Care Health Insurance vs HDFC Ergo Health Insurance

Health insurance must be a priority at every stage of life. Not only does it cover the rising costs of healthcare but also gives you the necessary reassurance of access to adequate healthcare in a medical emergency. Here are a few policies offered by Care Health Insurance and HDFC Ergo Health Insurance to give you an idea of the benefits health insurance provides. 

Care Health Insurance vs HDFC Ergo Health Insurance – Overview 

Parameter Care Health Insurance HDFC Ergo Health Insurance
No. of health insurance policies 13 10+
E-services Policy salePolicy renewalClaim settlementOnline consultationBranch locator 24×7 customer support  Policy salePolicy renewalClaim settlementOnline consultationBranch locator 24×7 customer support
Branches 1000+ 100+
Claim settlement ratio (CSR) 92.3% 92%
Claim settlement time  Cashless settlement: Within 2 hours Reimbursement: Within 15 – 30 days  Cashless settlement: Within 20 minutesReimbursement: Within 30 days
Network Hospitals  7,800+ 10,000+

*Source: The Annual Report of the Insurance Regulatory and Development Authority of India (IRDAI) – years 2018-19

Health Insurance Policies: Care Health Insurance vs HDFC Ergo Health Insurance

In operation since 2000, Care Health Insurance offers an array of health plans. The company has a high Claim Settlement Ratio (CSR) of 92.3% – a marker of its consistent performance. It has also won several awards including the ‘Best Health Insurance Company’ title from ABP-News at the BFSI Awards. 

HDFC Ergo Health Insurance is operating since 2002. It is of the largest financial institutions in India and offers an assortment of health insurance policies. It has a high CSR of 92% and has won several awards for its claim paying ability. It is also one of the few companies to have the quickest cashless claim settlement time of 20 minutes. 

Cancer Insurance Policy: 

Care Health Insurance’s Cancer Insurance Policy offers: 

  • Sum insured (SI) options up to Rs. 2,00,00,000
  • Coverage for in-patient, pre and post hospitalization 
  • Expenses towards daycare treatments and organ donor transplant 
  • Settlement of chemotherapy, radiotherapy and alternate (AYUSH) treatment charges 
  • Payouts for road ambulance costs up to Rs. 3,000 per hospitalization and air ambulance costs up to Rs. 5,000
  • Reimbursement for recovery counseling expenses up to Rs. 1,000 per session (for a maximum of 8 sessions)

HDFC Ergo offers iCan – An Essential Cancer Insurance Plan. The features of the plan include: 

  • SI options up to Rs. 50,00,000
  • Coverage for all stages of cancer
  • Reimbursement of pre-hospitalization expenses
  • Follow-up care for a 60-days’ post-hospitalization period 
  • Cover for standard treatments such as: 
  • Chemotherapy
  • Radiotherapy
  • Organ transplantation
  • Onco-surgery
  • Payouts towards advanced treatments such as: 
  • Stem cell transplantation
  • Proton beam therapy
  • Immunotherapy
  • Extra 60% SI paid over and above the base SI on the diagnosis of cancer
  • Payment of extra 100% SI over and above the base SI on the diagnosis of stage IV cancer/recurrence of cancer 

Critical Illness Policy: 

Care Health Insurance’s Critical Illness Policy provides:

  • Multiple SI amounts up to Rs. 2,00,00,000
  • Coverage for 32 critical ailments 
  • Settlement of pre, post and in-patient hospitalization
  • Expenses towards daycare procedures, organ donor transplant and alternate treatment 
  • Cover for chemotherapy, radiotherapy and dialysis 
  • Reimbursement for road ambulance costs up to Rs. 3,000 per hospitalization and air ambulance costs up to Rs. 5,00,000
  • Recovery counseling charges (8 sessions) 

HDFC Ergo’s Critical Illness Policy offers: 

  • Two plan options – 
  • Silver Plan that provides coverage against 8 critical ailments
  • Platinum Plan that provides coverage against 15 critical ailments
  • Multiple SI amounts up to Rs. 50,00,000
  • Payout of the entire SI on the diagnosis of a listed health problems

Senior Citizen Policy:

Care Health Insurance’s Senior Citizen Policy offers: 

  • SI amounts up to Rs.10,00,00
  • Inclusion of ailments such as: 
  • Cataract
  • Hernia
  • Cancer
  • Hysterectomy
  • Coverage for pre, post and in-patient hospitalization
  • 10% SI for domiciliary hospitalization 
  • Up to Rs. 20,000 for AYUSH treatment
  • Up to Rs.1,00,000 for organ donor transplantation

HDFC Ergo’s has 3 policies for senior citizens:

  • my:Health Suraksha Silver Smart Plan 
  • my:Health Suraksha Gold Smart Plan 
  • my:Health Suraksha Super Top-up 

The benefits include: 

  • SI amounts up to Rs.15,00,000
  • Coverage for in-patient, pre and post-hospitalization
  • Settlement of domiciliary hospitalization and AYUSH treatment 
  • Expenses towards 586 daycare procedures and organ donor transplantation 
  • Payouts for air and road ambulance costs
  • A recovery benefit of Rs.15,000 

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