Know how your 10 lakh sum insured can go up to 20 lakhs with our Optima Secure plan

Posted on: Jul 16, 2024 | 3 mins | Written by: HDFC ERGO Team

Know how your 10 lakh sum insured can go up to 20 lakhs with our Optima Secure plan

HDFC ERGO offers a range of healthcare policies to suit different customer requirements and pockets. In addition to regular health plans for individuals and families, the insurance provider offers some special plans that redefine the benefits you get from health insurance. HDFC ERGO Optima Secure is one such health insurance policy that offers a host of benefits to policyholders and makes quality healthcare affordable. One of the main benefits of this health plan is the increasing sum insured. This benefit can increase the sum insured by 4 times and cover your expensive hospital bills. Let’s talk about this health insurance product in detail.

Understanding HDFC ERGO Optima Secure plan

HDFC ERGO Optima Secure is a unique health insurance product that offers 4X coverage without an increase in policy premiums. Here’s how this insurance product works —

1. Secure benefit:

The insurer offers this benefit to policyholders at the time of policy purchase. Under this benefit, the insurer increases the policy sum insured by 100% at the time of policy purchase. The increased sum insured will not increase the premiums of your health plan.

For example, suppose you buy an HDFC ERGO Optima Secure health insurance policy with a sum insured of INR 10 lakh. In this case, the insurance provider will instantly double the sum insured by your health plan without any additional cost. Therefore, the secure benefit will increase your policy sum insured to INR 20 lakh.

2. Plus benefit:

This benefit can increase the base cover of your health insurance policy by 100% in two years. Here’s how it works:

• When you renew your health plan after 1 year, the insurer will increase the base cover by 50%. Therefore, if the sum insured is INR 10 lakh, it will increase to INR 15 lakh.

• Upon the second renewal, i.e., when you renew your policy after 2 years, the base cover will increase by 100%. Therefore, from INR 10 lakh, the base cover will increase to INR 20 lakh.

• Therefore, the total sum insured of your health plan will now be INR 30 lakh (an additional INR 10 lakh under secure benefit and INR 20 lakh under plus benefit).

3. Restoration benefit:

If you file a claim and use a part or the whole of the base cover of INR 10 lakh, the insurer will restore the sum insured by up to 100% of the base cover for subsequent claims. This benefit can help you meet your medical bills if you have exhausted the entire sum insured by your health plan.

Therefore, if your base cover is INR 10 lakh, the sum insured can increase to INR 30 lakh after plus benefit. If the insurer restores the sum insured up to 100% of the initial sum insured, the restoration benefit will make the total sum insured of your health plan INR 40 lakh.

Here’s a quick recap:

• Initial sum insured: INR 10 lakh

• The secure benefit will increase the base amount by 100% and make it INR 20 lakh

• The plus benefit will again increase the base amount of your health plan by 100% in 2 years, making it INR 30 lakh

• After the restoration benefit is applied, the base sum insured of your health plan will increase by 4 times, i.e., INR 40 lakh.

This is how HDFC ERGO Optima Secure offers 4X coverage to policyholders. If there are one or more hospitalisations during a policy period, policyholders will have a higher sum insured to cover their medical bills.

Additional benefits of HDFC ERGO Optima Secure plan

• Protect benefit:

Under this benefit, the insurance provider will also cover the non-medical expenses you incur during hospitalisation. HDFC ERGO covers as many as 68 non-medical expenses, such as the cost of gloves, belts, braces, and disposables.

• No capping on room rent:

With HDFC ERGO Optima Secure, you can opt for premium healthcare services. You can choose any room category at the hospital without worrying about paying a part of the room tariff from your pocket.

• No capping on diseases and medical procedures:

Optima Secure has no capping for diseases. Therefore, if you are hospitalised for a medical procedure, you can claim up to the available sum insured by your health plan.

• No co-payments:

The plan comes without a co-payment clause. Hence, you won’t have to worry about paying a part of the medical bills from your pocket.

• Discount on premium:

If you agree to pay a deductible of INR 25,000 in a policy year, the insurer will reduce your policy premiums by up to 25%.

• Long tenure discount:

The insurer also offers a discount of 7.5% and 10% for long-term policies. If you choose a tenure of 2 years, you can enjoy a discount of 7.5% on policy premiums. A 3-year policy tenure will help you save 10% on policy premiums.

• Worldwide health cover:

The policy can cover medical emergencies and planned procedures within India as well as overseas.

HDFC ERGO Optima Secure – Key Features

The key features of this healthcare policy are —

• Sum insured:

You can choose a sum insured from INR 5 lakh to INR 2 crores.

• Policy options:

The policy is available on an individual and family floater basis.

• Tenure:

The policy is available for a tenure of 1, 2 and 3 years.

HDFC ERGO Optima Secure – Inclusions

The following medical expenses are covered under this health plan:

• Hospitalisation expenses arising out of illnesses and injuries

• Pre-hospitalisation expenses of up to 60 days and post-hospitalisation bills of up to 180 days

• Daycare treatments or medical procedures that require less than 24 hours of hospitalisation

• Home healthcare bills on a cashless basis, if advised by a healthcare practitioner

• Alternative treatment expenses, such as Ayurveda, Yoga, Unani, Siddha and Homeopathy

• Road ambulance bills up to the sum insured by your health plan

• Air ambulance bills of up to INR 5 lakh

• Complimentary preventive health check-ups at the time of policy renewal

• Daily hospital cash of INR 800 per day for a maximum of 6 days

• Organ donor expenses, if you are the recipient

• Lifelong renewability option

• Online second opinion or e-opinion for 51 critical illnesses from the insurance provider’s panel of medical practitioners

Conclusion

HDFC ERGO Optima Secure is a flexible and customer-friendly health plan that can make things easier during expensive hospitalisations and medical procedures. The policy promises an increasing sum insured, so you won’t have to worry about paying a part of your medical bills from your pocket. Moreover, the health plan also covers non-medical expenses and offers worldwide coverage. Therefore, if you want to secure your health and finances with a comprehensive health plan, HDFC ERGO Optima Secure is a good option.

Disclaimer: The above information is for illustrative purposes only. For more details, please refer to the policy wordings and prospectus before concluding the sales.

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