Why Choose HDFC ERGO Optima Secure  

  • 12,000+ Cashless Healthcare Network
    12,000+ Cashless
    Healthcare Networkˇ
  • 100% Claim Settlement Ratio
    100% Claim
    Settlement Ratio^
  • No Cost Installment Benefit
    No Cost
    Installment Benefit*^
  • feature3
    Save Tax
    Upto ₹75,000'''
  • Additional 5% Online discount
    1.5 Crore+
    Happy Customers @

Health care is always accessible at the time of need all thanks to our wide network of cashless hospitals.

  Benefits of Optima Secure  

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So Much Coverage

Choose Sum Insured
1X

Choose your health cover

Select your sum insured

Suiting your budget and requirements, select the coverage you want. For example, let's consider you select a sum insured of ₹10 lacs.

Secure Benefits
2X

Secure Benefit

2X coverage from day 1

Your base cover gets doubled instantly upon purchase, without having the need to claim it. This benefit will instantly increase your ₹10 lacs base cover to ₹20 lacs at no extra cost.

Plus Benefit
3X

Plus Benefit

100% increase in coverage

On 1st renewal your base cover increases by 50% after 1 year and 100% after 2 years, making it ₹15 lacs and ₹20 lacs respectively. Your total cover now becomes ₹30 lacs i.e 3X of your base cover.

Restore Benefit
4X

Restore Benefit

100% restore coverage~

Anytime you make a claim whether partial or total of ₹10 lacs base cover, it gets 100% restored for any subsequent claims in the same year.

So Much Benefits

  • Protect Benefit

    Protect Benefit

    Covers Out-Of-Pocket Expenses
  • Aggregate Deductible Discoun

    Aggregate Deductible Discount

  • So Much Savings

    So Much Savings

    Online, long-term & many more discounts
  • So Much Choices

    So Much Choices

    Cover upto 2 Cr & tenure upto 3 years
Protect Benefit
Protect Benefit
Procedure Charges Covered
Procedure Charges Covered
Cost of Disposables Covered
Cost of Disposables Covered
Cost of Consumables Covered Cost of Consumables Covered
Cost of Consumables Covered

Key Features

  • Support devices: We cover costs towards the cervical collar, braces, belts etc
  • Cost of Disposables: Go cashless with in-built coverage for disposable items like buds, gloves, nebulization kits and other consumables during hospitalisation
  • Cost of Kits: We cover cost for delivery kit, orthokit and recovery kit.
  • Procedure Charges: We cover costs towards gauze, cotton, crepe bandage, surgical tape etc
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Aggregate Deductible Discount
Twenty Five Percent Off
Twenty Five Percent Off
Fourty percent Off
Fourty
Percent Off
Fifty percent Off
Fifty
Percent Off
  • Aggregate deductible is the amount that you agree to pay before making a claim in a policy year. Get discount up to 50% every year by choosing to pay a little bit.
  • Discount Options

    • 50% Discount: Get 50% flat discount on your base premium when you decide to pay ₹1 lac before making a claim in a policy year
    • 40% Discount: Get 40% flat discount on your base premium when you decide to pay ₹50,000 before making a claim in a policy year
    • 25% Discount: Get 25% flat discount on your base premium when you decide to pay ₹25,000 before making a claim in a policy year
    • Note :To know more about aggregate deductible discount for sum insured above ₹20 lacs, please read the sales brochure/policy wordings.
    tab2
    So Much Savings
    Family Discount
    Family Discount
    Online Discount
    Online Discount
    Long term discount
    Long term discount

    Discounts available

    • Online Discount: Get 5% premium discount on the base premium if you buy a health insurance policy online
    • Family Discount: Get 10% family discount if 2 or more members are covered in a single Optima Secure policy on an individual sum insured basis
    • Long Term Discount: If premium is paid in advance for 2 or 3 years policy tenure, then you get a premium discount of 7.5% and 10% respectively
    • Loyalty Discount:Get 2.5% premium discount on the base premium if you have an active retail insurance policy with us, with a premium above ₹2000
    tab4
    So Much Trust
    Expanded Coverage
    Expanded Coverage
    Policy Options
    Policy Options
    Tenure
    Tenure

    Key Features

    • Coverage: Choose between wide range of base cover from ₹5 lacs to 2 crores
    • Policy Options: You can buy individual and family floater options
    • Tenure: Select policy tenure between 1, 2 and 3 years

    So Much Trust

    Why Choose HDFC ERGO health insurance

    Backed by the trust of 1.5 crore+ happy customers@ over the past 18 years. At HDFC ERGO, we consistently strive to make insurance affordable, easier and dependable. Here, promises are kept, claims are fulfilled and lives are nurtured with utmost commitment.

    Wider Pre and Post Hospitalization
    Wider Pre & Post Hospitalization"
    Premium Start at 24/day*
    Premium Start
    at 24/day*
    1 claim processed every minute^^
    1 claim processed every minute^^
    24x7 support in 10 languages
    24x7 support in 10 languages
    1.5 Crore+ Happy Customers@
    1.5 Crore+
    Happy Customers@
    100% Claim Settlement Ratio^
    100% Claim
    Settlement Ratio^
    Get hdfc ergo health insurance plan
    Buying Optima Secure is now easier with our No cost installment*^ plans!

    Just Launched - No Cost Installment*^ Benefit for Optima Secure

    Just launched
    Newly Launched Optional Benefit -Unlimited Restore

    We have some good news to share. Now, you can purchase HDFC ERGO’s Optima Secure using an easy installment benefit. This benefit is available to one-year policyholders. You can choose from installment options: monthly, quarterly and half-yearly. To give customers more purchasing power, Optima Secure is easily available at affordable buying option.

