Network hospitals
12000+
Incurred claim ratio
79.04%
Sum insured
Up to 2 CR
No. of Plans
11
Solvency Ratio
1.7
Pan India Presence
200+
Network hospitals
12000+
Incurred claim ratio
79.04%
Sum insured
Up to 2 CR
No. of Plans
11
Solvency Ratio
1.7
Pan India Presence
200+
HDFC ERGO health wallet plan is a comprehensive health insurance plan that not only insure your health today but also secures your health for the future. Health Wallet plan is a 360-degree health plan that provides coverage to you on an individual and family floater basis. You can also buy this plan as a top-up plan where it increases your basic plan sum insured. It covers your Inpatient and all outpatient expenses and protects you from all future financial worries.
HDFC Ergo Health Insurance Plan Detailed Review
Take a look at the following HDFC ERGO Health Wallet specification and understand the plan and its eligibility in a better way:
3 | 5 | 10 | 15 | 20 | 25 | 50 Lakhs
Min: Adult: 18 Days,Child: 91 Days Max: Adult: 65 Years, Child: 25 Years
Individual/Family Floater
1 | 2 | 3 Years
Lifelong
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 Health Wallet offers a wide range of coverage under its plan types i.e. Individual health insurance and family health insurance.
Coverage for SI: 3L - 50L (Individual)
Room Rent
Covered up to SI
ICU Charges
Covered
Pre-Hospitalization
Covered up to 60 days
Post-Hospitalization
Covered up to 90 days
Domiciliary Hospitalization
Covered
Daycare Treatment
All Day care treatment covered
OPD Charges
Covered under Reserve Benefit
COVID-19 Treatment
Covered
Cataract
Covered after a 2-year waiting period
No Claim Bonus
50% of SI every claim-free year
Automatic Restoration
Available
Daily Hospital Cash
Not Covered
Organ Donor
Covered
Maternity Cover
Not Covered
New Born Baby Cover
Not Covered
AYUSH Treatment
Covered
IVF Treatment
Not Covered
Modern Treatment
Not Covered
Ambulance
Covered up to 2K per hospitalization
Air Ambulance
Not Covered
Compassionate Travel
Not Covered
Global Coverage
50% of SI, maximum of up to 20L
E-Consultation
Not Covered
Health Check-Up
Covered
Second Medical Opinion
Not available
Vaccination
Covered
Co-payment
Not Applicable
Sub-limits
Not Applicable
Coverage for SI: 3L - 50L (Family)
Room Rent
Covered up to SI
ICU Charges
Covered
Pre-Hospitalization
Covered up to 60 days
Post-Hospitalization
Covered up to 90 days
Domiciliary Hospitalization
Covered
Daycare Treatment
All Day care treatment covered
OPD Charges
Covered under Reserve Benefit
COVID-19 Treatment
Covered
Cataract
Covered after a 2-year waiting period
No Claim Bonus
50% of SI every claim-free year
Automatic Restoration
Available
Daily Hospital Cash
Not Covered
Organ Donor
Covered
Maternity Cover
Not Covered
New Born Baby Cover
Not Covered
AYUSH Treatment
Covered
IVF Treatment
Not Covered
Modern Treatment
Not Covered
Ambulance
Covered up to 2K per hospitalization
Air Ambulance
Not Covered
Compassionate Travel
Not Covered
Global Coverage
50% of SI, maximum of up to 20L
E-Consultation
Not Covered
Health Check-Up
Covered
Second Medical Opinion
Not available
Vaccination
Covered
Co-payment
Not 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 Health Wallet Plan?
The room rent expenses are covered up to your selected SI amount under this policy.
It is a special department in the hospitals where patients with serious medical conditions are treated.
Coverage status under HDFC ERGO Health Wallet Plan?
ICU charges are covered under this plan.
Medical expenses incurred before the hospitalization of the policyholder.
Coverage status under HDFC ERGO Health Wallet Plan?
This plan covers medical expenses of up to 60 days before your hospitalization.
Medical expenses incurred after the discharge of the policyholder from the hospital.
Coverage status under HDFC ERGO Health Wallet Plan?
This plan covers medical expenses of up to 90 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 Health Wallet Plan?
Under this plan, the domiciliary hospitalization that exceeds 3 days is covered.
Treatments that can be treated in less than 24 hours of hospitalization like blood dialysis, cataract, etc.
Coverage status under HDFC ERGO Health Wallet Plan?
This plan covers all day care procedures.
The cost of doctor consultation and prescribed medical tests that may not require hospitalization.
Coverage status under HDFC ERGO Health Wallet Plan?
OPD treatments are covered under reserve benefits.
Covers the cost of treatment for COVID-19 with a confirmative diagnosis from Govt. approved Centre.
Coverage status under HDFC ERGO Health Wallet Plan?
COVID-19 treatment is covered under this plan.
A common eye condition in which your vision gets blurred.
Coverage status under HDFC ERGO Health Wallet Plan?
This plan offers coverage for Cataract treatment after a 2-year waiting period.
This plan offers a 50% increment in the sum insured at the time of renewal after a claim-free year. In case of a claim, the bonus amount added to your SI will be decreased by 50%.
Automatic restoration equal to 100% of your selected SI amount is provided under this plan if the basic sum insured and the multiplier benefit get exhausted.
It is a cash amount that you will get each day during the time of hospitalization.
Coverage status under HDFC ERGO Health Wallet Plan?
Daily hospital cash benefit is not available under this plan.
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 Health Wallet Plan?
The plan provides coverage for organ donor expenses up to your selected Sum Insured amount.
It refers to the cover that includes expenses for normal and c-section procedures deliveries.
