Changes done in HDFC Ergo optima Restore with Premium HikeMay 17, 2020
What’s new ?
Coverage for modern treatments
HDFC Ergo says its customer deserves the best and the latest medical treatment. Now we cover modern treatment methods like robotic surgeries, stem cell therapy, oral chemotherapy etc.
Refer Annexure I for modern treatment methods being covered (if taken as in-patient or domiciliary hospitalization or day care treatment basis)
Covering illnesses which were not covered earlier
We would now be covering treatment of genetic disorders, injury or illness
associated with hazardous activities, neurodegenerative disorders like parkinson, alzheimer, peritoneal dialysis.
Refer Annexure II for conditions or treatments which will be covered now.
Reduced list of non-payable items (Lesser Out of Pocket Expenses)
We have reduced the list of expenses from a list of 189 to 68 items for which customer had to pay from his/her own pocket at the time of claim settlement.
We promise that your claim will be paid even if it is due to a non-disclosed condition provided you continue your policy for 8 years with us .
ANNEXURE I:Modern Treatment Methods covered now
S.No Additional Procedures covered
1 Oral chemotherapy
2 Stem cell therapy
3 Deep Brain stimulation
4 Uterine Artery Embolization & HIFU
5 Immunotherapy- Monoclonal Antibody to be given as injection
6 Stereotactic radio surgeries
7 Robotic surgeries
8 Intra vitreal injections
9 Bronchical Thermoplasty
10 Vaporisation of the prostrate (Green laser treatment or holmium laser treatment)
11 IONM – (Intra Operative Monitoring) Neuro
12 Balloon Sinuplasty
ANNEXURE II: Conditions and Treatments covered now
S.No. Additional treatments/conditions covered
1 Injury or illness due to participation in hazardous activities pursued for adventure purposes
2 Treatment for correction of eye sight due to refractive error beyond +/- 7.5 dioptres
3 Genetic diseases or disorders
4 Neurodegenerative disorders like Parkinson’s, Alzheimer’s
5 Any mental illness, stress or psychological disorders 6 Peritoneal dialysis
7 Expenses related to any admission primarily for enteral feedings
8 Obesity/Weight control treatment (if specified conditions are met)
9 Post Hospitalization expenses for Domiciliary treatment
10 Age Related Macular Degeneration (ARMD)
11 Expenses on Artificial life maintenance (including \ life support machine use) up to the vegetative state, irrespective of whether such treatment results in recovery of restoration of previous state of health or not