HDFC Ergo Optima Restore logo

HDFC Ergo Optima Restore

Introduction to HDFC Ergo Optima Restore

HDFC Ergo Optima Restore is a health insurance policy offered by HDFC ERGO General Insurance Company Limited. A health insurance plan promises to pay for hospitalization expenses as well as expenses incurred before and after a hospitalization. When it comes to protecting your family's health, selecting the right health insurance plan is crucial. HDFC Ergo’s Optima Restore Plan offers various benefits, features, and a range of add-on covers that cater to your and your family’s common healthcare needs - making it a popular choice.

Verdict: HDFC Ergo Optima Restore

This plan by HDFC Ergo provides comprehensive coverage and covers a variety of expenses in addition to hospitalization and related expenses. It also has some distinct features and benefits, such as the option of automatically increasing your sum insured in accordance with the previous year’s inflation. On the flip side, however, it is more expensive than other products in the market and does not provide a monthly premium payment option. Further, as per our research, the insurer has received fewer claim settlement complaints but a higher number of policy purchase complaints.

Pros & Cons: HDFC Ergo Optima Restore

  • arrow No restrictions on the type of hospital room you choose
  • arrow Option to automatically increase the cover amount based on previous year's inflation
  • arrow Covers non-medical expenses or the cost of consumables such as gloves, oxygen masks, nebulization kits, etc.
  • arrow Received fewer complaints on claim settlement compared to other insurers
  • arrow Much costlier than other products in the market
  • arrow Monthly premium payment mode not available
  • arrow Received higher number of complaints during policy purchase compared to other insurers
  • arrow Our study observed their responses on Twitter to be relatively slower than other insurers

Specific Exclusions: HDFC Ergo Optima Restore

01 Injury or illness directly or indirectly due to terrorism, nuclear emissions, war, civil war, etc.
02 Treatment related to intentional self inflicted Injury or attempted suicide by any means
03 Injury or illness due to participation or involvement in naval, military or air force operation
04 Self-detachable/removable prosthetics and other devices that do not require surgery or anaesthesia
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Special Conditions: HDFC Ergo Optima Restore

01 There is an add-on available where No Claim Bonus will not reduce for claims made, if the claim is up to Rs. 50,000

About HDFC Ergo General Insurance Company Limited

HDFC Ergo General Insurance Company Limited logo

HDFC ERGO General Insurance Company Limited is a joint venture between HDFC Ltd. and ERGO International AG. The company offers a wide range of general insurance products ranging from Motor, Health, Travel, Home, and Personal Accident in the retail space to Property, Marine, and Liability Insurance in the corporate space. It was founded in 2002 and is headquartered in Mumbai, Maharashtra. Mr. Ritesh Kumar is the company's CEO.

Founded in
JV Partners
HDFC and Ergo International AG
Turnover (GWP)
2862.84 Crores
Number of Policies
Number of Claims

Detailed Product Specs: HDFC Ergo Optima Restore

Claims Experience advisor
Customer Service advisor
Product Benefits(10L Sum Insured) advisor
Limits and Exclusions advisor
% of claims settled in less than 30 days
Reflects on the speed of settling valid claims
% of Complaints received on overall claims
% customers unhappy with claims experience
Claims Incurred Ratio
Claim Settlement Ratio (No. of claims)
What % of the claims received were paid?
No. of Cashless Hospitals

  1. The health insurance data was last updated in January 2023. All data has been sourced from product brochures, policy wordings, prospectus, public disclosures (FY 2021-2022), insurer websites, and the IRDAI website.
  2. Only plans that are currently available for purchase online have been considered.
  3. For now, we have considered the most comprehensive plans from leading insurance companies. We will keep updating the Decoder Pages with new plans in the coming days.
  4. The affordability of the plans is assessed using premiums for a family of two adults and one child. And, the premiums are as of 31st December 2022.
  5. The product benefits section is based on a sum insured of ₹10 Lakhs and only highlights the top benefits and features of the plans. We will keep updating the Decoder Pages with new benefits and features periodically.
  6. Only those hidden and special conditions that apply to the benefits and features we have considered are included in the Decoder Pages. 
  7. The Decoder Pages only include the most significant specific exclusions under each plan.
  8. The Decoder Pages do not include any generic terms, conditions, or exclusions (those that are the same and apply to all health insurance plans).
  9. The response time on Twitter (Beta) was calculated using a sample set of tweets from April, May, and June 2022 (analyzed in August, September, and October 2022). 
  10. The claims experience data has been sourced from insurance company websites and public disclosures as of March 31, 2022.
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