If you've been navigating the maze of health insurance plans in India, you've probably stumbled upon HDFC Ergo’s Optima Secure — and for good reason. It’s not just another policy with shiny buzzwords. This one boldly offers up to 2X your sum insured from day one, without making you decode cryptic clauses or dance around co-pays. No room rent caps, no disease sub-limits, just clean, high-impact coverage. It's the kind of plan that makes even the most skeptical insurance browsers pause and wonder — is this the real deal? Let’s unpack it.
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Overview
Quick Verdict on Optima Secure from HDFC Ergo Optima Secure is a high-value, low-friction health insurance policy built for those who want extensive coverage without getting bogged down in fine print. It comes with no room rent limits, co-payments, or disease-wise sub-limits — so hidden caps don’t eat away your claims. The Secure Benefit doubles your sum insured from day one, while the Protect Benefit ensures that commonly excluded non-medical expenses like gloves, masks, and other consumables are covered. Add-ons like Unlimited Restore and Chronic Care make it even more powerful, offering meaningful protection during major health events. However, it has a major drawback: the premiums are much higher, especially with riders. But if you’re looking for a future-proof policy that minimizes claim-time surprises, Optima Secure is one of the most well-rounded choices. |
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Optima Secure from HDFC Ergo
Before we get into the nitty-gritty of the Optima Secure policy, let’s take a quick look at the insurer behind it — HDFC Ergo General Insurance.
Founded in 2002, HDFC Ergo is a joint venture between HDFC Bank Ltd., one of India’s most trusted financial institutions, and ERGO International AG, the primary insurance entity of the global Munich Re Group. Translation? You’ve got the financial backbone of HDFC paired with over a century of international insurance expertise — a pretty solid combo.
Over the years, HDFC Ergo has earned a solid reputation in the health insurance space — not just for its wide range of policies, but for its consistent reliability and seamless claims process. With a track record of delivering dependable coverage and settling claims without unnecessary friction, it’s become a trusted choice for many looking for long-term protection and peace of mind.
They also boast a massive cashless hospital network of over 13,000 hospitals across India and an in-house claim settlement team, so whether you’re in a metro city or a tier-2 town, chances are they’ve got you covered. Literally.
In short, regarding scale, trust, and tech-driven health insurance, HDFC Ergo is a name worth considering, especially if you value wide hospital access and thoughtful policy design.
Metrics of HDFC Ergo
Insurer | Claim Settlement Ratio (CSR)C |
Incurred Claim Ratio (ICR) |
Complaints Volume per 10,000 claims |
|||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Ideal Numbers | >= 90% | 50% - 80% | <20 | |||||||||
Years | 2021 - 2022 | 2022 - 2023 | 2023 - 2024 | Avg 21-24 |
2021 - 2022 | 2022 - 2023 | 2023 - 2024 | Avg 21-24 |
2021 - 2022 | 2022 - 2023 | 2023 - 2024 | Avg 21-24 |
HDFC Ergo | 100 | 95 | 97 | 98 | 97 | 79 | 81 | 86 | 8 | 6 | 7 | 7 |
Industry Average | 86 | 91 | 92 | 90 | 91 | 80 | 81 | 84 | 15 | 14 | 14 | 16 |
Features of Optima Secure from HDFC Ergo
Features | Details |
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Variants | Optima Secure, Optima Super Secure, Optima Secure Global, Optima Secure Global Plus |
Coverage | Optima Secure: ₹5L, ₹10L, ₹15L, ₹20L, ₹25L, ₹50L, ₹1Cr, ₹2Cr Super Secure: ₹10L, ₹15L, ₹20L, ₹25L, ₹50L, ₹1Cr, ₹2Cr Secure Global and Global Plus: ₹1Cr, ₹2Cr |
Entry age | Minimum: Adult - 18 Years, Child - 91 days Maximum: Adult - No Limit, Child - 25 Years |
Tenure | 1/2/3 years |
Exit age | Dependent Child (family floater) - 26 years (Separate individual plan offered with all benefits carried forward) Adult - No exit age, plan is renewable lifelong |
Documents required for the purchase | KYC Docs (Aadhar & Pan), Address Proof, Medical history reports and prescriptions (If any) |
Available Riders | Hospital Daily Cash, Critical Illness, Unlimited Restoration, Aggregate Deductible, Individual Personal Accident, Parenthood, Optima Well-being, Limitless, ABCD Chronic Care |
Exclusions | War Suicide/self-harm Substance abuse Unproven treatments Cosmetic/Plastic surgery (unless medically necessary) (Check policy wordings for the in-depth list) |
Should You Buy Optima Secure from HDFC Ergo?
