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Optima Super Secure Health Insurance

health insurance plan

Introducing Optima Super Secure health insurance, which redefines the value you get from health insurance, with SO MUCH benefits that give an incredible 5X coverage at no additional cost. You can now enhance your plan with our new add-ons that offer extra coverage you've always wanted.

It doesn't end here! Now you can avail our No cost installment*^ benefit for buying Optima Super Secure that too at no additional cost. This option is available for all debit and credit card holders.

We also provide you with a host of benefits such as no room rent capping, wider pre and post hospitalisation, unlimited day-care procedures and exciting discount options. We’d say do not settle for less when you can avail one of the best healthcare facilities without breaking your bank.

 

Optima Secure Global
Optima Secure bana global, toh behetar bana aur bhi behetar!!

More Protection by Adding More Benefits

You can choose below options while creating wholesome protection for you and your family with my:Optima Secure plans

1

No Cost Installment*^ Option

You can purchase HDFC ERGO’s Optima Secure using an easy installment benefit. This benefit is available to all policy tenures. You can choose from installment options: monthly, quarterly half-yearly and yearly (note: Long-term discount will not be applicable on installment options).

2

Unlimited Restore

This Optional Benefit will provide instant addition of 100% Basic Sum Insured on complete or partial utilization of Restore benefit or Unlimited Restore benefit (as applicable) during the Policy Year. This optional cover will trigger unlimited times and is available for all subsequent claims in a Policy Year.

3

my:Health Hospital Cash benefit

my:Health Hospital Cash benefit add on meets your day to day needs with fixed daily cash for your personal expenses, food, transportation, loss of pay and much more. So make an estimate of your daily spends and pay a small amount today instead of feeling helpless tomorrow.

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 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
tab1
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 through our website
    • 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: Get long term discount of 10% for 3 years policy tenure. Note: Long-term discount will not be applicable on installment options
    • 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 ₹10 lacs to ₹2 crores
    • Policy Options: You can buy individual and family floater options
    • Tenure: Available for 3 years only
    • No Cost Installment*^ Option: Credit and Debit card holders can now opt for the EMI option

    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
    3X

    Secure Benefit

    3X coverage from day 1

    Your base cover gets tripled instantly upon purchase, without having the need to claim it. This benefit will instantly increase your ₹10 lacs base cover to ₹30 lacs at no extra cost.

    Plus Benefit
    4X

    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 ₹40 lacs i.e 4X of your base cover.

    Restore Benefit
    5X

    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.

    Get hdfc ergo health insurance plan
    With ₹10 lacs base cover eventually becoming ₹50 lacs. You get 5X coverage after 2 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.

    Nearly 12K Cashless Hospitals
    Nearly 12K Cashless Hospitals**
    ₹7,500+ crores Claims Settled
    ₹7,500+ crores
    Claims settled^*
    1 claim processed every minute
    1 claim processed every minute^*
    24x7 support in 10 languages
    24x7 support in 10 languages
    1.5+ crores Happy Customers
    #1.5+ crores
    Happy Customers
    97% Claim
    97% Claim
    Settlement Ratio*^
    Buy Now

    Know How Optima Super Secure Benefits Boost Your Health Cover?

    What if we tell you that your health cover triples up as soon as you buy an Optima Super Secure health insurance plan? Don’t believe us? Well, that’s indeed a fact. Secure Benefit instantly makes his ₹10 lacs base cover to ₹30 lacs, at no extra cost.

    How does it work?

    Suppose, Mr Sharma has bought Optima Super Secure Health Insurance Plan with a sum insured of ₹10 lacs, then in this case his sum insured will instantly get doubled and offer him a total health cover of ₹30 lacs. This additional amount can be utilised for any number of admissible claims.

    We love the fact that you are choosing us to be your partner on your health journey. And, hence we would love to reward you for your trust and loyalty by offering a 50% increase in base cover post 2 years and a 100% increase post 2nd-year renewals irrespective of any claims made.

    How does it work?

    When Mr Sharma renews his Optima Super Secure Health Insurance Plan for 1 year, Plus Benefit increases his base cover of ₹10 lacs by 50% and in 2nd year by 100%, making it ₹15 lacs and ₹20 lacs respectively. Plus benefit and super secure benefit together takes the total coverage to ₹40 lacs.

