Network hospitals
13000+
Claim settlement ratio
98.49%
Sum insured
2 CR
No. of Plans
7
Solvency Ratio
1.68
Pan India Presence
200+
Network hospitals
13000+
Claim settlement ratio
98.49%
Sum insured
2 CR
No. of Plans
7
Solvency Ratio
1.68
Pan India Presence
200+
HDFC ERGO Energy plan is specially designed for diabetic patients. It is an ideal health product for those who are suffering from diabetes Type 1, diabetes mellitus Type 2, pre-diabetes (IFG, IGT), or hypertension. HDFC ERGO Energy plan is available in two variants: HDFC ERGO energy gold plan and HDFC ERGO energy silver plan. Both plan variants offer the same sum insured options and coverage but the HDFC ERGO energy gold plan provides an additional feature i.e. Wellness program. The plan is available with and without the 20% co-payment option, allowing policyholders to choose the one at their convenience.
HDFC Ergo Health Insurance Plan Detailed Review
Take a look at the HDFC ERGO Energy plan specification to get a better understanding of the plan and its eligibility:
Silver Plan & Gold Plan
2 | 3 | 5 | 10 | 15 | 20 | 25 | 50 Lakhs
Min: 18 Years Max: 65 Years
Individual
1 Year
30 Days
*Initial Waiting Period is the time period between the issuance of the policy and the time it starts actively. During this period, a policyholder has to wait to avail of the benefits offered under a health insurance plan.
HDFC ERGO Energy plan is available in two plan variants i.e. HDFC ERGO energy silver plan and HDFC ERGO energy gold plan. It allows customers to select the variant as per their healthcare needs. Continue reading for more information:
Coverage for SI: 2L - 50L (Silver)
Room Rent
Sharing Room
ICU Charges
Not Covered
Pre-Hospitalization
Covered up to 30 days
Post-Hospitalization
Covered up to 60 days
Domiciliary Hospitalization
Not Covered
Daycare Treatment
182 Day care treatments covered
OPD Charges
Not Covered
COVID-19 Treatment
Not Covered
Cataract
Covered after waiting period
No Claim Bonus
10% increase in SI
Automatic Restoration
100% of SI
Daily Hospital Cash
Not available
Organ Donor
Covered
Maternity Cover
Not Covered
New Born Baby Cover
Not Covered
AYUSH Treatment
Not Covered
IVF Treatment
Not Covered
Modern Treatment
Not Covered
Ambulance
Covered up to 2K per hospitalization
Air Ambulance
Not available
Compassionate Travel
Not Covered
Global Coverage
Not available
E-Consultation
Not available
Health Check-Up
Not Covered
Second Medical Opinion
Not available
Vaccination
Not Covered
Co-payment
Applicable
Sub-limits
Not applicable
Coverage for SI: 2L - 50L (Gold)
Room Rent
Sharing Room
ICU Charges
Not Covered
Pre-Hospitalization
Covered up to 30 days
Post-Hospitalization
Covered up to 60 days
Domiciliary Hospitalization
Not Covered
Daycare Treatment
182 Day care treatments covered
OPD Charges
Not Covered
COVID-19 Treatment
Not Covered
Cataract
Covered after waiting period
No Claim Bonus
10% increase in SI
Automatic Restoration
100% of SI
Daily Hospital Cash
Not available
Organ Donor
Covered
Maternity Cover
Not Covered
New Born Baby Cover
Not Covered
AYUSH Treatment
Not Covered
IVF Treatment
Not Covered
Modern Treatment
Not Covered
Ambulance
Covered up to 2K per hospitalization
Air Ambulance
Not available
Compassionate Travel
Not Covered
Global Coverage
Not available
E-Consultation
Not available
Health Check-Up
Covered
Second Medical Opinion
Not available
Vaccination
Not Covered
Co-payment
Applicable
Sub-limits
Not applicable
Room rent limit is the maximum amount of bed charge that you can claim if you are hospitalized.
Common Room categories covered under room rent are:
Coverage status under HDFC ERGO Energy Diabetes Plan?