1) HDFC Ergo as a Health Insurer
HDFC Ergo stands out as one of the most reliable health insurers in the industry. Over the past three years, it has consistently maintained an impressive Claim Settlement Ratio (CSR) average of 98%, far above the industry average of 90%. Its Incurred Claim Ratio (ICR) has hovered around 86%, indicating a good balance between premiums collected and claims paid — a sign of financial health and sustainability. More importantly, its complaint volume is low, averaging just 7 complaints per 10,000 claims, which is significantly better than the industry average of 22. When paired with a robust product like Optima Secure, HDFC Ergo positions itself as a dependable choice for policyholders looking for hassle-free claims and transparent service.
2) Optima Secure
A. In-Built Features:
- Copayment
The plan comes with zero copayment, which means the insurer will cover 100% of admissible medical expenses. This is a major advantage for policyholders, as they won’t have to bear any share of the bill, even during expensive hospitalisations or in old age. - Room Rent and ICU Coverage
Optima Secure has no restrictions on room rent or ICU charges, allowing you to choose any hospital room, including private, deluxe, or suite rooms, without worrying about proportionate deductions. This gives you maximum flexibility and comfort during hospital stays. - Disease-Wise Sub-Limits
There are no disease-specific caps under this plan, meaning treatments for ailments like cataracts or hernias won’t have limited payouts, they will be fully covered upto your sum insured. This ensures that your claim isn’t reduced just because a particular condition falls under a capped category—something that often trips up unsuspecting buyers. - Waiting Periods
The policy has standard waiting periods—initial 30 days for any illness (except for accidents), 2 years for specific conditions like cataract, hernia, etc., and 3 years for pre-existing diseases. - Domiciliary Hospitalisation
Optima Secure covers domiciliary hospitalisation up to the full sum insured, meaning you can get treated at home if hospitalisation isn't feasible, like in case of a bed shortage or immobility due to the severity of the condition when advised by a doctor. This adds an extra layer of flexibility and is particularly helpful for elderly care. - Daycare Treatment
All daycare procedures that don’t require 24-hour hospitalisation, like dialysis, chemotherapy, etc., are covered up to the sum insured. This is important as modern treatments are increasingly moving to shorter formats, and the policy keeps pace with evolving healthcare practices. - AYUSH Coverage
The plan covers AYUSH treatments (Ayurveda, Yoga, Unani, Siddha, and Homeopathy) up to the full sum insured. This is especially beneficial for those who prefer or supplement their treatment with traditional or alternative medicine systems. - Pre and Post-Hospitalisation Expenses
Optima Secure covers pre-hospitalisation expenses for up to 60 days and post-hospitalisation expenses for up to 180 days. This extended post-hospitalisation window is particularly helpful for long recovery phases that involve multiple follow-ups. For example, costs like doctor consultations, diagnostic tests (like MRIs or blood work), and physiotherapy sessions advised by your treating doctor are all covered, ensuring you're financially supported even after discharge. - Secure Benefit
One of the standout features is the Secure Benefit, where your sum insured automatically doubles instantly without any additional waiting period for the enhanced coverage. This adds long-term value to your policy.