    Optima Super Secure plan restores up to 100% of your base sum insured for subsequent claims, for any illness or accidental hospitalisation. This benefit comes in handy when you exhaust your existing sum insured due to one or several claims. 

    How does it work?

    Imagine a situation where Mr. Sharma claims partial or total 10 lacs base cover, it gets 100% restored, making it ₹30 + ₹20= ₹50 lacs. So, he does not have to limit his claims to ₹10 lac base cover or ₹30 lacs super secure benefit, he will get an additional ₹10 lacs as a restore benefit to settle claims.

    It is the non-medical expenses that really end up burning a hole in your pocket. Well, we have got your back. Go cashless with our my:Optima Super Secure health plan which has an in-built coverage for listed non-payable items like gloves, masks, food charges and other consumables during hospitalization. Usually, these disposable items are not covered by insurance policies or offered as an optional cover at an additional cost. However, with this plan, all your expenses for 68 listed non-medical items that are commonly used during hospitalisation are covered at no extra premium.

    How does it work?

    During hospitalisation, his non-medical expenses that add up to 10-20% of the total bill amount also gets covered by Protect Benefit. With Optima Super Secure plan you can rest assured that as many as 68 non-medical expenses will be taken care of. You don’t have to bother shelling extra pennies for these non-medical expenses. Items like disposables, consumables and non-medical expenses such as gloves, food charges, belts, braces etc will all be covered under this plan.

    Optima Secure plan is tailored for those who want to settle for nothing less than the most premium healthcare for their family. The plan qualifies you for any room category at any hospital. This feature assist customer in reducing their out-of-pocket expenses and further gives freedom to select the hospitalization room of their choice.

    How does it work?

    Optime Super Secure does not put a claim restriction in terms of a disease. Say, for instance, if Mr Sharma has to undergo a kidney stone removal procedure, then unlike other conventional insurance plans, Optima Super Secure has no capping of ₹1 lac or so as the claimable amount for the disease. He can claim up to the available sum insured as per the treatment costs. Additionally, there is no capping in terms of room rent per day or ambulance charges.

    buy a health insurance plan
    All Set to Buy Optima Super Secure?

    So Much More Coverage Offered by Optima Super Secure Health Insurance

    hospitalization expenses covered by hdfc ergo

    Hospitalisation (including COVID-19)

    We cover all your hospitalisation expenses arising from illnesses and injuries seamlessly. Most importantly, the Optima Super Secure plan includes treatment costs for Covid-19 as well.

    pre & post hospitalisation covered

    Pre and Post Hospitalisation

    Instead of 30&90 days availed normally, get 60 & 180 days pre and post hospitalisation medical expenses covered.

    daycare procedures covered

    All 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.

    Preventive Health Check-Up at No Cost

    Preventive Health Check-Up at No Cost

    Prevention is certainly better than cure and that’s why we offer a free health check-up on renewing your health insurance policy with us.

    Emergency Air Ambulance

    Emergency Air Ambulance

    Optima super secure plan is tailored to reimburse the cost of air ambulance transport up to ₹5 lacs.

    Road Ambulance

    Road Ambulance

    Optima Super Secure plan covers road ambulance cost up to the sum insured.

    Daily Hospital Cash

    Daily Hospital Cash

    Get daily cash of ₹1000 per day up to a maximum of ₹6000 on hospitalisation, as out-of-pocket expenses under Optima Super Secure Plan.

    E Opinion for 51 illnesses

    E Opinion for 51 illnesses

    Avail e-Opinion for 51 critical illnesses through network providers all over the world under Optima Super Secure plan.

    cashless home health care covered by hdfc ergo

    Home Healthcare

    We will pay for the medical expenses incurred by you on home hospitalisation if advised by the doctor. This facility is available on cashless basis.

    organ donor expenses

    Organ Donor Expenses

    We cover medical expenses for harvesting a major organ from the donor’s body where the insured is the recipient.

    ayush benefits covered

    Alternative Treatments

    We cover treatment costs up to the sum insured towards in-patient care for alternative therapies like Ayurveda, Unani, Siddha, Homeopathy, Yoga and Naturopathy.

    lifetime renewability

    Lifelong Renewability

    Optime Super Secure plan has your back. Our health insurance policy covers your medical expenses for a lifetime on break free renewals.

