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Home / Health Insurance / Optima Restore Individual

Optima Restore Individual Health Insurance Plan

When it comes to safeguarding the health of your family, choosing the right health insurance plan is of utmost importance. With Optima Restore, you not only get the benefit of cashless treatment at our network hospitals, but also get other great features to meet all your healthcare needs.

Reasons to Choose Optima Restore Individual Health Plan

100% Restore Benefit

Get 100% of your basic Sum Insured restored instantly after the first claim. Optima restore is a unique health plan that restores your sum insured on partial or complete utilization of your health cover, for your future needs.

2X Multiplier Benefit

50% increase in basic Sum insured for every claim free year, subject to a maximum of 100%

Complimentary Health Check-Up

Regular health check-ups keep track of your well-being and help in early diagnosis of illnesses. Enjoy preventive health check-ups up to₹10,000 with Optima Restore at the time of renewals.

Daily Hospital Cash

Worried about out-of-pocket expenses in case of hospitalisation? Get daily cash of up to ₹1,000 per day and maximum of ₹6,000 per hospitalization on choosing shared accommodation in a network hospital with Optima Restore.

For detailed inclusion and exclusion, please refer the sales brochure / policy wordings
To know more about the terms and conditions, please check the policy wording document

Buy Now

Just launched

Newly Launched Optional Benefit -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.

To know more about the terms and conditions, Please check the policy wording document.

Understand Coverage Offered by Optima Restore Individual Health Plan

What’s Covered?
What’s Not Covered?

Hospitalization expenses

Just what you expect of your health insurance plan- We cover you for hospitalization due to illnesses and injuries seamlessly.

Pre and Post Hospitalisation

Your costs for diagnosis and follow up consultations, are covered too. All your pre-hospital admission expenses up to 60 days, and post-discharge expenses till 180 days are included.

Day-care procedures

Medical advancements help in wrapping up urgent surgeries and treatments in less than 24 hours, and guess what? We cover all your daycare procedures.

Emergency Road Ambulance

If you need to, rush to a hospital in case of an emergency. Your ambulance costs are covered up to ₹2000 per hospitalization.

Organ Donor Expenses

Organ donation is a noble cause. Hence, we cover the medical and surgical expenses of the organ donor when harvesting a major organ transplant.

No sub-limit on room rent

If you have to stay at the hospital, choose a comfortable and convenient room for yourself, without bothering about its bills. We give you complete coverage on room-rent, up to the sum insured.

Daily Hospital Cash Coverage by HDFC ERGO Health Insurance

Tax Savings

Save more with tax benefits on health insurance premiums. Yes, you can save tax up to ₹75,000 with HDFC ERGO Health Insurance plans.

E Opinion for 51 illnesses Coverage by HDFC ERGO Health Insurance

Modern Treatment methods

You deserve the best and the latest medical treatments. So our Optima Restore covers advanced procedures like robotic surgeries, stem cell therapy, and oral chemotherapy.

Lifelong Renewability Coverage by HDFC ERGO Health Insurance

Lifetime Renewals

Also, enjoy life-long protection as you can continuously renew your health plan, even after you turn 65 years of age.

Family Discounts

There’s more. Get family discount of 10% if 2 or more family members are covered under Optima restore individual sum insured plan

Treatment availed outside India

Any Treatment availed overseas/outside India remains excluded from the scope of this policy

Self-inflicted injuries

Consequences of use and Abuse of intoxicant or hallucinogenic substances like intoxicating drugs and alcohol lead to self-inflicted wounds. Our policy does not cover self-inflicted injuries.

War Coverage by HDFC ERGO Health Insurance

War

War can be disastrous and unfortunate. However,our policy does not cover any claim that are caused due to wars.

AIDS/HIV

AIDS or infection with HIV, including but not limited to conditions related to arising out of HIV/AIDS such as ARC (AIDS Related Complex), Lymphomas in the brain, Kaposi’s sarcoma and tuberculosis.

Venereal or sexually transmitted diseases

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

Excluded Providers Coverage by HDFC ERGO Health Insurance

Treatment of obesity or cosmetic surgery

Treatment of obesity or cosmetic surgery is not eligible for coverage under this insurance policy.

For detailed inclusion and exclusion please refer the sales brochure/policy wordings

Waiting Periods

First 24 Months From Policy Inception

Few illnesses & treatments are covered after two years of policy issuance.

First 36 Months from Policy Inception

Declared or accepted pre-existing conditions at the time of application will be covered after 36 months of continuous coverage after the date of inception

First 30 Days from Policy Inception

Only accidental hospitalisations shall be admissible in the first 30 days from the date of policy issuance.

16000+
Cashless Network
Across India

Find Your Nearest Cashless Networks

ORLOCATE Hospital NEAR YOU

Find 16000+ network hospitals across India

Jaslok Medical Centre

Address

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

Roopali Medical
Centre Private Limited

Address

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

Jaslok Medical Centre

Address

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

Hear From Our Happy Customers

4.4/5 Stars

Our customers have rated us

View all 22,662 Reviews

RISHI PARASHAR

OPTIMA RESTORE

13 Sep 2022

Excellent service, nothing to complain about. You are number one in terms of service. My uncle suggested me to purchase insurance from you and I am very happy

SHYAMAL GHOSH

OPTIMA RESTORE

10 Sep 2022

The excellent services have helped me feel mentally very secured and at peace while undergoing treatment for these life threatening disease. Looking forward to the same excellent service in the future as well.

MUKESH DEVI

OPTIMA RESTORE

30 Sep 2021

Very good service

REKHA YADAV

OPTIMA RESTORE

18 Sep 2021

Very good insurance company

ANIL GANGARAM MORE

OPTIMA RESTORE

9 Sep 2021

Excellent

SHANKAR SAHAI SAXENA

OPTIMA RESTORE

3 Aug 2021

One of the Best Medical Insurance Company

Faizal Khan

Health Suraksha Family Policy

I'm faizal and I want to tell you I'm very happy to got hdfc ergo service. I raised claimed which is got approved within a moments I got credited within a day.

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Frequently asked questions

1. What are the scenarios under which the Sum Insured would be reinstated under the Restore Benefit?

- Partial Utilization of the Base Cover

- Complete Utilization of the Base Cover

The benefit will restore the amount equal to your base sum insured in both situations for your future claims.

2. What all medical expenses are covered under this policy?

Our bestselling, comprehensive policy covers pre, during, and post hospitalisation expenditure along with allied expenses like ambulance, room rents, and day care procedures as well. For complete details, feel free to download the policy wordings document.

3. What’s the maximum cover given by Optima Restore?

The plan offers insurance cover up to ₹1 Crore.

4. What’s a restore benefit?

Our one-of-a-kind health insurance plan provides 100% restoration of your Basic Sum Insured instantly after the first claim, so that you and your family can step into the future with confidence. Restore Benefit triggers on complete or partial utilization of Basic Sum Insured and Multiplier Benefit (if applicable) and will be available to all insured persons for subsequent claims under in-patient benefit during the policy year.

5. How much premium do I have to pay for the policy annually?

The policy premium depends on the type of plan you choose, whether you’re insuring only yourself or your family, the amount of cover you choose & the city you reside in. If you like more help choosing the right plan and cover for you, feel free to talk to our team!

6. How many times can the Restore Benefit be claimed in a policy year or lifetime?

Restore benefit can be used once in every policy year for a lifetime, provided you keep renewing your policy. Furthermore, if you opt for our newly launched Unlimited Restore (optional benefit), you will get unlimited restorations in a policy year at a nominal cost.