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Healthwise_hdfc
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HDFC Chubb General Insurance Company Limited



Launches

About us - HDFC Chubb General Insurance



• Joint venture with Chubb Corporation, USA - a leading property

& casualty insurer

– with $ 38 Billion in assets;

– one of the largest Property & Casualty insurance company;

– the 3rd most respected financial company by the Financial Times



• Paid up capital at Rs 120 Crores with HDFC holding 74% &

Chubb Corporation the remaining 26%



• HDFC & Chubb collectively bring an experience of over a 100 years in

the financial sector

Healthwise – Hospitalization & Injury



• Unique combination of In-hospital medical expenses & Accidental injury

benefits (Accidental Death, Permanent Disability & Broken Bones)



• Offers 4 options from a minimum coverage of Rs. 2 Lakhs to a maximum of

Rs. 4 Lakhs on a Self plan



• 3 options for a Family plans ranging from Rs 1 Lakh to a maximum of

Rs 3 Lakhs (individual coverage amounts – Self & Spouse)



• Pays for hospitalisation due to sickness or accident up to the sum insured

selected



• The cover provided is applicable 24 hours a day, 7 day a week, 365 / 366 days of

the year



• The individual stands protected by this plan in India (Only Sickness) and any

other location worldwide (Accidental Death, Permanent Disability & Broken

Bones)

Healthwise – Hospitalization & Injury



• Key benefits of the plan -



– Emergency Medical Expenses (In hospital medical expenses) - Reimburses

costs incurred as a result of hospitalization for more than 24 hrs due to

Sickness and Accident



– Hospital Cash - Provides a daily benefit of Rs. 500 up to a maximum of 30

days in case of hospitalization due to an sickness or accident



– Accidental Death - Covers the insured in case of loss of life in an accident

up to 100 % of the Sum Insured

Healthwise – Hospitalization & Injury



Key benefits of the plan (cont’d)



– Permanent Disability - Pays a benefit up to the maximum Sum Insured if

the insured is permanently disabled due to an accident.



– Broken Bones - Pays up to the maximum Sum Insured in the event of

bodily injury resulting in broken bones due to an accident

Healthwise – Benefit details



In hospital medical expenses + Hospital Cash

&

Accidental Injury

Healthwise – Hospitalization & Injury

Emergency Medical Expenses – Benefit details



• Pays for hospitalisation charges incurred due to an accident or sickness up to the Sum

insured e.g.

– Diagnostics related to hospitalisation

– Room charges (Semi-private), Surgery, Medication, etc

• Expenses incurred on pre -existing disease is not covered under this plan

• Does not pay for cosmetic surgery, dental treatment, spectacles, contact lenses,

• Sickness related claims shall not be entertained for the first 30 days from the

inception of the policy

• Expenses incurred on disease such as cataract, piles, sinusitis, arthritis, etc is excluded

during the first two years of the policy

• AIDS, Pregnancy, Miscarriage / Abortion is excluded under the policy

• Alternative therapy – Ayurvedic, Homeopathic, etc is not covered under policy

Healthwise – Hospitalization & Injury

Premium Table

 Figures in brackets indicates

Tax benefit amounts under

Sec 80 D



 Coverage under Self & Spouse

are individual sum insured

values under the plan

Healthwise – Hospitalization & Injury

Plan Benefits

Self Plan -- Benefits









• & Spouse Plan Benefits

Self & Spouse Plan -- Benefits









10% deductible on In hospital medical expenses & 3 day time deductible for

Hospital Cash applicable on all plans

Healthwise – Hospitalization & Injury

Policy Features -



• Policy renewal & premium – Annual



• Pay mode - Standing instructions/ Direct debit / Credit Card / Cheque

dependent on the channel of distribution



• 10% discount on premium for Self & Spouse plans



• Tax benefit under sec 80 D on the premiums paid for Emergency Medical

Expense and Hospital Cash (Amounts to approximately 90% of the premium

paid)



• Age criteria – entry age is between 18 years to 45 years and can be renewed till

65 years



• Hassle free process – No medical test or history required

Why purchase Healthwise ?



