HDFC ERGO VS Care Health Insurance
When it comes to safeguarding your health, choosing the right insurance provider can seem like a difficult task. With multiple choices available on the market, two of the most renowned names in the health insurance industry are HDFC ERGO and Care Health Insurance.
Both companies offer a wide range of health insurance policies that cater to different health care needs of individuals. But how are the plans different from each other?
In this article, we will compare some key features of HDFC ERGO and Care Health Insurance. We will also compare two of their most popular health plans for your better understanding.
Firstly let us look at some key features of both the health insurance providers.
About the Company | HDFC ERGO | Care Health Insurance |
Claim Settlement Ratio | 100% | 100% |
Network Hospitals | 12000+ | 9400+ |
Incurred Claim Ratio | 62% | 55% |
Branches | 100+ | 158 offices |
Employees | 9700+ | 8500+ |
HDFC ERGO VS Care Health Insurance Family Health Insurance Plans
Now, let us highlight the key differences between the family health plans offered by both the
companies, to give you a better understanding.
Plan Features | HDFC ERGO Optima Restore Family | Care Supreme Health Insurance |
Hospitalization | Covered | Covered |
Restore Benefit | 100% | 100% |
No Claim Bonus | 50% increase SI, for every claim free year, subject to a maximum of 100% | 50% increase SI, for every claim free year, subject to a maximum of 100% |
Co-payment | NA | NA |
Pre-Hospitalization | 60 days | 60 days |
Post-Hospitalization | 180 days | 180 days |
Ayush Treatment | Not available | Covered upto SI |
Ambulance expenses | Up to ₹10,000 | Up to ₹10,000 |
Sum Insured | Starting from ₹ 3 Lacs up to ₹ 50 Lacs | Starting from ₹7 Lacs up to ₹ 1 Crore |
Pre-existing Conditions | Pre-exisiting diseases covered after 3 years | Pre-exisiting diseases covered after 4 years |
Conclusion
From the perspective of a health insurance buyer, there are a few differences between the family floater plans offered by the two companies. As per our conclusion, we are highlighting some key differences:
- HDFC ERGO Optima Restore plan does not cover Ayush treatment, whereas the other plan offers coverage for Ayush treatment up to the sum insured.
- HDFC ERGO Optima covers pre-existing diseases after 3 years. Care Health Insurance covers pre-existing diseases after 4 years.
Hence, if you are someone who is already suffering from any pre-existing health illness, HDFC ERGO Optima Restore policy seems like a better option due to the shorter waiting period.
HDFC ERGO Vs Care Health Insurance Critical Illness Plans
Plan Features | HDFC ERGO Critical Illness Policy | Care Critical Mediclaim Policy |
Coverage | Covers 50 life threatening illnesses: Cancer Heart Attack Stroke Major Organ Transplant Multiple Sclerosis Paralysis Kidney Failure Aorta Graft Surgery Coronary Bypass Surgery Brain Tumour End Stage Liver Disease Alzheimer Heart Valve Replacement Parkinson’s Disease Pulmonary Arterial Hypertension Crohn’s Disease Myelofibrosis Elephantiasis Progressive Supranuclear Palsy Severe Rheumatoid Arthritis Severe Ulcerative Colitis Progressive Supranuclear Palsy Brain Surgery Multiple Sclerosis with persisting symptoms Bacterial Meningitis End Stage Lung Failure Fulminant Hepatitis Eisenmenger’s Syndrome & More | Covers 32 life threatening illnesses: Cancer Heart Valve Replacement End Stage Liver Disease Stroke Angioplasty Parkinson’s Disease Alzheimer Heart Attack Paralysis Pulmonary thromboembolism Aplastic Anaemia Infective Endocarditis Balloon Valvuloplasty/Valvotomy Blindness Major Burns Organ Transplant Bacterial Meningitis End Stage Lung Disease Implantation of Pacemaker Cardio Artery Surgery Surgery of Cardiac Arrhythmia Pericardietomy Motor Neuron Disorder Coronary Artery Bypass Graft Cardiomyopathy Implantable Cardioverter Defibrillator Total Artificial Hearts Valvoplasty Heart valve repair |
Renewability | Lifelong | Lifelong |
Lumpsum Payout | Available | Disability and Accidental Coverage available |
Sum Insured | ₹ 5 Crore | Upto ₹ 2 Crore |
Note: Please check the brochure to see the complete list of illnesess covered. https://www.hdfcergo.com/documents/downloads/HEHI/my-Health-Critical-Illness/my-health-Critical-Illness_Prospectus.pdf
Conclusion: While both plans are pretty much similar, Care Health Insurance covers 32 specific illnesses. HDFC ERGO Critical Illness policy offers coverage for 50 life-threatening illnesses. Hence, you must consider the health care needs of yourself and your family members and also check out the specified illnesses covered by each plan to make an informed decision.
Author BIO
This article is written by Team InsuranceLiya.com, an independent website that writes about insurance, finance, health, and more. Our writers have a wealth of knowledge, experience, and degrees in the fields of insurance, finance, economics, and beyond.
