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 3,599 5,399 6,479 7,379 5,399 6,479 7,379 8,998 11,518 900
18-35 3,889 5,833 6,999 7,972 5,833 6,999 7,972 9,722 12,444 972
36-45 5,162 7,743 9,291 10,582 7,743 9,291 10,582 12,905 16,518 1,290
46-50 6,308 9,462 11,355 12,932 9,462 11,355 12,932 15,770 20,186 1,577
51-55 8,194 12,291 14,749 16,798 12,291 14,749 16,798 20,485 26,221 1,577
56-60 11,964 17,946 21,536 24,527 17,946 21,536 24,527 29,911 38,286 1,577
61-65 18,794 28,191 33,830 38,528 28,191 33,830 38,528 46,986 60,142 1,577
66-70 29,343 44,015 52,818 60,154 44,015 52,818 60,154 73,359 93,899 1,577
71-75 48,589 72,884 87,461 99,608 72,884 87,461 99,608 1,21,474 1,55,486 1,577
76-80 48,589 72,884 87,461 99,608 72,884 87,461 99,608 1,21,474 1,55,486 1,577
>80 48,589 72,884 87,461 99,608 72,884 87,461 99,608 1,21,474 1,55,486 1,577

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 4,799 7,199 8,638 9,838 7,199 8,638 9,838 11,998 15,357 1,200
18-35 5,185 7,777 9,333 10,629 7,777 9,333 10,629 12,962 16,591 1,296
36-45 6,882 10,324 12,388 14,109 10,324 12,388 14,109 17,206 22,024 1,721
46-50 8,411 12,616 15,139 17,242 12,616 15,139 17,242 21,027 26,915 2,103
51-55 10,925 16,388 19,666 22,397 16,388 19,666 22,397 27,313 34,961 2,103
56-60 15,952 23,928 28,714 32,702 23,928 28,714 32,702 39,881 51,047 2,103
61-65 25,059 37,589 45,106 51,371 37,589 45,106 51,371 62,648 80,189 2,103
66-70 39,125 58,687 70,424 80,205 58,687 70,424 80,205 97,811 1,25,199 2,103
71-75 64,786 97,179 1,16,615 1,32,811 97,179 1,16,615 1,32,811 1,61,965 2,07,315 2,103
76-80 64,786 97,179 1,16,615 1,32,811 97,179 1,16,615 1,32,811 1,61,965 2,07,315 2,103
>80 64,786 97,179 1,16,615 1,32,811 97,179 1,16,615 1,32,811 1,61,965 2,07,315 2,103

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

my:health Suraksha Premium Rate Chart - Hospital Cash Global Add On

Premium Exclusive of GST


Amount in INR
Sum Insured 500
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 120 180 216 246 180 216 246 300 384 30
18-35 130 194 233 266 194 233 266 324 415 32
36-45 172 258 310 353 258 310 353 430 551 43
46-50 210 315 378 431 315 378 431 526 673 53
51-55 273 410 492 560 410 492 560 683 874 53
56-60 399 598 718 818 598 718 818 997 1,276 53
61-65 626 940 1,128 1,284 940 1,128 1,284 1,566 2,005 53
66-70 978 1,467 1,761 2,005 1,467 1,761 2,005 2,445 3,130 53
71-75 1,620 2,429 2,915 3,320 2,429 2,915 3,320 4,049 5,183 53
76-80 1,620 2,429 2,915 3,320 2,429 2,915 3,320 4,049 5,183 53
>80 1,620 2,429 2,915 3,320 2,429 2,915 3,320 4,049 5,183 53

Premium Exclusive of GST


Amount in INR
Sum Insured 1,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 240 360 432 492 360 432 492 600 768 60
18-35 259 389 467 531 389 467 531 648 830 65
36-45 344 516 619 705 516 619 705 860 1,101 86
46-50 421 631 757 862 631 757 862 1,051 1,346 105
51-55 546 819 983 1,120 819 983 1,120 1,366 1,748 105
56-60 798 1,196 1,436 1,635 1,196 1,436 1,635 1,994 2,552 105
61-65 1,253 1,879 2,255 2,569 1,879 2,255 2,569 3,132 4,009 105
66-70 1,956 2,934 3,521 4,010 2,934 3,521 4,010 4,891 6,260 105
71-75 3,239 4,859 5,831 6,641 4,859 5,831 6,641 8,098 10,366 105
76-80 3,239 4,859 5,831 6,641 4,859 5,831 6,641 8,098 10,366 105
>80 3,239 4,859 5,831 6,641 4,859 5,831 6,641 8,098 10,366 105

Premium Exclusive of GST


Amount in INR
Sum Insured 1,500
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 360 540 648 738 540 648 738 900 1,152 90
18-35 389 583 700 797 583 700 797 972 1,244 97
36-45 516 774 929 1,058 774 929 1,058 1,290 1,652 129
46-50 631 946 1,135 1,293 946 1,135 1,293 1,577 2,019 158
51-55 819 1,229 1,475 1,680 1,229 1,475 1,680 2,048 2,622 158
56-60 1,196 1,795 2,154 2,453 1,795 2,154 2,453 2,991 3,829 158
61-65 1,879 2,819 3,383 3,853 2,819 3,383 3,853 4,699 6,014 158
66-70 2,934 4,402 5,282 6,015 4,402 5,282 6,015 7,336 9,390 158
71-75 4,859 7,288 8,746 9,961 7,288 8,746 9,961 12,147 15,549 158
76-80 4,859 7,288 8,746 9,961 7,288 8,746 9,961 12,147 15,549 158
>80 4,859 7,288 8,746 9,961 7,288 8,746 9,961 12,147 15,549 158

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

Premium Exclusive of GST


Amount in INR
Sum Insured 2,500
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 600 900 1,080 1,230 900 1,080 1,230 1,500 1,920 150
18-35 648 972 1,167 1,329 972 1,167 1,329 1,620 2,074 162
36-45 860 1,290 1,549 1,764 1,290 1,549 1,764 2,151 2,753 215
46-50 1,051 1,577 1,892 2,155 1,577 1,892 2,155 2,628 3,364 263
51-55 1,366 2,048 2,458 2,800 2,048 2,458 2,800 3,414 4,370 263
56-60 1,994 2,991 3,589 4,088 2,991 3,589 4,088 4,985 6,381 263
61-65 3,132 4,699 5,638 6,421 4,699 5,638 6,421 7,831 10,024 263
66-70 4,891 7,336 8,803 10,026 7,336 8,803 10,026 12,226 15,650 263
71-75 8,098 12,147 14,577 16,601 12,147 14,577 16,601 20,246 25,914 263
76-80 8,098 12,147 14,577 16,601 12,147 14,577 16,601 20,246 25,914 263
>80 8,098 12,147 14,577 16,601 12,147 14,577 16,601 20,246 25,914 263

Premium Exclusive of GST


Amount in INR
Sum Insured 3,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 720 1,080 1,296 1,476 1,080 1,296 1,476 1,800 2,304 180
18-35 778 1,167 1,400 1,594 1,167 1,400 1,594 1,944 2,489 194
36-45 1,032 1,549 1,858 2,116 1,549 1,858 2,116 2,581 3,304 258
46-50 1,262 1,892 2,271 2,586 1,892 2,271 2,586 3,154 4,037 315
51-55 1,639 2,458 2,950 3,360 2,458 2,950 3,360 4,097 5,244 315
56-60 2,393 3,589 4,307 4,905 3,589 4,307 4,905 5,982 7,657 315
61-65 3,759 5,638 6,766 7,706 5,638 6,766 7,706 9,397 12,028 315
66-70 5,869 8,803 10,564 12,031 8,803 10,564 12,031 14,672 18,780 315
71-75 9,718 14,577 17,492 19,922 14,577 17,492 19,922 24,295 31,097 315
76-80 9,718 14,577 17,492 19,922 14,577 17,492 19,922 24,295 31,097 315
>80 9,718 14,577 17,492 19,922 14,577 17,492 19,922 24,295 31,097 315

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

my:health Suraksha Premium Rate Chart Optional Benefit E-Opinion

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 41 NA NA NA NA NA NA NA NA NA
18-35 41 82 123 164 82 123 164 NA NA 41
36-45 41 82 123 164 82 123 164 NA NA 41
46-50 41 82 123 164 82 123 164 NA NA 41
51-55 41 82 123 164 82 123 164 NA NA 41
56-60 41 82 123 164 82 123 164 NA NA 41
61-65 41 82 123 164 82 123 164 NA NA 41
66-70 41 82 123 164 82 123 164 NA NA 41
71-75 41 82 123 164 82 123 164 NA NA 41
76-80 41 82 123 164 82 123 164 NA NA 41
>80 41 82 123 164 82 123 164 NA NA 41

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 41 NA NA NA NA NA NA NA NA NA
18-35 41 82 123 164 82 123 164 NA NA 41
36-45 41 82 123 164 82 123 164 NA NA 41
46-50 41 82 123 164 82 123 164 NA NA 41
51-55 41 82 123 164 82 123 164 NA NA 41
56-60 41 82 123 164 82 123 164 NA NA 41
61-65 41 82 123 164 82 123 164 NA NA 41
66-70 41 82 123 164 82 123 164 NA NA 41
71-75 41 82 123 164 82 123 164 NA NA 41
76-80 41 82 123 164 82 123 164 NA NA 41
>80 41 82 123 164 82 123 164 NA NA 41

Premium Exclusive of GST


Sum Insured 300,000
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 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

my:health Suraksha Premium Rate Chart - Hospital Cash Add On

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 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

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 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

Premium Exclusive of GST


Sum Insured 750,000
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 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

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 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

Premium Exclusive of GST


Sum Insured 2,000,000
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

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 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

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 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

my:health Suraksha Premium Rate Chart - Hospital Cash Global Add On

Premium Exclusive of GST


Sum Insured 15,000,000
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

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 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 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)

Premium Exclusive of GST Premium Exclusive of GST Premium Exclusive of GST


Sum Insured 100,000 Sum Insured 400,000 Sum Insured 1,000,000
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

Premium Exclusive of GST Premium Exclusive of GST Premium Exclusive of GST


Sum Insured 200,000 Sum Insured 500,000 Sum Insured 1,500,000
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

Premium Exclusive of GST Premium Exclusive of GST Premium Exclusive of GST


Sum Insured 300,000 Sum Insured 750,000 Sum Insured 2,000,000
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 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

Premium Exclusive of GST Premium Exclusive of GST Premium Exclusive of GST


Sum Insured 3,000,000 Sum Insured 4,500,000 Sum Insured 10,000,000
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

Premium Exclusive of GST Premium Exclusive of GST Premium Exclusive of GST


Sum Insured 3,500,000 Sum Insured 5,000,000 Sum Insured 15,000,000
Age 1A Age C1A 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

Premium Exclusive of GST Premium Exclusive of GST


Sum Insured 25,000,000 Sum Insured 40,000,000
Age 1A Age 1A
0-17 475 0-17 475
18-35 555 18-35 555
36-45 590 36-45 590
46-50 1,210 46-50 1,210
51-55 1,210 51-55 1,210
56-60 1,210 56-60 1,210
61-65 1,050 61-65 1,050
66-70 1,050 66-70 1,050
71-75 1,050 71-75 1,050
76-80 1,050 76-80 1,050
>80 1,050 >80 1,050

Premium Exclusive of GST Premium Exclusive of GST


Sum Insured 30,000,000 Sum Insured 45,000,000
Age 1A Age 1A
0-17 475 0-17 475
18-35 555 18-35 555
36-45 590 36-45 590
46-50 1,210 46-50 1,210
51-55 1,210 51-55 1,210
56-60 1,210 56-60 1,210
61-65 1,050 61-65 1,050
66-70 1,050 66-70 1,050
71-75 1,050 71-75 1,050
76-80 1,050 76-80 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)

Premium Exclusive of GST Premium Exclusive of GST Premium Exclusive of GST


Sum Insured 100,000 Sum Insured 400,000 Sum Insured 1,000,000
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

Premium Exclusive of GST Premium Exclusive of GST Premium Exclusive of GST


Sum Insured 200,000 Sum Insured 500,000 Sum Insured 1,500,000
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

Premium Exclusive of GST Premium Exclusive of GST Premium Exclusive of GST


Sum Insured 300,000 Sum Insured 750,000 Sum Insured 2,000,000
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 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

Premium Exclusive of GST Premium Exclusive of GST Premium Exclusive of GST


Sum Insured 3,000,000 Sum Insured 4,500,000 Sum Insured 10,000,000
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

Premium Exclusive of GST Premium Exclusive of GST Premium Exclusive of GST


Sum Insured 3,500,000 Sum Insured 5,000,000 Sum Insured 15,000,000
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 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

Premium Exclusive of GST Premium Exclusive of GST


Sum Insured 25,000,000 Sum Insured 40,000,000
Age 1A Age 1A
0-17 1,900 0-17 1,900
18-35 2,220 18-35 2,220
36-45 2,360 36-45 2,360
46-50 4,840 46-50 4,840
51-55 4,840 51-55 4,840
56-60 4,840 56-60 4,840
61-65 4,200 61-65 4,200
66-70 4,200 66-70 4,200
71-75 4,200 71-75 4,200
76-80 4,200 76-80 4,200
>80 4,200 >80 4,200

Premium Exclusive of GST Premium Exclusive of GST


Sum Insured 30,000,000 Sum Insured 45,000,000
Age 1A Age 1A
0-17 1,900 0-17 1,900
18-35 2,220 18-35 2,220
36-45 2,360 36-45 2,360
46-50 4,840 46-50 4,840
51-55 4,840 51-55 4,840
56-60 4,840 56-60 4,840
61-65 4,200 61-65 4,200
66-70 4,200 66-70 4,200
71-75 4,200 71-75 4,200
76-80 4,200 76-80 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

Premium Exclusive of GST Premium Exclusive of GST Premium Exclusive of GST


Sum Insured 500 Sum Insured 1,500 Sum Insured 2,500
Age 1A Age 1A Age 1A
0-17 124 0-17 371 0-17 618
18-35 133 18-35 398 18-35 663
36-45 179 36-45 536 36-45 893
46-50 220 46-50 660 46-50 1,099
51-55 293 51-55 880 51-55 1,467
56-60 433 56-60 1,298 56-60 2,164
61-65 706 61-65 2,119 61-65 3,531
66-70 1,103 66-70 3,308 66-70 5,513
71-75 1,903 71-75 5,708 71-75 9,513
76-80 1,903 76-80 5,708 76-80 9,513
>80 1,903 >80 5,708 >80 9,513

Premium Exclusive of GST Premium Exclusive of GST


Sum Insured 1,000 Sum Insured 2,000
Age 1A Age 1A
0-17 247 0-17 494
18-35 265 18-35 530
36-45 357 36-45 714
46-50 440 46-50 880
51-55 587 51-55 1,174
56-60 866 56-60 1,731
61-65 1,412 61-65 2,825
66-70 2,205 66-70 4,410
71-75 3,805 71-75 7,610
76-80 3,805 76-80 7,610
>80 3,805 >80 7,610

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

Premium Exclusive of GST Premium Exclusive of GST Premium Exclusive of GST


Sum Insured 500 Sum Insured 1,500 Sum Insured 2,500
Age 1A Age 1A Age 1A
0-17 148 0-17 443 0-17 738
18-35 159 18-35 476 18-35 793
36-45 213 36-45 638 36-45 1,064
46-50 261 46-50 784 46-50 1,306
51-55 352 51-55 1,056 51-55 1,760
56-60 519 56-60 1,558 56-60 2,597
61-65 847 61-65 2,542 61-65 4,237
66-70 1,323 66-70 3,969 66-70 6,615
71-75 2,283 71-75 6,849 71-75 11,415
76-80 2,283 76-80 6,849 76-80 11,415
>80 2,283 >80 6,849 >80 11,415

