Network hospitals
12000+
Incurred claim ratio
79.04%%
Sum insured
Up to 2 Cr
No. of Plans
1
Solvency Ratio
1.7
Pan India Presence
200+
HDFC ERGO Health Insurance offers an Energy Diabetes plan which is ideal 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.
To understand HDFC ERGO Energy Diabetes Plan Insurance in detail, take a look at the below table:
18 to 65 Years
Individual
2 L | 3 L | 5 L | 10 L | 15 L | 20 L | 25 L | 50 L
30 Days
NA
1 Year
*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.
Read more specifications in the brochure.
With wide coverage options available, HDFC ERGO Energy Diabetes Plan Insurance Plan allows you to choose your ideal coverage as per your family’s health requirements. Take a look at the coverage under every SI option available and choose your ideal coverage:
Room Rent
Covered
ICU Charges
Not Covered
Pre-Hospitalization
Covered
Post-Hospitalization
Covered
Domiciliary Hospitalization
Not Covered
Daycare Treatment
Covered
OPD Charges
Not Covered
COVID-19 Treatment
Covered
Cataract
Covered
No Claim Bonus
Covered
Automatic Restoration
Covered
Daily Hospital Cash
Not Covered
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
Air Ambulance
Not Covered
Compassionate Travel
Not Covered
Global Coverage
Not Covered
E-Consultation
Not Covered
Health Check-Up
Not Covered
Second Medical Opinion
Not Covered
Vaccination
Not Covered
Co-payment
Covered
Sub-limits
Not Covered
The room rent limit is the maximum bed charge you can claim if you are hospitalised. Common Room categories covered under room rent are all kinds of rooms including single, private and AC rooms (except suite).
It is a special hospital department where patients with serious medical conditions are treated.
Medical expenses incurred before hospitalisation of the policyholder.
Medical expenses incurred after the discharge of the policyholder from the hospital.
Domiciliary hospitalization or home care treatments are the arrangements for an insured individual due to the unavailability of medical amenities in hospitals, or in a case where an insured member can not be admitted to the hospital due to an inability. The treatment should last equal to or more than 72 hours to get financial coverage.
Treatments that can be completed within 24 hours of hospitalization like blood dialysis, cataracts, etc.
Covers the cost of doctor consultations and prescribed medical tests that may not require hospitalization. .
It includes the treatment cost for COVID-19 with a confirmative diagnosis from a government-approved centre.
A common eye condition in which your vision gets blurred due to cloudy formation in your eyes.
For every claim-free year, insurance companies reward policyholders with an increase in the sum insured amount as a no-claim bonus or cumulative bonus on policy renewal. However, in the case of a claim, this bonus amount either lapses or is reduced by a certain percentage varying from one plan to the other.
It is a benefit in which an insurance company restores the amount of sum insured completely or up to a certain percentage after it gets fully exhausted in treatments. This restoration amount may vary from one plan to the other.
Daily hospital cash or Hospicash is a cash amount that you receive each day during the time of hospitalization to cover your non-medical expenses.
It is a cover that includes the cost of the procedure for removing the damaged or malfunctioning organs from the body. In most of the cases, the insurer pays for the hospitalization and transplant expenses for both the parties i.e. the donor and the receiver.
It refers to the cover that includes expenses for normal and c-section deliveries.
It takes care of the medical expenses that arise due to the hospitalisation of the newborn baby in case of any childbirth complications, medical challenges, and so on. Some of the common treatments that are covered under the newborn cover and these common treatments can vary from plan to plan:
Refers to the cost of medicines and procedures used under AYUSH (Ayurveda, Yoga & Naturopathy, Unani, Siddha, and Homeopathy) treatment.
In Vitro Fertilization (IVF) is a method of assisted reproductive technology. The common expenses incurred under IVF and infertility treatments are settled or reimbursed for:
Medical treatments that demand the use of modern technology and advanced machinery such as robotic surgeries, stem cell therapy, etc.
An ambulance is used to move the patient from home to the hospital, transfer them to another hospital, and take them for different tests outside the hospital.
Air ambulances are specially prepared planes that transfer the patient from one place to another in case of a health emergency.
Refers to the travelling expenses of a family member who’s visiting the hospital to look after the patient when the policyholder gets admitted to a hospital outside his/her residential city.
Any kind of medical/health emergency when you are outside of India is covered for hospitalization expenses, modern and specific treatments, etc.
