Both plans are promoted by popular insurance providers. Care sells Care Supreme, while HDFC ERGO sells Optima Restore. Therefore, any meaningful comparison must take into account how the product stacks up against the insurers themselves.
Second, it is no secret that both products are fairly detailed. Therefore, You may need to choose a thorough and affordable plan that helps with helping to cover the hospital costs for the entire family.
Let’s discuss two major plans, namely HDFC ERGO Optima Restore Health Plan and Care Supreme, in detail.
What is Care Supreme?
The Care Supreme plan offers complete protection to individuals and families for unanticipated and anticipated medical costs. It pays for things like hospital stays, ambulance rides, AYUSH care, in-home hospitalization, etc.
The Care Supreme Plan offers many additional benefits in addition to the mandatory ones, including annual physicals, cumulative bonus super, air ambulance coverage, and wellness advantages. Policyholders may receive up to 500% of the Sum Insured under the Cumulative Bonus Super. A further alternative is air ambulance coverage, which costs up to 5 lakh INR annually.
Key Features & Benefits of Care Supreme
Listed below are the key features and benefits of the Care Supreme Plan.
- Unlimited Automatic Recharge
This is a major benefit of the care supreme plan that offers automatic recharge. If the base sum insured is depleted as a result of one or more claims, the policy sum insured is recharged an unlimited number of times during the year for the same as well as unrelated illnesses.
- Unlimited E-Consultations
The plan enables the insured to access limitless online consultations with licensed general practitioners in the insurance provider’s network. The consultations can be requested over the phone, via video call, through chat, or via email.
- Wellness Benefit
When renewing a policy, Care Health Insurance offers discounts of up to 30% as well as the choice to base the rate on the customer’s city of residence.
- Cumulative Bonus
Additionally, if no claims are filed in the prior policy year, the cumulative bonus benefit will increase the policy sum insured by 50%, up to a maximum of 100%.
- Cashless Hospitalisation
The Care Supreme plan offers the insured cashless hospitalization services at Care Health Insurance network hospitals.
- Health Services
The insured has access to the “Health Portal” and “Discount Connect” features under this plan as well. The “Discount Connect” offers discounted prices for OPD, pharmacy, and diagnostic services while the “Health Portal” offers features like doctor on chat, digital locker for medical records, etc.
- Tax Advantages
Section 80D of the Income Tax Act of 1961 permits tax deductions for the premium paid to purchase this policy.
What is HDFC ERGO Optima Restore?
HDFC Ergo Optima Restore Plan has been crafted to meet your medical care requirements. The policy provides coverage for costs associated with treating illnesses and injuries and is a reasonably priced health insurance policy. This health program gives an exclusive Restore benefit in addition to paying medical bills. If a policy year goes without a claim, it also pays you a multiplier benefit.
When the Restore benefit or Unlimited Restore benefit (as applicable) is fully or partially used during the Policy Year, this Optional Benefit will immediately add 100% of the Basic Sum Insured. This add-on coverage is applicable for any subsequent claims within a policy year and is available an unlimited number of times.
Key Features & Benefits of HDFC ERGO Optima Restore
- In-Hospital Benefits
Your hospitalization, which may be caused by a sickness or an accident, is covered by the Optima Restore Health Plan.
- Restoration Benefit
If your coverage is used in full or in part after the initial claim, you are eligible to receive 100% of the sum covered. If your medical bills become too expensive, this benefit may be quite useful.
- Ambulance Charges
If an insured person needs to be sent urgently to the hospital, emergency ambulance fees of up to INR 2,000 are covered.
- Multiplier Benefit
When you do not submit a claim, you are still eligible for a 2X multiplier benefit. You are eligible for a no-claim bonus of up to 100% of the cover increase.
- Daily Hospital Cash
There are several out-of-pocket costs associated with hospital admission that may put a strain on your budget. A daily monetary benefit of up to INR 1,000 and an INR 6,000 hospitalization benefit is available.
- Pre and Post-hospitalisation
The Optima Restore Health Plan also includes coverage for the cost of diagnostic and follow-up procedures both before and after the hospital stay. Expenses incurred 60 days before and 180 days after being hospitalized are covered.
- Day-care Procedures
The HDFC Ergo Optima Restore Plan also covers procedures that call for less than a 24-hour hospital stay.
- Organ Donation
When a major organ is harvested for donation, all associated medical and surgical costs are paid.
- Lifetime Renewal
Without the stress of yearly renewals, your health insurance can provide you with protection for life. You are eligible for the Optima Restore Plan for all of your life.
- Room Rent
No sub-limits are placed on the room rent under the HDFC Ergo Optima Restore Plan, allowing you to stay comfortably in the hospital room.
Differences Between Care Supreme & HDFC ERGO Optima Restore Health Plan
The table highlights some of the key differences between them:
| Parameters | HDFC ERGO Optima Restore Family Health Plan | Care Supreme |
| Age | Minimum Age- 91 days, Independent Adults- 18 Years Maximum- 65 years | Minimum Age- Adult- 18 years Child- 90 Days Maximum- Adult- 99 Years Child- 24 Years (Last Birthday) Exit Age Adult- Lifelong Child- 24 Years (Last Birthday) |
| Sum Insured | Rs 3 Lac, 5 Lac, 10 Lac, 15 Lac, 20 Lac, 25 Lac, 50 Lac | 5L/ 7L/ 10L/ 15L |
| Pre and Post-Hospitalization | Medical expenses incurred 60 days before the hospitalization are covered Post-hospitalization medical expenses incurred 180 days after the hospitalization are covered | Pre-hospitalization medical expenses incurred up to 60 days before the date of hospitalization are payable. Post-hospitalization medical expenses incurred up to 180 days from the date of discharge from the hospital are payable |
| Ambulance Cover | Upto Rs. 2,000 / Hospitalisation | Up to Rs. 10,000 per year for SI<15 Lacs & Up to SI for SI >=15 Lacs |
Conclusion
After considering all the features on hand, eligibility criteria, and benefits of both HDFC Ergo Optima Restore and Care Supreme Policy, it’s a tough choice to declare a winner. It all boils down to the needs of the individual which may differ from one person to another. Firstly, analyze your health insurance needs and then choose the plan accordingly.