Premium Exclusive of GST Premium Exclusive of GST


Sum Insured 1,000 Sum Insured 2,000
Age 1A Age 1A
0-17 295 0-17 590
18-35 317 18-35 635
36-45 425 36-45 851
46-50 522 46-50 1,045
51-55 704 51-55 1,408
56-60 1,039 56-60 2,078
61-65 1,695 61-65 3,390
66-70 2,646 66-70 5,292
71-75 4,566 71-75 9,132
76-80 4,566 76-80 9,132
>80 4,566 >80 9,132

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

Premium Exclusive of GST Premium Exclusive of GST Premium Exclusive of GST


Sum Insured 50000 Sum Insured 250000 Sum Insured 500000
Age 1A Age 1A Age 1A
5-17 43 5-17 215 5-17 430
18-35 92 18-35 458 18-35 915
36-45 314 36-45 1,570 36-45 3,140
46-50 616 46-50 3,078 46-50 6,155
51-55 1,038 51-55 5,188 51-55 10,375
56-60 1,611 56-60 8,055 56-60 16,110
61-65 2,498 61-65 12,491 61-65 24,982
66-70 4,259 66-70 21,296 66-70 42,592
71-75 9,378 71-75 46,892 71-75 93,783
76-80 9,378 76-80 46,892 76-80 93,783
>80 9,378 >80 46,892 >80 93,783

Premium Exclusive of GST Premium Exclusive of GST Premium Exclusive of GST


Sum Insured 100000 Sum Insured 300000 Sum Insured 750000
Age 1A Age 1A Age 1A
5-17 86 5-17 258 5-17 645
18-35 183 18-35 549 18-35 1,373
36-45 628 36-45 1,884 36-45 4,710
46-50 1,231 46-50 3,693 46-50 9,233
51-55 2,075 51-55 6,225 51-55 15,563
56-60 3,222 56-60 9,666 56-60 24,165
61-65 4,996 61-65 14,989 61-65 37,472
66-70 8,518 66-70 25,555 66-70 63,887
71-75 18,757 71-75 56,270 71-75 140,675
76-80 18,757 76-80 56,270 76-80 140,675
>80 18,757 >80 56,270 >80 140,675

Premium Exclusive of GST Premium Exclusive of GST Premium Exclusive of GST


Sum Insured 150000 Sum Insured 375000 Sum Insured 1000000
Age 1A Age 1A Age 1A
5-17 129 5-17 860
5-17 323
18-35 275 18-35 1,830
18-35 686
36-45 942 36-45 6,280
36-45 2,355
46-50 1,847 46-50 12,310
46-50 4,616
51-55 3,113 51-55 20,750
51-55 7,781
56-60 4,833 56-60 32,220
56-60 12,083
61-65 7,494 61-65 49,963
61-65 18,736
66-70 12,777 66-70 85,183
66-70 31,944
71-75 28,135 71-75 187,567
71-75 70,337
76-80 28,135 76-80 187,567
76-80 70,337
>80 28,135 >80 187,567
>80 70,337
Premium Exclusive of GST
Premium Exclusive of GST
Sum Insured 200000
Sum Insured 400000
Age 1A
Age 1A
5-17 172
5-17 344
18-35 366
18-35 732
36-45 1,256
36-45 2,512
46-50 2,462
46-50 4,924
51-55 4,150
51-55 8,300
56-60 6,444
56-60 12,888
61-65 9,993
61-65 19,985
66-70 17,037
66-70 34,073
71-75 37,513
71-75 75,027
76-80 37,513
76-80 75,027
>80 37,513
>80 75,027

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

Premium Exclusive of GST


Amount in INR
Age Band 200,000 300,000 400,000 500,000
0-17 - - - -
18-35 306 459 459 459
36-45 965 1,447 1,447 1,447
46-50 2,221 3,331 3,331 3,331
51-55 4,334 6,502 6,502 6,502
56-60 6,535 9,803 9,803 9,803
61-65 9,642 14,463 14,463 14,463
66-70 13,980 20,971 20,971 20,971
71-75 20,272 30,408 30,408 30,408
76-80 20,272 30,408 30,408 30,408
>80 20,272 30,408 30,408 30,408

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)

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
0-17 600 NA NA NA NA NA NA NA NA NA
18-35 1,035 1,553 1,811 2,070 1,242 1,397 1,553 NA NA 259
36-45 1,035 1,553 1,811 2,070 1,242 1,397 1,553 NA NA 259
46-50 1,220 1,830 2,135 2,440 1,464 1,647 1,830 NA NA 305
51-55 1,335 2,003 2,336 2,670 1,602 1,802 2,003 NA NA 305
56-60 1,320 1,980 2,310 2,640 1,584 1,782 1,980 NA NA 305
61-65 1,160 1,740 2,030 2,320 1,392 1,566 1,740 NA NA 305
66-70 1,000 1,500 1,750 2,000 1,200 1,350 1,500 NA NA 305
71-75 865 1,298 1,514 1,730 1,038 1,168 1,298 NA NA 305
76-80 865 1,298 1,514 1,730 1,038 1,168 1,298 NA NA 305
>80 865 1,298 1,514 1,730 1,038 1,168 1,298 NA NA 305

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
0-17 600 NA NA NA NA NA NA NA NA NA
18-35 1,035 1,553 1,811 2,070 1,242 1,397 1,553 NA NA 259
36-45 1,035 1,553 1,811 2,070 1,242 1,397 1,553 NA NA 259
46-50 1,220 1,830 2,135 2,440 1,464 1,647 1,830 NA NA 305
51-55 1,335 2,003 2,336 2,670 1,602 1,802 2,003 NA NA 305
56-60 1,320 1,980 2,310 2,640 1,584 1,782 1,980 NA NA 305
61-65 1,160 1,740 2,030 2,320 1,392 1,566 1,740 NA NA 305
66-70 1,000 1,500 1,750 2,000 1,200 1,350 1,500 NA NA 305
71-75 865 1,298 1,514 1,730 1,038 1,168 1,298 NA NA 305
76-80 865 1,298 1,514 1,730 1,038 1,168 1,298 NA NA 305
>80 865 1,298 1,514 1,730 1,038 1,168 1,298 NA NA 305

Premium Exclusive of GST


Sum Insured 300,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 600 NA NA NA NA NA NA NA NA NA
18-35 1,035 1,553 1,811 2,070 1,242 1,397 1,553 2,588 3,312 259
36-45 1,035 1,553 1,811 2,070 1,242 1,397 1,553 2,588 3,312 259
46-50 1,220 1,830 2,135 2,440 1,464 1,647 1,830 3,050 3,904 305
51-55 1,335 2,003 2,336 2,670 1,602 1,802 2,003 3,338 4,272 305
56-60 1,320 1,980 2,310 2,640 1,584 1,782 1,980 3,300 4,224 305
61-65 1,160 1,740 2,030 2,320 1,392 1,566 1,740 2,900 3,712 305
66-70 1,000 1,500 1,750 2,000 1,200 1,350 1,500 2,500 3,200 305
71-75 865 1,298 1,514 1,730 1,038 1,168 1,298 2,163 2,768 305
76-80 865 1,298 1,514 1,730 1,038 1,168 1,298 2,163 2,768 305
>80 865 1,298 1,514 1,730 1,038 1,168 1,298 2,163 2,768 305

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

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
0-17 760 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

Premium Exclusive of GST


Sum Insured 750,000
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 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

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
0-17 760 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

Premium Exclusive of GST


Sum Insured 2,000,000
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

Premium Exclusive of GST


Sum Insured 3,000,000
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
Premium Exclusive of GST
Sum Insured 3,500,000
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

Premium Exclusive of GST


Sum Insured 4,500,000
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

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
0-17 760 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

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
0-17 760 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

Premium Exclusive of GST


Sum Insured 15,000,000
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 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

Premium Exclusive of GST


Sum Insured 25,000,000
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

Premium Exclusive of GST


Sum Insured 30,000,000
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

Premium Exclusive of GST


Sum Insured 40,000,000
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

Premium Exclusive of GST


Sum Insured 45,000,000
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)

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 2,400 NA NA NA NA NA NA NA NA NA
18-35 4,140 6,210 7,245 8,280 4,968 5,589 6,210 NA NA 1,035
36-45 4,140 6,210 7,245 8,280 4,968 5,589 6,210 NA NA 1,035
46-50 4,880 7,320 8,540 9,760 5,856 6,588 7,320 NA NA 1,220
51-55 5,340 8,010 9,345 10,680 6,408 7,209 8,010 NA NA 1,220
56-60 5,280 7,920 9,240 10,560 6,336 7,128 7,920 NA NA 1,220
61-65 4,640 6,960 8,120 9,280 5,568 6,264 6,960 NA NA 1,220
66-70 4,000 6,000 7,000 8,000 4,800 5,400 6,000 NA NA 1,220
71-75 3,460 5,190 6,055 6,920 4,152 4,671 5,190 NA NA 1,220
76-80 3,460 5,190 6,055 6,920 4,152 4,671 5,190 NA NA 1,220
>80 3,460 5,190 6,055 6,920 4,152 4,671 5,190 NA NA 1,220

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 2,400 NA NA NA NA NA NA NA NA NA
18-35 4,140 6,210 7,245 8,280 4,968 5,589 6,210 NA NA 1,035
36-45 4,140 6,210 7,245 8,280 4,968 5,589 6,210 NA NA 1,035
46-50 4,880 7,320 8,540 9,760 5,856 6,588 7,320 NA NA 1,220
51-55 5,340 8,010 9,345 10,680 6,408 7,209 8,010 NA NA 1,220
56-60 5,280 7,920 9,240 10,560 6,336 7,128 7,920 NA NA 1,220
61-65 4,640 6,960 8,120 9,280 5,568 6,264 6,960 NA NA 1,220
66-70 4,000 6,000 7,000 8,000 4,800 5,400 6,000 NA NA 1,220
71-75 3,460 5,190 6,055 6,920 4,152 4,671 5,190 NA NA 1,220
76-80 3,460 5,190 6,055 6,920 4,152 4,671 5,190 NA NA 1,220
>80 3,460 5,190 6,055 6,920 4,152 4,671 5,190 NA NA 1,220

Premium Exclusive of GST


Sum Insured 300,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 2,400 NA NA NA NA NA NA NA NA NA
18-35 4,140 6,210 7,245 8,280 4,968 5,589 6,210 10,350 13,248 1,035
36-45 4,140 6,210 7,245 8,280 4,968 5,589 6,210 10,350 13,248 1,035
46-50 4,880 7,320 8,540 9,760 5,856 6,588 7,320 12,200 15,616 1,220
51-55 5,340 8,010 9,345 10,680 6,408 7,209 8,010 13,350 17,088 1,220
56-60 5,280 7,920 9,240 10,560 6,336 7,128 7,920 13,200 16,896 1,220
61-65 4,640 6,960 8,120 9,280 5,568 6,264 6,960 11,600 14,848 1,220
66-70 4,000 6,000 7,000 8,000 4,800 5,400 6,000 10,000 12,800 1,220
71-75 3,460 5,190 6,055 6,920 4,152 4,671 5,190 8,650 11,072 1,220
76-80 3,460 5,190 6,055 6,920 4,152 4,671 5,190 8,650 11,072 1,220
>80 3,460 5,190 6,055 6,920 4,152 4,671 5,190 8,650 11,072 1,220

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

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 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

Premium Exclusive of GST


Sum Insured 750,000
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 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

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 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

Premium Exclusive of GST


Sum Insured 2,000,000
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

Premium Exclusive of GST


Sum Insured 3,000,000
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

Premium Exclusive of GST


Sum Insured 3,500,000
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

Premium Exclusive of GST


Sum Insured 4,500,000
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

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 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

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 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

Premium Exclusive of GST


Sum Insured 15,000,000
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 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

Premium Exclusive of GST


Sum Insured 25,000,000
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

Premium Exclusive of GST


Sum Insured 30,000,000
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

Premium Exclusive of GST


Sum Insured 40,000,000
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

Premium Exclusive of GST


Sum Insured 45,000,000
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

Premium Exclusive of GST Premium Exclusive of GST


Limit 18 - 35 Years in Tier 1A & Tier 1B Limit 36-45 Years in Tier 2
Normal C-sec 4 Years 3 Years 2 Years Normal C-sec 4 Years 3 Years 2 Years
15,000 25,000 6,861 8,403 10,838 15,000 25,000 6,322 7,639 9,649
25,000 40,000 11,089 13,581 17,517 25,000 40,000 10,201 12,326 15,570
50,000 100,000 28,459 34,783 44,721 50,000 100,000 27,299 32,986 41,667
80,000 200,000 63,144 76,536 97,139 80,000 200,000 57,971 69,565 86,957

Premium Exclusive of GST Premium Exclusive of GST


Limit 18 - 35 Years in Tier 2 Limit 46-50* Years in Tier 1A & Tier 1B
Normal C-sec 4 Years 3 Years 2 Years Normal C-sec 4 Years 3 Years 2 Years
15,000 25,000 7,505 9,137 11,675 15,000 25,000 6,268 7,560 9,524
25,000 40,000 12,196 14,847 18,971 25,000 40,000 10,083 12,162 15,321
50,000 100,000 30,959 37,689 48,158 50,000 100,000 26,570 32,048 40,373
80,000 200,000 71,972 86,873 109,555 80,000 200,000 54,805 65,876 82,554

Premium Exclusive of GST Premium Exclusive of GST


Limit 36-45 Years in Tier 1A & Tier 1B Limit 46-50* Years in Tier 2
Normal C-sec 4 Years 3 Years 2 Years Normal C-sec 4 Years 3 Years 2 Years
15,000 25,000 6,268 7,560 9,524 15,000 25,000 6,322 7,639 9,649
25,000 40,000 10,083 12,162 15,321 25,000 40,000 10,201 12,326 15,570
50,000 100,000 26,570 32,048 40,373 50,000 100,000 27,299 32,986 41,667
80,000 200,000 54,805 65,876 82,554 80,000 200,000 57,971 69,565 86,957
* For renewals only

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

Premium Exclusive of GST Premium Exclusive of GST


Limit 18 - 35 Years in Tier 1A & Limit 18 - 35 Years in
Tier 1B Tier 2
Normal C-sec Vaccination 4 Years 3 Years 2 Years Normal C-sec Vaccination 4 Years 3 Years 2 Years
15,000 25,000 5,000 7,359 9,013 11,626 15,000 25,000 5,000 8,055 9,806 12,530
20,000 40,000 5,000 11,195 13,711 17,685 20,000 40,000 5,000 12,034 14,650 18,720
25,000 40,000 5,000 11,920 14,599 18,830 25,000 40,000 5,000 13,102 15,950 20,380
35,000 50,000 5,000 15,443 18,914 24,396 35,000 50,000 5,000 17,178 20,912 26,721
50,000 75,000 15,000 24,704 30,193 38,820 50,000 75,000 15,000 26,689 32,491 41,516
50,000 100,000 15,000 31,291 38,245 49,172 50,000 100,000 15,000 32,997 40,170 51,329
75,000 100,000 15,000 36,774 44,573 56,571 75,000 100,000 15,000 40,501 48,887 61,651
80,000 200,000 25,000 71,969 87,233 110,714 80,000 200,000 25,000 78,534 94,794 119,544
100,000 150,000 25,000 55,854 67,699 85,923 100,000 150,000 25,000 61,476 74,204 93,579

Premium Exclusive of GST Premium Exclusive of GST


Limit 36-45 Years in Tier 1A & Limit 36-45 Years in
Tier 1B Tier 2
Normal C-sec Vaccination 4 Years 3 Years 2 Years Normal C-sec Vaccination 4 Years 3 Years 2 Years
15,000 25,000 5,000 7,661 9,241 11,641 15,000 25,000 5,000 7,540 9,111 11,508
20,000 40,000 5,000 11,669 14,074 17,730 20,000 40,000 5,000 11,394 13,768 17,391
25,000 40,000 5,000 12,406 14,963 18,850 25,000 40,000 5,000 12,231 14,780 18,669
35,000 50,000 5,000 16,060 19,371 24,402 35,000 50,000 5,000 15,917 19,233 24,294
50,000 75,000 15,000 24,743 29,845 37,596 50,000 75,000 15,000 24,894 30,080 37,996
50,000 100,000 15,000 31,215 37,651 47,431 50,000 100,000 15,000 31,359 37,893 47,864
75,000 100,000 15,000 34,595 41,584 52,112 75,000 100,000 15,000 35,507 42,609 53,261
80,000 200,000 25,000 62,843 75,538 94,662 80,000 200,000 25,000 65,700 78,841 98,551
100,000 150,000 25,000 51,151 61,484 77,050 100,000 150,000 25,000 53,140 63,768 79,710