B. Add-Ons/Riders
- Unlimited Restore
Optima Secure offers a restoration benefit once a year. But with the Unlimited Restore add-on, you can restore your sum insured an unlimited number of times within a policy year. So, suppose you exhaust your coverage due to multiple hospitalisations or a single large claim. In that case, your coverage is restored repeatedly, making this a cost-effective must-have for families and those looking for extra safety nets. - Aggregate Deductible
If you opt for an aggregate deductible, your coverage kicks in only after you've crossed a set limit of medical expenses in a policy year. For instance, if you choose a ₹1 lakh deductible, the insurer pays only after you’ve paid ₹1 lakh worth of bills in a policy year. It works per person in individual policies and collectively for family floaters. In return, your premium becomes more affordable, with higher deductibles offering higher discounts. It may be ideal if you already have some other coverage (like employer health insurance) and want to convert this into a super top-up. - Optima Wellbeing
This add-on gives you unlimited doctor visits (both in-clinic and virtual), free home sample collection, fitness sessions, and up to 50% discounts on lab tests, check-ups, and medicines. However, it's currently available only in select cities like Delhi, Mumbai, Bengaluru, Kolkata, Chennai, Hyderabad, and a few others. If you’re based in one of these cities, this is a great way to get OPD-level care bundled with your plan. - Parenthood Cover
If your policy includes at least one woman over 18, you can opt for this add-on to cover maternity-related expenses. You get coverage between ₹50,000 and ₹2 lakh for up to two deliveries or terminations, prenatal and postnatal care for 180 days, embryo freezing, and even IVF (up to 2 cycles). However, the plan does not cover the newborn child and any expenses related to their complications. It’s a decent pick if you’re planning a family in the near future. - Limitless
With this add-on, the insurer removes the cap on how much you can claim—literally. If your base sum insured is between ₹10 lakh and less than ₹50 lakh, you can make one unlimited-value claim during your policy lifetime. If your base is ₹50 lakh or more, you can make two such claims. This is a powerful feature for dealing with catastrophic illnesses or long, expensive treatments where even ₹50 lakh may fall short. - ABCD Chronic Care
This add-on significantly reduces the waiting period for common chronic illnesses—Asthma, Blood Pressure, Cholesterol, and Diabetes type 2—from the standard 3 years to just 30 days. If you or a family member already lives with any of these conditions, this makes the policy much more relevant and immediately useful. - Hospital Cash
This gives you a daily cash allowance for every 24 hours of continuous hospitalisation. The options range from ₹1,000 and ₹2,000 per day. It’s useful for managing incidental costs during hospital stays, like food, transport, or even lost income.
C. Pros and Cons of Optima Secure
Pros of Optima Secure:
- No room rent capping, co-payment, or disease-wise sub-limits
- 2X coverage from Day 1 with the Secure Benefit
- Full coverage for AYUSH, Domiciliary, and Day-care procedures
- Bonus of 50% p.a up to 100% provided, regardless of claims
- Unlimited sum insured restoration available
- Wide range of optional riders (OPD, chronic care, maternity, etc.), although not all of them may be available.
Cons of Optima Secure:
- Maternity is available only via a rider; it is not built-in.
- Premiums are on the higher side, mainly if you include add-ons
Variants of Optima Secure
Optima Secure comes in four variants—Optima Secure, Super Secure, Secure Global, and Secure Global Plus—each designed to cater to different levels of coverage and geographic needs. While the base plan focuses on domestic treatments, the other variants offer enhanced features like higher sum insured multiples and international coverage. Let’s get into them:
1) Optima Secure
HDFC Ergo Optima Secure is designed for individuals and families seeking robust health insurance coverage within India, with generous restoration and sum enhancement features.
- Coverage is limited to treatments within India.
- Sum insured options range from ₹5 lakh to ₹2 crore.
- Secure Benefit doubles the sum insured from day one.
- 100% sum insured restoration for any illness, even if partially used.
