HDFC ERGO Health Insurance

HDFC Ergo Health Insurance has become a popular and trusted name in the insurance sector. They offer exclusive health plans, discounts on diagnostic tests, and have one of the highest claim settlement ratios. To top it off, they offer multilingual 24x7 customer support that caters to a wide range of policyholders!

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HDFC ERGO Health Insurance
premium

Network hospitals

12000+

premium

Incurred claim ratio

79.04%

premium

Sum insured

Up to 2 CR

premium

No. of Plans

11

premium

Solvency Ratio

1.7

premium

Pan India Presence

200+

Customized Health Insurance Plan for you.

Get upto 15% Online Discount*

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Buy Policy in just 2 mins

Buy Policy in just 2 mins

With expert guidance from advisors

Happy Customers

2 lakh + Happy Customers

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Free Comparison

Free Comparison

Find the best policy for you

HDFC ERGO Health Insurance
premium

Network hospitals

12000+

premium

Incurred claim ratio

79.04%

premium

Sum insured

Up to 2 CR

premium

No. of Plans

11

premium

Solvency Ratio

1.7

premium

Pan India Presence

200+

Overview of HDFC ERGO Health Insurance

Health Insurance is there to provide financial support by paying for healthcare expenses during any medical emergency. Therefore, it is very important to get health insurance which will provide you complete coverage anytime. HDFC ERGO is one of the best health insurance companies, that pledged to provide 360-degree coverage. The company was founded as a joint venture between HDFC Limited and ERGO International AG, which is a Germany-based company in 2020, and became HDFC ERGO General Insurance. They offer a variety of insurance products like Motor, health, travel, home, personal, marine, and much more.

What does HDFC ERGO Health Insurance do?

In the health insurance vertical, HDFC ERGO General Insurance showcases a wide array of products. These products include customized health insurance policies created for Individuals, Families, Parents, and Senior Citizens. They also have some tailored coverage for critical illness and personal accidents, that you can avail during any emergency.

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Some Interesting Facts About HDFC ERGO Health Insurance Company

  • HDFC ERGO General Insurance Company Limited was promoted by Erst While Housing Development Finance Corporation Limited.
  • Earlier, HDFC ERGO Health Insurance was known as Apollo Munich Health Insurance Company.
  • Having a claim settlement ratio of 98.49% and a solvency ratio of 1.68% HDFC ERGO General Insurance Company has become the second top company in the health insurance world.

Some of the Awards and Achievements

  • BFSI Leadership Awards 2022 for Cyber Insurance and Optima Secure Health Insurance.
  • ETBFSI Excellence Awards 2021 for best COVID strategy implemented- Customer Experience
  • FICCI Insurance Industry Awards September 2021, for claims and customer service excellence.

A Quick Outlook

Cashless Claim Settlement 2 hours
Minimum Entry Age 91 days
Maximum Entry Age 65 years
Sum Insured Upto 1 Crore
Network Hospital 12000+
Tax Benefits Upto 1 Lakh
Solvency Ratio (2021-22) 1.68
Claim Settlement Ratio (2021-22) 98.49%
Ambulance Expenses Covered
Coverage for Accidents Yes

HDFC ERGO General Insurance Plans

HDFC ERGO General Insurance offers a range of health insurance plans for their clients. These plans will cater to your different needs and requirements.

HDFC ERGO Health Insurance Individual and Family Floater Plans

Comprehensive

Get 4X coverage* without any extra cost under this comprehensive health plan for individuals and families.

Unique Features

  • No room rent capping
  • 100% SI restoration
  • E-opinion for 51 illnesses

Optima Secure Policy (Pros)

  • Secure Benefit
  • Plus Benefit
  • Automatic Restore Benefit
  • No room capping
  • Covid - 19 Cover

Optima Secure Policy (Cons)

  • Adventure Sports Injuries
  • Injuries Out of War
  • Death due to breach of law
  • Congenital Diseases
  • Alcoholism

Optima Secure Policy (Other Benefits)

  • Day Care Treatments
  • Road Ambulance Cover
  • Air Ambulance Cover
  • E-opinion
  • Organ Donor Cover

Optima Secure Policy (Eligibility Criteria)

  • Entry Age - 91 Days
  • Max Entry Age - No Age Limit
  • SI - 5 L to 2 Cr
  • Waiting Period - 30 Days

Comprehensive

Provides comprehensive medical coverage to individuals and families with different budgets by offering SI options ranging from 5 Lakhs to 50 Lakhs.

