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2828100368063500002
2828100368063500002
Sil
2
2828100368063500002
Date : 20/10/2018
Thank you for choosing HDFC ERGO as your preferred insurance partner. We welcome you to be a part of our family !
Your Health insurance policy reference no 2828100368063500002 is confirmed on the basis of the information and declaration given by you.
The details of coverage are mentioned in the enclosed policy schedule of insurance.
We value your relationship with us and assure you our best services at all times and we look forward to serve you.
Now you can view your policy details and health card at your fingertips. Download our Mobile App now and experience convenience today!!
Ankur Bahorey
Head - Retail Business Group
Note:
1. This is subject to the provisions of Section 80D of income tax (Amendment) Act, 1986 as amended from time to time.
2. This certificate must be surrendered to the company in case of cancellation of this policy. In event of incorrect representation of this declaration the liability
shall be upon the policy holder.
For HDFC ERGO General Insurance Company Ltd.
Date : 20/10/2018
Policy Issuing Office: Mumbai
HDFC ERGO General Insurance Company Limited (Formerly HDFC General Insurance Limited) UIN : HDFHLIP10001V020910 | IRDAI Reg No.146 | CIN : U66030MH2007PLC177117
Registered & Corporate Office: Customer Service Address: Customer Service no : 022 - 6234 6234 / 0120 - 6234 6234
1st Floor, HDFC House, 165/166 Backbay Reclamation, D 301, 3rd Floor, Eastern Business District (Magnet Mall), Telephone: 022 6638 3600 Fax : 022 6638 3699
H.T.Parekh Marg, Mumbai - 400 020 LBS Marg, Bhandup (West), Mumbai - 400 078 Email : care@hdfcergo.com
HDFC ERGO General Insurance Company Limited 2828100368063500002
POLICY SCHEDULE - Endorsed Copy Health Suraksha Policy
SILVER PLAN
Policy Details
Policy No. 2828 1003 6806 3500 002 Premium Frequency Yearly
Period of From 20/10/2018 15:17 hrs Policy Type Individual
Insurance To 19/10/2019 Midnight PAN 2
Coverage Details
Coverage Details Coverage Details
Emergency Ambulance Limit per
In-Patient Treatment Covered Upto Rs. 2000
hospitalisation
Pre-hospitalization (days) 60 Ayurveda/Unani/Sidha/Homeopathy Covered
Health Check Up Per Family (Post 4 Claims Upto 1% Sum Insured,Maximum Upto Rs
Post-hospitalization (days) 90
Free Years) 5000
Day Care Procedures Covered Enhanced Cumulative Bonus 10% of Sum Insured; Maximum 100%
Domiciliary Treatment Covered Regain Benefit 100% of basic Sum Insured
Organ Donor Covered
The Policy Wording attached herewith includes all the standard coverages offered b y the Company to its customers. Your entitlement for coverage/benefits shall be restricted to the coverage/benefits a s mentioned in
this Policy Schedule issued to you. Please read the Policy Wording in conjunction with the Policy Schedule. For any clarification, please call our toll free number.
Subject to the conditions laid down in the Policy, on completion of each four consecutive policy years with us, the eligible Insured Person(s), included in each policy year is/are entitled for a medical checkup benefit
up to an amount equals to 1% of sum insured or Rs 5000/- whichever is less.
Payment Details
Cheque No./DD/Fund Transfer Date Bank Name
List of Endorsements
Endt No Description Effective Date
001 20/10/2018
002 20/10/2018
HDFC ERGO General Insurance Company Limited (Formerly HDFC General Insurance Limited) UIN : HDFHLIP10001V020910 | IRDAI Reg No.146 | CIN : U66030MH2007PLC177117
Registered & Corporate Office: Customer Service Address: Customer Service no : 022 - 6234 6234 / 0120 - 6234 6234
1st Floor, HDFC House, 165/166 Backbay Reclamation, D 301, 3rd Floor, Eastern Business District (Magnet Mall), Telephone: 022 6638 3600 Fax : 022 6638 3699
H.T.Parekh Marg, Mumbai - 400 020 LBS Marg, Bhandup (West), Mumbai - 400 078 Email : care@hdfcergo.com
HDFC ERGO General Insurance Company Limited 1
Policy No.:2828100368063500002 This card is for identification purpose only.
Valid From: 20/10/2018 Renewal Date: 19 October
Card has to be presented to the Network Service Provider at the time of admission/ availing
cashless hospitalization o r any other services. Insurance claim will be processed in accordance
Insured Name Date Of Birth Gender
with the policy term & conditions. Card does not guarantee cashless hospitalization or any other
service. For more details and updated list of Network Service Provider please refer our website or
AREMANDA SANGAMA HEMANTH CHANDRAHASA 14/08/1984 Male call our call centre. This card is valid till the time policy is active.