If a policy offers e-consultation it allows policyholders to connect with a doctor for medical consultation through video chat, audio call, or chatbot.
A facility where the policyholder can avail of free health check-ups after fulfilling the company's eligibility criteria. In most cases, the insured member/s gets an annual health check-up cover.
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 against the expenses incurred on vaccinations of either the newborn baby, for an animal bite, etc is provided by the insurance companies.
In the co-payment clause, policyholders have to pay a preset amount (either compulsorily or voluntarily) of the hospitalisation expense on their own and the insurer will pay the rest of the medical bill amount.
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 be paid by the policyholder. For instance, if your policy covers room rent for upto 20% of the sum insured, but the expense of the same is more than 25%, you will have to pay the rest amount, i.e. 5%, for your room rent.
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.
HDFC Ergo Health Insurance Plan Detailed Review
HDFC ERGO Health Insurance Network Hospitals are present in 31 states nationwide. With a wide network of hospitals, HDFC ERGO Health Insurance 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 the 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 |
Permanent diseases or health conditions that are not included under the HDFC ERGO Energy Diabetes Plan are:
Injuries resulting from a suicide attempt
Injuries resulting from adventurous sports
Hospitalization due to alcohol, and drug abuse
External Congenital Disease
Venereal or sexually transmitted diseases
Infertility and in vitro fertilization
Certain diseases and treatments are covered under this plan after a certain period. Read the details below:
Pre-existing diseases after 2 years
Specific ailment after 2 years
To cater to the different medical needs of an individual & their family, HDFC ERGO Health Insurance offers several Health Plans ranging from senior citizen plans to specialized plans for autistic children, to health insurance for cardiac patients, and many more.Take a look below to HDFC ERGO Health Insurance plans explore more:
Women Health Insurance
HDFC My: Health Women Suraksha is a comprehensive policy that is designed to cater to the evolving needs of health and well-being of today's women. T...
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Individual and Family Health Insurance
The Arogya Sanjeevani Policy from HDFC ERGO is a basic plan designed for individual or family floater coverage. It provides you with the precise medic...
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Individual and Family Health Insurance
Are you sceptical about finding the best health insurance plan that protects you and your family under one roof? Read further to learn about the exclu...
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Individual and Family Health Insurance
HDFC ERGO My:Optima Secure health insurance plan offers value that you might require in future to fight against medical discrepancies. Providing you a...
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Individual
Accidental deaths or injuries can be devastating, it can attack your physical, emotional, mental, and financial status to ruin your happy life moment...
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Critical Illness Health Insurance
iCan Cancer Insurance is a cancer-specific plan offered by HDFC Health Insurance Company. The plan covers medical expenses incurred during the treatme...
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Individual and Family Health Insurance
HDFC ERGO Health Suraksha Plan is a comprehensive plan from the house of HDFC ERGO Insurance Company that aims at providing 360-degree protection agai...
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Individual
HDFC ERGO Health Insurance offers an Energy Diabetes plan which is ideal for those who are suffering from diabetes Type 1, diabetes mellitus Type 2, p...
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Individual and Family Health Insurance
HDFC ERGO Health Insurance's Health Wallet plan by HDFC ERGO Health Insurance is a comprehensive health insurance plan that not only ensures your heal...
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Top Up and Super Top Up
HDFC Ergo super top-up plan is the best option by HDFC Ergo to ensure a cushion of ample cover to get the best medical treatment without any restricti...
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Individual and Family Health Insurance
HDFC ERGO Koti Suraksha is a health insurance plan that provides a sum insured of up to INR 1 crore. Koti Suraksha Plan by the HDFC ERGO Insurance Com...
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Individual and Family Health Insurance
HDFC ERGO Optima Restore Policy is the best-selling plan of HDFC ERGO since its launch. It offers comprehensive health cover to you and your family un...
Unique Features
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-day 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. Get a renewal premium discount of up to 25%. Reimbursement up to 25% on medical expenses that are not covered under insurance.
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.
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Naval Goel is the Founder and CEO of PolicyX.com (IRDA- Approved Insurance Comparison Website). He is a CFA charter holder (USA) and FRM (GARP). He holds an MBA from IIFT, Delhi, and is also an Associate from the Insurance Institute of India. Naval is an avid investor and entrepreneur who has a deep understanding of the Indian equity market and insurance sector. He has been investing for more than 10 years now and is a CFA charter holder.
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February 5, 2023
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