Healthcare Networkˇ
16,000+ 

Cashless Health Networkˇ

Quick & Easy Claims Process
Quick & Easy

Claims Process

No Cost Installment Benefit*^
No Cost

Installment Benefit*^

Customer Ratings
Additional 5%

Online Discount^*

Health Insurance Plans

Health Insurance Plans

A health insurance policy is a financial safety shield that protects you and your family during medical emergencies. It comes with several benefits such as paying your medical bills including pre and post-hospitalization expenses, protect your savings and get tax benefits. Buy the best mediclaim policy from HDFC ERGO which will help you manage the rising medical costs during emergencies and have below features:

• Cashless Networks: 15,000+ across Indiaˇ

• Tax Savings: Up to ₹ 75,000'''

• Renewal Benefit: Free Health Check-up within 60 days of Renewal

• Claim Settlement Rate: 3 Claims/Minute^^

Compare our Best Health Insurance Plans

  • Just Launched
    optima Secure+ health insurance policy

    Optima Secure+

  • No Cost Installment Available*^
    optima Secure health insurance policy

    Optima Secure

  • OPTIMA SECURE GLOBAL

    OPTIMA SECURE GLOBAL

  • my: health women suraksha plan

    my:health Women Suraksha

  • critical health insurance policy

    Critical Illness Insurance

No Cost Installment Available*^
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Optima Secure+

Key Features

  • Unique feature:  Infinite Benefit is a unique offering of Optima Secure+.
  • Automatic increase:  Your base Sum Insured increases by 100% after every claim‑free policy year.
  • Unlimited accumulation:  This benefit can accumulate without any upper limit over time.
  • Future‑ready coverage:  Helps your Sum Insured keep pace with rising medical costs throughout your lifetime.

Why Choose HDFC ERGO's Medical Insurance?

Our health insurance plans are designed keeping in mind the growing medical needs and rising inflation.

cashless claim service
Cashless Claim Service
network hospitals
Cashless Networks: 16,000+ across Indiaˇ
4.4 customer rating for
                                        hdfc ergo health insurance
4.4 Customer Rating
most trusted brand in health insurance industry
One of Most Trusted Brand
3.7 Crore+ happy customers of
                                    hdfc ergo
3.7 Crore+ Happy Customers@

Understand Coverage Offered by Our Health Insurance Policies

hospitalization expenses covered by hdfc ergo

Hospitalization Expenses

Just like every other health insurance plan, we also cover your hospitalization expenses such as room rent, ICU, investigations, surgery, doctor consultations etc due to illnesses and injuries seamlessly.

mental healthcare covered in HDFC ERGO health insurance

Mental Healthcare

We believe mental healthcare is just as important as hospitalization due to physical illness or injury; hence, we cover hospitalization expenses incurred for treating mental illnesses.

pre & post hospitalisation covered

Pre & Post Hospitalisation

It means all your pre hospitalization expenses up to 60 days before the date of admission and post-hospitalization expenses up to 180 days after discharge from the hospital are covered.

daycare procedures covered

Day Care Treatments

Medical advancements help in wrapping up important surgeries and treatments in less than 24 hours, and guess what? We cover you for that as well.

cashless home health care covered by hdfc ergo

Home Healthcare

Cashless Home Healthcare for medically necessary treatment of Illnesses, if prescribed by treating medical practitioner.

sum insured rebound covered

Sum Insured Rebound

This benefit adds to the Sum Insured, an amount equivalent to the claim amount, up to basic sum Insured, on subsequent Hospitalization.

organ donor expenses

Organ Donor Expenses

Organ donation is a noble cause and we cover the medical and surgical expenses of the organ donor while harvesting a major organ from the donor’s body.

recovery benefits covered

Recovery Benefit

If you stay in a hospital for more than 10 days at a stretch, then we pay for other financial losses. It helps to take care of other expenses during your hospitalization.