Unique Features

  • Free health checkup
  • 2X multiplier benefit
  • 100% SI restoration

Optima Restore Policy (Pros)

  • Daily Hospital Cash
  • Ambulance Cover
  • Modern Treatment
  • Lifetime Renewal
  • Pre and Post Hospitalization

Optima Restore Policy (Cons)

  • No Dental Cover
  • No Maternity Cover
  • No Non-Allopathic treatment
  • Pre-Existing Diseases after 3 yrs
  • Alcoholism not covered

Optima Restore Policy (Other Benefits)

  • Sum Insured Enhancement
  • Tax Benefit
  • E-Opinion
  • 10% Family Discount
  • 7.5% discount on 2 years premiums

Optima Restore Policy (Eligibility Criteria)

  • Entry Age - 91 Days
  • Max Entry Age - 65 years
  • SI - 3 L to 50 L
  • Waiting Period - 30 Days

Flexible

Offers 360 degrees protection to you and your family with multiple SI options of 3 to 75 Lakhs. Comes with EMI and lifelong entry option.

Unique Features

  • Fitness discounts during renewal
  • Room rent capping and co-pay
  • Loyalty discounts

my:health Suraksha (Pros)

  • Renewal Benefit
  • Wellness Benefit
  • Premium Payment Options
  • Reduced Premium Benefit
  • 1,2,3 Years policy Period Option

my:health Suraksha (Cons)

  • No Return Transportation Cost
  • Suicidal Injuries
  • No Non-Allopathic treatment
  • Adventure Sports Injuries
  • Alcoholism

my:health Suraksha (Other Benefits)

  • Pregnancy Complications Covered
  • Newborn Complications Covered
  • Loss of Job Covered
  • Post Diagnosis Support
  • 41 Critical Illness Covered

my:health Suraksha (Eligibility Criteria)

  • Entry Age - 18 Years
  • Max Entry Age - 65 Years
  • SI - 3 L to 75 L
  • Waiting Period - 30 Days

Comprehensive

An individual and family health plan providing SI of up to 1 crore to prepare you to meet constantly increasing medical inflation.

Unique Features

  • Free preventive health checkup
  • Multiple wellness services
  • Up to 10% of fitness discount

Koti Suraksha Plan (Pros)

  • Renewal Benefit
  • Wellness Benefit
  • Premium Payment Options
  • Reduced Premium Benefit
  • 1,2,3 Years policy Period Option

Koti Suraksha Plan (Cons)

  • Infertility Treatment
  • No Unproven Treatments
  • No Dietary Supplements
  • No Maternity Treatments
  • No Cosmetic Surgery

Koti Suraksha Plan (Other Benefits)

  • 5% Non-Medical Expense Covered
  • Emergency Worldwide Coverage
  • Aggregate Deductible
  • Overseas Treatment
  • Sum Insurance Rebound

Koti Suraksha Plan (Eligibility Criteria)

  • Entry Age - 18 Years
  • Max Entry Age - 65 Years
  • SI - 1 L to 5 Cr
  • Waiting Period - 30 Days

HDFC ERGO Health Insurance Disease-Specific Plans

Disease-specific plan

Designed especially for people with pre-existing diabetes or hypertension. Get coverage for diabetes and hypertension from Day 1 without any waiting period.

Unique Features

  • Stay fit & earn reward points
  • 100% SI restoration
  • Health coach & wellness programs

Energy Diabetes Policy (Pros)

  • In- Patient Hospitalization
  • No Waiting Period for Diabetes
  • Restore Benefit
  • Cumulative Bonus
  • Pre and Post Hospitalization

Energy Diabetes Policy (Cons)

  • 2 Year Waiting Period
  • Abuse of Intoxicant Not Covered
  • War Operations Injury
  • Sexsually Tranmitted Diseases
  • Pregnancy Not Covered

Energy Diabetes Policy (Other Benefits)

  • Monthly Newsletter
  • Organ Donor Benefit
  • Earn Rewards for Staying Healthy
  • 25% Discount On Renewal
  • 2 Variant Options(Silver,Gold)

Energy Diabetes Policy (Eligibility Criteria)

  • Entry Age - 18 Years
  • Max Entry Age - 65 Years
  • SI - 2 L to 50 L
  • Waiting Period - 2 Years

Disease-specific plan

Covers all types of cancer at all stages with lifelong renewability option. If diagnosed with IV stage cancer or relapse, this plan pays 100% of SI as a lump sum.