- Covers pre-hospitalisation expenses for 60 days and post-hospitalisation for 180 days.
- Modern treatments and AYUSH care are covered up to the sum insured.
- Air ambulance cover up to ₹5 lakh within India.
- Annual health check-ups are included (not available if you choose a ₹5 lakh deductible).
- Premiums can be paid annually, once combined for 2 years, or once combined for 3 years.
- Optional add-ons include unlimited restoration, Optima Wellbing (OPD cover) and hospital cash benefit.
2) Optima Super Secure
HDFC Ergo Optima Super Secure is a boosted version of the base Optima Secure plan, designed for those seeking a higher coverage multiplier from day one while retaining all key features of the original plan.
- Coverage limited to treatments within India.
- Sum insured options start from ₹10 lakh and go up to ₹2 crore.
- Secure Benefit triples the sum insured from day one .
- 100% sum insured restoration for any illness, even if partially used.
- Covers pre-hospitalisation expenses for 60 days and post-hospitalisation for 180 days.
- Modern treatments and AYUSH care are covered up to the sum insured.
- Air ambulance cover up to ₹5 lakh within India.
- Annual health check-ups are included (not available if you choose a ₹5 lakh deductible).
- Only available with a 3-year payment tenure for both purchase as well as renewal (1-year and 2-year options not allowed), which can be cost-effective in the long run but an upfront payment is required.
- Optional add-ons are the same as Optima Secure.
- The primary difference from Optima Secure is the 3x cover from day 1, essentially a 10L policy in Optima Secure grows to 30L after 2 renewals, including bonus, whereas in Optima Super Secure, it will become 40L.
3) Secure Global
Secure Global is tailored for individuals seeking comprehensive coverage in India along with emergency medical protection during international travel.
- Available only with sum insured options of ₹1 crore and ₹2 crore.
- Secure Benefit doubles the sum insured from day one, applicable only for treatments within India.
- Covers emergency medical treatment abroad for up to 45 days per overseas trip.
- 100% sum insured restoration benefit is available, but only for claims made in India.
- Modern treatments, AYUSH, and organ donor expenses are covered within India; only emergency treatments are covered outside India.
- Air ambulance coverage is available in India and abroad, up to ₹5 lakh.
- Pre-policy medical check-ups are mandatory for all applicants above 18 years.
- An optional overseas travel add-on is available, covering hospitalisations abroad, including attendant’s travel and accommodation coverage.
- Migration to this plan resets waiting periods for overseas coverage but maintains continuity for Indian coverage.
4) Secure Global Plus
Secure Global Plus is the most comprehensive variant, offering extensive coverage both in India and internationally for planned and emergency treatments.
- Available with sum insured options of ₹1 crore and ₹2 crore only.
- Secure Benefit doubles the sum insured from day one for treatments within India only.
- Covers both planned and emergency hospitalisation outside India.
- Pre- and post-hospitalisation expenses are covered globally.
- Covers modern treatments, organ donor procedures, and AYUSH care in India and abroad.
- Air ambulance coverage up to ₹5 lakh is available worldwide.
- Pre-policy medical check-ups are mandatory for all applicants over 18 years.
- Overseas travel add-on is available, including coverage for planned and emergency treatments abroad, and for the attendant’s travel and accomodation expenses.
- Migration to this plan resets waiting periods for global coverage, while Indian coverage continuity is maintained.