ayush benefits covered

AYUSH Benefits

Let your belief in alternate therapies like Ayurveda, Unani, Siddha, and Homeopathy stay intact as we cover hospitalization expenses for AYUSH treatment as well.

free renewal health check-up

Preventive Health Check-up

We care for your well-being and hence we offer preventive health check-up at renewal.

lifetime renewability

Lifelong Renewability

Once you get yourself secured with, our health insurance plan there is no looking back. Our health plan continues to secure your medical expenses for your entire lifetime on break free renewals.

lifetime renewability

Multiplier Benefit

If there is no claim in the first year, in the next policy year, the sum insured will grow by 50%. It means, instead of ₹ 5 Lakh, your sum insured would now stand at ₹ 7.5 Lakh for the second year.

The above mentioned coverage may not be available in some of our Health plans. Please read the policy wordings, brochure and prospectus to know more about our health insurance plans.

adventure sport injuries

Adventure Sport Injuries

Adventures can give you an adrenaline rush, but when coupled with accidents, it can be hazardous. Our health insurance plan does not cover accidents encountered while participating in adventure sports.

self-inflicted injuries not covered

Self-inflicted Injuries

If you ever end up causing injury to your precious self, then unfortunately our health insurance plan will not cover for self imposed injuries.

injuries in war is not covered

War

War can be disastrous and unfortunate. However, our health insurance plan does not cover any claim that is caused due to wars.

Participation in defence operations not covered

Participation in Defence Operations

Our health insurance plan does not cover accidental injury while you are participating in defence (Army/Navy/Air Force) operations.

venereal or sexually transmitted diseases

Venereal or Sexually Transmitted Diseases

We do understand the criticality of your disease. However, our health insurance plan does not cover venereal or sexually transmitted diseases.

treatment of obesity or cosmetic surgery not covered

Treatment of Obesity or Cosmetic Surgery

Treatment of obesity or cosmetic surgery is not eligible for coverage under your health insurance plan.

  How to Make a Claim for your HDFC ERGO Mediclaim Policy

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.

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

Hospitalization
1

Hospitalisation

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 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.

Hear from Our Happy Customers

4.4/5 Stars
rating

Our customers have rated us

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POONAM SHARMA

MY:HEALTH SURAKSHA

25 Sep 2021

Keep innovating and redefining the insurance sector Really appreciate the team work and knowledge to help us in getting our claims processed

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PRAMOD NARAYAN TELANG

MY:HEALTH SURAKSHA

4 Sep 2021

Best Health insurance company in India. I highly recommend this to others!

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SURENDER KUMAR

MY:HEALTH SURAKSHA

8 Aug 2021

India best policy. It is really beneficial for your health and has lot of coverages which can be useful when needed. HDFC ERGO's process is also swift and fast. Thank You!

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VIJAY C GOHIL

MY:HEALTH SURAKSHA

5 Aug 2021

I have been very happy with the way my claims have been handled and resolved. Thank you!

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Praveen Kumar

my:Health Suraksha

28 Oct 2020

I will recommend my friends and family members, yours service is to good and prompt, customer supporting is very good.

Frequently Asked Questions on Health Insurance

Yes. You do need a personal health insurance plan as your employee health insurance covers medical expenses only till the time your employment in valid in the organization the moment you leave the job your policy term ends.

You can file multiple claims during a policy term, provided it is within the limit of the sum insured. A policyholder can get coverage up to the sum insured only.

You are eligible to pay a lower premium and higher benefits. Since the probability of having a pre-existing illness is low, the waiting periods may also not impact you. Apart from that, common diseases such as flu or accidental injuries can happen at any age, so buying health insurance when you are young is important.

You can raise either a cashless claim request by contacting the insurance department at the network hospital or inform your insurer post discharge about the hospitalization and send invoices to avail reimbursement benefits.

Yes. You can port your medical insurance policy with any other insurer without impacting your waiting periods.