Unique Features

  • Coverage for modern treatments
  • Second opinions available
  • Coverage for follow-up care

HDFC iCan Cancer (Pros)

  • Ambulance Cover
  • Follow up care post treatment
  • Conventional Treatments
  • Hormonal Treatment
  • Stem Cell Transplantation

HDFC iCan Cancer (Cons)

  • No Non Allopathic treatments
  • No Prosthetic Devices
  • No Overseas Treatments
  • Pre-existing condition for Cancer

HDFC iCan Cancer (Other Benefits)

  • Sum Insured Enhancement
  • CritiCare Benefit
  • Family Care Benefit
  • Lifetime Renewal
  • MyCare Benefit

HDFC iCan Cancer (Eligibility Criteria)

  • Entry Age - 18 Years
  • Max Entry Age - 65 Years
  • SI - 5 L to 50 L
  • Waiting Period - 120 Days

HDFC ERGO Critical Illness, Bonus-oriented health plan, Top-Up, Women-oriented health Plans

Critical Illness

An ideal health plan for people with a pre-existing critical illness or a family history of critical illnesses. Get comprehensive coverage for 15 critical illnesses.

Unique Features

  • One-time lump sum payment
  • No medical checkup up to 45 years
  • Lifelong renewability

Critical Illness Policy (Pros)

  • In- Patient Hospitalization
  • High Cover at Low Premium
  • 1 or 2 Year Policy Period
  • End Stage Liver Failure
  • No Cover ceasing age

Critical Illness Policy (Cons)

  • 10 Lakh Fine on Wrong Claim
  • Tuberculosis Not Covered
  • PED after 48 months
  • Kaposi's sarcoma Not Covered
  • Lymphomas in brain Not Covered

Critical Illness Policy (Other Benefits)

  • 3 Variants (Silver, Gold, Platinum)
  • Two Year Policy Period
  • Guaranteed Renewal for Life
  • Loading on Renewal
  • Individual and Floater SI Options

Critical Illness Policy (Eligibility Criteria)

  • Entry Age - 5 Years
  • Max Entry Age - 65 Years
  • SI - 1 L to 50 L
  • Waiting Period - 90 Days

Bonus-oriented health plan

A flexible and comprehensive health plan, securing your today & tomorrow. With 'Reserve Benefit' features, this plan grows unused policy amount @6% interest rate.*

Unique Features

  • Automatic SI restoration
  • Multiplier benefit
  • Free preventive health checkup

Wallet Family Floater (Pros)

  • Reserve Benefit
  • 100 % Restore Benefit
  • Recovery Benefit
  • 50% Increase On SI on Renewal
  • World Wide Coverage

Wallet Family Floater (Cons)

  • External Congenital diseases
  • Drugs Treatments
  • Miscarraige Not Covered
  • Deductibles (Optional)
  • No Cosmetic Surgery

Wallet Family Floater (Other Benefits)

  • Ambulance Cover
  • 5 Year Policy Cover
  • Portability
  • 30 Days Grace Period
  • Sum Insured Enhancement

Wallet Family Floater (Eligibility Criteria)

  • Entry Age - 91 Days
  • Max Entry Age - 65 Years
  • SI - 3 L to 50 L
  • Waiting Period - 30 Days

Top-Up

Avail of extra cover to meet medical expenses without any limitations by purchasing this deductible-based top-up plan.