Premium Exclusive of GST Premium Exclusive of GST


Limit 46-50* Years in Tier 1A & Limit 46-50* Years in
Tier 1B Tier 2
Normal C-sec Vaccination 4 Years 3 Years 2 Years Normal C-sec Vaccination 4 Years 3 Years 2 Years
15,000 25,000 5,000 7,661 9,241 11,641 15,000 25,000 5,000 7,540 9,111 11,508
20,000 40,000 5,000 11,669 14,074 17,730 20,000 40,000 5,000 11,394 13,768 17,391
25,000 40,000 5,000 12,406 14,963 18,850 25,000 40,000 5,000 12,231 14,780 18,669
35,000 50,000 5,000 16,060 19,371 24,402 35,000 50,000 5,000 15,917 19,233 24,294
50,000 75,000 15,000 24,743 29,845 37,596 50,000 75,000 15,000 24,894 30,080 37,996
50,000 100,000 15,000 31,215 37,651 47,431 50,000 100,000 15,000 31,359 37,893 47,864
75,000 100,000 15,000 34,595 41,584 52,112 75,000 100,000 15,000 35,507 42,609 53,261
80,000 200,000 25,000 62,843 75,538 94,662 80,000 200,000 25,000 65,700 78,841 98,551
100,000 150,000 25,000 51,151 61,484 77,050 100,000 150,000 25,000 53,140 63,768 79,710
*For renewals only *For renewals only

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

my:health Suraksha Premium Rate Chart of Optional Benefit Recovery Benefit

Premium Exclusive of GST


Amount in INR
Sum Insured 1,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 2 NA NA NA NA NA NA NA NA NA
18-35 3 4 4 5 3 3 4 6 8 1
36-45 7 10 12 14 8 9 10 17 22 2
46-50 8 12 15 17 10 11 12 21 27 2
51-55 13 20 23 26 16 18 20 33 42 2
56-60 17 26 30 35 21 23 26 43 55 2
61-65 26 39 46 52 31 35 39 65 83 2
66-70 37 55 65 74 44 50 55 92 118 2
71-75 48 72 83 95 57 64 72 119 153 2
76-80 48 72 83 95 57 64 72 119 153 2
>80 48 72 83 95 57 64 72 119 153 2

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 5 NA NA NA NA NA NA NA NA NA
18-35 5 8 9 10 6 7 8 12 16 1
36-45 14 21 24 27 16 19 21 34 44 3
46-50 17 25 29 33 20 22 25 42 53 4
51-55 26 39 46 53 32 36 39 66 84 4
56-60 35 52 60 69 41 47 52 86 111 4
61-65 52 78 91 104 62 70 78 130 166 4
66-70 74 111 129 148 89 100 111 185 236 4
71-75 95 143 167 191 115 129 143 239 305 4
76-80 95 143 167 191 115 129 143 239 305 4
>80 95 143 167 191 115 129 143 239 305 4

Premium Exclusive of GST


Amount in INR
Sum Insured 3,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 7 NA NA NA NA NA NA NA NA NA
18-35 8 11 13 15 9 10 11 19 24 2
36-45 21 31 36 41 25 28 31 51 66 5
46-50 25 37 44 50 30 34 37 62 80 6
51-55 39 59 69 79 47 53 59 99 126 6
56-60 52 78 91 104 62 70 78 130 166 6
61-65 78 117 137 156 94 105 117 195 250 6
66-70 111 166 194 221 133 149 166 277 354 6
71-75 143 215 250 286 172 193 215 358 458 6
76-80 143 215 250 286 172 193 215 358 458 6
>80 143 215 250 286 172 193 215 358 458 6

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

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 11 NA NA NA NA NA NA NA NA NA
18-35 12 19 22 25 15 17 19 31 40 3
36-45 34 51 60 69 41 46 51 86 110 9
46-50 42 62 73 83 50 56 62 104 133 10
51-55 66 99 115 132 79 89 99 165 211 10
56-60 86 130 151 173 104 117 130 216 276 10
61-65 130 195 228 260 156 176 195 325 416 10
66-70 185 277 323 369 221 249 277 461 591 10
71-75 239 358 417 477 286 322 358 596 763 10
76-80 239 358 417 477 286 322 358 596 763 10
>80 239 358 417 477 286 322 358 596 763 10

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 17 NA NA NA NA NA NA NA NA NA
18-35 19 28 33 37 22 25 28 47 60 5
36-45 51 77 90 103 62 69 77 128 164 13
46-50 62 93 109 125 75 84 93 156 199 16
51-55 99 148 173 197 118 133 148 247 316 16
56-60 130 194 227 259 155 175 194 324 415 16
61-65 195 293 341 390 234 263 293 488 624 16
66-70 277 415 484 554 332 374 415 692 886 16
71-75 358 537 626 716 429 483 537 895 1,145 16
76-80 358 537 626 716 429 483 537 895 1,145 16
>80 358 537 626 716 429 483 537 895 1,145 16

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

Premium Exclusive of GST


Amount in INR
Sum Insured 15,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 34 NA NA NA NA NA NA NA NA NA
18-35 37 56 66 75 45 51 56 94 120 9
36-45 103 154 180 206 123 139 154 257 329 26
46-50 125 187 218 249 150 168 187 312 399 31
51-55 197 296 346 395 237 267 296 494 632 31
56-60 259 389 453 518 311 350 389 648 829 31
61-65 390 585 683 780 468 527 585 975 1,248 31
66-70 554 830 969 1,107 664 747 830 1,384 1,772 31
71-75 716 1,073 1,252 1,431 859 966 1,073 1,789 2,290 31
76-80 716 1,073 1,252 1,431 859 966 1,073 1,789 2,290 31
>80 716 1,073 1,252 1,431 859 966 1,073 1,789 2,290 31

Premium Exclusive of GST


Amount in INR
Sum Insured 25,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 57 NA NA NA NA NA NA NA NA NA
18-35 62 94 109 125 75 84 94 156 200 16
36-45 171 257 300 343 206 231 257 428 548 43
46-50 208 312 363 415 249 280 312 519 665 52
51-55 329 494 576 658 395 444 494 823 1,053 52
56-60 432 648 756 864 518 583 648 1,079 1,382 52
61-65 650 975 1,138 1,300 780 878 975 1,625 2,080 52
66-70 923 1,384 1,615 1,845 1,107 1,246 1,384 2,307 2,953 52
71-75 1,193 1,789 2,087 2,385 1,431 1,610 1,789 2,982 3,817 52
76-80 1,193 1,789 2,087 2,385 1,431 1,610 1,789 2,982 3,817 52
>80 1,193 1,789 2,087 2,385 1,431 1,610 1,789 2,982 3,817 52

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

Waiting Period modification option (Optional cover)


PED exclusion Percentage of Base Premium
3 years 20%

Room rent modification Option


Sum Insured Percentage of Base Premium
Tier 1 Tier 2
100,000 25.0% 15.0%
200,000 20.0% 12.5%
300,000 12.5% 5.0%
400,000 7.5% 0.0%
500,000 5.0% 0.0%

Co-payment
Co-payment Percentage of Base Premium
5% 5%
10% 10%
15% 20%
20% 25%
25% 30%

Non-medical expenses cover - Percentage Discount on Base Premium 5%

Premium Rate for Extended Cumulative Bonus


Extended 10% to 100% 25% to 200% 50% to 200% 10% to 100% 25% to 200% 50% to 200%
Cumulative Bonus Non-Global Plans Non-Global Plans Non-Global Plans Global Plans Global Plans Global Plans
100,000 2.50% 5.00% 10.00% NA NA NA
200,000 2.50% 5.00% 10.00% NA NA NA
300,000 2.50% 5.00% 10.00% NA NA NA
400,000 2.50% 5.00% 10.00% NA NA NA
500,000 2.50% 5.00% 10.00% NA NA NA
600,000 2.50% 3.50% 7.50% NA NA NA
750,000 2.50% 3.50% 7.50% NA NA NA
800,000 2.50% 3.50% 7.50% NA NA NA
900,000 2.50% 3.50% 7.50% NA NA NA
1,000,000 1.00% 2.50% 3.50% NA NA NA
1,500,000 1.00% 2.50% 3.50% NA NA NA
2,000,000 1.00% 2.50% 3.50% NA NA NA
2,500,000 1.00% 1.00% 1.00% 2.00% 3.50% 5.00%
3,000,000 1.00% 1.00% 1.00% 2.00% 3.50% 5.00%
3,500,000 1.00% 1.00% 1.00% 2.00% 3.50% 5.00%
4,000,000 1.00% 1.00% 1.00% 2.00% 3.50% 5.00%
4,500,000 1.00% 1.00% 1.00% 2.00% 3.50% 5.00%
5,000,000 1.00% 1.00% 1.00% 2.00% 3.50% 5.00%
5,500,000 1.00% 1.00% 1.00% 2.00% 3.50% 5.00%
6,000,000 1.00% 1.00% 1.00% 2.00% 3.50% 5.00%
6,500,000 1.00% 1.00% 1.00% 2.00% 3.50% 5.00%
7,000,000 1.00% 1.00% 1.00% 2.00% 3.50% 5.00%
7,500,000 1.00% 1.00% 1.00% 2.00% 3.50% 5.00%
10,000,000 1.00% 1.00% 1.00% 2.00% 3.50% 5.00%
15,000,000 1.00% 1.00% 1.00% 1.00% 1.00% 1.00%
20,000,000 1.00% 1.00% 1.00% 1.00% 1.00% 1.00%
25,000,000 1.00% 1.00% 1.00% 1.00% 1.00% 1.00%
30,000,000 1.00% 1.00% 1.00% 1.00% 1.00% 1.00%
35,000,000 1.00% 1.00% 1.00% 1.00% 1.00% 1.00%
40,000,000 1.00% 1.00% 1.00% 1.00% 1.00% 1.00%
45,000,000 1.00% 1.00% 1.00% 1.00% 1.00% 1.00%
50,000,000 1.00% 1.00% 1.00% 1.00% 1.00% 1.00%

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

my:health Suraksha Premium Rate Chart - Silver

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 3,562 NA NA NA NA NA NA NA NA NA
18-35 4,578 6,867 8,011 9,156 5,493 6,180 6,867 NA NA 1,144
36-45 5,425 8,138 9,494 10,850 6,510 7,324 8,138 NA NA 1,356
46-50 7,066 10,600 12,366 14,133 8,480 9,540 10,600 NA NA 1,767
51-55 9,140 13,710 15,995 18,280 10,968 12,339 13,710 NA NA 1,767
56-60 10,480 15,720 18,341 20,961 12,576 14,148 15,720 NA NA 1,767
61-65 14,360 21,540 25,130 28,721 17,232 19,386 21,540 NA NA 1,767
66-70 18,235 27,353 31,912 36,471 21,882 24,618 27,353 NA NA 1,767
71-75 23,412 35,119 40,972 46,825 28,095 31,607 35,119 NA NA 1,767
76-80 23,412 35,119 40,972 46,825 28,095 31,607 35,119 NA NA 1,767
>80 23,412 35,119 40,972 46,825 28,095 31,607 35,119 NA NA 1,767

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 4,232 NA NA NA NA NA NA NA NA NA
18-35 5,423 8,134 9,490 10,845 6,507 7,321 8,134 NA NA 1,356
36-45 6,414 9,622 11,225 12,829 7,697 8,659 9,622 NA NA 1,604
46-50 8,338 12,507 14,592 16,676 10,006 11,256 12,507 NA NA 2,085
51-55 10,768 16,152 18,843 21,535 12,921 14,536 16,152 NA NA 2,085
56-60 12,376 18,563 21,657 24,751 14,851 16,707 18,563 NA NA 2,085
61-65 16,916 25,374 29,603 33,832 20,299 22,837 25,374 NA NA 2,085
66-70 21,447 32,170 37,532 42,894 25,736 28,953 32,170 NA NA 2,085
71-75 27,509 41,263 48,140 55,017 33,010 37,137 41,263 NA NA 2,085
76-80 27,509 41,263 48,140 55,017 33,010 37,137 41,263 NA NA 2,085
>80 27,509 41,263 48,140 55,017 33,010 37,137 41,263 NA NA 2,085

Premium Exclusive of GST


Sum Insured 300,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 4,855 NA NA NA NA NA NA NA NA NA
18-35 6,207 9,311 10,863 12,414 7,449 8,380 9,311 15,518 19,863 1,552
36-45 7,332 10,998 12,831 14,664 8,798 9,898 10,998 18,330 23,463 1,833
46-50 9,516 14,274 16,653 19,032 11,419 12,847 14,274 23,790 30,452 2,379
51-55 12,274 18,412 21,480 24,549 14,729 16,570 18,412 30,686 39,278 2,379
56-60 14,132 21,198 24,732 28,265 16,959 19,079 21,198 35,331 45,223 2,379
61-65 19,281 28,922 33,743 38,563 23,138 26,030 28,922 48,204 61,701 2,379
66-70 24,416 36,624 42,728 48,832 29,299 32,962 36,624 61,040 78,131 2,379
71-75 31,293 46,940 54,763 62,586 37,552 42,246 46,940 78,233 100,138 2,379
76-80 31,293 46,940 54,763 62,586 37,552 42,246 46,940 78,233 100,138 2,379
>80 31,293 46,940 54,763 62,586 37,552 42,246 46,940 78,233 100,138 2,379

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 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

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 6,194 NA NA NA NA NA NA NA NA NA
18-35 7,897 11,845 13,819 15,794 9,476 10,661 11,845 19,742 25,270 1,974
36-45 9,311 13,966 16,293 18,621 11,173 12,569 13,966 23,276 29,794 2,328
46-50 12,059 18,089 21,104 24,118 14,471 16,280 18,089 30,148 38,590 3,015
51-55 15,530 23,295 27,178 31,060 18,636 20,966 23,295 38,825 49,697 3,015
56-60 17,923 26,884 31,365 35,846 21,507 24,196 26,884 44,807 57,353 3,015
61-65 24,393 36,590 42,688 48,786 29,272 32,931 36,590 60,983 78,058 3,015
66-70 30,839 46,259 53,968 61,678 37,007 41,633 46,259 77,098 98,685 3,015
71-75 39,485 59,228 69,099 78,970 47,382 53,305 59,228 98,713 126,353 3,015
76-80 39,485 59,228 69,099 78,970 47,382 53,305 59,228 98,713 126,353 3,015
>80 39,485 59,228 69,099 78,970 47,382 53,305 59,228 98,713 126,353 3,015

Premium Exclusive of GST


Sum Insured 750,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 7,314 NA NA NA NA NA NA NA NA NA
18-35 9,342 14,013 16,348 18,684 11,210 12,611 14,013 23,355 29,894 2,335
36-45 11,028 16,541 19,298 22,055 13,233 14,887 16,541 27,569 35,289 2,757
46-50 14,302 21,454 25,029 28,605 17,163 19,308 21,454 35,756 45,768 3,576
51-55 18,438 27,657 32,267 36,876 22,126 24,891 27,657 46,095 59,002 3,576
56-60 21,246 31,869 37,181 42,492 25,495 28,682 31,869 53,115 67,987 3,576
61-65 28,963 43,444 50,684 57,925 34,755 39,099 43,444 72,406 92,680 3,576
66-70 36,655 54,982 64,146 73,310 43,986 49,484 54,982 91,637 117,295 3,576
71-75 46,963 70,444 82,184 93,925 56,355 63,399 70,444 117,406 150,280 3,576
76-80 46,963 70,444 82,184 93,925 56,355 63,399 70,444 117,406 150,280 3,576
>80 46,963 70,444 82,184 93,925 56,355 63,399 70,444 117,406 150,280 3,576

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 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