Now that you know the key features of each variant, let's use a table to compare them side by side for a clearer and more convenient overview:
Feature | Optima Secure | Super Secure | Secure Global | Secure Global Plus |
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Cover Amount | 5L, 10L, 15L, 20L, 25L, 50L, 1Cr, 2Cr | 10L, 15L, 20L, 25L, 50L, 1Cr, 2Cr | 1Cr, 2Cr | 1Cr, 2Cr |
Aggregate Deductibles (Optional) | 25k, 50k, 1L, 2L, 3L (all SI); 5L (SI 25L+) | 25k, 50k, 1L, 2L, 3L (all SI); 5L (SI 25L+) | 25k, 50k, 1L, 2L, 3L (India); 5L (SI 25L+ India); 10k mandatory (outside India per claim) | Same as Secure Global |
Cover Type | Individual (Max 6A 6C), Floater (Max 4A 6C) | Same as Optima Secure | Same as Optima Secure | Same as Optima Secure |
Relations Allowed | Broad (Self, Spouse, Children, Parents, In-laws, etc.) | Same as Optima Secure | Same as Optima Secure | Same as Optima Secure |
Entry Age (Min/Max) | Adult: 18/No Limit (up to 99); Child: 91d/25y | Same as Optima Secure | Same as Optima Secure | Same as Optima Secure |
Exit Age | Adult: No limit; Child: 26y | Same as Optima Secure | Same as Optima Secure | Same as Optima Secure |
Scope of Coverage | India only (planned & emergency) | India only (planned & emergency) | In India (planned & Emergency) & emergency treatment outside India for the first 45 days of each trip | In India & outside India (Both planned & emergency treatments) |
Nationalities Allowed | Indian Residents & NRIs | Indian Residents & NRIs only | Only Indian Residents | Only Indian Residents |
Room/ICU Charges | Up to SI | Up to SI | Up to SI | Up to SI |
Cumulative Bonus (Plus Benefit) | 50% up to 100%, no clawback | Same as Optima Secure | Same as Optima Secure | Same as Optima Secure |
Restoration (Restore Benefit) | 100% of SI, any illness, partial exhaustion | 100% SI, any illness, partial exhaustion | 100% SI, any illness, partial exhaustion (India only) | 100% SI, any illness, partial exhaustion (India only) |
Pre/Post Expenses | 60 & 180 days (India only) | 60 & 180 days (India only) | 60 & 180 days (India only) | 60 & 180 days (India + Global) |
Daycare | Up to SI | Up to SI | Up to SI | Up to SI |
Modern Treatments | Up to SI (India only) | Up to SI (India only) | Covered up to SI in India | Only Emergency treatments outside India | Covered up to SI in India & outside India for both planned and emergency treatments |
Ayush/Organ Donor | Covered up to SI (India only) | Covered up to SI (India only) | Covered up to SI in India | Only Emergency treatments outside India | Covered up to SI in India & outside India for both planned and emergency treatments |
Home HealthCare/ Domiciliary Treatment | Covered up to SI (in India only) | Same as Optima Secure | Same as Optima Secure | Same as Optima Secure |
Waiting Periods | Initial: 30d; Specific: 2y; PED: 3y | Same as Optima Secure | Same as Optima Secure | Same as Optima Secure |
Health Check-up | Up to limits (India only); Not for 5L Deductible | Same as Optima Secure | Same as Optima Secure | Same as Optima Secure |
Road Ambulance | Up to SI (India) | Up to SI (India) | Up to SI (India & outside India) | Up to SI (India & outside India) |
Air Ambulance | Up to 5L (India) | Up to 5L (India) | Up to 5L (India & outside India) | Up to 5L (India & outside India) |
Consumables | Covered (India) | Covered (India) | Covered (India & outside India) | Covered (India & outside India) |
Secure Benefit | 2x cover from Day 1 (India) | 3x cover from Day 1 (India) | 2x cover from Day 1 (India only) | 2x cover from Day 1 (India only) |
Payment Tenure | 1/2/3 pay | Only 3 pay | 1/2/3 pay | 1/2/3 pay |
Pre-Policy Check-up (PPC) | May be required (based on health profile) | May be required (based on health profile) | Mandatory for all above 18y | Mandatory for all above 18y |
Overseas Travel Secure (Add-on) | NA | NA | Available (emergency & planned; attendant covered) | Available (emergency & planned; attendant covered) |
Base Premium Comparison of Optima Secure
Profiles | 10L Base Premiums | 15L Base Premiums | 20L Base Premiums | 25L Base Premiums | 50L Base Premiums |
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(Individual Plan): Age 25, Delhi | ₹15,694 | ₹16,591 | ₹17,376 | ₹18,104 | ₹21,187 |
(Family Floater, 2A): Ages (35, 35), Delhi | ₹25,845 | ₹27,145 | ₹28,283 | ₹29,421 | ₹33,972 |
(Family Floater, 2A 1C): Ages (30, 30, 5), Delhi | ₹28,765 | ₹30,519 | ₹32,086 | ₹33,627 | ₹39,636 |
(Family Floater 2A: Ages (65, 65), Delhi | ₹95,820 | ₹1,11,100 | ₹1,23,778 | ₹1,33,937 | ₹1,71,160 |
Note: The above premiums are inclusive of GST & 5% Online Discount. These premiums are subject to revision based on time, the insured's medical history, and lifestyle habits. Moreover, we have added the premium comparison for the Optima Secure variant only as it is quite comprehensive in itself and is the main variant suggested by Ditto.
