Illnesses can strike at any time and are unwanted visitors in anyone's life. Therefore, it's always wise to be ready to handle unforeseen circumstances. You can choose from a wide range of health insurance policies with HDFC ERGO General Insurance, earlier known as Apollo Munich, a reputable name in the health insurance industry.
Plans like Optima Restore, Energy Health, iCan Health, and Health Wallet address specific health requirements so that all you have to be concerned about is not the finances but only your well-being and the well-being of the people who are important to you.
High-Rated Apollo Munich (HDFC ERGO) Health Insurance Plans
Optima Restore
HDFC ERGO General Insurance provides this health insurance plan with restoration benefits. Details of each plan are provided below, providing coverage for either individuals or families.
Individual Protection - For people between 5 and 65, this plan covers the sum assured, ranging between INR 3 lakh and 50 lakh. The advantages provided by this plan include pre-and post-hospitalisation expense coverage, payment for daycare treatment costs, a no-claim bonus equal to 50% of the insured amount up to a maximum of 100%, etc.
This health insurance policy offers particular restore benefits when the entire sum insured is exhausted. One of the extra advantages the company offers in the case of critical illnesses is e-opinion.
Family Floater Plan - This family floater plan provides coverage for the entire family for amounts between INR 3 lakh and INR 50 lakh for dependent adults up to the age of 65 and children under the age of 25. It is possible to cover up to 2 adults and 5 kids under this plan.
The advantages provided by this plan include pre-and post-hospitalisation expense coverage, payment for daycare treatment costs, and a no-claim bonus equal to 50% of the insured amount up to 100%.
After the whole sum insured is used, this policy explicitly offers to restore benefits up to 100% of the sum insured. Some of the added perks are e-opinion and multiplier benefits.
Personal Accident Plan - This is an individual accident disability plan provided by HDFC ERGO that pays benefits in the event of a fatality or accident-related disability. The given coverage's specifics are as follows:
For those between 91 days and 69 years, this policy will pay accident-related expenses between INR 5 lakh and 5 crore. However, the sum assured after age 70 is only INR 5 lakh for current policyholders.
This policy offers accidental coverage across the globe. It includes coverage for accidental death, total or partial disability, emergency ambulance fees, etc.
Optima Plus (Top-up Plan) - Here are the terms of the coverage provided by this top-up plan, which has a predetermined deductible that must be paid at the time of a claim:
- This plan's entry age ranges from 5 to 65 years.
- It also protects a child beyond the age of 91 days.
- It has a deductible between INR 1 lakh and 5 lakh and coverage of INR 5 lakh.
Optima Super Plan (Aggregate Top-up Plan) - Since this is aggregate top-up insurance, you have the freedom to select the deductible and level of coverage. Here are the specifics:
Individual Protection
This top-up insurance policy covers everyone between the ages of 5 and 65. This plan also provides coverage for a child beginning at 91 days.
This plan gives coverage between INR 5 lakh and INR 10 lakh, with a deductible between INR 1 lakh and INR 10 lakh.
Individuals in this plan have the freedom to combine the deductible and coverage amounts as per their needs.
Family Floater Protection
This family floater plan offers top-up coverage for the whole family for members between the ages of 5 and 65 and dependent children from 91 days onwards. This floater can protect up to 2 adults and 2 kids at once.
This policy provides coverage between INR 5 lakh and INR 10 lakh. Along with the option to pick a zero deductible after retirement, this plan gives insureds the freedom to select their preferred deductible and coverage combination.
Senior Citizens
This particular senior health insurance program offers protection for the policyholder and their spouse starting at age 61.
Under this policy, you get privileges like e-opinion, cumulative bonus, domiciliary treatment, etc.
Elements That Apollo Munich (HDFC ERGO) Does Not Cover
- The following are some of the significant exclusions of health plans provided by HDFC ERGO General Insurance:
- Hospitalisation resulting from war or any act of war involving radiation or any sort of nuclear, chemical, or biological weapon.
- Any insured person who engages in or attempts to engage in criminal or unlawful activity, self-harm, or suicide attempt while sane or insane.
- Any participation or involvement by an insured person in racing, diving, aviation, scuba diving, parachuting, rock climbing, or air force activities.
- Misuse of drugs that cause intoxication, hallucinations, or other effects.
- Costs associated with sexually transmitted illnesses like AIDS.
- Congenital diseases, mental disorders, non-allopathic treatments, etc.
- The idea of a waiting period is another important aspect that you, as a policyholder, should consider. There is no coverage provided up until the waiting period expires. For instance, if a pre-existing disease cover has a waiting period of three years, it means that for the first three years following the policy's issuance, the disease and any associated costs will not be covered. The waiting period for another illness can be different as well.
Statistics
- Every year, 80% of existing HDFC ERGO General Insurance clients renew their policies.
- With an average claim settlement time of 15 days, over 95% of claims are resolved within 30 days of the claim's start.
- Within two hours after receiving a claim notification, cashless authorisations take effect.
Conclusion
With such encouraging figures, the organisation has the determination, recognition, and assets to lift itself to the top of the Indian health insurance market. Plus, the unique features of Apollo Munich's health insurance plans set it apart from competitors. Therefore, one should choose their plan based on their wants and requirements, trusting the brand's services.
