SBI General Health Insurance vs HDFC Ergo Health Insurance

Life has various ways of throwing surprises everyone’s way – good or bad. While you cannot control what happens, you can always prepare yourself ahead of time. For instance, if you get diagnosed with a dangerous illness, all you can do is try and fight it. At such times, it is vital to have rock-solid financial support. Relying on your hard-earned savings might not suffice, and borrowing from your loved ones can leave you in future debt. 

Instead, let health insurance take care of all your medical expenses. Check out these health insurance policies from SBI General Health Insurance and HDFC Ergo Health Insurance to get an idea of what health insurance has to offer. 

SBI General Health Insurance vs HDFC Ergo Health Insurance – Overview 

Parameter SBI General Health InsuranceHDFC Ergo Health Insurance
No. of health insurance policies10+10+
E-servicesPolicy salePolicy renewalClaim settlementOnline consultationBranch locator 24×7 customer supportPolicy salePolicy renewalClaim settlementOnline consultationBranch locator 24×7 customer service
Branches22,000+200+
Claim settlement ratio 59.42%92%
Network Hospitals 6,000+10,000+

*Source: The Annual Report of the Insurance Regulatory and Development Authority of India (IRDAI) –years 2019-20. 

Health Insurance Policies: SBI General Health Insurance vs HDFC Ergo Health Insurance 

SBI General Health Insurance and HDFC Ergo Health Insurance, both offer over 10 health insurance policies. The two insurers are leading players in the insurance sector and have a large customer base, a vast network of hospitals, and a widespread national presence. 

Family Floater Policy: 

SBI General Health Insurance offers 5 family floater policies: 

  • Arogya Plus 
  • Arogya Premier 
  • Arogya Top-up 
  • Group Health Policy
  • Retail Health Insurance 

They provide: 

  • Sum insured (SI) amounts up to Rs. 50,00,000 
  • Coverage for: 
  • Pre-, post- and in-patient hospital care 
  • Home hospitalization 
  • 141 daycare procedures
  • Ayurveda, Unani, Siddha, and Homeopathy (AYUSH) treatments 
  • Organ donor transplant expenses
  • Maternity expenses 
  • HIV/AIDS treatment 
  • Mental illnesses
  • Pre-existing diseases (after a 48-month waiting period) 
  • Road and air ambulance costs 

HDFC Ergo offers 5 family-floater policies: 

  • MyHealth Suraksha Smart (Silver, Gold, and Platinum) 
  • MyHealth Medisure Super Top-up 
  • Optima Restore 

They provide: 

  • SI amounts up to Rs. 75,00,000
  • Coverage for:
  • Pre-, post- and in-patient hospital care
  • Home hospitalization
  • 586 daycare procedures
  • AYUSH treatments
  • Organ donor transplant expenses
  • Mental illnesses 
  • Air and road ambulance costs  
  • Recovery benefits up to Rs. 25,000
  • Health coach, wellness services, and fitness discounts 

Personal Accident Policy: 

SBI General Health Insurance’s Personal Accident Policy offers:

  • SI amounts up to Rs. 1,00,00,000
  • 100% of the SI on accidental death and permanent total disablement 
  • Up to 100% of the SI for permanent partial disablement 
  • Weekly cash benefits of Rs. 10,000 per week for temporary total disability 
  • A child education benefit of Rs. 50,000 for the insured’s dependent children 
  • A modification benefit of Rs. 25,000 towards reparation of the insured’s vehicle/home 
  • Road and air ambulance costs 
  • Daily hospital cash benefits

HDFC Ergo’s Personal Accident Policy offers:

  • SI amounts up to Rs. 15,00,000
  • 100% of the SI for accidental death and permanent total disablement 
  • Up to 100% SI for permanent partial disablement 
  • Up to 100% SI for broken bones and burns 
  • 100% of the SI if the insured suffers from an injury caused due to an animal attack
  • Weekly cash benefits for temporary total disability
  • Coverage for in-patient hospital care expenses  
  • Home tuition and child education benefit 
  • A counseling benefit for the insured’s spouse and dependent children 
  • Daily hospital cash allowances

Critical Illness Policy: 

SBI General Health Insurance’s Critical Illness Policy offers: 

  • SI amounts up to Rs. 50,00,000
  • Coverage for 13 life-threatening diseases, such as: 
  • Cancer
  • Stroke
  • Hypertension
  • Kidney failure 
  • Permanent paralysis 
  • Multiple sclerosis 
  • 100% payment of the SI on the diagnosis of a critical disease

HDFC Ergo’s Critical Illness Policy offers two variants: 

  • A Silver Plan 
  • A Platinum Plan 

These plans provide: 

  • SI amounts up to Rs. 10,00,000
  • Coverage for up to 15 life-threatening diseases, such as:
  • Cancer
  • Liver disease  
  • Heart attack
  • Permanent paralysis 
  • Multiple sclerosis
  • 100% payment of the SI on the diagnosis of a critical disease

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