Unique Features

  • Constant premiums post 61 years
  • No medical checkup up to 55 years
  • 5% discount on 2-year policy term

My:health Medisure Super Top-up (Pros)

  • In- Patient Hospitalization
  • High Cover at Low Premium
  • Post 61 Year No Premium Hike
  • Day Care Procedure
  • Pre and Post Hospitalization

My:health Medisure Super Top-up (Cons)

  • Treatment Of Obesity
  • Self Inflicted Injury
  • War Operations Injury
  • Sexsually Tranmitted Diseases
  • No Cosmetic Surgery

My:health Medisure Super Top-up (Other Benefits)

  • Free Look Period
  • Two Year Policy Period
  • Guaranteed Renewal for Life
  • Loading on Renewal
  • Individual and Floater Options

My:health Medisure Super Top-up (Eligibility Criteria)

  • Entry Age - 18 years
  • Max Entry Age - 65 Years
  • SI - 1 L to 10 L
  • Waiting Period - 30 Days

Women-oriented health

Women-oriented health plan providing comprehensive medical insurance with major illnesses cover, and cancer cover all under a single plan but different variants.

Unique Features

  • Maternity complications
  • SI options from 3L - 1 Cr
  • Free preventive health checkup

My:health Women Suraksha (Pros)

  • AYUSH Benefit
  • Alternative Treatment
  • Organ Donor Benefit
  • Domiciliary Hospitalization
  • Pre and Post Hospitalization

My:health Women Suraksha (Cons)

  • Adventure Sports Injuries
  • No Sexsually Transmitted diseases
  • No Cosmetic Surgery
  • Alcoholism issues not covered
  • No Self Inflicted Injuries

My:health Women Suraksha (Other Benefits)

  • Parent and Child care Cover
  • Child Care Benefit
  • Vaccination
  • Air Ambulance
  • Health Coach

My:health Women Suraksha (Eligibility Criteria)

  • Entry Age - 18 years
  • Max Entry Age - Lifetime Entry
  • SI - 1 L to 1 Cr
  • Waiting Period - 30 Days

Why Choose HDFC ERGO General Insurance?

HDFC ERGO General Insurance is a dedicated insurance company that aims to provide a 100% financial safety net. They have significantly designed each of their products with care, that will be suitable for every age group. There are various reasons why you should choose HDFC ERGO General Insurance. Have a look below-

  1. A Trustworthy Brand

    At HDFC ERGO, the main motto of the brand is to make insurance easier, more affordable, and more dependable. Their commitment to health insurance and keeping numerous lives secured is very determined.

  2. Cashless Approval for Chronic Diseases

    You can get swift approval for cashless treatment for any chronic disease. This way you can kickstart your journey to recovery as soon as possible.

  3. A Wide Range of Health Insurance Plans

    HDFC ERGO has a wide range of health insurance plans. You can compare and choose the best among them that will suit your and your family's requirements.

  4. Discounts on mediclaim and diagnostic tests

    The discount on mediclaim and diagnostic tests can make your healthcare affordable. You can avail of these discounts at partner e-pharmacies and diagnostic centers.

  5. Tax Saving

    You can save tax up to Rs 1 Lakh depending upon the policy to policy.

Know What is Covered- Inclusions

Hospitalization Expenses

Just like other health insurance plans, HDFC ERGO also covers your hospitalization expenses such as room rent, ICU, surgery, doctor fees, and much more during the time of illness or injury.

Mental Healthcare

Mental Healthcare is as important as physical healthcare. Therefore, with HDFC ERGO you will get coverage for hospitalization expenses which are incurred for treating mental illness.

Pre and Post Hospitalization

Your pre-hospitalization and post-hospitalization expenses will be covered. Your pre-hospitalization expenses up to 60 days of admission and post-discharge expenses till 180 days get covered. Expenses like diagnostic costs, physiotherapy, consultation, and much more.

Day Care Treatments

Medical advancements have made the procedures very fast. Many surgeries like cataract takes only 24 hours and HDFC ERGO General Insurance covers them all.

Home Healthcare

If you get approval for home treatment, due to the non-availability of beds much more will be covered in your insurance. This way you can get the right medical treatments in the comfort of your home

Sum Insured Rebound

It is a backup that recharges your exhausted health cover to treat the next hospitalization. With this cover, HDFC ERGO ensures uninterrupted medical coverage in the hard times.

Organ Donor Expenses

To encourage a noble cause, HDFC ERGO covers the medical and surgical expenses of the organ donor while harvesting any major organ from the body of the donor.

