Network hospitals
12000+
Incurred claim ratio
79.04%%
Sum insured
Up to 2 Cr
No. of Plans
1
Solvency Ratio
1.7
Pan India Presence
200+
Are you sceptical about finding the best health insurance plan that protects you and your family under one roof? Read further to learn about the exclusive HDFC ERGO Optima Secure Global Insurance Plan.
HDFC ERGO Optima Secure Global plan is known for its vital and extended coverage within or outside India, it covers you without any boundaries. It’s a subordinate of the HDFC ERGO Optima Secure health plan that comes with two variants- Optima Secure Global and Optima Secure Global Plus. We’ll be discussing the first variant of this plan type, ie, HDFC ERGO Optima Secure Global Health insurance for both a family floater and an individual basis.
The plan offers an ample sum insured of INR 1 Crore to 2 Crores that provides coverage for hospitalisation expenses, pre and post-hospitalisation, organ donor expenses, AYUSH treatment, emergency ambulance, air ambulance, e-opinion for listed 51 critical illnesses, and much more. This is just the beginning of the plan benefits! It offers you all the mentioned coverage benefits and medical expenses that are incurred within India or outside India without additional or separate charges. Given that, the treatment cost incurred shall not exceed the base sum insured of your policy (unless it’s the Plus variant) related to your treatment in India and overseas.
Also, there is an availability of aggregate deductible if the treatment takes place in India, but not overseas/at a global level.
Being a policyholder, you are entitled to buy different add-on covers based on your requirements that will allow you to further complement far-reaching coverage benefits. The available add-on covers under this plan are as follows:
Get exclusive coverage for listed 51 critical illnesses with a sum insured of INR 10 Lakhs to up to INR 2 Crores (in multiples of INR 1 Lakh).
Get an additional sum insured benefit of INR 500 to up to INR 10,000 that will cover your budget hospital expenses.
The plan provides you with the benefit of a lump sum payout in case of accidental death, permanent partial disability, and permanent total disability. The amount of payout can go up to a sum insured value multiplied by 5 times up to a maximum of INR 1 crore.
The plan offers unlimited restoration benefits during the active policy year (supposedly, the base sum insured cover increases by 50% on every renewal).
Apart from this, there is an extra add-on cover named Overseas Travel Secure that is available as an optional cover with this Global plan. This optional cover ensures the insured individual’s travel expenses, along with the accommodation expenses of an accompanying person (if any), in case the policyholder has to travel overseas for treatment. If the policyholder chooses an aggregate deductible option, there will be the benefit of a discount ranging from INR 25,000 to INR 5 Lakhs (available in India only).
Last but not the least. Here’s something wonderful that will create a jaw-dropping expression on your face!
The HDFC ERGO Optima Secure Global Health Insurance plan comes with a 4-level sum insured restoration benefit that goes like this:
Health Cover SI
Suppose you select a sum insured of INR 1 Crore, the base SI will cover your medical expenses as it’s issued to you.
Secure Benefit
As soon as you have access to the policy, it’ll be doubled to INR 2 Crores for extending the coverage benefits of your policy, without paying any extra cost. But, this benefit is only available in India not overseas.
Plus Benefit
The value of the sum insured is increased by 100% which is specified as; on the first renewal of the policy after completing 1 policy year, the SI increases by 50%, and on the second renewal of the policy after 2 policy years, the SI increases by 100%.
Restoration Benefit
On raising a claim during any policy year over the base sum insured of INR 1 crore, the SI will be restored automatically for making any subsequent claim during the same tenure.
Note:- The policyholder needs to pay INR 10,000 as a deductible for every claim made outside India, i.e. a claim raised against overseas treatment, except e-opinion for critical illnesses.
To understand HDFC ERGO Optima Secure Global Plan Insurance in detail, take a look at the below table:
18 - 65 Years
Individual and Family Health Insurance
1 Cr | 2 Cr
30 Days
Lifelong
1,2,3 Years
*Initial Waiting Period is the time period between the issuance of the policy and the time it starts actively. During this period, a policyholder has to wait to avail of the benefits offered under a health insurance plan.
Read more specifications in the brochure.
With wide coverage options available, HDFC ERGO Optima Secure Global Plan Insurance Plan allows you to choose your ideal coverage as per your family’s health requirements. Take a look at the coverage under every SI option available and choose your ideal coverage:
Room Rent
Covered
ICU Charges
Covered
Pre-Hospitalization
Covered
Post-Hospitalization
Covered
Domiciliary Hospitalization
Covered
Daycare Treatment
Covered
OPD Charges
Not Covered
COVID-19 Treatment
Covered
Cataract
Not Covered
No Claim Bonus
Not Covered
Automatic Restoration
Covered
Daily Hospital Cash
Covered
Organ Donor
Covered
Maternity Cover
Not Covered
New Born Baby Cover
Not Covered
AYUSH Treatment
Covered
IVF Treatment
Not Covered
Modern Treatment
Not Covered
Ambulance
Covered
Air Ambulance
Covered
Compassionate Travel
Covered
Global Coverage
Covered
E-Consultation
Covered
Health Check-Up
Covered
Second Medical Opinion
Not Covered
Vaccination
Not Covered
Co-payment
Not Covered
Sub-limits
Not Covered
The room rent limit is the maximum bed charge you can claim if you are hospitalised. Common Room categories covered under room rent are all kinds of rooms including single, private and AC rooms (except suite).
