HDFC Ergo

HDFC Ergo

Claim settlement ratio95.30%
Network Hospitals16,000+

Policy overview

from 5 Insurance plans

Claim settlement ratio
High
Solvency ratio
High
Cashless hospitals
13k+
Claim settlement process
Easy
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Inclusions
Waiting Periods
Claim Process
About
FAQ

Features

What's Included

No room capping

No room capping

No limit on room rent charges, allowing you to choose any room category

Day care treatments

Day care treatments

Covers medical procedures and surgeries that don't require 24-hour hospitalization such as cataract surgery, chemotherapy, dialysis, etc.

Consumables

Consumables

Covers non-medical expenses such as gloves, masks, food charges and other consumable charges incurred during hospitalisation

Pre & post-hospitalisation expenses

Pre & post-hospitalisation expenses

Covers expenses such as medical tests, medicines, consultation fees incurred 60 days before and upto 180 days after hospitalisation

Free health check-up

Free health check-up

Covers annual preventive health check-up from 2nd year onwards

Automatic restoration

Automatic restoration

Get 100% restoration of the base insured in case of partial or full claim in a policy year

AYUSH treatment

AYUSH treatment

Covers in-patient treatment costs for alternative therapies like Ayurveda, Unani, Siddha, Homeopathy, Yoga and Naturopathy.

Road ambulance

Road ambulance

Covers road ambulance charges upto the cover amount

AYUSH treatment

AYUSH treatment

Covers in-patient treatment costs for alternative therapies like Ayurveda, Unani, Siddha, Homeopathy, Yoga and Naturopathy.

Road ambulance

Road ambulance

Covers road ambulance charges upto the cover amount

Emergency air ambulance

Emergency air ambulance

Covers air ambulance costs upto ₹ 5 lakhs

Organ donor expenses

Organ donor expenses

Covers medical expenses for harvesting a major organ from the donor’s body

Home healthcare

Home healthcare

Covers medical expenses on cashless basis for home hospitalisation, if advised by the Doctor

Lifelong renewability

Lifelong renewability

You can renew your health insurance cover for lifetime, irrespective of age or health conditions.

Waiting Periods

Claim process

Step 1

STEP 1

Notify your insurer
  • 48hrs before a planned hospitalisation
  • Within 24hrs of emergency
Step 2

STEP 2

Hospital submits claim form to insurer post treatment
Step 3

STEP 3

Insurer reviews & approves application

You'll be notified via email or SMS

Step 4

STEP 4

Insurer settles the claim directly with the hospital

Expenses covered as per your policy

Learn more

About

HDFC Ergo, established in 2002, is a collaboration between HDFC Ltd. and ERGO International AG, part of Munich Re Group. Boasting a robust network of 120+ offices across the country, it serves over a million policyholders annually. HDFC Ergo offers a comprehensive range of products including health, motor, and travel insurance, along with innovative solutions like cyber security and home insurance, ensuring protection against a spectrum of risks.

Brochure

Download the full policy brochuredownload
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FAQs

What are waiting periods in HDFC Ergo Optima Secure plan?

Plus
  1. Initial Waiting Period (30 Days):
    There is a 30-day waiting period from the start date of the policy during which claims for illnesses are not covered. However, this does not apply to accidental injuries, which are covered from day one.

  2. Specific Disease Waiting Period:
    Certain specified diseases and treatments have a waiting period of 24 months. These conditions are listed in the policy document and will not be covered until this period is completed.

  3. Pre-existing Disease Waiting Period:
    Pre-existing diseases are covered after a waiting period of 36 months, depending on the terms specified in your policy. This applies to medical conditions declared at the time of purchase.

Which hospital room categories can I select under the HDFC Ergo Optima Secure plan?

Plus

There is no limit on room rent charges under the HDFC Ergo Optima Secure plan, allowing you to select any room category as per your preference.