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 9,844 NA NA NA NA NA NA NA NA NA
18-35 12,607 18,910 22,062 25,214 15,128 17,019 18,910 31,517 40,342 3,152
36-45 14,908 22,361 26,088 29,815 17,889 20,125 22,361 37,269 47,704 3,727
46-50 19,371 29,056 33,899 38,742 23,245 26,151 29,056 48,427 61,987 4,843
51-55 25,008 37,512 43,765 50,017 30,010 33,761 37,512 62,521 80,027 4,843
56-60 28,755 43,132 50,321 57,510 34,506 38,819 43,132 71,887 92,016 4,843
61-65 39,287 58,931 68,753 78,575 47,145 53,038 58,931 98,218 125,719 4,843
66-70 49,795 74,693 87,142 99,591 59,754 67,224 74,693 124,489 159,345 4,843
71-75 63,858 95,786 111,751 127,715 76,629 86,208 95,786 159,644 204,344 4,843
76-80 63,858 95,786 111,751 127,715 76,629 86,208 95,786 159,644 204,344 4,843
>80 63,858 95,786 111,751 127,715 76,629 86,208 95,786 159,644 204,344 4,843

Premium Exclusive of GST


Sum Insured 2,000,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 11,664 NA NA NA NA NA NA NA NA NA
18-35 14,955 22,433 26,172 29,910 17,946 20,190 22,433 37,388 47,857 3,739
36-45 17,698 26,547 30,971 35,396 21,238 23,892 26,547 44,245 56,634 4,425
46-50 23,016 34,524 40,278 46,032 27,619 31,072 34,524 57,540 73,652 5,754
51-55 29,734 44,600 52,034 59,467 35,680 40,140 44,600 74,334 95,147 5,754
56-60 34,155 51,233 59,772 68,311 40,986 46,110 51,233 85,388 109,297 5,754
61-65 46,713 70,069 81,747 93,425 56,055 63,062 70,069 116,782 149,481 5,754
66-70 59,246 88,869 103,680 118,492 71,095 79,982 88,869 148,115 189,587 5,754
71-75 76,008 114,012 133,014 152,017 91,210 102,611 114,012 190,021 243,226 5,754
76-80 76,008 114,012 133,014 152,017 91,210 102,611 114,012 190,021 243,226 5,754
>80 76,008 114,012 133,014 152,017 91,210 102,611 114,012 190,021 243,226 5,754

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

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 21,845 NA NA NA NA NA NA NA NA NA
18-35 28,093 42,139 49,162 56,185 33,711 37,925 42,139 70,232 89,896 7,023
36-45 33,309 49,964 58,291 66,618 39,971 44,967 49,964 83,273 106,589 8,327
46-50 43,410 65,114 75,967 86,819 52,092 58,603 65,114 108,524 138,911 10,852
51-55 56,170 84,254 98,297 112,339 67,403 75,829 84,254 140,424 179,742 10,852
56-60 64,368 96,552 112,644 128,736 77,241 86,896 96,552 160,919 205,977 10,852
61-65 88,255 132,382 154,446 176,510 105,906 119,144 132,382 220,637 282,415 10,852
66-70 112,118 168,177 196,206 224,236 134,541 151,359 168,177 280,294 358,777 10,852
71-75 143,986 215,980 251,976 287,973 172,784 194,382 215,980 359,966 460,756 10,852
76-80 143,986 215,980 251,976 287,973 172,784 194,382 215,980 359,966 460,756 10,852
>80 143,986 215,980 251,976 287,973 172,784 194,382 215,980 359,966 460,756 10,852

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

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 3,422 NA NA NA NA NA NA NA NA NA
18-35 4,377 6,566 7,660 8,755 5,253 5,909 6,566 NA NA 1,094
36-45 5,172 7,759 9,052 10,345 6,207 6,983 7,759 NA NA 1,293
46-50 6,715 10,073 11,752 13,431 8,059 9,066 10,073 NA NA 1,679
51-55 8,664 12,997 15,163 17,329 10,397 11,697 12,997 NA NA 1,679
56-60 9,972 14,958 17,451 19,943 11,966 13,462 14,958 NA NA 1,679
61-65 13,611 20,416 23,819 27,222 16,333 18,375 20,416 NA NA 1,679
66-70 17,240 25,860 30,170 34,480 20,688 23,274 25,860 NA NA 1,679
71-75 22,100 33,150 38,675 44,200 26,520 29,835 33,150 NA NA 1,679
76-80 22,100 33,150 38,675 44,200 26,520 29,835 33,150 NA NA 1,679
>80 22,100 33,150 38,675 44,200 26,520 29,835 33,150 NA NA 1,679

Premium Exclusive of GST


Sum Insured 300,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 3,934 NA NA NA NA NA NA NA NA NA
18-35 5,019 7,529 8,784 10,039 6,023 6,776 7,529 12,549 16,062 1,255
36-45 5,921 8,881 10,361 11,841 7,105 7,993 8,881 14,802 18,946 1,480
46-50 7,672 11,508 13,427 15,345 9,207 10,358 11,508 19,181 24,551 1,918
51-55 9,884 14,826 17,297 19,769 11,861 13,344 14,826 24,711 31,630 1,918
56-60 11,401 17,101 19,951 22,801 13,681 15,391 17,101 28,502 36,482 1,918
61-65 15,526 23,288 27,170 31,051 18,631 20,959 23,288 38,814 49,682 1,918
66-70 19,636 29,454 34,363 39,272 23,563 26,508 29,454 49,089 62,834 1,918
71-75 25,147 37,720 44,007 50,294 30,176 33,948 37,720 62,867 80,470 1,918
76-80 25,147 37,720 44,007 50,294 30,176 33,948 37,720 62,867 80,470 1,918
>80 25,147 37,720 44,007 50,294 30,176 33,948 37,720 62,867 80,470 1,918

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

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 5,034 NA NA NA NA NA NA NA NA NA
18-35 6,400 9,600 11,200 12,800 7,680 8,640 9,600 16,000 20,481 1,600
36-45 7,532 11,298 13,181 15,064 9,038 10,168 11,298 18,830 24,103 1,883
46-50 9,736 14,604 17,038 19,472 11,683 13,144 14,604 24,340 31,155 2,434
51-55 12,519 18,778 21,908 25,037 15,022 16,900 18,778 31,296 40,059 2,434
56-60 14,481 21,721 25,342 28,962 17,377 19,549 21,721 36,202 46,339 2,434
61-65 19,661 29,491 34,406 39,321 23,593 26,542 29,491 49,151 62,914 2,434
66-70 24,816 37,224 43,428 49,632 29,779 33,501 37,224 62,040 79,411 2,434
71-75 31,741 47,612 55,547 63,482 38,089 42,851 47,612 79,353 101,572 2,434
76-80 31,741 47,612 55,547 63,482 38,089 42,851 47,612 79,353 101,572 2,434
>80 31,741 47,612 55,547 63,482 38,089 42,851 47,612 79,353 101,572 2,434

Premium Exclusive of GST


Sum Insured 750,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 5,933 NA NA NA NA NA NA NA NA NA
18-35 7,560 11,340 13,230 15,120 9,072 10,206 11,340 18,900 24,193 1,890
36-45 8,910 13,366 15,593 17,821 10,693 12,029 13,366 22,276 28,514 2,228
46-50 11,537 17,305 20,189 23,073 13,844 15,575 17,305 28,842 36,917 2,884
51-55 14,853 22,279 25,992 29,706 17,823 20,051 22,279 37,132 47,529 2,884
56-60 17,149 25,723 30,010 34,297 20,578 23,151 25,723 42,872 54,876 2,884
61-65 23,329 34,993 40,825 46,657 27,994 31,494 34,993 58,321 74,651 2,884
66-70 29,484 44,227 51,598 58,969 35,381 39,804 44,227 73,711 94,350 2,884
71-75 37,743 56,615 66,051 75,487 45,292 50,954 56,615 94,358 120,779 2,884
76-80 37,743 56,615 66,051 75,487 45,292 50,954 56,615 94,358 120,779 2,884
>80 37,743 56,615 66,051 75,487 45,292 50,954 56,615 94,358 120,779 2,884

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

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 7,964 NA NA NA NA NA NA NA NA NA
18-35 10,181 15,272 17,817 20,362 12,217 13,745 15,272 25,453 32,580 2,545
36-45 12,025 18,038 21,044 24,050 14,430 16,234 18,038 30,063 38,480 3,006
46-50 15,605 23,408 27,309 31,211 18,726 21,067 23,408 39,013 49,937 3,901
51-55 20,127 30,190 35,222 40,254 24,152 27,171 30,190 50,317 64,406 3,901
56-60 23,176 34,764 40,559 46,353 27,812 31,288 34,764 57,941 74,164 3,901
61-65 31,617 47,425 55,329 63,233 37,940 42,682 47,425 79,041 101,173 3,901
66-70 40,033 60,049 70,057 80,065 48,039 54,044 60,049 100,082 128,105 3,901
71-75 51,306 76,958 89,785 102,611 61,567 69,263 76,958 128,264 164,178 3,901
76-80 51,306 76,958 89,785 102,611 61,567 69,263 76,958 128,264 164,178 3,901
>80 51,306 76,958 89,785 102,611 61,567 69,263 76,958 128,264 164,178 3,901

Premium Exclusive of GST


Sum Insured 2,000,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 9,425 NA NA NA NA NA NA NA NA NA
18-35 12,066 18,099 21,116 24,132 14,479 16,289 18,099 30,165 38,612 3,017
36-45 14,265 21,397 24,964 28,530 17,118 19,258 21,397 35,662 45,648 3,566
46-50 18,531 27,797 32,430 37,063 22,238 25,017 27,797 46,329 59,301 4,633
51-55 23,920 35,880 41,860 47,840 28,704 32,292 35,880 59,800 76,544 4,633
56-60 27,511 41,267 48,145 55,023 33,014 37,140 41,267 68,778 88,036 4,633
61-65 37,577 56,366 65,760 75,154 45,093 50,729 56,366 93,943 120,247 4,633
66-70 47,619 71,428 83,333 95,238 57,143 64,285 71,428 119,047 152,380 4,633
71-75 61,059 91,589 106,854 122,118 73,271 82,430 91,589 152,648 195,390 4,633
76-80 61,059 91,589 106,854 122,118 73,271 82,430 91,589 152,648 195,390 4,633
>80 61,059 91,589 106,854 122,118 73,271 82,430 91,589 152,648 195,390 4,633

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

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 17,598 NA NA NA NA NA NA NA NA NA
18-35 22,612 33,918 39,571 45,224 27,134 30,526 33,918 56,530 72,358 5,653
36-45 26,796 40,195 46,894 53,593 32,156 36,175 40,195 66,991 85,749 6,699
46-50 34,902 52,353 61,078 69,804 41,882 47,117 52,353 87,255 111,686 8,725
51-55 45,141 67,711 78,997 90,282 54,169 60,940 67,711 112,852 144,451 8,725
56-60 51,764 77,646 90,586 103,527 62,116 69,881 77,646 129,409 165,644 8,725
61-65 70,924 106,386 124,117 141,848 85,109 95,748 106,386 177,311 226,958 8,725
66-70 90,061 135,091 157,606 180,121 108,073 121,582 135,091 225,152 288,194 8,725
71-75 115,627 173,441 202,348 231,254 138,753 156,097 173,441 289,068 370,007 8,725
76-80 115,627 173,441 202,348 231,254 138,753 156,097 173,441 289,068 370,007 8,725
>80 115,627 173,441 202,348 231,254 138,753 156,097 173,441 289,068 370,007 8,725

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

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 3,144 NA NA NA NA NA NA NA NA NA
18-35 4,019 6,028 7,033 8,038 4,823 5,426 6,028 NA NA 1,005
36-45 4,746 7,120 8,306 9,493 5,696 6,408 7,120 NA NA 1,187
46-50 6,159 9,239 10,778 12,318 7,391 8,315 9,239 NA NA 1,540
51-55 7,943 11,915 13,901 15,886 9,532 10,723 11,915 NA NA 1,540
56-60 9,148 13,721 16,008 18,295 10,977 12,349 13,721 NA NA 1,540
61-65 12,478 18,716 21,836 24,955 14,973 16,845 18,716 NA NA 1,540
66-70 15,798 23,697 27,646 31,596 18,957 21,327 23,697 NA NA 1,540
71-75 20,246 30,368 35,430 40,491 24,295 27,331 30,368 NA NA 1,540
76-80 20,246 30,368 35,430 40,491 24,295 27,331 30,368 NA NA 1,540
>80 20,246 30,368 35,430 40,491 24,295 27,331 30,368 NA NA 1,540

Premium Exclusive of GST


Sum Insured 300,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 3,619 NA NA NA NA NA NA NA NA NA
18-35 4,612 6,918 8,071 9,224 5,535 6,226 6,918 11,530 14,759 1,153
36-45 5,437 8,155 9,514 10,873 6,524 7,340 8,155 13,592 17,397 1,359
46-50 7,040 10,560 12,320 14,080 8,448 9,504 10,560 17,600 22,528 1,760
51-55 9,065 13,597 15,863 18,129 10,878 12,237 13,597 22,662 29,007 1,760
56-60 10,464 15,696 18,312 20,928 12,557 14,127 15,696 26,160 33,485 1,760
61-65 14,238 21,357 24,916 28,475 17,085 19,221 21,357 35,594 45,561 1,760
66-70 17,997 26,995 31,494 35,993 21,596 24,296 26,995 44,992 57,590 1,760
71-75 23,040 34,559 40,319 46,079 27,648 31,103 34,559 57,599 73,727 1,760
76-80 23,040 34,559 40,319 46,079 27,648 31,103 34,559 57,599 73,727 1,760
>80 23,040 34,559 40,319 46,079 27,648 31,103 34,559 57,599 73,727 1,760

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

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 4,636 NA NA NA NA NA NA NA NA NA
18-35 5,887 8,831 10,302 11,774 7,064 7,947 8,831 14,718 18,838 1,472
36-45 6,922 10,383 12,114 13,845 8,307 9,345 10,383 17,306 22,151 1,731
46-50 8,939 13,409 15,644 17,879 10,727 12,068 13,409 22,349 28,606 2,235
51-55 11,486 17,229 20,100 22,972 13,783 15,506 17,229 28,715 36,755 2,235
56-60 13,301 19,951 23,277 26,602 15,961 17,956 19,951 33,252 42,563 2,235
61-65 18,038 27,057 31,566 36,076 21,645 24,351 27,057 45,095 57,721 2,235
66-70 22,751 34,126 39,814 45,501 27,301 30,713 34,126 56,877 72,802 2,235
71-75 29,086 43,629 50,900 58,172 34,903 39,266 43,629 72,715 93,075 2,235
76-80 29,086 43,629 50,900 58,172 34,903 39,266 43,629 72,715 93,075 2,235
>80 29,086 43,629 50,900 58,172 34,903 39,266 43,629 72,715 93,075 2,235

Premium Exclusive of GST


Sum Insured 750,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 5,459 NA NA NA NA NA NA NA NA NA
18-35 6,949 10,424 12,161 13,899 8,339 9,382 10,424 17,373 22,238 1,737
36-45 8,185 12,277 14,323 16,369 9,821 11,049 12,277 20,461 26,191 2,046
46-50 10,588 15,883 18,530 21,177 12,706 14,294 15,883 26,471 33,883 2,647
51-55 13,624 20,435 23,841 27,247 16,348 18,392 20,435 34,059 43,595 2,647
56-60 15,744 23,616 27,552 31,488 18,893 21,254 23,616 39,359 50,380 2,647
61-65 21,397 32,095 37,444 42,794 25,676 28,886 32,095 53,492 68,470 2,647
66-70 27,026 40,539 47,295 54,052 32,431 36,485 40,539 67,564 86,482 2,647
71-75 34,582 51,874 60,519 69,165 41,499 46,686 51,874 86,456 110,664 2,647
76-80 34,582 51,874 60,519 69,165 41,499 46,686 51,874 86,456 110,664 2,647
>80 34,582 51,874 60,519 69,165 41,499 46,686 51,874 86,456 110,664 2,647