• Provides the family with additional financial security



• Investments need not be broken to meet hospitalization expenses



• Extends coverage for accidental injury too besides treatment of such injuries if

admitted to hospital for over 24 hours



• No medical test required - Pre-approved product



• No documentation required



• Broken Bones benefit given over and above the Hospitalization benefit



• Tax benefits under Section 80 D for the Emergency Medical Expense and

Hospital cash



• It’s an inexpensive option to secure oneself and immediate family

Why have the Hospitalisation benefit ?



Some Facts



– 30 % of the hospitalisation expenses are managed through

borrowings and asset sale



– Declining trend in personal savings and increasing life-style related

diseases / sickness



– A large percentage of the upper income would utilise their past

saving to cover health related expenses



– Only 6% have the company/ insurance cover



Source Cehat India Internet

Why the Personal Accident benefit?



• Don’t need it - very few people die of an accident

– Accidents do happen! In India there is an accidental death

every 2 minutes, resulting in over 2.15 Lakh families losing an

earning member and less than 6000 die due to a heart attack



– More than 80,000 people are killed on Indian roads every year,

disability figures are 10x



– Another 1.2 million are injured.



– While India has one of the lowest vehicle penetration ratios, its ratio

of road fatalities, at 14 per 10,000 vehicles, is among the highest

Healthwise – Hospitalization & Injury



• Permanent Total Disability - Table of benefits

Healthwise – Hospitalization & Injury



• Broken Bones - Table of benefits

Healthwise – Hospitalization & Injury



• Broken Bones - Table of benefits (cont’d)

Recap on product



• Benefits

– Emergency medical expenses ( Up to the Sum Insured )

Broken Bones (up to the Sum Insured), Hospital Cash (Rs.500 per day ),

AD (100% of Sum Insured), PTD (up to 100% of Sum Insured)

– Annual policy with approximately 10% discount on Self and Spouse option



• Sum Insured

– 4 Self plans - Sum Insured Rs. 2 Lakhs to Rs 4 Lakhs

– 3 Self & Spouse Plans – Sum Insured Rs. 1 Lakhs to Rs 3 Lakhs

– Premiums ranging from Rs. 4,974 to Rs.17,424



• Payment methods

– Standing Instruction / Direct Debit (HDFC Bank Accounts ) / Credit Card

/ Cheque – dependent on channel of distribution

Mandatory requirements on proposal form



• Name, address & contact number

• Date of birth & sex

• Beneficiary or nominee details – Name & relationship

• Selection of plan - Sum Insured

• Payment mode – if SI / DD then correct HDFC Bank Account

Number

• Declaration on the proposal form about other Personal Accident

policies bought from HDFC Chubb and other insurers

Mandatory requirements on proposal form - Cont



• Occupation details compulsory

• Signature on proposal form - MOST IMPORTANT

• Bank Account number

• Income criteria (Declaration based) –

Healthwise



• Negative List:



– Individuals with pre-existing diseases such as Cancer, AIDS, etc.



– Armed Forces (Army / Navy / Air Force)



– Para-military Forces (BSF, RAF, CRPF, etc)



– Professional Sports Persons



– Hazardous Sports (Bungee jumping, Jet-Skiing, Para-gliding, etc)



– Merchant Navy



– Airline Pilots



– Off-shore Workers (Oil rigs / Drilling platforms)

Claims



• HDFC Chubb endeavours to provide and set standards for any

insurance settlement or claim



• These standards being based on our value systems as an organization,

which are -

– Honesty

– Integrity

– Fairness

– Transparency

– Commitment



• This in turn supported by Chubb’s philosophy the world over to

provide a fair, just and timely settlement of all claims

Claims



• HDFC Chubb provides a call-center to address any claim related calls



• This call-center is not limited to the geographic locations of our

operations - All India coverage supported by a toll-free line

1 800 226 226



• In the event of having to notify a claim, telephone calls shall be

addressed by trained personnel and guidance will be provided



• All claims registered with HDFC Chubb shall be settled in 7 working

days from the date of receiving complete documentation

Thank you


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