Recovery Benefits

If by any chance there is a need to stay in the hospital for more than 10 days at a stretch, then your other expenses will also be covered. In this, HDFC ERGO will pay other financial losses that might have happened during your absence at home. It will help you to take care of all the required expenses during the hospitalization.

AYUSH Benefits

Now, you can get treatment from traditional methods like Ayurveda, Unani, Siddha, and Homeopathy. HDFC ERGO General Insurance covers you with the AYUSH treatment as well.

Free Renewal Health Check-ups

With HDFC ERGO you will get free health check-ups within 60 days of renewal of your policy.

Lifelong Renewability Option

With HDFC ERGO you will get lifelong coverage. Their plans secure you against medical expenses for your entire lifetime on break-free renewals.

Multiplier Benefits

With HDFC ERGO, you will get multiplier benefits. This means, your sum insured will grow by 50% in the next policy year if you don't make any claim in your first year. So, if your sum insured is Rs 5 Lakh in the first year, next year it would be Rs 7.5 Lakh.

What is not Covered?- Exclusion

Adventure Sport Injuries

No doubt adventure gives us an adrenaline rush, but when this adrenaline couples with accidents, it can be life-threatening. A lot of expenses might occur due to these sports injuries, but the health insurance plan will not cover it. Some examples of these activities are, bungee jumping, river rafting, cliff climbing, and much more.

Self-Inflicted Injuries

If you intentionally harm yourself and end up in the medical expenses. Then you have to manage it on your own.

War

War can be unfortunate as well as disastrous. However, the company will not cover the claim that is caused due to war.

Defense Operations

HDFC ERGO does not cover accidental injury happening due to participation in defense operations.

Sexually Transmitted Diseases

Sexually transmitted can be very critical, but HDFC ERGO does not cover these diseases.

Cosmetic Surgery

Treatment of obesity or cosmetic surgery is not included under the health insurance plan.

What is the Waiting Period in HDFC ERGO General Insurance?

The waiting period for HDFC ERGO General Insurance is a certain time period where you need to wait before claiming a health insurance policy. In simple terms, the company incurred some kind of time period, maybe it is 30 days or 1 year, in between you have to pay the premiums but you cannot go for the claim process. However, it depends totally on the policy you choose or any pre-existing disease is there. There are several types of waiting periods, such as:

  • First 30-day waiting periodThis is the initial waiting period or cooling period that applies to most health insurance.
  • Pre-existing diseases (PEDs) Waiting PeriodIf you are suffering from any pre-existing diseases, then it becomes necessary to complete a specific waiting period which will be decided at the time of decision-making.
  • Disease-specific Waiting PeriodSome of the diseases like Cataract, ENT, Hernia, and much more have a specific waiting period to offer.
  • Waiting Period for Maternity ExpensesMany insurance policies put a waiting period before you can claim for maternity expenses under the Health Insurance Plans.

Factors to Consider While Buying a Health Insurance Plan

Have you ever wondered which is the best health insurance plan for you when you check out those health insurance plans? Let us read below to know the answer.

  • Understand your Healthcare Needs-You must evaluate your healthcare requirements like age, existing medical conditions, frequency of doctor's visits, and what medical treatments you need.
  • Understand Coverage Options-Ask questions to familiarize yourself with the different plans like family plans, employer-sponsored plans, critical illness plans, senior citizens plans, and much more. Every plan offers different coverage limits and benefits.
  • Network Coverage-Check the list of in and out coverage hospitals included in your insurance plan coverage. It is essential to choose a plan with a broad network.
  • Review Cost and Affordability-You must evaluate the premiums, deductibles, and co-payments. Compare the cost of different plans, and choose the best for you.
  • Examine the Benefits and Services- Check out the benefits and services offered by every plan before choosing for yourself. Access the coverage for hospitalization like whether it covers enough services for your needs in the future. Look for the additional benefits of modern and alternative treatments.
  • Read the documents-Go through the documents before purchasing the one for you. Pay keen attention to every small detail on inclusions and exclusions and other things. Understand the process of claim settlement and the process of filing complaints.
  • Adequate Sum Insured-You need to get yourself an adequate sum insured. For example, the sum insured by a person living in a metro city is higher than the one who is living in a tier 2 city. Similarly, the sum insured for the family floater plan will be higher, so it is necessary for you to select the adequate sum insured.
  • No Sub-Limits Help-Usually, your medical expenses depend on the type of hospital room you choose. Therefore, it is recommended to go for a health insurance plan that does not have any sub-limits on the room rent. Most of the policies by HDFC ERGO do not only diseases.