Rooms are available on a sharing basis under this policy.
It is a special department in the hospitals where patients with serious medical conditions are treated.
Coverage status under HDFC ERGO Energy Diabetes Plan?
ICU charges are not covered under this plan.
Medical expenses incurred before the hospitalization of the policyholder.
Coverage status under HDFC ERGO Energy Diabetes Plan?
This plan covers medical expenses of up to 30 days before your hospitalization.
Medical expenses incurred after the discharge of the policyholder from the hospital.
Coverage status under HDFC ERGO Energy Diabetes Plan?
This plan covers medical expenses of up to 60 days after you get discharged from the hospital.
Home hospitalization arrangement for the insured person due to unavailability of medical amenities in hospitals. The treatment should last equal to or more than 72 hrs to get the financial coverage.
Coverage status under HDFC ERGO Energy Diabetes Plan?
Domiciliary hospitalization is not covered in the plan.
Treatments that can be treated in less than 24 hours of hospitalization like blood dialysis, cataract, etc.
Coverage status under HDFC ERGO Energy Diabetes Plan?
This plan covers 182 day care treatments.
The cost of doctor consultation and prescribed medical tests that may not require hospitalization.
Coverage status under HDFC ERGO Energy Diabetes Plan?
OPD charges are not covered.
Covers the cost of treatment for COVID-19 with a confirmative diagnosis from Govt. approved Centre.
Coverage status under HDFC ERGO Energy Diabetes Plan?
COVID-19 treatment is not covered under this plan.
A common eye condition in which your vision gets blurred.
Coverage status under HDFC ERGO Energy Diabetes Plan?
This plan offers coverage for Cataract treatment after 2 years of the waiting period.
For every claim-free year, insurance companies reward policyholders with an increase in the Sum Insured amount as no-claim bonus on policy renewal. However, in the case of claim, this bonus amount eitherlapses or is reduced by a certain percentage that varies from plan to plan.
Coverage status under HDFC ERGO Energy Diabetes Plan?
The plan offers a cumulative bonus as a 10% increment in the sum insured for every claim-free year. This increment can go up to a maximum of 100% of SI per policy.In case of a claim is made during the policy year, the cumulative bonus will decrease by 10% in the following year.
Automatic restoration is a benefit in which the insurance company restores the total sum insured after it gets fully exhausted in treatments.
Coverage status under HDFC ERGO Energy Diabetes Plan?
Automatic restoration equal to 100% of your selected SI amount is provided under this plan.
It is a cash amount that you will get each day during the time of hospitalization.
Coverage status under HDFC ERGO Energy Diabetes Plan?
HDFC ERGO energy plan does not offer daily hospital cash.
Your health plan will cover the cost of the procedure for removing the damaged or malfunctioning organs from the body.
Coverage status under HDFC ERGO Energy Diabetes Plan?
The plan provides coverage for organ donor expenses.
It refers to the cover that includes expenses for normal and c-section procedures deliveries.
Coverage status under HDFC ERGO Energy Diabetes Plan?
Maternity cover is not available under this plan.
*It is generally not covered under most health insurance plans as pregnancy is a planned condition.
It takes care of the medical expenses that arise due to the hospitalization of the newborn baby in case of unforeseen circumstances. Some of the common treatments that are covered under the new borncover and these common treatments can vary from plan to plan:
Coverage status under HDFC ERGO Energy Diabetes Plan?
Newborn baby expenses are not covered under this plan.
Refers to the cost of medicines and procedures used under AYUSH (Ayurveda, Yoga & Naturopathy, Unani, Siddha, and Homeopathy) treatment.
Coverage status under HDFC ERGO Energy Diabetes Plan?
This plan does not cover AYUSH treatment expenses.
In Vitro Fertilization (IVF) is a method of assisted reproductive technology. The common expenses incurred under IVF and infertility treatments are for:
Coverage status under HDFC ERGO Energy Diabetes Plan?
The plan does not offer coverage for IVF treatments.