    Please read the policy wordings, brochure and prospectus to know more about my Optima Super Secure.

    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

    Breach of Law

    We do not cover expenses for treatment directly arising from or consequent upon any insured person committing or attempting to commit a breach of law with criminal intent.

    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

    Excluded Providers

    We do not cover expenses incurred towards treatment in any hospital or by any Medical Practitioner or any other provider specifically excluded by the Insurer. Contact us to get the list of de-empanelled hospitals.

    Congenital external diseases, defects or anomalies,

    Congenital external diseases, defects or anomalies,

    We understand that treatment towards congenital external disease is critical however, we do not cover medical expenses incurred for Congenital external diseases defects or anomalies.
    (Congenital diseases refer to birth defects).

    treatment of obesity or cosmetic surgery not covered

    Treatment for Alcoholism & Drug Abuse

    Treatment for Alcoholism, drug or substance abuse or any addictive condition and consequences thereof remains uncovered.

    Calculating Premium Is So Easy

    know your health insurance premium

    STEP 1

    Click on Buy Now
    to proceed

    STEP 2

    Select the members, sum insured &
    calculate premium

    STEP 3

    Ta-da! Here is
    your premium

    protect against coronavirus hospitalization expenses
    Protect Your Family Against Coronavirus
    Hospitalisation Expenses

      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 claims and reimbursement claim requests.

    1 claim processed every minute^^

    HDFC ERGO Claim settlement : Fill pre-auth form for cashless approval
    1

    Intimation

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

    HDFC ERGO Claim settlement: Health Claim Approval Status
    2

    Approval/Rejection

    Once hospital intimates us, we send you the status update

    HDFC ERGO Claim settlement : Hospitalization after approval
    3

    Hospitalisation

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

    HDFC ERGO 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

    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.

    13,000+
    Cashless Network Across India

    Find Your Nearest Cashless Networks

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    Find 12,000+ network hospitals across India
    Jaslok Medical Centre
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    Address

    C-1/15A Yamuna Vihar, Pincode-110053

    Roopali Medical
    Centre Private Limited
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    Address

    C-1/15A Yamuna Vihar, Pincode-110053

    Jaslok Medical Centre
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    C-1/15A Yamuna Vihar, Pincode-110053

    Hear From Our Happy Customers

    4.4/5 Stars
    rating

    Our customers have rated us

    quote-icons
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    M PASUPATHY

    MY: OPTIMA SECURE

    21 Sep 2021

    Plans are great and processing is fast too

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    LALIT NIRANJAN

    MY: OPTIMA SECURE

    17 Aug 2021

    Very good policy

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    BRIJESH PRATAP SINGH

    MY: OPTIMA SECURE

    16 Aug 2021

    Excellent service

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    TEJAS PRADIP SHINDE

    MY: OPTIMA SECURE

    15 Aug 2021

    Overall good service !

    Frequently Asked Questions on Optima Super Secure Plan

    Optima Super Secure individual plan policy offers a range of coverage benefits forOptima Super Secure is a comprehensive health insurance plan that provides a range of benefits for policyholders. These benefits include the following –

    ● Hospitalization expenses

    ● Road and Air ambulance costs

    ● Daycare treatments

    ● Home Healthcare

    ● Domiciliary Hospitalization

    ● AYUSH treatments

    ● Pre and post-hospitalization expenses for 60 days and 180 days respectively

    ● Organ donor expenses

    Furthermore, you get the following unique features too –

    ● Secure Benefit – that triples the insurance cover you buy, instantly and automatically. This means that you get a 3X coverage from day 1,

    ● Protect benefit- Zero deduction on listed non medical expenses

    ● Get e-opinion on 51 critical illnesses through network provider globally.

    ● Allowance for daily cash if you choose a share accommodation in a network hospital

    ● Preventive medical check-ups subject to specified limits irrespective of claim status

    ● Plus Benefit - the base cover you choose for yourself automatically increases by 50% after 1

    year, and 100% after 2 years, irrespective of any claims made.

