Threshold/ deductable limit is an aggregate deductible which the customer has to pay either from his pocket or through other Mediclaim, beyond aggregate deductible (crossed in single claim or in multiple claims in a policy year) full claim amount will be paid by HDFC Ergo General Insurance. Example-1: Single Claim in a policy year Deductible Sum Insured in HDFC Ergo General Insurance Insured Super Top up Policy Claim amt assessed Deductible Exhaustion Balance Deductible Claim amt payable by other policy / saving Claim amt payable by HDFC Ergo General Insurance Insured Super Top up Policy At inception 200,000 800,000 0 0 200,000 0 0 Claim 1 200,000 800,000 10,000,00 2,00,000 0 2,00,000 8,00,000 Example-2: Multiple Claims in a policy year Deductible Sum Insured in HDFC Ergo General Insurance Insured Super Top up Policy Claim amt assessed Deductible Exhaustion Balance Deductible Claim amt payable by other policy / saving Claim amt payable by HDFC Ergo General Insurance Insured Super Top up Policy At inception 200,000 800,000 0 0 200,000 0 0 Claim 1 200,000 800,000 150,000 150,000 50,000 150,000 0 Claim 2 200,000 800,000 300,000 50,000 0 50,000 250,000 Claim 3 200,000 800,000 550,000 0 0 0 550,000 View more
Threshold/ deductable limit is an aggregate deductible which the customer has to pay either from his pocket or through other Mediclaim, beyond aggregate deductible (crossed in single claim or in multiple claims in a policy year) full claim amount will be paid by HDFC Ergo General Insurance. Example-1: Single Claim in a policy year Deductible Sum Insured in HDFC Ergo General Insurance Insured Super Top up Policy Claim amt assessed Deductible Exhaustion Balance Deductible Claim amt payable by other policy / saving Claim amt payable by HDFC Ergo General Insurance Insured Super Top up Policy At inception 200,000 800,000 0 0 200,000 0 0 Claim 1 200,000 800,000 10,000,00 2,00,000 0 2,00,000 8,00,000 Example-2: Multiple Claims in a policy year Deductible Sum Insured in HDFC Ergo General Insurance Insured Super Top up Policy Claim amt assessed Deductible Exhaustion Balance Deductible Claim amt payable by other policy / saving Claim amt payable by HDFC Ergo General Insurance Insured Super Top up Policy At inception 200,000 800,000 0 0 200,000 0 0 Claim 1 200,000 800,000 150,000 150,000 50,000 150,000 0 Claim 2 200,000 800,000 300,000 50,000 0 50,000 250,000 Claim 3 200,000 800,000 550,000 0 0 0 550,000 View more