Medical treatments that demand the use of modern technology such as robotic surgeries, stem cell therapy, etc.
Coverage status under HDFC ERGO Energy Diabetes Plan?
This plan does not cover modern treatments.
An ambulance is used to move the patient from home to hospital, transfer to another hospital, and take them for different tests outside the hospitals.
Coverage status under HDFC ERGO Energy Diabetes Plan?
This plan covers Ambulance charges of up to 2K per hospitalization.
Air ambulances are specially prepared planes that transfer the patient from one place to another in case of a health emergency.
Coverage status under HDFC ERGO Energy Diabetes Plan?
Air ambulance expenses are not covered under this plan.
Refers to the traveling expenses of a family member of the insured person in case the policyholders get admitted to a hospital outside his/her residential city.
Coverage status under HDFC ERGO Energy Diabetes Plan?
The policy does not cover compassionate travel expenses.
Any kind of medical/health emergency when you are outside of India.
Coverage status under HDFC ERGO Energy Diabetes Plan?
Not available
If a policy offers E-consultation it allows policyholders to connect with a doctor for medical consultation through video chat, audio call, or chatbot.
Coverage status under HDFC ERGO Energy Diabetes Plan?
Not Available
A facility where the policyholder can avail free health check-ups after fulfilling the company's policies.
Coverage status under HDFC ERGO Energy Diabetes Plan?
Health checkups are covered under the “Wellness test” in the HDFC ERGO energy gold plan.
The wellness tests
It offers two complete medical check-ups during the policy year.
Wellness test 1. HbA1c, Blood Pressure Monitoring, BMI
Wellness test 2. HbA1c, FBS, Total Cholesterol, Creatinine, High Density Lipoprotein (HDL), Low-Density Lipoprotein (LDL), Triglycerides (TG), Total Protein, Serum Albumin, GammaGlutamyltransferase (GGT), Serum Glutamic Oxaloacetic Transaminase (SGOT), Serum Glutamic Pyruvic Transaminase (SGPT), Billirubin, Total Cholesterol: HDL Cholesterol, ECG, Blood Pressure Monitoring, BMI, Doctor Consultation.
If the policyholder wants, they may opt for a second medical opinion wherein the policyholder can consult another doctor within the company's network of medical practitioners.
Coverage status under HDFC ERGO Energy Diabetes Plan?
Not Available
Coverage against the expenses incurred on vaccinations is provided by the insurance companies.
Coverage status under HDFC ERGO Energy Diabetes Plan?
Not available
In the co-payment clause, policyholders have to pay a portion of the hospitalization expense on their own and the insurer will pay the rest of the amount.
Status under HDFC ERGO energy diabetes Plan?
Both variants of the plan come with the co-pay clause wherein the applicants can choose to have a co-payment of 20% or not have a co-payment option.
Sub limit is a condition in which the insurer will have to pay the medical expense up to a certain percentage and the remaining amount will have to pay by the policyholder.
Status under HDFC ERGO energy diabetes Plan?
No defined sub-limits
HDFC Ergo entails a wide network of cashless Hospitals that impact millions of lives PAN India. A well connected network of over 13,000+ cashless hospitals, HDFC Ergo ensures that you are medically secured, irrespective of the city you reside in.
We at PolicyX.com intend to make it easier for you to understand the premium of health insurance. Therefore, we have shown some sample premiums to be paid by an individual under HDFC ERGO energy diabetes plan. These sample premiums are calculated for individuals of different ages with different SI options (with co-pay or without co-pay).