Why Choose Online Procedure to Buy Mediclaim Policy?

Getting a medical insurance policy online from Policyx or directly from the company is full of benefits. Read below to know more.

  • Easy to Compare-Online platforms give access to compare different HDFC ERGO Health plans at the same place. You can pick the right one for you while comparing the premiums.
  • Buying Insurance within 5 minutes-At an online platform you can choose and buy your policy within 5 minutes, without any hustle and bustle.
  • 24*7 Customer Service-The experts are always at your service. No matter what the time is, you can contact them any time to clear your doubts.
  • Instant Quote-With online accessibility, you can get quotations with one click. You can collect several quotes and choose the right one for you.

Benefits of Purchasing at an Early Age

Although, there are no specific age criteria for buying health insurance plans. But buying insurance at an early age is highly beneficial. Read below to get to know why buying health insurance at an early age is beneficial.

Benefits of Purchasing at an Early Age

Your premiums will be less at an early age.

Benefits of Purchasing at an Early Age

At an early age, a continuous cover with renewals will help you to go out with the waiting period.

Benefits of Purchasing at an Early Age

No medical test is required if you purchase health insurance at an early age.

Benefits of Purchasing at an Early Age

You can avail a no-claim bonus for every claim-free year.

Benefits of Purchasing at an Early Age

You do not need to share your medical bills as the co-payment is not applicable in this case.

How to Renew Health Insurance Policy?

To avail of the continuity of the benefits, you need to renew your health insurance policy on time. In the below content, you will get some simple steps on how to renew your health insurance policy.

  • Step 1

    Visit the official website of HDFC ERGO General Insurance.

  • Step 2

    Click on the Renew health insurance tab.

  • Step 3

    Fill in the details asked.

  • Step 4

    Check the policy details and premium.

  • Step 5

    Pay the premium and your policy will be renewed.

HDFC ERGO Health Insurance Banner

HDFC ERGO General Insurance Buying Process

HDFC ERGO offers a smooth and quick buying process for every type of HDFC ERGO Health Insurance policy. You can buy the HDFC health insurance plans from the company's official website as well as through PolicyX.com.

Buy from the Company

  • Visit the company's official website.
  • Choose the desired health plan and click on the 'Buy' button.
  • Fill in all the necessary details.
  • Calculate the premium and make the payment.
  • The insurer will send the policy documents to your registered email address.

Buy from PolicyX

  • Fill in the details in the 'Calculate Premium' form.
  • Choose a preferred HDFC ERGO health plan
  • Click on the 'Buy Now' tab.
  • Pay the premium and your HDFC ERGO policy document will be shared on your registered email.

How to Claim?

HDFC ERGO Health insurance offers two simple claim process to file claims i.e. Cashless Claim Process and Reimbursement Claim Process. Take a look at both claim settlement processes of HDFC medical insurance in the section below:

The company claims to approve cashless claims within 20 mins and the process is defined below:

  • Intimate the company by filling the pre-auth form
  • The company will update you on the status of the form
  • Hospitalization will be done on the basis of claim form approval
  • At the time of discharge of the patient, the company will settle the claim directly with the hospital.

The company claim that it settles the reimbursement claim within 6 working hours and the process is mentioned below:

  • Intimate the company within 48 hours of hospitalization (24 hours in case of emergency)
  • Submit the claim form along with ID proofs, KYC documents, and a canceled cheque
  • Claim team will verify the form and the documents
  • The company will send the approval letter
  • Insurance company will reimburse the claim amount within 6 working days

Documents Required

While filing the claim you need to keep these documents handy. Read below to know more-

  • The claim form with your signature and valid identity proof.
  • Prescription of the doctor stating hospitalization, diagnostic tests, and medicines.
  • Original Hospital, diagnostic, doctors, and medicine bills along with receipts.
  • Discharge summary, case papers, and investigation reports.
  • Police FIR/medico-legal case report (MLC) or post-mortem report if applicable.
  • Proof of named Bank Account like Cheque copy/Passbook/Bank statement.

