
HDFC ERGO Energy Silver Plan
95
Claim Settlement Ratio
15000
Network Hospitals
9.4
Customer Rating
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95
Claim Settlement Ratio
15000
Network Hospitals
9.4
Customer Rating
Our Verdict
Expert Review: HDFC ERGO Health Insurance
Final Verdict
About
About HDFC ERGO Health Insurance
Inclusions and Exclusions
Inclusions and Exclusions of HDFC ERGO Insurance Company Limited
ICU Charges
No restriction on ICU room rent
Disease-wise sublimits
No
Co-payment
Available as an option
Restoration Benefit
Yes, your sum insured restores to 100% each time you make a claim in a policy year, for both related and unrelated illnesses
Cumulative Bonus
Your sum insured increases by 10% every year, maximum up to 100%
Room Rent
All room categories are covered
Consumable Cover
Yes
Initial Waiting Period
30 days
Specific Waiting Period
2 years
PED Waiting Period
2 years
Modern Treatment
Hospital expenses for listed advanced treatments are covered up to your full sum insured during the policy period
Annual Health Checkup
Health check-up is available twice every policy year, from day 1 of the policy
Daycare Treatment
Covers medical expenses for treatments not requiring 24-hour hospitalization, up to your annual sum insured
AYUSH Treatment
Covers AYUSH treatment expenses up to your annual sum insured during the policy period
Pre-Hospitalisation
You get cover for medical tests and doctor visits up to 30 days before hospitalisation, if your main claim is approved
Post-Hospitalisation
You get cover for medical bills up to 60 days after discharge, including physiotherapy if your doctor prescribes it
Outpatient Department Cover (OPD Expense)
OPD expense is not included
Deductible Option
Not available
Cashless Healthcare Providers
15,000+ Healthcare Providers
Coverage Options
Available coverage options: ₹2L, 3L, 5L, 10L, 20L, 25L, 50L
Maternity Cover
Not available
Claim Settlement Ratio
95%
ICU Charges
No restriction on ICU room rent
Disease-wise sublimits
No
Co-payment
Available as an option
Exclusions
Any pre-existing diseases (other than diabetes and hypertension) not covered during the waiting period.
Expenses related to self-inflicted injuries, suicide, or attempted suicide.
Treatment for alcohol or drug abuse, including rehabilitation programs.
Any illness or injury arising from war, terrorism, or civil unrest.
Injuries or conditions resulting from participation in hazardous sports or activities.
Cosmetic or plastic surgery unless required due to an accident or medical necessity.
Treatment related to obesity, weight control, or bariatric surgery.
Expenses for experimental, unproven, or alternative treatments.
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