If you have our Optima Secure family health insurance plan, you can be rest assured that the plan will help cover medical expenses for you and your loved ones within India. However, you might wonder what if you are travelling abroad will
the plan be enough to cover your loved ones in case of any medical crisis overseas? Well, don’t stress yourself so much with that thought. We bring to you Global Plans under my: Optima Secure for you and your family. These plans
provide comprehensive health coverage within
India as well as coverage for emergency and/or planned treatments
overseas (as per plan opted). Our global plans provide comprehensive and broader coverage along with additional benefits beyond what standard health insurance plans offer, like access to a vast network of top-tier healthcare
providers, specialists and state-of-the-art medical facilities. Along with any of the Global Plans under my: Optima secure one can also opt for the ‘overseas travel secure’ optional cover which pays for travel expenses
for the Insured person and for any one accompanying person. The optional cover also pays for accommodation expenses for that accompanying person.
With so many benefits and an incredible
4X domestic coverage, isn’t this a deal to steal? It doesn't end here! Now you can avail of our
No cost instalment*^ benefit while buying the product.
Recommended | ||
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Coverages | Optima Secure Global | Optima Secure Global Plus |
Base Sum Insured | ||
Hosplitalization Expenses | Worldwide including India | Worldwide including India |
Secure Benefit | Covered (India Only) | Covered (India Only) |
Plus Benefit | Covered | Covered |
Automatic Restore Benefit | Covered (India Only) | Covered (India Only) |
Pre and Post Hospitalization | 60 and 180 days (India only) | 60 and 180 days |
Geography covered | ||
Aggregate Deductible Discount | ||
Global Health Cover (Emergency Treatments) | ||
Global Health Cover (Emergency & Planned Treatments) | ||
Overseas Travel Secure | ||
GLOBAL BROCHURE | GLOBAL PLUS BROCHURE |
Note: Our maximum liability in a policy year for overseas claim shall be restricted to base Sum Inured and Plus benefit (if available) & A per Claim Deductible of Rs. 10,000 will apply separately for each and every claim incurred and made overseas (except E-Opinion for Critical Illness ).
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 ₹1 Cr.
2X coverage from day 1
Your base cover gets doubled instantly upon purchase, without having the need to claim it. This benefit will instantly increase your ₹1 Cr base cover to ₹2 Cr at no extra cost. This benefit applies in India only
100% increase in coverage
On 1st renewal, your base cover increases by 50% after 1 year and 100% after 2 years, making it ₹1.5 Cr and ₹2 Cr respectively. Your total cover now becomes ₹3 Cr i.e 3X of your base cover.
100% restore coverage
Anytime you make a claim whether partial or total of ₹1 Cr base cover, it gets 100% restored for any subsequent claims in the same year.This benefit applies in India only
Note: All the above benefits are applicable for claims in India except for plus benefit (which is applicable in India and overseas)
You can choose below options while creating wholesome protection for you and your family with Global plans under my: Optima Secure
This optional cover provides economy class airfare and accommodation expenses of the Insured's accompanying person, and economy class airfare for insured person basis plan chosen.
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.
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.
Protect Benefit
Covers Out-Of-Pocket Expenses°AGGREGATE DEDUCTIBLE DISCOUNT
So Much Savings
Online, long-term & many more discountsSo Much Choice
Sum Insured upto 2 Cr Cover & tenure upto 3 yearsBacked by the trust of #1.6 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.
2X Coverage from Day 1
What if we tell you that your health cover doubles up as soon as you buy Global plans under my:Optima Secure? Don’t believe us? Well, that’s indeed a fact. Secure Benefit instantly makes his ₹1 Cr base cover to ₹2 Cr, at no extra cost.
Suppose, Mr Sharma has bought Global plans under my:Optima Secure with a sum insured of ₹1 Cr, then in this case his sum insured will instantly get doubled and offer him a total health cover of ₹2 Cr. This additional amount can be utilised for any number of admissible claims in India.
100% increase in coverage after 2 Years
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 at first renewal and a 100% increase post-2nd-year renewals irrespective of any claims made worldwide.
When Mr Sharma renews his Global plan under my:Optima Secure for 1 year, Plus Benefit increases his base cover of ₹10 lacs by 50% and in 2nd year by 100%, making it ₹1.5 Cr and ₹2 Cr respectively. Plus benefit and secure benefit together takes the total coverage to ₹3 Cr.
100% restore coverage
Global plans under my:Optima Secure 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 incurred in India.
