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HDFC Ergo Health Optima Cash Plan

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HDFC Ergo Health Optima Cash Insurance Policy

Apollo Munich Optima Cash policy pays a daily cash amount to cover sickness, accident, day care, convalescence, parent accommodation costs etc incurred by a person an individual or family members.  


Key Features of HDFC Ergo Health Optima Cash Insurance Policy

  • No medical bills required for claims
  • No pre-policy check-up in case of a clean proposal form


Variants in HDFC Ergo Health Optima Cash Insurance Plan 

There are three variants available in Apollo Munich Optima Cash Policy. They are -

  1. Platinum – Annual Premium
  2. Platinum – 2 Year Premium


What is covered in HDFC Ergo Health Optima Cash Insurance Plan ?

  • Sickness hospital and ICU cash
  • Accident hospital and ICU cash
  • Double amount on Joint hospitalisation due to an accident where 2 or more persons are hospitalized at the same time
  • Day care procedure which does not require 24 hr hospitalisation
  • Daily cash amount paid for parents’ accommodation if child is hospitalized
  • Convalescence benefit paid for gradual recovery after illness if hospitalized beyond 7 days
  • Pays for childbirth after a waiting period of 2 yrs
  • Lump-sum amount equal to twice the Daily Cash amount for maternity to female Insured in event of child birth.



Additional Benefits of HDFC Ergo Health Optima Cash Insurance Policy

  • Children aged over 91 days can be covered if parent is insured under the same policy
  • 10% family discount if two or more persons insured
  • 5% discount if purchase made through online channel


Eligibility and Restrictions of HDFC Ergo Health Optima Cash Insurance Policy





Daily Cash amount (in Rs.)



Policy Term (in years)



Entry Age (in years)



Renewable till Age (in years)


66 (Annual policy)

67 (2 year policy)


Family floater policy will cover

  • Self
  • Spouse
  • Dependent children


Tax Benefits HDFC Ergo Health Optima Cash Insurance Policy

Health Insurance premiums paid up to Rs. 15,000 in case of individuals and Rs 20,000 for senior citizens are allowed as a deduction from the taxable income each year under section 80D of the Income Tax Act.


Exclusions - What is not covered in HDFC Ergo Health Optima Cash Insurance Policy?

  • Waiting period of 30 days except in case of an accident
  • Specific waiting period of 2 yrs for conditions like arthritis, ulcer, internal tumors, osteoporosis, cataract, benign ear surgery, dilation, varicose veins etc.
  • Pre-existing conditions
  • HIV, AIDS and related diseases
  • Non-allopathic treatment, congenital diseases, cosmetic surgery, weight control treatments, plastic surgery
  • Abuse of drugs, alcohol, hallucinogens, intoxicant – not covered
  • War. Radiation or nuclear contamination
  • Participation in dangerous sports like scuba diving
  • Psychiatric conditions, Alzheimer Parkinson’s disease, hormone therapy, stem cell implantation etc
  • Pregnancy, dental unless specific plan taken
  • 2 yrs exclusion for: cataract, hernia, hysterectomy, Joint Replacement, Hydrocele
  • Dental treatments
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