Age (Male) | SI - 5 Lakhs | SI - 10 Lakhs | SI - 20 Lakhs | SI - 50 Lakhs |
30 years | 11442 | 14136 | 20428 | 28505 |
60 years | 30291 | 37419 | 54071 | 75450 |
Age (Male) | SI - 5 Lakhs | SI - 10 Lakhs | SI - 20 Lakhs | SI - 50 Lakhs |
30 years | 9186 | 11316 | 16352 | 22819 |
60 years | 24457 | 30003 | 43356 | 60497 |
Age (Male) | SI - 5 Lakhs | SI - 10 Lakhs | SI - 20 Lakhs | SI - 50 Lakhs |
30 years | 17342 | 20036 | 26328 | 34407 |
60 years | 36191 | 43319 | 59971 | 81350 |
Age (Male) | SI - 5 Lakhs | SI - 10 Lakhs | SI - 20 Lakhs | SI - 50 Lakhs |
30 years | 15086 | 17216 | 22252 | 28719 |
60 years | 30357 | 35903 | 49256 | 66397 |
HDFC Energy plan offers 3 additional benefits along with its basic coverages. Below-mentioned are the benefits that come under the Energy Plan HDFC ERGO.
Complete Cashless Medical Checkups
Get rewards for staying healthy
Web portal to track your health
This benefit comes under the HDFC ERGO energy gold plan, it offers two complete medical check-ups during the policy year.
Wellness test 1. HbA1c, Blood Pressure Monitoring, BMI
Wellness test 2. HbA1c, FBS, Total Cholesterol, Creatinine, High Density Lipoprotein (HDL), Low-Density Lipoprotein (LDL), Triglycerides (TG), Total Protein, Serum Albumin, GammaGlutamyltransferase (GGT), Serum Glutamic Oxaloacetic Transaminase (SGOT), Serum Glutamic Pyruvic Transaminase (SGPT), Billirubin, Total Cholesterol: HDL Cholesterol, ECG, Blood Pressure Monitoring, BMI, Doctor Consultation.
*Company offers Wellness tests on a cashless basis under the gold plan variant that means you can undergo these tests at our network hospitals without paying anything. However, in the case of tests that have been performed under any non-network hospital then the company will reimburse INR 2K only at the end of the policy year.
Under this program, policyholders are rewarded based on the results of their medical tests and key health parameters such as BMI, BP, HbA1c, and Cholesterol.
It is a web portal through which you can track your medical condition from various tests, and it stores all your medical records so that you can monitor your condition.
The mentioned-below treatments or health conditions are not included under the HDFC ERGO energy plan:
Injuries resulting from a suicide attempt
Injuries resulting from adventurous sports
Hospitalization due to alcohol, and drug abuse
Experimental, investigative and unproven treatment devices and pharmacological regimens
External Congenital Disease
Venereal or sexually transmitted diseases
HIV and AIDS-related diseases
Pregnancy and dental treatment
Weight control treatment
Some treatments are covered after a defined waiting period under the HDFC ERGO Energy plan. Read them below:
Pre-Existing Diseases after 2 years
Specific ailment after 2 years
HDFC ERGO provides myriads health plans to cater to the different needs of different customers. You can read about HDFC ERGO health plans for individuals, families, senior citizens, etc, below:
An ideal health plan for people with a pre-existing critical illness or a family history of critical illnesses. Get comprehensive coverage for 15 critical illnesses.
Unique Features
Designed especially for people with pre-existing diabetes or hypertension. Get coverage for diabetes and hypertension from Day 1 without any waiting period.
Unique Features
A flexible and comprehensive health plan, securing your today & tomorrow. With 'Reserve Benefit' features, this plan grows unused policy amount @6% interest rate.*
Unique Features
Covers all types of cancer at all stages with lifelong renewability option. If diagnosed with IV stage cancer or relapse, this plan pays 100% of SI as a lump sum.
Unique Features
An individual and family health plan providing SI of up to 1 crore to prepare you to meet constantly increasing medical inflation.
Unique Features
Avail of extra cover to meet medical expenses without any limitations by purchasing this deductible-based top-up plan.
Unique Features
Offers 360 degrees protection to you and your family with multiple SI options of 3 to 75 Lakhs. Comes with EMI and lifelong entry option.
Unique Features
Women-oriented health plan providing comprehensive medical insurance with major illnesses cover, and cancer cover all under a single plan but different variants.
Unique Features
Provides comprehensive medical coverage to individuals and families with different budgets by offering SI options ranging from 5 Lakhs to 50 Lakhs.