Imagine a situation where Mr. Sharma claims partial or total ₹1 Cr base cover in India, it gets 100% restored, making it ₹3 + ₹1= ₹4 Cr. So, he does not have to limit his claims to ₹1 Cr base cover or ₹2 Cr secure benefit, he will get an additional ₹1 Cr as a restore benefit to settle claims.
Zero deductions on non-medical expenses°
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 Secure which has an in-built coverage for listed non-payable items like gloves, masks, food charges, and other consumables during hospitalisation. 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.
During hospitalization, his non-medical expenses that add up to 10-20% of the total bill amount also get covered by Protect Benefit. With Global plans under my:Optima Secure you can rest assured that as many as 68 non-medical expenses will be taken care of. Mr. Sharma won't have to shell extra pennies for these non-medical expenses. Items like disposables, consumables, and non-medical expenses such as gloves, food charges, diapers, belts, braces etc will all be covered under this plan.
No room rent capping | No disease-based capping | No co-payments
Global plans under my:Optima Secure 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.
Global plans under my:Optima 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, my:Optima Secure has no capping 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.
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.
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.
War can be disastrous and unfortunate. However, our health insurance plan does not cover any claim that is caused due to wars.
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 for list of de empanelled hospital)
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 for Alcoholism, drug or substance abuse or any addictive condition and consequences thereof remains uncovered.
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.
Fill up the pre-auth form at the network hospital for cashless approval
Once hospital intimates us, we send you the status update
Hospitalisation can be done on the basis of pre-auth approval
At the time of discharge, we settle the claim directly with hospital
You need to pay the bills initially and preserve the original invoices
Post hospital discharge send us all your invoices and treatment documents
We verify your claim related invoices and treatment documents
We send the approved claim amount to your bank account.
Address
C-1/15A Yamuna Vihar, Pincode-110053
Address
C-1/15A Yamuna Vihar, Pincode-110053
Address
C-1/15A Yamuna Vihar, Pincode-110053
‘Optima Secure Global’ covers hospitalization expenses in India and in addition to that it also covers emergency medical expenses which are diagnosed and incurred outside India
'Optima Secure Global Plus’ covers hospitalization expenses in India and in addition to that it also covers Planned and Emergency Medical treatments in overseas
Sum Insured for Optima Secure Global Plan is 1 Cr and 2 Cr. Sum Insured for Global Plus Plan is 25L, 50L, 75L, 1 Cr and 2 Cr.
There is no separate sum Insured for these Global Plans and hence sum insured opted is common for both treatments within and outside India.
The Optima Secure Global plan provides coverage within India and also provides coverage for the below listed medical expenses incurred on emergency medical treatments outside India. Hospitalization Expenses, AYUSH Treatment, Organ Donor Expenses, Emergency Air Ambulance, Protect Benefit, Plus Benefit and E Opinion for Critical Illness
The Optima Secure Global Plus plan provides coverage within India and also provides coverage for the below listed medical expenses incurred on planned and/or emergency medical treatments outside India. Hospitalization Expenses, AYUSH Treatment, Pre and Post hospitalization medical expenses ,Organ Donor Expenses, Emergency Air Ambulance, , Protect Benefit, Plus Benefit and E Opinion for Critical Illness
The maximum liability under Global and Global Plus plan shall not exceed the sum of Base Sum Insured and Plus Benefit (if applicable) for Treatments outside India, however for claims within India, the maximum liability in a policy year shall not exceed the sum of Base Sum Insured, Plus Benefit (if applicable) and Secure Benefit (if applicable), Restore Benefit (if applicable).
Aggregate Deductible if opted will apply for hospitalizations within India and will not be applicable for any claim expenses incurred outside India.
However, a Per Claim Deductible of INR 10,000 will apply separately for each and every claim under Global Plans of my: Optima Secure for treatments taken outside India (except for E Opinion for Critical Illness).
Claims shall normally be payable on Reimbursement basis only. Cashless facility may be arranged on case to case basis.
A waiting period of 30 days is applicable for any treatment except accidental Injury, a 24 month waiting period is applicable for Specified illness and surgical procedures and a 36 months waiting period is applicable for pre-existing diseases.
This optional cover provides economy class airfare and accommodation expenses of the Insured's accompanying person, and economy class airfare for insured person basis plan chosen.
There are 4 add-ons filed with this product which you can avail at the time of purchasing the policy. List of add-ons are as mentioned below:
1) my: health Critical Illness Add On
2) my: health Hospital Cash Benefit Add On
3) individual Personal Accident Rider
4) Unlimited Restore (Add on)
5) Optima Wellbeing (Add on) : Covers expenses for various outpatient benefits.