PLAN DETAILS |
![]() Optima Restore Plan |
![]() Critical Care Plan |
Premium Including GST | ||
Product Type | Individual and Family Health Insurance | Individual and Family Health Insurance |
Key Features (Key features of the plan) |
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OPD Details (In some policies, OPD (Out patient department) expenses are also covered.) |
Not Covered | Not Covered |
Room Rent (A limit of room rent cover during hospitalization if any) |
Covered | Not Covered |
Domicillary Hospitalization (It is the expenses incurred on treatment of the patient at home) |
Covered | Not Covered |
Pre-hospitalization (Expenses before the insured is hospitalized) |
Covered | Not Covered |
Post-hospitalization (Expenses after discharge from the hospital) |
Covered | Not Covered |
Day Care Treatment Covered (Day care treatments refers to the treatments that do not necessarily require 24hrs of hospitalization like MRI.) |
Covered | Not Covered |
Hospital_network (Number of Hospital Network in city) |
12000 | 8500 |
Organ Donor Expenses (Expenses incurred on organ donor in case of organ transplants) |
Covered | Covered |
Hospital Daily Allowance (Some plans offer daily allowance to take care of expenses like food, etc) |
Covered | Not Covered |
Ambulance Charges (Expenses incurred on ambulance charges) |
Covered | Not Covered |
Maternity Benefits (All Hospitalization cost covered at the time of pregnancy.) |
Not Covered | Not Covered |
New Born Baby Covered (Newborn babies can be covered under the insurance plan after a certain period) |
Not Covered | Not Covered |
Health Checkup (An added benefit of one time full health checkup of policy holder.) |
Not Covered | Not Covered |
Sub Limit (Sub-limit is a monetary capping that applies on specific diseases like cataract) |
Not Covered | Not Covered |
Co-pay (Mentioned %, if any is to be borne by Insured and rest will be borne by insurer) |
Not Covered | Not Covered |
Plan Entry Age | 5 to 65 years | 18 to 65 years |
Plan Premium Entry Age and S/A | 8852 | 4088 |
Plan Waiting Period | 30 | 90 |
Plan Coverage | Individual & Family floater | Individual & Family floater cover |
Plan Sample Premium | 8852 | 4088 |
Plan Brochure | Brochure URL | Brochure URL |
Policy Term | 1, 2 years | 1/2/3 years |
ICU Charges | Not Covered | Not Covered |
Covid-19 Treatment | Covered | Covered |
Cataract | Covered | Not Covered |
Automatic Restoration | Covered | Not Covered |
Ayush Treatment | Not Covered | Not Covered |
Modern Treatment | Covered | Not Covered |
E Consultation | Covered | Not Covered |
Air Ambulance | Not Covered | Not Covered |
Global Coverage | Not Covered | Not Covered |
Claim Ratio | 98.59 | 99.96 |
Solvency Ratio | 1.7 | 1.5 |
HDFC ERGO Optima Restore Policy is the best-selling plan of HDFC ERGO since its launch. It offers comprehensive health cover to you and your family under two variants i.e. Optima Restore Individual and Optima Restore Family. The two unique advantages of HDFC ERGO health insurance optima restore are: Restore benefit and 2X Multiplier benefit.
HDFC ERGO Optima Restore Benefit allows a 100% restoration of your cover immediately after the first claim. Multiplier benefit offers a 100% increase in your SI amount in 2 claim-free years. Other major coverage benefits included under HDFC ERGO health optima restore are renewal discounts, recovery benefits, organ donor cover, etc.
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