Coverage status under HDFC ERGO Health Wallet 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 Health Wallet 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 Health Wallet Plan?
AYUSH treatment expenses are covered under the plan.
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 Health Wallet 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 Health Wallet Plan?
This plan does not cover expenses related to modern cover 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 Health Wallet 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 Health Wallet 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 Health Wallet 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 Health Wallet Plan?
This plan offers 50% of the Sum Insured upto a maximum of INR 20 lacs for your treatment outside India.
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 Health Wallet Plan?
Not Available
This plan offers preventive health checkups at the time of policy renewal and the health check-up limit is based on the Reserve Benefit sum insured.
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 Health Wallet Plan?
Not Available
Coverage against the expenses incurred on vaccinations is provided by the insurance companies.
Coverage status under HDFC ERGO Health Wallet Plan?
Vaccination charges are covered under the reserve benefits of the plan.
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?
Not applicable
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.
HDFC ERGO Health wallet policy offers two plan types i.e. family and individual. To make the premium calculation easier for you, PolicyX.com has shown some sample premiums of HDFC ERGO Health wallet plan based on different Sum Insured amounts and number of insured members for the 1-year policy term with no deductible amount.
Age (Male) | Sum Insured | Sample Annual Premium (1A) |
30 Years | 5 Lakhs | 14224 |
30 Years | 10 Lakhs | 22909 |
30 Years | 20 Lakhs | 32258 |
30 Years | 50 Lakhs | 49802 |
Age (Male) | Sum Insured | Sample Annual Premium (2A) | Sample Annual Premium (2A+1C) |
30 years | 5 Lakhs | 16729 | 19914 |
30 years | 10 Lakhs | 26499 | 30083 |
30 years | 20 Lakhs | 38099 | 42067 |
30 years | 50 Lakhs | 58065 | 63201 |
HDFC ERGO health wallet policy offers 5 additional benefits along with its basic coverages.
It automatically restores the sum insured
It increases the sum insured
It offers preventive health checkups
It offers you INR 10K in case
Any unused amount is carried
It automatically restores the sum insured amount if the basic sum insured amount and multiplier benefit get exhausted.
It increases the sum insured amount by 50% at the time of renewal and your sum insured gets doubled if you do not claim in the 2nd year continuously.
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.
It offers you INR 10K in case your hospitalization exceeds 10 continuous days.
Any unused amount is carried forward to the next year and you can earn a 6% bonus on it at the time of renewal.
Take a look at some of the major exclusions of the HDFC ERGO Health Wallet Policy.
Mentioned below are the treatments and medical conditions which are not covered under HDFC ERGO Health Wallet health insurance:
Cosmetic or Plastic Surgery
Injuries resulting from a suicide attempt
Treatment of infertility, birth control, vicarious pregnancy, circumcision
Hospitalization due to alcohol, and drug abuse
Hospitalization due to War
External congenital diseases
Change of gender treatments
Treatment-related to Venereal or sexually transmitted diseases
Treatment of obesity
HDFC ERGO health Wallet covers certain diseases and treatments after a time period. These are:
Listed ailments afte 2 years
Pre-existing diseases after 3 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:
Comprehensive
Get 4X coverage* without any extra cost under this comprehensive health plan for individuals and families.
Unique Features
Comprehensive
This plan is designed to provide you with alternate and basic healthcare facilities at affordable premium options.
Unique Features
Comprehensive
Provides comprehensive medical coverage to individuals and families with different budgets by offering SI options ranging from 5 Lakhs to 50 Lakhs.
Unique Features
Flexible
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
Comprehensive
An individual and family health plan providing SI of up to 1 crore to prepare you to meet constantly increasing medical inflation.
Unique Features
Disease-specific plan
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
Disease-specific plan
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
Critical Illness
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
Top-Up
Avail of extra cover to meet medical expenses without any limitations by purchasing this deductible-based top-up plan.
Unique Features
Women-oriented health
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
Comprehensive
This plan covers the policyholder with basic to advanced healthcare benefits not only within the Indian subcontinents but globally as well.
Unique Features
Comprehensive
Safeguard your financial savings with HDFC Personal Accident Insurance as it covers you against accidental medical expenditures.
Unique Features
See More Health Insurance Articles
See More Health Insurance Articles
Yes, the plan gives a discount of 7.5% on 2 years and 10% on 3 years policy premiums if paid in a lump-sum.
A maximum of 6 members can be added to this policy.
The company allows the policyholder to pay through-
Yes, it does. The plan comes with a 30 days grace period and 15 days free-look period.
You can cover yourself, your spouse, dependent children, dependent parents, and dependent parents-in-law under the HDFC ERGO Health Wallet policy.
Reserve Benefit Sum Insured | Plan | 5000 | 10000 | 15000 | 20000 | 25000 |
For Non Deductible plans | Individual | Not Offered | Up to INR 1.5K per individual | Up to INR 2.5K per individual | Up to INR 3K per individual | Up to INR 3.5K per individual |
For Deductible plans | Individual | Not Offered | Up to INR 1K per individual | Up to INR 2K per individual | Up to INR 2.5K per individual | Up to INR 3K per individual |
Medical expenses like consultation fees of doctors, medicine bills, diagnostics charges can be covered under pre and post-hospitalization.
Yes, there is a 30 day grace period for the renewal of the policy.
If the policyholder needs medical treatment on an emergency basis while he/she is traveling abroad and he/she needs to be hospitalized in an international hospital then the cost of medical expenses is covered.
A single individual policy can cover up to 4 adults and 5 children. Self, Spouse, Father, Father-in-Law, Mother, or Mother-in-Law are all options for the four adults.
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