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Plan Details

Optima Secure


  • Claim settled

    98.7
  • Cover From

    5 Lakh
  • Cover Upto

    2 Cr

Features

Coverage

Claims paid within 3 months
Yes

What you should know

What you should know

Room rent limit is the maximum amount per day cost allowed by the insurer. Related expenses, such as doctor consultation etc. are paid in proportion to the room rent limit. Look out for plans with No Room Rent limit

What you should know

Very useful feature, in case the sum Insured gets exhausted in a year due to multiple claims or a large claim. Insurer restores the sum insured to provide continued coverage to policyholders.

What you should know

Renewal bonus is the extra sum insured added at the time of policy renewal as per the terms and conditions specified in the policy.

What you should know

Hospitals that have a direct tie-up with the insurance company, where insured can avail cashless treatment. Larger the network in your area, better it is.

What you should know

Co-pay is the share of claim to be paid by the policyholder, while the rest is paid by the insurer. Always look out for plan with 0% co-pay or minimum co-payment.

What you should know

Expenses incurred BEFORE hospitalization, such as doctor visits, diagnostic tests etc. Insurance company pays for such expenses upto a certain number of days (ex. 30-90 days) prior to hospitalization.

What you should know

Expenses incurred AFTER hospitalization, such as doctor visits, medicines etc. Insurance company pays for such expenses upto a certain number of days (ex. 30-180 days) after the hospitalization.

What you should know

Treatments that do not require hospitalization, such as Cataract, Chemo etc.

What you should know

This feature covers for scenarios where hospital bed is not available AND the doctor has recommended treatment at home.

What you should know

Covers for ambulance charges before or after the hospitalization.

Waiting periods

What you should know

Certain diseases or medical conditions and procedures may come with a specific waiting period.These may include cataracts, ENT disorders, osteoporosis, hernia, joint replacement surgery, etc. The waiting period for such illnesses can vary from 2 to 4 years, depending on the policy’s terms and conditions.

What you should know

The amount of time you have to wait from the date of issue to actively start using your health insurance policy and benefiting from it.

What you should know

Covers for expenses incurred on child delivery, pre and post-natal expenses are covered. Suitable for couples planning or expecting a child. Do check the waiting periods in your plan.

What you should know

The minimum period policyholder needs to wait before filing a claim. In case of pre-exisitng illnesses such as diabetes, thyroid etc., look for plans with less waiting periods.

Additional Features

What you should know

Few diseases may require alternate treatment such as Ayurveda, Yoga and Naturopathy, Unani, Siddha and Homeopathy (AYUSH). Do check if your plan covers the same and up to what limits.

What you should know

The higher the coverage the better as medical treatments abroad are expensive.

What you should know

This feature refers to the process of transferring an individual to his home country for medical treatment from the location where he/she suffered a medical emergency. A really important part of the health insurance plan for the frequent travelers

What you should know

Consumables are usually, but not restricted to, medical aid/ equipment that have to be discarded after use. The cost incurred from the consumables is directly billed to the patient, if not covered in the health insurance policy.

What you should know

Covers for Organ transplants. Hence if an individual is looking to avail such a procedure in the near future, he/she must take a plan with high cover amount

Value Added Services

What you should know

Complimentary health checkups in the policy to ensure the wellbeing of the policyholders.

What you should know

Free Online doctor consultation(s) is an additional feature to keep your health in check

What you should know

An additional discount for staying active and fit. Can be availed at the time of renewal

What you should know

The insurer offers a fixed daily payout for each day till the time the policyholder remains hospitalized. Covers for expenses such as meals, transport, etc. of the attendant.

What you should know

This feature covers doctor consultations, diagnostic tests, and pharmacy costs. Offered by a few insurers as a part of the plan and otherwise available as an optional rider

More About Optima Secure

Health without the hassle, that's Optima Secure!" This comprehensive medical policy from HDFC ERGO packs a punch with value-boosting benefits like Secure Shield (doubles your cover!), global health options, and automatic cover restoration. Ditch the paperwork, embrace preventive care, and secure your health with Optima Secure. 2.5% Loyalty Discount 15% Multi Year Discount 40% NRI Discount

Answers to Your Questions