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 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

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 7,319 NA NA NA NA NA NA NA NA NA
18-35 9,349 14,024 16,362 18,699 11,219 12,622 14,024 23,374 29,918 2,337
36-45 11,037 16,555 19,314 22,073 13,244 14,900 16,555 27,592 35,317 2,759
46-50 14,314 21,471 25,050 28,628 17,177 19,324 21,471 35,786 45,805 3,579
51-55 18,453 27,680 32,293 36,907 22,144 24,912 27,680 46,133 59,050 3,579
56-60 21,264 31,895 37,211 42,527 25,516 28,706 31,895 53,159 68,043 3,579
61-65 28,986 43,480 50,726 57,973 34,784 39,132 43,480 72,466 92,757 3,579
66-70 36,685 55,028 64,199 73,371 44,022 49,525 55,028 91,713 117,393 3,579
71-75 47,002 70,503 82,253 94,004 56,402 63,452 70,503 117,504 150,406 3,579
76-80 47,002 70,503 82,253 94,004 56,402 63,452 70,503 117,504 150,406 3,579
>80 47,002 70,503 82,253 94,004 56,402 63,452 70,503 117,504 150,406 3,579

Premium Exclusive of GST


Sum Insured 2,000,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 8,657 NA NA NA NA NA NA NA NA NA
18-35 11,076 16,613 19,382 22,151 13,291 14,952 16,613 27,689 35,442 2,769
36-45 13,088 19,632 22,904 26,176 15,705 17,669 19,632 32,720 41,881 3,272
46-50 16,994 25,491 29,739 33,987 20,392 22,942 25,491 42,484 54,380 4,248
51-55 21,927 32,890 38,372 43,853 26,312 29,601 32,890 54,817 70,166 4,248
56-60 25,233 37,850 44,158 50,466 30,280 34,065 37,850 63,083 80,746 4,248
61-65 34,445 51,667 60,278 68,890 41,334 46,500 51,667 86,112 110,223 4,248
66-70 43,632 65,448 76,356 87,265 52,359 58,904 65,448 109,081 139,623 4,248
71-75 55,934 83,900 97,884 111,867 67,120 75,510 83,900 139,834 178,987 4,248
76-80 55,934 83,900 97,884 111,867 67,120 75,510 83,900 139,834 178,987 4,248
>80 55,934 83,900 97,884 111,867 67,120 75,510 83,900 139,834 178,987 4,248

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

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 16,141 NA NA NA NA NA NA NA NA NA
18-35 20,733 31,099 36,282 41,465 24,879 27,989 31,099 51,832 66,345 5,183
36-45 24,563 36,845 42,986 49,127 29,476 33,161 36,845 61,409 78,603 6,141
46-50 31,985 47,977 55,973 63,969 38,382 43,179 47,977 79,962 102,351 7,996
51-55 41,360 62,039 72,379 82,719 49,631 55,835 62,039 103,399 132,350 7,996
56-60 47,442 71,163 83,024 94,884 56,930 64,047 71,163 118,605 151,815 7,996
61-65 64,982 97,473 113,718 129,964 77,978 87,726 97,473 162,455 207,942 7,996
66-70 82,498 123,747 144,371 164,996 98,997 111,372 123,747 206,244 263,993 7,996
71-75 105,903 158,855 185,331 211,807 127,084 142,970 158,855 264,759 338,891 7,996
76-80 105,903 158,855 185,331 211,807 127,084 142,970 158,855 264,759 338,891 7,996
>80 105,903 158,855 185,331 211,807 127,084 142,970 158,855 264,759 338,891 7,996

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

my:health Suraksha Premium Rate Chart - Gold

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

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 4,278 NA NA NA NA NA NA NA NA NA
18-35 5,999 9,018 10,549 12,079 7,231 8,166 9,100 NA NA 1,398
36-45 7,099 10,669 12,474 14,279 8,551 9,651 10,751 NA NA 1,648
46-50 9,218 13,848 16,183 18,518 11,095 12,512 13,930 NA NA 2,130
51-55 10,835 16,273 19,013 21,752 13,035 14,695 16,355 NA NA 2,130
56-60 12,451 18,697 21,841 24,984 14,974 16,877 18,779 NA NA 2,130
61-65 17,009 25,534 29,817 34,100 20,444 23,030 25,616 NA NA 2,130
66-70 21,562 32,363 37,784 43,205 25,907 29,176 32,445 NA NA 2,130
71-75 27,645 41,488 48,430 55,372 33,207 37,388 41,570 NA NA 2,130
76-80 27,645 41,488 48,430 55,372 33,207 37,388 41,570 NA NA 2,130
>80 27,645 41,488 48,430 55,372 33,207 37,388 41,570 NA NA 2,130

Premium Exclusive of GST


Sum Insured 300,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 4,903 NA NA NA NA NA NA NA NA NA
18-35 6,858 10,307 12,052 13,798 8,262 9,326 10,389 17,206 22,060 1,595
36-45 8,109 12,184 14,242 16,300 9,764 11,015 12,266 20,334 26,064 1,879
46-50 10,517 15,796 18,455 21,115 12,653 14,265 15,878 26,353 33,768 2,426
51-55 12,355 18,553 21,672 24,792 14,859 16,747 18,635 30,949 39,650 2,426
56-60 14,225 21,358 24,945 28,532 17,103 19,272 21,440 35,624 45,635 2,426
61-65 19,400 29,121 34,002 38,883 23,313 26,258 29,203 48,563 62,196 2,426
66-70 24,568 36,872 43,045 49,218 29,514 33,234 36,954 61,481 78,732 2,426
71-75 31,477 47,236 55,136 63,036 37,805 42,562 47,318 78,754 100,842 2,426
76-80 31,477 47,236 55,136 63,036 37,805 42,562 47,318 78,754 100,842 2,426
>80 31,477 47,236 55,136 63,036 37,805 42,562 47,318 78,754 100,842 2,426

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

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 6,246 NA NA NA NA NA NA NA NA NA
18-35 8,709 13,084 15,292 17,500 10,484 11,825 13,166 21,834 27,983 2,018
36-45 10,287 15,451 18,054 20,657 12,378 13,955 15,533 25,780 33,034 2,377
46-50 13,319 20,000 23,360 26,721 16,016 18,049 20,082 33,360 42,737 3,066
51-55 15,637 23,476 27,416 31,356 18,797 21,178 23,558 39,154 50,153 3,066
56-60 18,050 27,096 31,639 36,182 21,693 24,435 27,178 45,187 57,875 3,066
61-65 24,564 36,867 43,038 49,210 29,510 33,229 36,949 61,472 78,720 3,066
66-70 31,065 46,617 54,414 62,211 37,310 42,005 46,699 77,723 99,522 3,066
71-75 39,765 59,668 69,640 79,611 47,750 53,750 59,750 99,473 127,362 3,066
76-80 39,765 59,668 69,640 79,611 47,750 53,750 59,750 99,473 127,362 3,066
>80 39,765 59,668 69,640 79,611 47,750 53,750 59,750 99,473 127,362 3,066

Premium Exclusive of GST


Sum Insured 750,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 7,372 NA NA NA NA NA NA NA NA NA
18-35 10,305 15,478 18,085 20,691 12,398 13,979 15,560 25,823 33,090 2,381
36-45 12,193 18,310 21,389 24,469 14,665 16,529 18,392 30,545 39,133 2,811
46-50 15,808 23,732 27,715 31,697 19,002 21,408 23,814 39,581 50,700 3,632
51-55 18,578 27,887 32,562 37,237 22,326 25,148 27,969 46,506 59,564 3,632
56-60 21,417 32,145 37,530 42,915 25,733 28,980 32,227 53,603 68,648 3,632
61-65 29,199 43,818 51,149 58,479 35,071 39,486 43,900 73,058 93,550 3,632
66-70 36,973 55,479 64,753 74,027 44,400 49,981 55,561 92,493 118,427 3,632
71-75 47,361 71,062 82,934 94,805 56,866 64,005 71,144 118,465 151,671 3,632
76-80 47,361 71,062 82,934 94,805 56,866 64,005 71,144 118,465 151,671 3,632
>80 47,361 71,062 82,934 94,805 56,866 64,005 71,144 118,465 151,671 3,632

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

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 9,908 NA NA NA NA NA NA NA NA NA
18-35 13,903 20,874 24,381 27,887 16,716 18,836 20,956 34,818 44,603 3,199
36-45 16,478 24,738 28,888 33,039 19,807 22,313 24,820 41,257 52,845 3,785
46-50 21,404 32,126 37,508 42,890 25,717 28,963 32,208 53,571 68,607 4,905
51-55 25,181 37,792 44,118 50,444 30,250 34,062 37,874 63,014 80,694 4,905
56-60 28,969 43,474 50,746 58,019 34,795 39,175 43,556 72,483 92,815 4,905
61-65 39,588 59,403 69,331 79,259 47,539 53,512 59,485 99,032 126,797 4,905
66-70 50,206 75,329 87,911 100,493 60,279 67,845 75,411 125,575 160,772 4,905
71-75 64,376 96,584 112,709 128,833 77,284 86,975 96,666 161,001 206,117 4,905
76-80 64,376 96,584 112,709 128,833 77,284 86,975 96,666 161,001 206,117 4,905
>80 64,376 96,584 112,709 128,833 77,284 86,975 96,666 161,001 206,117 4,905

Premium Exclusive of GST


Sum Insured 2,000,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 11,728 NA NA NA NA NA NA NA NA NA
18-35 16,486 24,749 28,901 33,053 19,816 22,323 24,831 41,276 52,869 3,786
36-45 19,548 29,342 34,260 39,178 23,490 26,457 29,424 48,931 62,668 4,483
46-50 25,414 38,141 44,525 50,909 30,529 34,376 38,223 63,595 81,438 5,816
51-55 29,906 44,880 52,387 59,894 35,920 40,441 44,962 74,827 95,815 5,816
56-60 34,369 51,574 60,197 68,820 41,276 46,466 51,656 85,984 110,096 5,816
61-65 47,014 70,541 82,325 94,109 56,449 63,536 70,623 117,596 150,559 5,816
66-70 59,656 89,505 104,449 119,394 71,620 80,603 89,587 149,202 191,014 5,816
71-75 76,526 114,810 133,972 153,135 91,864 103,378 114,892 191,377 244,999 5,816
76-80 76,526 114,810 133,972 153,135 91,864 103,378 114,892 191,377 244,999 5,816
>80 76,526 114,810 133,972 153,135 91,864 103,378 114,892 191,377 244,999 5,816

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

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 21,909 NA NA NA NA NA NA NA NA NA
18-35 30,937 46,426 54,191 61,956 37,157 41,832 46,508 77,404 99,113 7,070
36-45 36,720 55,100 64,311 73,522 44,097 49,640 55,182 91,861 117,619 8,385
46-50 47,846 71,790 83,782 95,775 57,448 64,660 71,872 119,677 153,223 10,914
51-55 56,342 84,534 98,650 112,766 67,643 76,130 84,616 140,917 180,410 10,914
56-60 64,581 96,893 113,069 129,245 77,531 87,253 96,975 161,515 206,776 10,914
61-65 88,556 132,854 155,024 177,194 106,300 119,618 132,936 221,451 283,494 10,914
66-70 112,528 168,812 196,975 225,138 135,066 151,980 168,894 281,381 360,204 10,914
71-75 144,504 216,777 252,934 289,091 173,438 195,149 216,859 361,323 462,529 10,914
76-80 144,504 216,777 252,934 289,091 173,438 195,149 216,859 361,323 462,529 10,914
>80 144,504 216,777 252,934 289,091 173,438 195,149 216,859 361,323 462,529 10,914

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

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 3,467 NA NA NA NA NA NA NA NA NA
18-35 4,849 7,294 8,537 9,779 5,851 6,613 7,376 NA NA 1,137
36-45 5,732 8,619 10,083 11,547 6,912 7,806 8,701 NA NA 1,338
46-50 7,433 11,170 13,060 14,949 8,953 10,103 11,252 NA NA 1,724
51-55 8,732 13,118 15,332 17,545 10,511 11,855 13,200 NA NA 1,724
56-60 10,047 15,091 17,634 20,177 12,090 13,631 15,173 NA NA 1,724
61-65 13,704 20,576 24,033 27,490 16,477 18,568 20,658 NA NA 1,724
66-70 17,355 26,053 30,423 34,792 20,859 23,497 26,135 NA NA 1,724
71-75 22,236 33,375 38,965 44,555 26,716 30,087 33,457 NA NA 1,724
76-80 22,236 33,375 38,965 44,555 26,716 30,087 33,457 NA NA 1,724
>80 22,236 33,375 38,965 44,555 26,716 30,087 33,457 NA NA 1,724

Premium Exclusive of GST


Sum Insured 300,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 3,982 NA NA NA NA NA NA NA NA NA
18-35 5,551 8,347 9,766 11,185 6,694 7,562 8,429 13,940 17,879 1,298
36-45 6,557 9,855 11,525 13,195 7,901 8,919 9,937 16,453 21,096 1,526
46-50 8,489 12,753 14,906 17,059 10,219 11,527 12,835 21,283 27,278 1,965
51-55 9,965 14,968 17,490 20,012 11,991 13,520 15,050 24,973 32,002 1,965
56-60 11,494 17,261 20,165 23,069 13,825 15,584 17,343 28,795 36,894 1,965
61-65 15,645 23,487 27,429 31,371 18,806 21,188 23,569 39,173 50,177 1,965
66-70 19,788 29,702 34,679 39,657 23,778 26,781 29,784 49,530 63,435 1,965
71-75 25,331 38,017 44,381 50,744 30,430 34,265 38,099 63,389 81,174 1,965
76-80 25,331 38,017 44,381 50,744 30,430 34,265 38,099 63,389 81,174 1,965
>80 25,331 38,017 44,381 50,744 30,430 34,265 38,099 63,389 81,174 1,965

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 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

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 5,086 NA NA NA NA NA NA NA NA NA
18-35 7,063 10,614 12,411 14,207 8,508 9,602 10,696 17,718 22,715 1,644
36-45 8,331 12,517 14,630 16,744 10,030 11,314 12,599 20,889 26,774 1,933
46-50 10,764 16,166 18,888 21,610 12,949 14,599 16,248 26,971 34,559 2,485
51-55 12,625 18,959 22,146 25,333 15,183 17,112 19,041 31,625 40,516 2,485
56-60 14,608 21,933 25,616 29,299 17,563 19,789 22,015 36,582 46,862 2,485
61-65 19,832 29,768 34,756 39,745 23,831 26,840 29,850 49,640 63,576 2,485
66-70 25,041 37,583 43,874 50,165 30,083 33,874 37,665 62,665 80,247 2,485
71-75 32,021 48,051 56,087 64,123 38,458 43,296 48,133 80,113 102,581 2,485
76-80 32,021 48,051 56,087 64,123 38,458 43,296 48,133 80,113 102,581 2,485
>80 32,021 48,051 56,087 64,123 38,458 43,296 48,133 80,113 102,581 2,485

Premium Exclusive of GST


Sum Insured 750,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 5,991 NA NA NA NA NA NA NA NA NA
18-35 8,345 12,538 14,655 16,772 10,047 11,333 12,620 20,924 26,818 1,936
36-45 9,864 14,817 17,314 19,811 11,870 13,385 14,899 24,722 31,681 2,281
46-50 12,765 19,169 22,391 25,613 15,351 17,301 19,251 31,975 40,964 2,941
51-55 14,993 22,509 26,288 30,067 18,024 20,308 22,591 37,543 48,091 2,941
56-60 17,319 25,999 30,360 34,720 20,816 23,449 26,081 43,359 55,536 2,941
61-65 23,565 35,367 41,289 47,211 28,310 31,880 35,449 58,973 75,522 2,941
66-70 29,802 44,724 52,205 59,686 35,795 40,301 44,806 74,567 95,482 2,941
71-75 38,142 57,234 66,800 76,366 45,803 51,560 57,316 95,417 122,170 2,941
76-80 38,142 57,234 66,800 76,366 45,803 51,560 57,316 95,417 122,170 2,941
>80 38,142 57,234 66,800 76,366 45,803 51,560 57,316 95,417 122,170 2,941

