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Home> Health insurance> HDFC ERGO Optima Secure

Optima Secure

NO MEDICAL TEST

5 lakhs

of health cover

9,200/year

EMI starts at ₹822

16 hospitals near you and 10,000+ across India

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Top features
  • icon 4X coverage after 2 years, 2X from Day 01
  • icon No capping on Room rent limit
  • icon Restoration of cover

Hospitalization benefits

Hospitalization (24hrs or more)

Covered up to double of sum-insured

Pre-hospitalization

Covered for up to 60 days before hospitalization (upto ?5 lakhs)

Post-hospitalization

Covers medical costs for 180 days after discharge (upto ?5 lakhs)

Room type / tariff allowed

No limit on room charges

ICU Charges

No limit on ICU charges, upto ?5 lakhs

Day care treatments

All day care treatments are covered, that requires hospitalisation for less than 24 hours

Restoration or Refill benefit

You can claim again for same or different illness within a year (upto ?5 lakhs)

Home hospitalization

Upto ?5 lakhs (if treatment period is greater than 3 days)

Organ Donar cover

Upto ?5 lakhs (excludes organ donor's pre & post hospitalization expenses)

Non Allopathic (AYUSH) Treatments

In-patient hospitalisation expenses even for alternative treatment methods like ayurveda, yoga etc up to sum insured

Ambulance charges

Upto ?2,000 per hospitalization in a year

Daily allowance for hospitalization

Extra benefits

Preventive Health Checkup

Free annual health checkup for all insured members (once every year)

No Claim Bonus (multiplier benefit)

50% extra cover up to ?5 Lakhs every year when you don't claim

Grace Period

30 days for renewal

Air Ambulance for emergency care

Air ambulance up to Rs. 5L

Maternity Coverage

OPD Cover

Waiting period & sublimit

  • Accidents

    Covered immediately
  • Hospitalization claims

    Accepted after 30 days
  • Pre-existing waiting period

    3 years
  • Specific Illness

    2 years

What is not Covered

  • Treatments within 30 days (except for accidents)
  • Treatments related to HIV/AIDS or sexually transmitted diseases (STDs)
  • Suicide or self-inflicted injury
  • Treatments related to use of intoxicants, alcohol or hallucinogenic substances like drugs
  • Treatment related to pregnancy and childbirth, miscarriage (except due to accident), abortion and its consequences
  • Hospitalization due to war, nuclear, chemical / biological weapon or radiation of any kind
  • Infertility treatments like invitro fertilization (IVF) and related tests
  • Dental surgery and external aids unless mentioned under coverage
  • Cosmetic Surgery and Obesity treatments
  • Injuries or accidents during adventure sports or defence operations
  • Nonpayable consumable items like shampoo and powder and other non-medical items
  • Unproven or experimental treatment or devices
  • Administratives expenses & Registration fees
  • Refer to the Policy Wording for the complete list of exclusions

Claims process
99.6%

claim settled

9,200
/year

EMI starts at ₹