How to Calculate the Premiums?

You can calculate your health insurance premiums online at Policyx. This HDFC ERGO General Insurance premium calculator is a tool that is designed to enable some potential buyers to estimate the premiums that they need to pay.

HDFC ERGO Health Insurance Optima Restore

Age: 30 years1 Adult2 Adult2 Adult+1 ChildAverage Premium (INR)
5L8852159352260315796
15L13873249713401724287

HDFC ERGO Health Insurance Optima Secure for Senior Citizens

Age: 65 years1 Adult2 AdultAverage Premium (INR)
5L490457111460079
15L135205109556122380

HDFC ERGO Health Insurance Critical Illness Silver

Age: 30 years1 AdultAverage Premium (INR)
5L147515796
10L295024287

HDFC ERGO Top-Up Plans

One of the very specific features of HDFC ERGO Insurance company is known as Top-up plans. Currently, the company is offering two variants with two plan options for each:

  • My health-medisure Super top-up plan
  • Health Suraksha Top-Up Health Insurance

These plans have their own benefits and features, which you can avail of by paying regular premiums. You can calculate your premiums at the premium Calculator or you can contact Policyx experts to know more.

Know more about HDFC ERGO General Insurance Top-Up plans.

HDFC ERGO Health Insurance Network Hospital List

HDFC Ergo entails a wide network of cashless Hospitals that impact millions of lives PAN India. A well connected network of over 13,000+ cashless hospitals, HDFC Ergo ensures that you are medically secured, irrespective of the city you reside in.

Choose Policyx for all your HDFC ERGO Health Insurance-related queries.

PolicyX is a reliable source to buy health insurance policies. Well, we are here to answer. about why PolicyX.com is the best option to buy the HDFC ERGO health insurance policy.

  • IRDAI ApprovedPolicyX.com is an IRDAI approved web aggregator that helps consumers in comparing, choosing, and buying policies online.
  • Free Comparison ServicePolicyX.com provides a single platform where you can compare different insurance companies, insurance plans, and their premiums.
  • Compare 15 companies in 30 secConsumers can compare up to 15 companies in just 30 sec on PolicyX.com.
  • Buy Insurance within 5minsPolicyX offers a simple and quick buying process where consumers can buy insurance in less than 5mins.
  • 24x7 Customer ServicePolicyX is always with their customers as we offer 24x7 customer care service.
  • Free Future Claim AssistancePolicyX is always there to help and assist your claim under any term insurance company.
Why Choose PolicyX.Com

How To Contact HDFC ERGO Health Insurance?

For HDFC ERGO mediclaim policy related queries, you can contact the company in the following ways:

Registered & Corporate Office

1st Floor, HDFC House, Backbay Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020

Health Insurance Claim office (HCS - Noida)

5th floor, Tower 1, Stellar IT Park, C-25, Sector-62, Noida, UP, India - 201301

Contact through Whatsapp App:

73045 24888, 8169500500

For buying a new policy: 022 6242 6242

HDFC ERGO Health Insurance: Frequently Asked Questions

1. When can I include my kids in HDFC health insurance policies?

You can include your kids post 90 days of birth up to 21 years of age in HDFC health insurance policies.

2. Is it necessary for me to undergo medical tests before buying health insurance?

Yes, to buy HDFC health insurance policy, you may be required to undergo a medical examination. Some health insurance policies only require it if you have a pre-existing condition or you are above 40yrs of age.

3. What is the waiting period for pre-existed illness in HDFC ERGO Health Insurance?

If you are suffering from health-related problems at the time of buying a health insurance plan or you have had any medical history such as hypertension, high blood pressure, diabetes, etc then this should be informed to your respective health insurance company. HDFC ERGO covers pre-existing diseases after a 4 years waiting period. So once your waiting period is covered for the informed diseases, you can claim under it.

4. Can I add a family member to my existing family health plan?

Yes, You can add a family member to your existing plan. But for this you need to fill the required forms, such as the health declaration form and endorsement form and pay an extra premium amount.

5. In HDFC ERGO, how many claims are permissible in a year?

You can file any number of claims over a year. However, this should be kept in mind that the claim amount should not exceed the sum assured of your plan. For example, if you have a health insurance of INR 2 lakh, then you can claim up to INR 2 lakh only from your insurance company.