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

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 8,028 NA NA NA NA NA NA NA NA NA
18-35 11,234 16,872 19,711 22,551 13,514 15,234 16,954 28,147 36,064 2,593
36-45 13,308 19,982 23,339 26,697 16,002 18,033 20,064 33,330 42,699 3,064
46-50 17,262 25,913 30,259 34,605 20,747 23,371 25,995 43,216 55,352 3,963
51-55 20,300 30,470 35,576 40,681 24,392 27,472 30,552 50,811 65,074 3,963
56-60 23,390 35,106 40,984 46,862 28,101 31,644 35,188 58,537 74,963 3,963
61-65 31,918 47,897 55,907 63,917 38,334 43,156 47,979 79,856 102,251 3,963
66-70 40,443 60,685 70,826 80,968 48,564 54,665 60,767 101,168 129,532 3,963
71-75 51,824 77,756 90,743 103,729 62,221 70,030 77,838 129,621 165,950 3,963
76-80 51,824 77,756 90,743 103,729 62,221 70,030 77,838 129,621 165,950 3,963
>80 51,824 77,756 90,743 103,729 62,221 70,030 77,838 129,621 165,950 3,963

Premium Exclusive of GST


Sum Insured 2,000,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 9,489 NA NA NA NA NA NA NA NA NA
18-35 13,308 19,982 23,340 26,697 16,002 18,033 20,064 33,331 42,700 3,064
36-45 15,771 23,678 27,651 31,625 18,958 21,359 23,760 39,490 50,583 3,624
46-50 20,480 30,741 35,892 41,043 24,609 27,716 30,823 51,263 65,652 4,695
51-55 24,093 36,160 42,213 48,267 28,944 32,593 36,242 60,293 77,211 4,695
56-60 27,725 41,608 48,570 55,532 33,303 37,496 41,690 69,374 88,835 4,695
61-65 37,878 56,838 66,338 75,838 45,487 51,203 56,920 94,757 121,325 4,695
66-70 48,029 72,064 84,102 96,140 57,668 64,907 72,146 120,134 153,808 4,695
71-75 61,577 92,386 107,812 123,237 73,926 83,197 92,468 154,005 197,162 4,695
76-80 61,577 92,386 107,812 123,237 73,926 83,197 92,468 154,005 197,162 4,695
>80 61,577 92,386 107,812 123,237 73,926 83,197 92,468 154,005 197,162 4,695

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

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 17,661 NA NA NA NA NA NA NA NA NA
18-35 24,908 37,383 43,640 49,898 29,923 33,694 37,465 62,332 79,821 5,700
36-45 29,556 44,355 51,774 59,194 35,500 39,968 44,437 73,952 94,694 6,757
46-50 38,488 57,752 67,405 77,058 46,218 52,026 57,834 96,281 123,276 8,787
51-55 45,314 67,991 79,350 90,709 54,409 61,241 68,073 113,345 145,118 8,787
56-60 51,977 77,987 91,012 104,037 62,406 70,237 78,069 130,005 166,442 8,787
61-65 71,225 106,858 124,695 142,533 85,503 96,222 106,940 178,125 228,036 8,787
66-70 90,471 135,727 158,375 181,023 108,598 122,203 135,809 226,238 289,621 8,787
71-75 116,145 174,238 203,305 232,372 139,407 156,864 174,320 290,425 371,780 8,787
76-80 116,145 174,238 203,305 232,372 139,407 156,864 174,320 290,425 371,780 8,787
>80 116,145 174,238 203,305 232,372 139,407 156,864 174,320 290,425 371,780 8,787

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

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 3,190 NA NA NA NA NA NA NA NA NA
18-35 4,454 6,702 7,847 8,991 5,378 6,081 6,784 NA NA 1,047
36-45 5,264 7,917 9,263 10,610 6,350 7,174 7,999 NA NA 1,231
46-50 6,821 10,253 11,989 13,725 8,218 9,276 10,335 NA NA 1,585
51-55 8,011 12,036 14,070 16,103 9,645 10,882 12,118 NA NA 1,585
56-60 9,223 13,855 16,192 18,528 11,100 12,519 13,937 NA NA 1,585
61-65 12,571 18,876 22,050 25,223 15,117 17,038 18,958 NA NA 1,585
66-70 15,913 23,890 27,898 31,907 19,128 21,550 23,972 NA NA 1,585
71-75 20,382 30,593 35,720 40,846 24,491 27,583 30,675 NA NA 1,585
76-80 20,382 30,593 35,720 40,846 24,491 27,583 30,675 NA NA 1,585
>80 20,382 30,593 35,720 40,846 24,491 27,583 30,675 NA NA 1,585

Premium Exclusive of GST


Sum Insured 300,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 3,666 NA NA NA NA NA NA NA NA NA
18-35 5,103 7,675 8,982 10,289 6,157 6,957 7,757 12,820 16,445 1,196
36-45 6,024 9,057 10,594 12,130 7,262 8,200 9,139 15,122 19,392 1,405
46-50 7,793 11,710 13,689 15,668 9,384 10,588 11,792 19,544 25,053 1,807
51-55 9,145 13,738 16,055 18,372 11,007 12,414 13,820 22,925 29,380 1,807
56-60 10,557 15,856 18,526 21,196 12,701 14,320 15,938 26,454 33,897 1,807
61-65 14,357 21,556 25,175 28,795 17,261 19,449 21,638 35,953 46,056 1,807
66-70 18,148 27,243 31,811 36,379 21,811 24,568 27,325 45,433 58,190 1,807
71-75 23,224 34,856 40,693 46,529 27,901 31,420 34,938 58,121 74,431 1,807
76-80 23,224 34,856 40,693 46,529 27,901 31,420 34,938 58,121 74,431 1,807
>80 23,224 34,856 40,693 46,529 27,901 31,420 34,938 58,121 74,431 1,807

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

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 4,689 NA NA NA NA NA NA NA NA NA
18-35 6,498 9,768 11,423 13,078 7,831 8,840 9,850 16,307 20,909 1,516
36-45 7,660 11,511 13,457 15,402 9,225 10,409 11,593 19,212 24,628 1,780
46-50 9,888 14,852 17,355 19,857 11,898 13,416 14,934 24,781 31,755 2,286
51-55 11,593 17,410 20,339 23,268 13,944 15,718 17,492 29,044 37,212 2,286
56-60 13,428 20,163 23,551 26,938 16,147 18,196 20,245 33,632 43,085 2,286
61-65 18,209 27,334 31,917 36,500 21,883 24,650 27,416 45,584 58,383 2,286
66-70 22,976 34,485 40,260 46,035 27,604 31,086 34,567 57,502 73,639 2,286
71-75 29,365 44,069 51,441 58,813 35,271 39,711 44,151 73,475 94,084 2,286
76-80 29,365 44,069 51,441 58,813 35,271 39,711 44,151 73,475 94,084 2,286
>80 29,365 44,069 51,441 58,813 35,271 39,711 44,151 73,475 94,084 2,286

Premium Exclusive of GST


Sum Insured 750,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 5,518 NA NA NA NA NA NA NA NA NA
18-35 7,673 11,530 13,479 15,428 9,240 10,426 11,612 19,244 24,668 1,783
36-45 9,066 13,619 15,916 18,214 10,912 12,307 13,701 22,726 29,126 2,100
46-50 11,722 17,604 20,565 23,527 14,100 15,893 17,686 29,367 37,626 2,704
51-55 13,763 20,665 24,137 27,608 16,549 18,648 20,747 34,470 44,157 2,704
56-60 15,914 23,892 27,901 31,911 19,130 21,552 23,974 39,847 51,041 2,704
61-65 21,633 32,470 37,909 43,348 25,992 29,272 32,552 54,144 69,340 2,704
66-70 27,344 41,036 47,903 54,769 32,845 36,981 41,118 68,420 87,614 2,704
71-75 34,981 52,492 61,268 70,044 42,010 47,292 52,574 87,514 112,055 2,704
76-80 34,981 52,492 61,268 70,044 42,010 47,292 52,574 87,514 112,055 2,704
>80 34,981 52,492 61,268 70,044 42,010 47,292 52,574 87,514 112,055 2,704

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

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 7,383 NA NA NA NA NA NA NA NA NA
18-35 10,319 15,500 18,110 20,721 12,416 13,999 15,582 25,860 33,137 2,385
36-45 12,220 18,351 21,437 24,523 14,697 16,565 18,433 30,612 39,220 2,817
46-50 15,841 23,783 27,774 31,765 19,043 21,454 23,865 39,665 50,807 3,640
51-55 18,626 27,959 32,647 37,334 22,384 25,213 28,041 46,626 59,718 3,640
56-60 21,477 32,236 37,636 43,036 25,805 29,062 32,318 53,755 68,842 3,640
61-65 29,288 43,952 51,304 58,657 35,178 39,606 44,034 73,280 93,835 3,640
66-70 37,095 55,664 64,968 74,273 44,547 50,146 55,746 92,800 118,820 3,640
71-75 47,520 71,300 83,211 95,122 57,057 64,219 71,382 118,861 152,178 3,640
76-80 47,520 71,300 83,211 95,122 57,057 64,219 71,382 118,861 152,178 3,640
>80 47,520 71,300 83,211 95,122 57,057 64,219 71,382 118,861 152,178 3,640

Premium Exclusive of GST


Sum Insured 2,000,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 8,721 NA NA NA NA NA NA NA NA NA
18-35 12,218 18,348 21,433 24,518 14,695 16,562 18,430 30,607 39,213 2,816
36-45 14,477 21,735 25,385 29,035 17,405 19,611 21,817 36,253 46,440 3,330
46-50 18,789 28,204 32,932 37,660 22,580 25,433 28,286 47,034 60,239 4,310
51-55 22,099 33,170 38,725 44,281 26,552 29,902 33,252 55,310 70,833 4,310
56-60 25,447 38,191 44,583 50,976 30,569 34,421 38,273 63,679 81,545 4,310
61-65 34,746 52,139 60,856 69,574 41,728 46,975 52,221 86,926 111,302 4,310
66-70 44,042 66,084 77,125 88,167 52,884 59,525 66,166 110,167 141,050 4,310
71-75 56,452 84,698 98,842 112,985 67,775 76,277 84,780 141,191 180,760 4,310
76-80 56,452 84,698 98,842 112,985 67,775 76,277 84,780 141,191 180,760 4,310
>80 56,452 84,698 98,842 112,985 67,775 76,277 84,780 141,191 180,760 4,310

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

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 16,205 NA NA NA NA NA NA NA NA NA
18-35 22,841 34,282 40,023 45,764 27,442 30,903 34,364 57,164 73,206 5,230
36-45 27,100 40,670 47,476 54,281 32,552 36,652 40,752 67,811 86,834 6,199
46-50 35,279 52,939 61,790 70,640 42,368 47,694 53,021 88,259 113,008 8,058
51-55 41,532 62,319 72,733 83,146 49,871 56,136 62,401 103,892 133,018 8,058
56-60 47,656 71,504 83,449 95,394 57,220 64,403 71,586 119,201 152,613 8,058
61-65 65,283 97,945 114,297 130,648 78,372 88,200 98,027 163,269 209,020 8,058
66-70 82,908 124,382 145,140 165,898 99,522 111,993 124,464 207,331 265,420 8,058
71-75 106,422 159,653 186,289 212,925 127,739 143,737 159,735 266,115 340,664 8,058
76-80 106,422 159,653 186,289 212,925 127,739 143,737 159,735 266,115 340,664 8,058
>80 106,422 159,653 186,289 212,925 127,739 143,737 159,735 266,115 340,664 8,058

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

my:health Suraksha Premium Rate Chart - Platinum

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

Premium Exclusive of GST


Sum Insured 300,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 5,978 NA NA NA NA NA NA NA NA NA
18-35 8,749 12,866 14,946 17,025 10,420 11,684 12,948 21,101 26,890 2,408
36-45 10,092 14,863 17,269 19,676 12,025 13,485 14,945 24,406 31,111 2,728
46-50 13,414 19,537 22,618 25,700 15,888 17,753 19,619 31,782 40,378 3,941
51-55 14,900 21,765 25,219 28,672 17,671 19,759 21,847 35,496 45,132 3,941
56-60 16,755 24,548 28,465 32,382 19,897 22,264 24,630 40,134 51,069 3,941
61-65 21,610 31,911 37,082 42,253 25,755 28,874 31,993 52,513 66,958 3,941
66-70 26,618 39,422 45,845 52,268 31,764 35,634 39,504 65,031 82,982 3,941
71-75 33,392 49,584 57,700 65,816 39,893 44,780 49,666 81,967 104,660 3,941
76-80 33,392 49,584 57,700 65,816 39,893 44,780 49,666 81,967 104,660 3,941
>80 33,392 49,584 57,700 65,816 39,893 44,780 49,666 81,967 104,660 3,941

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 6,853 NA NA NA NA NA NA NA NA NA
18-35 10,032 14,791 17,191 19,591 11,960 13,417 14,873 24,309 30,996 2,695
36-45 11,572 17,083 19,860 22,636 13,801 15,483 17,165 28,106 35,847 3,058
46-50 15,296 22,360 25,912 29,464 18,146 20,294 22,442 36,487 46,400 4,359
51-55 17,013 24,935 28,917 32,899 20,207 22,612 25,017 40,780 51,895 4,359
56-60 19,165 28,162 32,682 37,201 22,788 25,516 28,244 46,158 58,779 4,359
61-65 24,773 36,655 42,617 48,578 29,550 33,144 36,737 60,419 77,079 4,359
66-70 30,516 45,269 52,666 60,064 36,442 40,897 45,351 74,776 95,456 4,359
71-75 38,304 56,952 66,296 75,640 45,788 51,411 57,034 94,247 120,378 4,359
76-80 38,304 56,952 66,296 75,640 45,788 51,411 57,034 94,247 120,378 4,359
>80 38,304 56,952 66,296 75,640 45,788 51,411 57,034 94,247 120,378 4,359

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

Premium Exclusive of GST


Sum Insured 750,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 8,607 NA NA NA NA NA NA NA NA NA
18-35 12,606 18,652 21,696 24,740 15,049 16,892 18,734 30,745 39,234 3,260
36-45 14,615 21,648 25,185 28,722 17,453 19,591 21,730 35,714 45,584 3,725
46-50 19,234 28,266 32,803 37,339 22,871 25,610 28,348 46,331 59,001 5,221
51-55 21,453 31,595 36,686 41,777 25,534 28,605 31,677 51,878 66,102 5,221
56-60 24,267 35,815 41,610 47,405 28,911 32,404 35,897 58,913 75,106 5,221
61-65 31,699 47,043 54,736 62,429 37,861 42,493 47,125 77,733 99,240 5,221
66-70 39,263 58,389 67,973 77,557 46,938 52,705 58,471 96,643 123,445 5,221
71-75 49,491 73,732 85,874 98,015 59,212 66,513 73,814 122,215 156,177 5,221
76-80 49,491 73,732 85,874 98,015 59,212 66,513 73,814 122,215 156,177 5,221
>80 49,491 73,732 85,874 98,015 59,212 66,513 73,814 122,215 156,177 5,221

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 9,406 NA NA NA NA NA NA NA NA NA
18-35 13,790 20,428 23,767 27,106 16,469 18,489 20,510 33,703 43,021 3,517
36-45 16,031 23,772 27,663 31,554 19,152 21,503 23,854 39,253 50,115 4,033
46-50 21,082 31,038 36,037 41,036 25,089 28,105 31,120 50,951 64,914 5,623
51-55 23,545 34,734 40,348 45,963 28,045 31,430 34,816 57,110 72,798 5,623
56-60 26,664 39,411 45,805 52,199 31,787 35,640 39,493 64,906 82,777 5,623
61-65 35,000 51,996 60,514 69,033 41,823 46,950 52,078 85,987 109,806 5,623
66-70 43,474 64,707 75,344 85,981 51,992 58,390 64,789 107,172 136,923 5,623
71-75 54,907 81,856 95,351 108,846 65,711 73,825 81,938 135,754 173,507 5,623
76-80 54,907 81,856 95,351 108,846 65,711 73,825 81,938 135,754 173,507 5,623
>80 54,907 81,856 95,351 108,846 65,711 73,825 81,938 135,754 173,507 5,623