    ● Restore benefit -100% of the base cover gets restored automatically in the event of complete or partial utilization of the Base Sum insured due to any admissible claim.

    Optima Super Secure has the following waiting periods specified under the plan –

    ● Pre-existing illnesses are covered after a waiting period of 36 months. The waiting period reduces every year on successful renewals. Even if you port an existing policy to Optima Super Secure, you get a credit for the waiting period already lapsed in the last policy. In the case of enhancement of the sum insured, however, the waiting period of 36 months would apply again to the increased amount.

    ● Specific illnesses and treatments are covered after a waiting period of 24 months.

    ● Initial waiting period of 30 days is applicable from the start date of the policy coverage. The plan would not cover illnesses that occurred during this period of 30 days. However, you get coverage for accidental injury from the first day of the plan itself.

    No, pregnancy is not covered under Optima Super Secure.

    You can renew your Optima Super Secure in multiple ways. These include the following –

    ● Online through the website of HDFC ERGO

    The fastest and the easiest way to renew HDFC ERGO Optima Super Secure plan is online by visiting the website of the insurance company. The process is quite simple and discussed as follows:

    ● Click on https://www.hdfcergo.com/renew-hdfc-ergo-policy

    ● Fill in your policy number, registered email ID, and phone number

    ● Click on the “Renew” option

    ● The details of your existing policy would be displayed along with the renewal premium

    ● Pay the renewal premium online and your policy would be issued instantly

    ● Offline by visiting the branch office of HDFC ERGO

    You can visit the nearest branch office of the insurance company to renew your plan. When you visit the branch of HDFC Ergo, you would have to specify the policy number and make payment of the renewal premium through cheque, or other means available at the office. Once the premium is paid, your policy would be renewed. Please note: - Customer can also pay by PG payment link (received from Inbound or Outbound call center).

    ● Through an intermediary

    You can renew your HDFC ERGO Optima Super Secure Individual plan through an intermediary of HDFC ERGO. You can get in touch with a broker or an agent and apply for renewing your policy. All you have to do is pay the renewal premium to the agent who would deposit it to the insurance company and your plan would be renewed.

    Optima Super Secure offers lifelong renewability. The plan can be renewed every year throughout your life without any ceasing date. To enjoy uninterrupted coverage benefits, you should remember to renew your policy within the due date or within the grace period offered under the plan.

    You can also opt for enhancement of the sum insured at renewal subject to underwriting guidelines.

    Yes, HDFC ERGO offers a portability option. You can port into the Optima Super Secure or port out of it. To port, you would have to request with the insurance company at least 45 days before the policy renewal date. However, the porting request should not be submitted earlier than 60 days from the renewal date.

    After you request porting, the insurance company would assess your request, verify it and allow you to switch your coverage to another plan or another insurer.

    HDFC ERGO Optima Super Secure offers two optional add-ons that you can avail of to enhance the coverage. These add-ons are as follows –

    ● my: Health Critical illness ( add-on)

    Get comprehensive coverage for 51 critical illnesses.with sum insured options of INR 100,000 to INR 200,00,000 and in multiples of INR 100,000.

    ● my :Health Hospital Cash Benefit ( add-on )

    Get a daily cash allowance in case of Hospitalization for 24 hours or more up to maximum of 30 days. There are various sum insured options from Rs. 500, to Rs. 10,000. You can choose one or both of these add-ons and avail of a wider scope of coverage.

    Disclaimer: Please read the policy wordings, brochure and prospectus to know more

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    Awards & Recognition

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    BFSI Leadership Awards 2022 - Product Innovator of the Year (Optima Secure)

    ETBFSI Excellence Awards 2021

    FICCI Insurance Industry
    Awards September 2021

    ICAI Awards 2015-16

    SKOCH Order-of-Merit

    Best Customer Experience
    Award of the Year

    ICAI Awards 2014-15

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    CMS Outstanding Affiliate World-Class Service Award 2015

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    iAAA rating

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    ISO Certification

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    Best Insurance Company in Private Sector - General 2014

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