      How to Make a Claim for your HDFC ERGO Health Insurance  

    The sole purpose of buying a health insurance plan is to get financial support at the time of medical emergency. Hence, it is important to read the below steps to know how Health Insurance claims process works differently for cashless claimsand reimbursement claim requests.

    1 claim processed every minute^^

    Fill pre-auth form for cashless approval
    1

    Intimation

    Fill up the pre-auth form at the network hospital for cashless approval

    approval status for health claim
    2

    Approval/Rejection

    Once hospital intimates us, we send you the status update

    Hospitalization after approval
    3

    Hospitalisation

    Hospitalisation can be done on the basis of pre-auth approval

    medical claims settlement with the hospital
    4

    Claim settlement

    At the time of discharge, we settle the claim directly with hospital

    1 claim processed every minute^^

    Hospitalization
    1

    Hospitalisation

    When you select a hospital, which is not in our network for reimbursement claims you need to pay the bills initially and preserve the original invoices

    claim registration
    2

    Register a claim

    Post-hospital discharge send us all your original invoices and treatment documents

    claim verifcation
    3

    Verification

    We verify your claim related invoices and treatment documents

    claim approval
    4

    Claim Settlement

    We send the approved claim amount to your bank account.

    Frequently Asked Questions on Optima Secure Health Insurance

    The word secure resonates with being safe and tension-free. Under Optima Secure plan, we provide you with the secure benefit. This health insurance plan offers additional coverage up to 100% of the base sum Insured immediately upon purchase at no extra charge. This additional amount can be utilised for any number of admissible claims. Now isn't this truly a benefit that can keep you secure.
    Example: You have bought an Optima Secure Health Insurance plan with a health cover or sum insured of 5 lacs. In this case, your sum insured instantly gets doubled up to offer you a total health cover of 10 lacs instead of a basic 5 lacs health cover for which you paid your valuable premium. This additional amount can be utilised for any number of admissible claims. That means you can now make claims up to 10 lacs instead of 5 lacs.

    Yes, you can opt for AC single room with Optima Secure plan. We let you choose AC single room for undergoing treatment/surgery at any hospital. You can avail this facility on a cashless basis if you are hospitalised at a network hospital. There is also no disease capping either. You can undergo treatment for any disease and make use of your sum insured. You need not worry about room rent at the time of hospitalisation as we want you to undergo quality treatment without any worry.

    This option allows you to enhance your sum insured as per your need at a lower cost. HDFC ERGO will bear any claim over and above the chosen deductible amount in a policy year and you can cut your premium by 50%. Can’t ignore right? Following discount will be applicable on the Policy premium: Deductible Amount Base Sum Insured up to 20 Lakhs Base Sum Insured above 20 Lakhs 25,000 25% 15% 50,000 40% 30% 100,000 50% 40%

    3 years is a long term association, and it's natural to expect a reward. Optima Secure will not disappoint you; you are a loyal customer; hence, you are eligible for a loyalty discount. You will be eligible to get a discount of 2.5% on the base premium if you have an active retail insurance policy with premium above Rs 2000 with us. That means if you are an existing retail policy holder (2 Wheeler, motor, travel, home, health, Cyber security insurance) with HDFC Ergo, you will be eligible for a 2.5% loyalty discount on Optima Secure premium. The best part is your claim history won't impact this benefit.

    In these pandemic times, PPE kits, gloves, masks etc., are very widely used items during hospitalization. These are considered as disposable items and included as non-medical expenses of the hospitalization bill. But, under most health insurance policies, disposable items are not covered. With Optima Secure plan, you can easily pay for 68 listed non-medical items commonly used during a hospitalisation at no extra premium. Now, in the future, you don't need to take note of disposable items used in the treatment.

    Absolutely. There is no waiting period for claims due accidents. However, under any health insurance policy, there is a clause of a waiting period. This means you are eligible to file a claim only after completing a certain number of days mentioned in the policy wording. With Optima Secure, there is a waiting period of 30 days before making a claim except for accidental claims, 24 months waiting period on specific & listed illnesses & surgical procedures and 36 months waiting period on pre-existing diseases. This means accidental claims are covered immediately from policy start date.

    Yes, you can include your child under your health insurance plan. Infact, you can include your child post 90 days of birth up to 25 years of age. It's a good thing to add the child to the policy at an early age.

    Optima Secure Health Insurance plan restores up to 100% of your base sum insured for subsequent claims, for any illness or any insured person. Your base sum insured is the actual sum insured that you had chosen when buying the policy. This helps you in case you exhaust your existing sum insured for any claim or number of claims. Suppose today you have bought an Optima Secure Health Insurance plan with a health cover or sum insured of 5 lakhs, and, you register a claim of 8 lacs in year one. In such a scenario, you will be able to settle hospital bills worth 5 lacs from your base sum insured and the remaining 3 lacs from your secure benefit. If there is a subsequent claim in the same policy year, you will have automatic restore benefit upto your base sum insured for your immediate usage. Automatic restore benefit kicks from your 2nd claim onwards once you exhaust Base Sum Insured, Plus Benefit (after 1st year), Secure Benefit (in this order) and is available every policy year. Unutilised automatic restore benefit is not carried forward to the next policy year.

    Optima Secure plan is available for the sum insured up to Rs 2 Cr. Various sum insured options are available such as 5, 10, 15, 20, 25, 50 lacs and 1 Cr. You can buy the best health insurance policy of a sum insured that best suits your needs.

    Yes, all COVID- 19 expenses are covered under Optima Secure plan. You need not buy a separate health insurance policy when you get it all under one policy.

    We will pay for the expenses incurred by you towards E-Opinion for defined Critical Illness availed from a Medical Practitioner through the Network Provider. We understand that digital opinion is the future, and we believe in making your life simple.