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

Premium Exclusive of GST


Sum Insured 2,000,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 12,963 NA NA NA NA NA NA NA NA NA
18-35 19,068 28,345 33,004 37,663 22,803 25,615 28,427 46,899 59,911 4,665
36-45 22,303 33,180 38,639 44,098 26,678 29,970 33,262 54,934 70,186 5,396
46-50 29,275 43,328 50,375 57,423 34,921 39,166 43,410 71,435 91,134 7,405
51-55 32,781 48,587 56,511 64,434 39,128 43,899 48,669 80,200 102,353 7,405
56-60 37,219 55,244 64,277 73,310 44,454 49,890 55,326 91,294 116,554 7,405
61-65 49,514 73,766 85,913 98,059 59,239 66,544 73,848 122,271 156,249 7,405
66-70 61,946 92,415 107,669 122,924 74,158 83,327 92,497 153,352 196,032 7,405
71-75 78,656 117,480 136,912 156,345 94,210 105,886 117,562 195,127 249,505 7,405
76-80 78,656 117,480 136,912 156,345 94,210 105,886 117,562 195,127 249,505 7,405
>80 78,656 117,480 136,912 156,345 94,210 105,886 117,562 195,127 249,505 7,405

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 14,806 NA NA NA NA NA NA NA NA NA
18-35 21,803 32,448 37,790 43,133 26,085 29,307 32,530 53,737 68,663 5,259
36-45 25,553 38,055 44,326 50,598 30,578 34,358 38,137 63,059 80,586 6,103
46-50 33,521 49,697 57,805 65,914 40,016 44,897 49,779 82,049 104,720 8,328
51-55 37,567 55,766 64,886 74,006 44,871 50,360 55,848 92,164 117,667 8,328
56-60 42,689 63,448 73,849 84,249 51,017 57,274 63,530 104,968 134,056 8,328
61-65 57,034 85,047 99,074 113,101 68,264 76,696 85,129 141,072 180,315 8,328
66-70 71,518 106,772 124,420 142,067 85,644 96,249 106,854 177,281 226,661 8,328
71-75 90,963 135,940 158,449 180,957 108,978 122,500 136,022 225,893 288,886 8,328
76-80 90,963 135,940 158,449 180,957 108,978 122,500 136,022 225,893 288,886 8,328
>80 90,963 135,940 158,449 180,957 108,978 122,500 136,022 225,893 288,886 8,328

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

Premium Exclusive of GST


Sum Insured 300,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 5,057 NA NA NA NA NA NA NA NA NA
18-35 7,383 10,817 12,555 14,293 8,781 9,840 10,899 17,686 22,519 2,111
36-45 8,469 12,429 14,429 16,429 10,077 11,294 12,511 20,348 25,917 2,375
46-50 11,294 16,356 18,908 21,459 13,343 14,891 16,438 26,481 33,592 3,480
51-55 12,510 18,180 21,036 23,892 14,803 16,532 18,262 29,521 37,484 3,480
56-60 14,024 20,451 23,685 26,919 16,619 18,576 20,533 33,305 42,328 3,480
61-65 17,855 26,277 30,509 34,741 21,248 23,804 26,359 43,123 54,939 3,480
66-70 21,838 32,252 37,479 42,707 26,028 29,181 32,334 53,080 67,685 3,480
71-75 27,246 40,365 46,944 53,524 32,518 36,482 40,447 66,602 84,992 3,480
76-80 27,246 40,365 46,944 53,524 32,518 36,482 40,447 66,602 84,992 3,480
>80 27,246 40,365 46,944 53,524 32,518 36,482 40,447 66,602 84,992 3,480

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 5,794 NA NA NA NA NA NA NA NA NA
18-35 8,461 12,435 14,442 16,449 10,075 11,296 12,517 20,382 25,970 2,354
36-45 9,705 14,284 16,593 18,903 11,561 12,963 14,366 23,440 29,874 2,652
46-50 12,858 18,702 21,645 24,587 15,220 17,002 18,784 30,391 38,597 3,829
51-55 14,265 20,812 24,107 27,401 16,908 18,901 20,894 33,908 43,100 3,829
56-60 16,023 23,450 27,184 30,919 19,019 21,276 23,532 38,305 48,727 3,829
61-65 20,454 30,176 35,058 39,939 24,367 27,313 30,258 49,621 63,257 3,829
66-70 25,019 37,023 43,046 49,069 29,845 33,475 37,105 61,033 77,864 3,829
71-75 31,236 46,350 53,927 61,504 37,306 41,869 46,432 76,577 97,760 3,829
76-80 31,236 46,350 53,927 61,504 37,306 41,869 46,432 76,577 97,760 3,829
>80 31,236 46,350 53,927 61,504 37,306 41,869 46,432 76,577 97,760 3,829

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

Premium Exclusive of GST


Sum Insured 750,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 7,226 NA NA NA NA NA NA NA NA NA
18-35 10,557 15,579 18,110 20,642 12,591 14,126 15,661 25,622 32,677 2,814
36-45 12,180 17,996 20,924 23,852 14,531 16,304 18,078 29,627 37,793 3,195
46-50 16,053 23,495 27,237 30,978 19,055 21,316 23,577 38,379 48,823 4,530
51-55 17,868 26,217 30,412 34,607 21,232 23,765 26,299 42,915 54,629 4,530
56-60 20,169 29,669 34,440 39,210 23,994 26,873 29,751 48,669 61,994 4,530
61-65 26,065 38,592 44,877 51,161 31,100 34,887 38,674 63,648 81,212 4,530
66-70 32,092 47,634 55,425 63,216 38,333 43,025 47,716 78,717 100,500 4,530
71-75 40,272 59,904 69,740 79,576 48,149 54,068 59,986 99,167 126,676 4,530
76-80 40,272 59,904 69,740 79,576 48,149 54,068 59,986 99,167 126,676 4,530
>80 40,272 59,904 69,740 79,576 48,149 54,068 59,986 99,167 126,676 4,530

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 7,868 NA NA NA NA NA NA NA NA NA
18-35 11,509 17,006 19,775 22,544 13,732 15,410 17,088 28,000 35,721 3,021
36-45 13,320 19,706 22,919 26,132 15,899 17,843 19,788 32,477 41,441 3,444
46-50 17,541 25,727 29,840 33,953 20,840 23,324 25,809 42,098 53,583 4,854
51-55 19,554 28,746 33,363 37,980 23,255 26,042 28,828 47,131 60,025 4,854
56-60 22,102 32,568 37,822 43,076 26,313 29,482 32,650 53,501 68,179 4,854
61-65 28,728 42,587 49,537 56,488 34,296 38,483 42,669 70,306 89,734 4,854
66-70 35,491 52,732 61,373 70,014 42,412 47,613 52,814 87,215 111,377 4,854
71-75 44,643 66,460 77,389 88,318 53,394 59,968 66,542 110,094 140,663 4,854
76-80 44,643 66,460 77,389 88,318 53,394 59,968 66,542 110,094 140,663 4,854
>80 44,643 66,460 77,389 88,318 53,394 59,968 66,542 110,094 140,663 4,854

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

Premium Exclusive of GST


Sum Insured 2,000,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 10,724 NA NA NA NA NA NA NA NA NA
18-35 15,746 23,361 27,190 31,018 18,816 21,130 23,443 38,593 49,280 3,943
36-45 18,355 27,258 31,730 36,202 21,941 24,640 27,340 45,064 57,552 4,538
46-50 24,118 35,592 41,350 47,108 28,732 32,203 35,674 58,541 74,630 6,283
51-55 26,968 39,867 46,337 52,807 32,152 36,051 39,949 65,666 83,749 6,283
56-60 30,575 45,278 52,650 60,022 36,481 40,920 45,360 74,684 95,293 6,283
61-65 40,378 60,063 69,926 79,788 48,277 54,211 60,145 99,432 127,015 6,283
66-70 50,319 74,974 87,322 99,670 60,206 67,631 75,056 124,284 158,826 6,283
71-75 63,707 95,056 110,752 126,447 76,272 85,705 95,138 157,755 201,668 6,283
76-80 63,707 95,056 110,752 126,447 76,272 85,705 95,138 157,755 201,668 6,283
>80 63,707 95,056 110,752 126,447 76,272 85,705 95,138 157,755 201,668 6,283

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 12,203 NA NA NA NA NA NA NA NA NA
18-35 17,941 26,655 31,032 35,409 21,451 24,094 26,737 44,082 56,305 4,420
36-45 20,964 31,171 36,295 41,420 25,071 28,162 31,253 51,586 65,901 5,105
46-50 27,526 40,705 47,314 53,924 32,822 36,804 40,787 67,062 85,536 7,024
51-55 30,809 45,630 53,060 60,491 36,762 41,237 45,712 75,270 96,043 7,024
56-60 34,966 51,864 60,333 68,803 41,749 46,848 51,946 85,660 109,342 7,024
61-65 46,415 69,118 80,490 91,862 55,521 62,361 69,200 114,524 146,333 7,024
66-70 58,002 86,499 100,768 115,037 69,426 78,003 86,581 143,493 183,413 7,024
71-75 73,586 109,875 128,039 146,204 88,126 99,041 109,957 182,452 233,280 7,024
76-80 73,586 109,875 128,039 146,204 88,126 99,041 109,957 182,452 233,280 7,024
>80 73,586 109,875 128,039 146,204 88,126 99,041 109,957 182,452 233,280 7,024

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

Premium Exclusive of GST


Sum Insured 300,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 4,741 NA NA NA NA NA NA NA NA NA
18-35 6,915 10,115 11,735 13,356 8,219 9,208 10,197 16,515 21,020 2,010
36-45 7,912 11,594 13,455 15,316 9,409 10,543 11,676 18,957 24,136 2,254
46-50 10,567 15,265 17,635 20,005 12,471 13,909 15,347 24,663 31,266 3,322
51-55 11,690 16,951 19,602 22,252 13,819 15,426 17,033 27,472 34,862 3,322
56-60 13,087 19,046 22,046 25,046 15,495 17,312 19,128 30,964 39,331 3,322
61-65 16,567 24,346 28,255 32,165 19,703 22,065 24,428 39,903 50,818 3,322
66-70 20,198 29,793 34,611 39,429 24,061 26,968 29,875 48,983 62,440 3,322
71-75 25,139 37,204 43,257 49,309 29,989 33,637 37,286 61,333 78,249 3,322
76-80 25,139 37,204 43,257 49,309 29,989 33,637 37,286 61,333 78,249 3,322
>80 25,139 37,204 43,257 49,309 29,989 33,637 37,286 61,333 78,249 3,322

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 5,431 NA NA NA NA NA NA NA NA NA
18-35 7,923 11,627 13,500 15,372 9,429 10,569 11,709 19,035 24,246 2,237
36-45 9,065 13,324 15,473 17,623 10,793 12,099 13,406 21,840 27,826 2,513
46-50 12,022 17,448 20,182 22,915 14,217 15,873 17,530 28,300 35,922 3,647
51-55 13,322 19,399 22,458 25,516 15,777 17,629 19,481 31,552 40,084 3,647
56-60 14,946 21,835 25,300 28,764 17,726 19,821 21,917 35,612 45,281 3,647
61-65 18,973 27,955 32,466 36,977 22,590 25,313 28,037 45,918 58,517 3,647
66-70 23,134 34,196 39,748 45,299 27,583 30,931 34,278 56,321 71,832 3,647
71-75 28,813 42,714 49,686 56,657 34,398 38,597 42,796 70,518 90,005 3,647
76-80 28,813 42,714 49,686 56,657 34,398 38,597 42,796 70,518 90,005 3,647
>80 28,813 42,714 49,686 56,657 34,398 38,597 42,796 70,518 90,005 3,647

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 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

Premium Exclusive of GST


Sum Insured 750,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 6,753 NA NA NA NA NA NA NA NA NA
18-35 9,855 14,525 16,881 19,237 11,748 13,177 14,607 23,866 30,429 2,662
36-45 11,345 16,743 19,463 22,183 13,529 15,177 16,825 27,540 35,122 3,014
46-50 14,963 21,859 25,328 28,797 17,746 19,844 21,941 35,653 45,333 4,292
51-55 16,638 24,373 28,261 32,148 19,757 22,106 24,455 39,842 50,695 4,292
56-60 18,764 27,562 31,981 36,401 22,308 24,976 27,644 45,157 57,499 4,292
61-65 24,133 35,695 41,496 47,298 28,782 32,280 35,777 58,819 75,030 4,292
66-70 29,634 43,946 51,123 58,299 35,383 39,705 44,028 72,570 92,632 4,292
71-75 37,111 55,162 64,208 73,254 44,356 49,800 55,244 91,264 116,561 4,292
76-80 37,111 55,162 64,208 73,254 44,356 49,800 55,244 91,264 116,561 4,292
>80 37,111 55,162 64,208 73,254 44,356 49,800 55,244 91,264 116,561 4,292

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 7,341 NA NA NA NA NA NA NA NA NA
18-35 10,726 15,833 18,406 20,980 12,793 14,354 15,915 26,045 33,218 2,851
36-45 12,391 18,311 21,292 24,273 14,784 16,589 18,393 30,153 38,467 3,242
46-50 16,327 23,905 27,715 31,525 19,383 21,685 23,987 39,063 49,698 4,590
51-55 18,185 26,693 30,968 35,242 21,613 24,194 26,775 43,710 55,646 4,590
56-60 20,538 30,222 35,085 39,948 24,436 27,370 30,304 49,591 63,174 4,590
61-65 26,577 39,361 45,774 52,186 31,715 35,579 39,443 64,929 82,852 4,590
66-70 32,754 48,627 56,583 64,540 39,128 43,918 48,709 80,372 102,618 4,590
71-75 41,124 61,181 71,230 81,280 49,171 55,217 61,263 101,296 129,401 4,590
76-80 41,124 61,181 71,230 81,280 49,171 55,217 61,263 101,296 129,401 4,590
>80 41,124 61,181 71,230 81,280 49,171 55,217 61,263 101,296 129,401 4,590

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

Premium Exclusive of GST


Sum Insured 2,000,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 9,956 NA NA NA NA NA NA NA NA NA
18-35 14,606 21,653 25,196 28,740 17,449 19,592 21,735 35,745 45,634 3,695
36-45 17,001 25,227 29,361 33,494 20,316 22,813 25,309 41,680 53,221 4,244
46-50 22,350 32,940 38,255 43,571 26,610 29,816 33,022 54,120 68,971 5,899
51-55 24,974 36,877 42,849 48,821 29,760 33,360 36,959 60,682 77,371 5,899
56-60 28,297 41,861 48,663 55,466 33,747 37,845 41,943 68,989 88,003 5,899
61-65 37,246 55,364 64,444 73,524 44,518 49,982 55,446 91,601 116,992 5,899
66-70 46,332 68,994 80,345 91,697 55,422 62,249 69,076 114,317 146,068 5,899
71-75 58,582 87,368 101,782 116,195 70,121 78,785 87,450 144,941 185,266 5,899
76-80 58,582 87,368 101,782 116,195 70,121 78,785 87,450 144,941 185,266 5,899
>80 58,582 87,368 101,782 116,195 70,121 78,785 87,450 144,941 185,266 5,899

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 11,311 NA NA NA NA NA NA NA NA NA
18-35 16,617 24,668 28,715 32,761 19,862 22,306 24,750 40,771 52,068 4,132
36-45 19,390 28,811 33,542 38,273 23,183 26,038 28,893 47,652 60,866 4,763
46-50 25,470 37,621 43,717 49,813 30,355 34,029 37,703 61,923 78,958 6,577
51-55 28,492 42,154 49,005 55,857 33,982 38,109 42,236 69,478 88,628 6,577
56-60 32,317 47,892 55,699 63,507 38,572 43,273 47,974 79,040 100,869 6,577
61-65 42,774 63,657 74,119 84,580 51,152 57,445 63,739 105,422 134,682 6,577
66-70 53,368 79,548 92,658 105,769 63,865 71,747 79,630 131,907 168,584 6,577
71-75 67,628 100,937 117,613 134,288 80,976 90,998 101,019 167,556 214,214 6,577
76-80 67,628 100,937 117,613 134,288 80,976 90,998 101,019 167,556 214,214 6,577
>80 67,628 100,937 117,613 134,288 80,976 90,998 101,019 167,556 214,214 6,577