It is a special hospital department where patients with serious medical conditions are treated.
Medical expenses incurred before hospitalisation of the policyholder.
Medical expenses incurred after the discharge of the policyholder from the hospital.
Domiciliary hospitalization or home care treatments are the arrangements for an insured individual due to the unavailability of medical amenities in hospitals, or in a case where an insured member can not be admitted to the hospital due to an inability. The treatment should last equal to or more than 72 hours to get financial coverage.
Treatments that can be completed within 24 hours of hospitalization like blood dialysis, cataracts, etc.
Covers the cost of doctor consultations and prescribed medical tests that may not require hospitalization. .
It includes the treatment cost for COVID-19 with a confirmative diagnosis from a government-approved centre.
A common eye condition in which your vision gets blurred due to cloudy formation in your eyes.
For every claim-free year, insurance companies reward policyholders with an increase in the sum insured amount as a no-claim bonus or cumulative bonus on policy renewal. However, in the case of a claim, this bonus amount either lapses or is reduced by a certain percentage varying from one plan to the other.
It is a benefit in which an insurance company restores the amount of sum insured completely or up to a certain percentage after it gets fully exhausted in treatments. This restoration amount may vary from one plan to the other.
Daily hospital cash or Hospicash is a cash amount that you receive each day during the time of hospitalization to cover your non-medical expenses.
It is a cover that includes the cost of the procedure for removing the damaged or malfunctioning organs from the body. In most of the cases, the insurer pays for the hospitalization and transplant expenses for both the parties i.e. the donor and the receiver.
It refers to the cover that includes expenses for normal and c-section deliveries.
It takes care of the medical expenses that arise due to the hospitalisation of the newborn baby in case of any childbirth complications, medical challenges, and so on. Some of the common treatments that are covered under the newborn cover and these common treatments can vary from plan to plan:
Refers to the cost of medicines and procedures used under AYUSH (Ayurveda, Yoga & Naturopathy, Unani, Siddha, and Homeopathy) treatment.
In Vitro Fertilization (IVF) is a method of assisted reproductive technology. The common expenses incurred under IVF and infertility treatments are settled or reimbursed for:
Medical treatments that demand the use of modern technology and advanced machinery such as robotic surgeries, stem cell therapy, etc.
An ambulance is used to move the patient from home to the hospital, transfer them to another hospital, and take them for different tests outside the hospital.
Air ambulances are specially prepared planes that transfer the patient from one place to another in case of a health emergency.
Refers to the travelling expenses of a family member who’s visiting the hospital to look after the patient when the policyholder gets admitted to a hospital outside his/her residential city.
Any kind of medical/health emergency when you are outside of India is covered for hospitalization expenses, modern and specific treatments, etc.
If a policy offers e-consultation it allows policyholders to connect with a doctor for medical consultation through video chat, audio call, or chatbot.
A facility where the policyholder can avail of free health check-ups after fulfilling the company's eligibility criteria. In most cases, the insured member/s gets an annual health check-up cover.
If the policyholder wants, they may opt for a second medical opinion wherein the policyholder can consult another doctor within the company’s network of medical practitioners.
Coverage against the expenses incurred on vaccinations of either the newborn baby, for an animal bite, etc is provided by the insurance companies.
In the co-payment clause, policyholders have to pay a preset amount (either compulsorily or voluntarily) of the hospitalisation expense on their own and the insurer will pay the rest of the medical bill amount.
Sub limit is a condition in which the insurer will have to pay the medical expense up to a certain percentage and the remaining amount will have to be paid by the policyholder. For instance, if your policy covers room rent for upto 20% of the sum insured, but the expense of the same is more than 25%, you will have to pay the rest amount, i.e. 5%, for your room rent.
Read here the notable benefits under the HDFC ERGO Optima Secure Global Health Insurance for family or an individual:
In a situation of hospitalisation, there will be no deductions on non-medical expenses (adding up to 10 - 20% of the incurred medical bills) that are listed in the policy schedule such as gloves, masks, and much more without adding any extra charges.