Unique Features
See More Health Insurance Articles
See More Health Insurance Articles
Health Coach feature is created to assist insured people in creating a customized improvement plan (Diet and Exercise plans) under HDFC ERGO energy diabetes plan.
No. This plan is specially designed for those people who are suffering from diabetes and hypertension.
Yes, you can take back your premium within the free-look period and under the HDFC ERGO energy plan, you will get the 15 days free-look period.
Yes, a pre-health checkup is mandatory to buy an HDFC ERGO energy plan.
You can cancel your HDFC energy plan within the first 15 days from the date of receipt of the policy.
You have the option to choose another indemnity health insurance policy available with HDFC ERGO at the time of renewal and all the benefits of the previous policy will be carried forward if you have paid the premium without any break.
Yes, you can change your sum insured amount at the time of renewal of the policy.
Wellness tests are the benefit that comes under the HDFC ERGO energy gold plan. This feature offers two complete medical check-ups during the policy year.
Wellness test 1. HbA1c, Blood Pressure Monitoring, BMI
Wellness test 2. HbA1c, FBS, Total Cholesterol, Creatinine, high density Lipoprotein (HDL), Low-Density Lipoprotein (LDL), Triglycerides (TG), Total Protein, Serum Albumin, GammaGlutamyltransferase (GGT), Serum Glutamic Oxaloacetic Transaminase (SGOT), Serum Glutamic Pyruvic Transaminase (SGPT), Bilirubin, Total Cholesterol: HDL Cholesterol, ECG, Blood Pressure Monitoring, BMI, Doctor Consultation.
HDFC ERGO energy plan offers the 'reward points' feature in which policyholders are rewarded based on the results of their medical tests and key health parameters such as BMI, BP, HbA1c, and Cholesterol.
HDFC ERGO energy plan offers a 'Wellness Support' feature that provides a web portal that can be used to track your medical condition from various tests. It also stores all your medical records so that you can monitor your condition anytime.
Yes, this plan provides coverage for in-patient hospitalization that occurs due to an accidental injury or any critical illness.
No, this plan does not have any mandatory co-payment clause. However, you have the option to opt for 20% of co-payment on every claim to reduce your premium amount. But the co-pay option should be chosen at the time of policy purchase.
HDFC ERGO Energy Diabetes is a complete health plan, designed specifically for people with pre-existing diabetes or hypertension. Along with in-patient hospitalization, no-claim bonus, restoration bonus, etc., this plan offers various wellness programs such as wellness incentives, integrated web portal, wellness coach and much more.
Aniruddh Singh
Chandigarh
May 1, 2023
I am satisfied with the customer service provided to me when I had a small query regarding my HDFC health insurance policy. Thank you to the customer support team of PolicyX
Subhro Jha
Hyderabad
September 14, 2022
It was great experiance with Policyx.com about the claims as i got rejection my claim from HDFC Ergo but after getting support of policyx.com i got my claim and the complete amount is given by...
Vedika Verma
Delhi
May 25, 2022
With several health plans, HDFC ERGO offers looks after the healthcare need of every individual. I am glad that I chose to buy health insurance from HDFC ERGO
Vedantu Singhania
Coimbatore
August 5, 2021
Thanks to HDFC ERGO Health Insurance company for ensuring that all the healthcare needs of your customers are looked after. I am glad that I got in touch with PolicyX.com who helped me at every...
Usha Dodiya
Indore
May 20, 2021
Policyx.com give very good insurance policy I will recommend to everyone and manager support is very gool
harish kumar
Delhi
March 16, 2021
thanks to Policyx and HDFC to provide good service at the time of claims he help me two times and provide 100% cashless benefit
ambika chauhan
Chennai
March 4, 2021
i am happy that i recieved my claim today. got good support. after first rejection i was scared, but i got it due to the sipport of policyx
Ashu Goyal
Ludhiana
March 4, 2021
I have taken the policy of HDFC ergo by Policy X.Com , Claim settlement Tat is very Good . Policy X.com team is helpful about claim settlement without any issue.
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