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

my:health Suraksha Premium Rate Chart - Global

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

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 49,304 NA NA NA NA NA NA NA NA NA
18-35 73,002 108,413 126,140 143,866 87,191 97,843 108,495 179,236 228,837 17,823
36-45 85,646 127,310 148,162 169,015 102,337 114,864 127,392 210,638 268,991 20,690
46-50 103,867 153,400 178,188 202,975 123,705 138,593 153,482 252,468 321,840 26,623
51-55 116,462 172,293 200,229 228,165 138,819 155,597 172,375 283,955 362,144 26,623
56-60 131,658 195,087 226,823 258,558 157,054 176,112 195,169 321,946 410,772 26,623
61-65 175,224 260,756 303,543 346,329 209,461 235,150 260,838 431,821 551,591 26,623
66-70 219,456 327,104 380,949 434,794 262,540 294,863 327,186 542,401 693,133 26,623
71-75 278,739 416,028 484,694 553,359 333,679 374,895 416,110 690,608 882,838 26,623
76-80 278,739 416,028 484,694 553,359 333,679 374,895 416,110 690,608 882,838 26,623
>80 278,739 416,028 484,694 553,359 333,679 374,895 416,110 690,608 882,838 26,623

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 59,140 NA NA NA NA NA NA NA NA NA
18-35 87,597 130,307 151,682 173,057 104,706 117,547 130,389 215,725 275,543 20,996
36-45 102,990 153,326 178,514 203,702 123,149 138,278 153,408 253,997 324,491 24,460
46-50 124,525 184,388 214,340 244,292 148,495 166,483 184,470 304,114 387,947 31,114
51-55 139,748 207,223 240,981 274,739 166,763 187,034 207,305 342,172 436,661 31,114
56-60 158,271 235,007 273,396 311,784 188,990 212,040 235,089 388,480 495,935 31,114
61-65 211,817 315,646 367,581 419,516 253,373 284,551 315,728 523,304 668,690 31,114
66-70 266,029 396,964 462,452 527,940 318,428 357,737 397,046 658,834 842,168 31,114
71-75 338,619 505,849 589,484 673,120 405,535 455,733 505,931 840,308 1,074,455 31,114
76-80 338,619 505,849 589,484 673,120 405,535 455,733 505,931 840,308 1,074,455 31,114
>80 338,619 505,849 589,484 673,120 405,535 455,733 505,931 840,308 1,074,455 31,114

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

Premium Exclusive of GST


Sum Insured 15,000,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 77,582 NA NA NA NA NA NA NA NA NA
18-35 114,964 171,356 199,573 227,790 137,546 154,492 171,438 284,141 363,115 26,946
36-45 135,510 202,105 235,423 268,741 162,172 182,180 202,187 335,296 428,554 31,530
46-50 163,260 242,491 282,126 321,762 194,977 218,775 242,573 400,952 511,899 39,534
51-55 183,411 272,717 317,390 362,064 219,158 245,978 272,799 451,329 576,382 39,534
56-60 208,171 309,857 360,721 411,585 248,870 279,405 309,939 513,230 655,615 39,534
61-65 280,430 418,565 487,653 556,741 335,708 377,178 418,647 694,836 888,250 39,534
66-70 353,354 527,952 615,271 702,591 423,218 475,626 528,034 877,147 1,121,609 39,534
71-75 450,894 674,261 785,966 897,670 540,266 607,304 674,343 1,120,996 1,433,735 39,534
76-80 450,894 674,261 785,966 897,670 540,266 607,304 674,343 1,120,996 1,433,735 39,534
>80 450,894 674,261 785,966 897,670 540,266 607,304 674,343 1,120,996 1,433,735 39,534

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 86,434 NA NA NA NA NA NA NA NA NA
18-35 128,100 191,060 222,561 254,062 153,309 172,225 191,142 316,981 405,150 29,801
36-45 151,119 225,519 262,739 299,960 180,904 203,252 225,601 374,319 478,504 34,923
46-50 181,853 270,380 314,664 358,948 217,288 243,875 270,462 447,434 571,396 43,576
51-55 204,369 304,154 354,067 403,980 244,307 274,272 304,236 503,724 643,447 43,576
56-60 232,123 345,786 402,637 459,489 277,613 311,740 345,868 573,110 732,262 43,576
61-65 313,364 467,966 545,288 622,610 375,229 421,639 468,048 777,171 993,639 43,576
66-70 395,270 590,826 688,624 786,423 473,517 532,213 590,908 981,937 1,255,740 43,576
71-75 504,786 755,100 880,277 1,005,454 604,936 680,059 755,182 1,255,727 1,606,190 43,576
76-80 504,786 755,100 880,277 1,005,454 604,936 680,059 755,182 1,255,727 1,606,190 43,576
>80 504,786 755,100 880,277 1,005,454 604,936 680,059 755,182 1,255,727 1,606,190 43,576

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 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

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 45,056 NA NA NA NA NA NA NA NA NA
18-35 66,699 98,959 115,110 131,260 79,628 89,335 99,041 163,479 208,668 16,453
36-45 78,157 116,076 135,056 154,036 93,349 104,753 116,158 191,914 245,025 19,062
46-50 94,083 138,724 161,066 183,407 111,964 125,385 138,806 228,008 290,531 24,496
51-55 105,433 155,750 180,929 206,108 125,584 140,708 155,832 256,384 326,852 24,496
56-60 119,054 176,181 204,765 233,350 141,929 159,096 176,263 290,436 370,439 24,496
61-65 157,893 234,760 273,214 311,668 188,665 211,753 234,842 388,494 496,133 24,496
66-70 197,399 294,018 342,349 390,679 236,071 265,086 294,100 487,258 622,550 24,496
71-75 250,379 373,490 435,065 496,641 299,648 336,610 373,572 619,710 792,089 24,496
76-80 250,379 373,490 435,065 496,641 299,648 336,610 373,572 619,710 792,089 24,496
>80 250,379 373,490 435,065 496,641 299,648 336,610 373,572 619,710 792,089 24,496

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 53,940 NA NA NA NA NA NA NA NA NA
18-35 79,882 118,733 138,179 157,625 95,447 107,131 118,815 196,435 250,852 19,319
36-45 93,821 139,573 162,469 185,365 112,147 125,901 139,655 231,075 295,151 22,467
46-50 112,548 166,422 193,380 220,337 134,122 150,313 166,504 274,171 349,619 28,510
51-55 126,247 186,971 217,354 247,736 150,561 168,807 187,053 308,419 393,458 28,510
56-60 142,841 211,863 246,394 280,925 170,474 191,209 211,945 349,905 446,559 28,510
61-65 190,601 283,822 330,453 377,084 227,914 255,909 283,904 470,264 600,798 28,510
66-70 239,027 356,461 415,198 473,936 286,025 321,284 356,543 591,329 755,761 28,510
71-75 303,902 453,773 528,729 603,685 363,875 408,865 453,855 753,515 963,360 28,510
76-80 303,902 453,773 528,729 603,685 363,875 408,865 453,855 753,515 963,360 28,510
>80 303,902 453,773 528,729 603,685 363,875 408,865 453,855 753,515 963,360 28,510

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

Premium Exclusive of GST


Sum Insured 15,000,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 70,597 NA NA NA NA NA NA NA NA NA
18-35 104,599 155,808 181,434 207,059 125,107 140,499 155,890 258,228 329,946 24,692
36-45 123,193 183,629 213,868 244,107 147,392 165,552 183,711 304,503 389,139 28,852
46-50 147,170 218,355 253,968 289,582 175,669 197,053 218,437 360,726 460,410 36,036
51-55 165,274 245,511 285,650 325,789 197,393 221,493 245,593 405,986 518,342 36,036
56-60 187,443 278,765 324,447 370,128 223,996 251,422 278,847 461,409 589,285 36,036
61-65 251,928 375,813 437,776 499,739 301,507 338,701 375,895 623,582 797,046 36,036
66-70 317,080 473,540 551,791 630,042 379,689 426,655 473,622 786,461 1,005,530 36,036
71-75 404,255 604,303 704,348 804,393 484,299 544,342 604,385 1,004,400 1,284,492 36,036
76-80 404,255 604,303 704,348 804,393 484,299 544,342 604,385 1,004,400 1,284,492 36,036
>80 404,255 604,303 704,348 804,393 484,299 544,342 604,385 1,004,400 1,284,492 36,036

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 78,592 NA NA NA NA NA NA NA NA NA
18-35 116,463 173,605 202,196 230,787 139,344 156,515 173,687 287,888 367,912 27,271
36-45 137,291 204,776 238,540 272,303 164,310 184,584 204,858 339,748 434,253 31,917
46-50 163,788 243,283 283,051 322,819 195,611 219,488 243,365 402,272 513,590 39,649
51-55 184,006 273,610 318,432 363,255 219,872 246,782 273,692 452,817 578,287 39,649
56-60 208,852 310,878 361,912 412,946 249,687 280,324 310,960 514,931 657,793 39,649
61-65 281,365 419,969 489,291 558,613 336,831 378,441 420,051 697,175 891,244 39,649
66-70 354,545 529,738 617,355 704,973 424,647 477,234 529,820 880,125 1,125,420 39,649
71-75 452,425 676,558 788,645 900,732 542,103 609,372 676,640 1,124,824 1,438,635 39,649
76-80 452,425 676,558 788,645 900,732 542,103 609,372 676,640 1,124,824 1,438,635 39,649
>80 452,425 676,558 788,645 900,732 542,103 609,372 676,640 1,124,824 1,438,635 39,649

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

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 43,600 NA NA NA NA NA NA NA NA NA
18-35 64,538 95,718 111,328 126,938 77,035 86,417 95,800 158,077 201,753 15,983
36-45 75,589 112,224 130,562 148,900 90,267 101,287 112,306 185,494 236,807 18,503
46-50 90,728 133,692 155,195 176,698 107,938 120,856 133,774 219,621 279,796 23,766
51-55 101,652 150,078 174,312 198,545 121,047 135,603 150,160 246,930 314,752 23,766
56-60 114,732 169,699 197,203 224,706 136,743 153,262 169,781 279,632 356,610 23,766
61-65 151,951 225,847 262,815 299,784 181,534 203,731 225,929 373,639 477,118 23,766
66-70 189,836 282,674 329,114 375,554 226,996 254,876 282,756 468,351 598,349 23,766
71-75 240,656 358,904 418,049 477,194 287,980 323,483 358,986 595,401 760,973 23,766
76-80 240,656 358,904 418,049 477,194 287,980 323,483 358,986 595,401 760,973 23,766
>80 240,656 358,904 418,049 477,194 287,980 323,483 358,986 595,401 760,973 23,766

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 52,157 NA NA NA NA NA NA NA NA NA
18-35 77,236 114,765 133,549 152,334 92,272 103,559 114,847 189,822 242,386 18,744
36-45 90,678 134,857 156,967 179,077 108,374 121,657 134,939 223,216 285,091 21,784
46-50 108,441 160,262 186,193 212,124 129,194 144,769 160,344 263,904 336,478 27,617
51-55 121,618 180,027 209,253 238,478 145,006 162,558 180,109 296,846 378,644 27,617
56-60 137,551 203,927 237,135 270,344 164,126 184,067 204,009 336,679 429,629 27,617
61-65 183,327 272,910 317,723 362,535 219,185 246,088 272,992 452,078 577,520 27,617
66-70 229,768 342,573 398,996 455,419 274,915 308,785 342,655 568,183 726,134 27,617
71-75 291,998 435,917 507,897 579,878 349,590 392,795 435,999 723,756 925,268 27,617
76-80 291,998 435,917 507,897 579,878 349,590 392,795 435,999 723,756 925,268 27,617
>80 291,998 435,917 507,897 579,878 349,590 392,795 435,999 723,756 925,268 27,617

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

Premium Exclusive of GST


Sum Insured 15,000,000
Age 1A 2A 2A 1C 2A 2C 1A 1C 1A 2C 1A 3C 2A 2P 2A 2P 2C Additional
Child
0-17 68,201 NA NA NA NA NA NA NA NA NA
18-35 101,045 150,477 175,214 199,951 120,842 135,701 150,559 249,343 318,573 23,920
36-45 118,969 177,294 206,478 235,661 142,324 159,850 177,376 293,945 375,625 27,934
46-50 141,653 210,080 244,314 278,548 169,048 189,605 210,162 346,933 442,756 34,837
51-55 159,055 236,183 274,767 313,352 189,931 213,098 236,265 390,439 498,442 34,837
56-60 180,336 268,104 312,009 355,914 215,468 241,827 268,186 443,641 566,541 34,837
61-65 242,156 361,154 420,674 480,194 289,780 325,508 361,236 599,151 765,774 34,837
66-70 304,642 454,884 530,025 605,166 364,763 409,865 454,966 755,367 965,730 34,837
71-75 388,264 580,317 676,363 772,410 465,110 522,754 580,399 964,422 1,233,320 34,837
76-80 388,264 580,317 676,363 772,410 465,110 522,754 580,399 964,422 1,233,320 34,837
>80 388,264 580,317 676,363 772,410 465,110 522,754 580,399 964,422 1,233,320 34,837

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 75,903 NA NA NA NA NA NA NA NA NA
18-35 112,473 167,619 195,213 222,807 134,556 151,129 167,701 277,913 355,143 26,404
36-45 132,549 197,664 230,242 262,820 158,620 178,183 197,746 327,895 419,080 30,886
46-50 157,594 233,992 272,212 310,431 188,178 211,126 234,074 386,788 493,769 38,303
51-55 177,025 263,137 306,214 349,291 211,494 237,357 263,219 435,363 555,945 38,303
56-60 200,873 298,909 347,948 396,987 240,112 269,552 298,991 494,983 632,259 38,303
61-65 270,394 403,512 470,091 536,670 323,666 363,630 403,594 669,747 856,136 38,303
66-70 340,582 508,793 592,919 677,045 407,891 458,383 508,875 845,215 1,080,736 38,303
71-75 434,472 649,628 757,227 864,826 520,559 585,135 649,710 1,079,941 1,381,185 38,303
76-80 434,472 649,628 757,227 864,826 520,559 585,135 649,710 1,079,941 1,381,185 38,303
>80 434,472 649,628 757,227 864,826 520,559 585,135 649,710 1,079,941 1,381,185 38,303

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 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)

PED exclusion % of Base Premium


3 years 20%
2 years 60%

Sum Insured Rebound Non-Global Plans Global Plans


100,000 24.00% NA
200,000 13.00% NA
300,000 5.00% NA
400,000 5.00% NA
500,000 5.00% NA
600,000 3.50% NA
750,000 3.50% NA
800,000 3.50% NA
900,000 3.50% NA
1,000,000 3.50% NA
1,500,000 2.50% NA
2,000,000 2.50% NA
2,500,000 2.50% 5.00%
3,000,000 1.00% 5.00%
3,500,000 1.00% 5.00%
4,000,000 1.00% 5.00%
4,500,000 1.00% 5.00%
5,000,000 1.00% 5.00%
5,500,000 1.00% 5.00%
6,000,000 1.00% 5.00%
6,500,000 1.00% 5.00%
7,000,000 1.00% 5.00%
7,500,000 1.00% 5.00%
10,000,000 1.00% 5.00%
15,000,000 1.00% 1.00%
20,000,000 1.00% 1.00%
25,000,000 1.00% 1.00%
30,000,000 1.00% 1.00%
35,000,000 1.00% 1.00%
40,000,000 1.00% 1.00%
45,000,000 1.00% 1.00%
50,000,000 1.00% 1.00%

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.

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