Energy Gold

HDFC ERGO Optima Secure is a feature-rich health insurance. This plan is designed for individuals and families and the plan offers 2X coverage from day one at no additional cost, unlimited restoration not only this it also comes with many features that make it comprehensive such as no room rent capping, air ambulance, e-consultation and it also covers non-payable items which makes it special if you are looking for a health insurance you should definitely check out

 

Energy Gold - Key Highlights

No waiting period

Covers diabetes and hypertension from day one

Active wellness program

Wellness program to help you monitor and manage your health

Rewards

Stay healthy and earn reward points to avail reduced premiums

100% CSR

100% claim settlement ratio in last 3 months

10,769+ Hospitals

More then 10,000+ hospitals pan India

No waiting period

Covers diabetes and hypertension from day one

Features & Benefits

Shared accommodation

Note: Room rent limits can impact all expenses related to hospitalization. For better coverage, ensure that your health plan does not have any room rent limits.

 
Once a year

Note:
This allows the coverage amount to be automatically refilled when your coverage exhaust due to multiple claims
 
10% every claim-free year, up to 100% of the Sum Insured 

Note:
This is an additional coverage amount that the insurance company gives you as a loyalty benefit on policy renewal, without reducing the actual coverage amount.
 
10,769+ cashless hospitals in India

Note:
A large hospital network will allow you to get hassle-free treatment across India without any co-payments and reimbursements, make sure the nearest hospital is included in the network hospital list of your insurer company.
 
 
0% Co-Pay (100% paid by insurer)

Note:
Available optional 20% co-payment option 
 
 
Up to 30 days

Note:
It covers all medical expenses like doctor visits, tests, diagnosis, etc. before hospitalization.
 
Up to 60 days

Note:
This covers all medical expenses, such as doctors’ medication, follow-up and recovery treatment after discharge
 
All day-care treatments covered

Note:
All treatments that take less than 24 hours and do not require you to be hospitalised fall under day care treatment.
 

2,000 per hospitalization

Note:
Covers ambulance charges before and after the hospitalization 

 

Value Added Services

30 Days (except accidents)

Note: cover 2 health check-up 
Up to 25% discount 

Note: The policy will start covering you after 30 days are calculated from the date of issue of your policy.
 

Waiting periods

30 Days (except accidents)

Note: The policy will start covering you after 30 days are calculated from the date of issue of your policy.
 
2 Years

Note: Those illnesses which take time to develop in the body are called slow-growing illnesses like hernia, cataracts, knee replacement..etc.
 
Day 1 coverage for Hypertension and Diabetes, remaining illness after 2 years

Note: All the illnesses before buying the policy come under Pre-Existing Diseases (PED), like diabetes, thyroid, etc.
 

Additional Features

Up to SI 

Note:
This is the important feature in future, it may need.
 

Maternity Benefit(s)

Not Covered

Note: Covers expenses around maternity, IVF, adoption, surrogacy and more.
 

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Available Add-ons

Note:  Available co-payment option 20%.

Exclusions

Note: All the cosmetic procedures are not covered, like plastic surgery, hair transplants, and weight loss treatments, unless medically necessary.
Note: Any self-harm and suicide is not covered.
Note:Any medical condition arising due to alcohol or drug abuse is not covered.
Note: Injuries due to war, terrorism, or nuclear hazards are not covered.
Note: Procedures that are not medically approved or experimental are excluded.
Note: Birth diseases and defects are not covered.

Note: To know more about the exclusions details, please refer to the policy wording.

About HDFC ERGO

HDFC ERGO General Insurance Company is a leading insurance company in the Indian insurance market. This company offers various types of insurance like health, motor, travel, home and other insurance. It is a joint venture between HDFC Ltd which is a housing finance company and ERGO International AG which is the insurance unit of Munich Re Group. HDFC ERGO is the most reputed brand known for innovating insurance product with hassle free claim settlement. This company has a wide range of comprehensive health insurance plans for individual and families with a wide hospital network.

FAQs

Restoration benefit automatically replenish the sum insured if the coverage is exhausted due to a medical claim during the policy term.

Diabetes and blood pressure are covered from day one and a time period of 3 years is given for the remaining pre-existing illness. The policyholder can apply for a claim after the waiting period is over.

Yes, the plan offers cashless hospitalization facility if you are admitted to the insurer network hospital.

No, there is no cap on room rent in this plan and there are no other specific sub-limits.

Yes, treatments requiring hospitalization for less than 24 hours such as cataract surgery, dialysis, and chemotherapy are covered.

No, this policy does not provide coverage for maternity and newborn baby expenses.

No, there is no limit on room rent or any sub-limit on specific treatments or expenses.

Yes, the plan provides alternative treatments under AYUSH including Ayurveda, Yoga, Naturopathy, Unani, Siddha, and Homeopathy.

Policy renewal can be done online. Policyholders can contact us at 011 6932-0444, by email at support@liablecover.com, or by contacting their Relationship Manager.

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