
HDFC Ergo Energy Silver Plan
95
Claim Settlement Ratio
15000
Network Hospitals
0
Customer Rating
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95
Claim Settlement Ratio
15000
Network Hospitals
0
Customer Rating
Our Verdict
Expert Review: HDFC ERGO Health Insurance
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About
About HDFC ERGO Health Insurance
Inclusions and Exclusions
Inclusions and Exclusions of HDFC ERGO Insurance Company Limited
Room Rent
Normal: coverage for hospital room rent without any sub-limits
ICU: no limits
Advanced Treatments
Includes modern medical procedures like robotic surgery, organ transplants, and advanced cancer treatments for enhanced healthcare access.
Co-payment
No copayments. Mentioned in the name of the policy itself.
Waiting Period
Initial Waiting Period – 30 days from policy inception, except for accidental injuries.
Pre-Existing Diseases (PED) – Covered after 2 years of continuous policy coverage.
Specified Illnesses & Treatments – A waiting period of 2 years applies to certain listed conditions and procedures.
Maternity Benefits (if applicable) – Typically covered after a 2 to 4-year waiting period, depending on policy terms.
Lifestyle Diseases (Diabetes & Hypertension) – Covered after a specified waiting period as per policy terms.
Cashless Healthcare Providers
16,000 cashless healthcare providers.
Daycare Treatment
Covered under the policy.
AYUSH Treatment
Covered under this policy
Room Rent
Normal: coverage for hospital room rent without any sub-limits
ICU: no limits
Advanced Treatments
Includes modern medical procedures like robotic surgery, organ transplants, and advanced cancer treatments for enhanced healthcare access.
Co-payment
No copayments. Mentioned in the name of the policy itself.
Exclusions
Pre-existing diseases are not covered until the completion of the specified waiting period.
Any illness or hospitalization occurring within the first 30 days of policy inception, except for accidental injuries.
Treatment for self-inflicted injuries, suicide attempts, or harm due to substance abuse, alcohol, or drug use.
Cosmetic or plastic surgery unless required due to accidents, burns, or medically necessary procedures.
Treatment related to HIV/AIDS and other sexually transmitted diseases unless specifically covered.
Congenital diseases, birth defects, and genetic disorders unless explicitly included under policy terms.
Expenses related to dental treatment, vision correction, or hearing aids unless arising from accidental injury.
Experimental treatments, unproven therapies, and procedures not recognized by medical authorities.
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About the company
FAQs
Frequently Asked Questions
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