There are options to choose your deductible amount to avail of a discount of up to 56% on the premiums. The value of aggregate deductible discounts is as follows:-
Deductible Amount (in INR) | Discount (%) |
---|---|
25,000 | 14% |
50,000 | 27% |
1,00,000 | 36% |
2,00,000 | 41% |
3,00,000 | 50% |
5,00,000 | 56% |
*If the policyholder has opted for a deductible of INR 5 Lakhs, then only they will get the preventive health check-up coverage. The aggregate deductible option is valid only within India. This can be waived off after completing 5 years of the policy period.
The policyholder gets additional benefits of savings in the form of discounts, the specifications of which are listed below:
You can avail of a tax exemption benefit under the HDFC ERGO’s Optima Secure Global health plan tax benefits under Section 80D of the Income Tax Act, 1961.
HDFC ERGO Health Insurance Network Hospitals are present in 31 states nationwide. With a wide network of hospitals, HDFC ERGO Health Insurance ensures that you are medically secured, irrespective of the city you reside in.
The HDFC ERGO Optima Secure Global family/individual insurance policy is a wholesome plan for all but comes with standard exclusions. Read here what’s not covered under the plan:
Hospitalization out of war, riot, strike, and nuclear weapons
Intentional self-injury
AIDS
Miscarriage, and Abortion
Congenital disease
Infertility and in vitro fertilization
To cater to the different medical needs of an individual & their family, HDFC ERGO Health Insurance offers several Health Plans ranging from senior citizen plans to specialized plans for autistic children, to health insurance for cardiac patients, and many more.Take a look below to HDFC ERGO Health Insurance plans explore more:
Women Health Insurance
HDFC My: Health Women Suraksha is a comprehensive policy that is designed to cater to the evolving needs of health and well-being of today's women. T...
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Individual and Family Health Insurance
The Arogya Sanjeevani Policy from HDFC ERGO is a basic plan designed for individual or family floater coverage. It provides you with the precise medic...
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Individual and Family Health Insurance
Are you sceptical about finding the best health insurance plan that protects you and your family under one roof? Read further to learn about the exclu...
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HDFC ERGO My:Optima Secure health insurance plan offers value that you might require in future to fight against medical discrepancies. Providing you a...
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Individual
Accidental deaths or injuries can be devastating, it can attack your physical, emotional, mental, and financial status to ruin your happy life moment...
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Critical Illness Health Insurance
iCan Cancer Insurance is a cancer-specific plan offered by HDFC Health Insurance Company. The plan covers medical expenses incurred during the treatme...
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Individual and Family Health Insurance
HDFC ERGO Health Suraksha Plan is a comprehensive plan from the house of HDFC ERGO Insurance Company that aims at providing 360-degree protection agai...
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Individual
HDFC ERGO Health Insurance offers an Energy Diabetes plan which is ideal for those who are suffering from diabetes Type 1, diabetes mellitus Type...
Unique Features
Individual and Family Health Insurance
HDFC ERGO Health Insurance's Health Wallet plan by HDFC ERGO Health Insurance is a comprehensive health insurance plan that not only ensures your heal...
Unique Features
Top Up and Super Top Up
HDFC Ergo super top-up plan is the best option by HDFC Ergo to ensure a cushion of ample cover to get the best medical treatment without any restricti...
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Individual and Family Health Insurance
HDFC ERGO Koti Suraksha is a health insurance plan that provides a sum insured of up to INR 1 crore. Koti Suraksha Plan by the HDFC ERGO Insurance Com...
Unique Features
Individual and Family Health Insurance
HDFC ERGO Optima Restore Policy is the best-selling plan of HDFC ERGO since its launch. It offers comprehensive health cover to you and your fami...
Unique Features
You can claim your policy online from the official website of HDFC ERGO General Insurance and then select the required policy, and follow the steps as mentioned on their official website. You can also claim the policy by reaching out to customer care of PolicyX.
Yes. This policy is suitable for either an individual or a family.
HDFC ERGO Optima Secure health insurance plan can cover 6 adults and 6 children under a single family policy.
This policy can be bought for children aged from 91 days to 25 years and an adult aged from 18 years to 65 years.
The HDFC ERGO Optima Secure with global coverage covers hospitalisation expenses, organ donor expenses, AYUSH treatment, emergency air ambulance, e-opinion for critical illnesses, etc even outside India.
Yes, you can buy add-on covers for critical illness, unlimited restoration, individual personal accidents, hospital cash benefits, and more.
No, there won’t be separate charges or limits for global coverage. The whole value of the sum insured will be common for treatments opted within India or globally.
All the claims (up to the sum insured) made against the treatment accessed outside India shall be entertained on a reimbursement claim basis. The cashless claim facility will depend on your additional coverage benefits under the Plus variant.
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Lives In: Delhi, NCR Expertise: Health & Term Insurance Simran has an experience of 4 years in content writing. She transitioned from hospitality and digital marketing to the insurance industry after her emerging interest in how vast insurance is. With her ability to write complex insurance concepts in a simple, relatable manner, she keeps her audience hooked and solves their doubts smoothly.
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February 5, 2023
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