Ditto’s Take: For most individuals, plans like Optima Secure and Optima Super Secure provide more than adequate coverage for treatments within India. Global coverage plans are generally unnecessary unless you have a specific need, such as planned medical treatment abroad or frequent international travel for health reasons. Moreover, global variants tend to come with significantly higher premiums, often much steeper than Optima Secure, which already has above-average pricing. It's also worth noting that the claims experience for treatments abroad may not be as seamless or predictable as it is within India, especially when dealing with direct billing, hospital tie-ups, or documentation requirements. Unless there's a compelling reason, sticking with strong domestic plans like Optima Secure or Super Secure is usually the more practical and cost-effective choice. |
What’s Unique About the Optima Secure policy from HDFC Ergo?
Most health insurance plans increase your sum insured gradually through no-claim bonuses or loyalty perks. But with Optima Secure’s Secure Benefit, your base sum insured doubles from Day 1 — no waiting period, no claims needed.
So, if you start with a ₹10 lakh policy, it becomes ₹20 lakh right away. After your first renewal, a 50% bonus bumps it up to ₹25 lakh. In the second year, another 50% bonus can take it to ₹30 lakhs.
And if your coverage is partially or fully used up, the restore benefit kicks in, giving you another ₹10 lakh. This structure offers a powerful safety net — especially useful in case of multiple hospitalizations or high-value treatments early in the policy term.
Most health insurance plans increase your sum insured gradually over the years, often through no-claim bonuses or loyalty perks. But HDFC Ergo’s Secure Benefit gives you an instant edge — it doubles your base sum insured from Day 1.
Discounts in Optima Secure from HDFC Ergo
HDFC Ergo offers several discounts on Optima Secure to make your premium more affordable. Here’s a quick breakdown:
1. Online Discount – 5% If you buy the policy online, you get a flat 5% discount on your premium. It's a simple way to save just by choosing the digital route.
2. Loyalty Discount – 2.5% Already have another active retail insurance policy with HDFC Ergo worth over ₹2,000? You’ll be rewarded with a 2.5% loyalty discount on your Optima Secure premium.
3. Long-Term Policy Discount – Up to 10% Want to avoid the hassle of renewing every year? Opting for a multi-year policy gives you additional savings:
- 7.5% discount for a 2-year policy
- 10% discount for a 3-year policy
Note: The first four discounts—Online, Employee, Loyalty, and Family—can be combined, but the total discount from these cannot exceed 20%.
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Conclusion
HDFC Ergo’s Optima Secure stands out with its unique Secure Benefit, offering 2X coverage from day one—a game-changer for those seeking strong financial protection right away. Combined with comprehensive coverage, unlimited restore options, and a range of valuable riders, this plan provides peace of mind and flexibility. While the premiums might be higher and some benefits require riders, the overall value makes it a compelling choice for anyone looking to safeguard their health without compromise.
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