6. What is the integrated Wellness App of HDFC ERGO General Insurance?

HDFC ERGO goes beyond health insurance; it cares not only for the physique but for the mind of the policyholder as well. Integrated Wellness application will help you to embrace a healthy lifestyle, track your calorie intake, monitor your physical activity, maintain proper health care, and enjoy well-being at its best.

7. Is it possible to change my hospital during the course of treatment?

Yes, it is possible, if required. You can change the hospital at the time of your treatment. However, you are required to provide the necessary details for a quick and smooth process.

8. What if I want to cancel my policy in mid- duration?

Most of the health insurance plans available in the market usually have a cooling period of 15 days i.e., called free look up period. During which you can cancel your policy with full premium refund. However, in that case if you want to cancel your policy in mid then you are required to provide a suitable reason.

9. Is it possible to port my existing health policy to HDFC ERGO?

Yes, it is possible to port your existing health policy to HDFC ERGO health insurance, provided you have renewed your previous policy without any break.

10. Can I pay the premiums of HDFC ERGO Health Insurance plans in EMI?

Yes, HDFC ERGO has recently launched the facility to pay the health insurance premium in installments.

11. How can you get the reimbursement for pre and post hospitalization expenses under this policy?

You are required to show the bills and duly filed a claim application to the insurer. After the inspection, the bills are reimbursed by the insurance provided to the policyholder.

12. Will my pre-existing illness be covered in Super Top up Policy?

Pre existing illnesses will be covered in Super Top Up Policy only after 3 years of continuous coverage.

13. Is buying HDFC Ergo Health plan a good choice?

As per the IRDAI Annual report of 2021-22, the company comes with a good CSR, fulfils the solvency ratio criteria, and has a wide network of empanelled hospitals. All these features make HDFC Ergo a good choice.

14. Is HDFC the no.1 health insurance company in India?

Every individual has a different set of healthcare needs which may vary from individual to individual. Therefore, there are no specific criteria to select the number one health insurance. If all your healthcare needs are met by any HDFC Health plan then you should go for it.

Other Health Insurance Companies

Compare HDFC ERGO health plans with other top insurers in India.

Read Reviews & Ratings

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Achintya Sharma

Ranchi

May 10, 2024

I’ve been covered by HDFC ERGO Platinum Health Guard plan for years now, and it has been a lifesaver. The coverage is extensive, and the claim process is so easy. I highly recommend the p...

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Patra Ahuja

Gandhinagar

April 8, 2024

I was looking for the best health insurance policy. PolicyX came up and eased up my whole task. They suggested HDFC ERGO Optima Secure, it is the best decision ever.

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Sunidhi Makkar

Mumbai

April 8, 2024

PolicyX was a great resource when I was shopping for health insurance. Got to know a few insights about the company I hold a policy with, HDFC ERGO.

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Harsh Wardhan

Madurai

April 8, 2024

I would extend my gratefulness to the PolicyX team who helped me get the best health insurance policy from HDFC ERGO.

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Nipun Walia

Pune

April 8, 2024

Buying HDFC ERGO Health Insurance with the help of PolicyX was the best purchase of my life. Thank you so much team for helping me out.

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Prema Singhania

Madurai

April 8, 2024

I am so glad that I got my first Health Insurance policy with the help of PolicyX. I am secure now after getting the HDFC ERGO Health Insurance Plan.

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Padma Ray

Bhopal

March 15, 2024

Always wanted to buy a health insurance for myself with my first salary. PolicyX helped me choose the HDFC ERGO My:Health Women Suraksha, specifically made for heathcare needs of women.

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Ryan Mukherjee

Coimbatore

March 14, 2024

HDFC ERGO Critical Illness Health Insurance Policy is the best choice of my life. I would like to thank PolicyX and the team for their support.

View All HDFC Ergo Health Insurance Reviews

Simran Saxena

Written By: Simran Saxena

An explorer and a curious person, Simran has worked in the field of insurance for more than 3 years. Traveling and writing is her only passion and hobby. Her main agenda is to transform insurance information into a piece that is easy to understand and solves the reader’s query seamlessly.