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HDFC Ergo

HDFC Ergo

Energy Silver

The HDFC ERGO Energy Silver plan is a specialized health insurance policy tailored for individuals with diabetes (Type 1 and Type 2), pre-diabetes, or hypertension. It offers comprehensive coverage from Day 1 for complications arising from these chronic conditions, eliminating the waiting period for related hospitalizations. The plan provides a sum insured of up to ₹50 lakhs and includes benefits like pre- and post-hospitalization expenses (30-60 days respectively), daycare treatments up to base sum insured, organ donor expenses, and emergency ambulance charges up to ₹2,000 per hospitalization.

What's good here?

coPay

You’ll never have to split the bill

The insurer will bear the entire cost of treatment (up to the sum insured). You won’t have to pay a single penny. Meaning this policy has no co-payment.

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roomRent

You can pick any room you like

Shared room, single room, deluxe room or any room that’s available. The insurer won’t nitpick on your choice of room since the policy has no restrictions on room rent.

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ped

2 years (Day 1 coverage of Diabetes and Hypertension)

If you are already dealing with diabetes or hypertension, then the insurer will cover you from day 1. However, if you are dealing with other pre-existing diseases including thyroid and cardiovascular problems, then you’ll have to wait 2 years before they start covering these complications.

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restoration

Good Restoration Benefit

Even after you claim part of the cover on one occasion, you will have 100% of the cover restored, so that you can use this benefit in the event you have to endure multiple hospitalizations.

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ayush

Covers Alternative Medicine

Think of getting Ayurvedic, Homeopathic or other alternative treatments to cure an illness? Your insurer will cover you fully, up to the sum insured.

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diseaseSublimit

You always have full cover irrespective of the disease

No funny business here. If your insurer hasn’t explicitly stated they won’t cover a certain illness, you can claim the full amount up to the sum insured, irrespective of the disease you’re dealing with. Meaning this policy doesn't impose the dreaded disease wise sub-limits.

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prePost

Pre & Post hospitalization expenses covered

No worries if the doctor had to run a host of diagnostic tests before or after hospitalizing you. The insurer has your back. They will cover this amount in full for a pretty reasonable duration - 30 days before you are hospitalized and 60 days after discharge. This includes the cost of medication by the way.

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dayCare

Day Care treatments covered

If you’re hospitalized for less than 24 hours in lieu of a minor procedure, then the insurer will cover these costs too. Think dialysis, chemotherapy or minor surgeries.

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What's bad here?

domiciliary

No coverage if you are forced to hospitalize at home

The insurer will not cover the costs if you are forced to hospitalize at home due to a medical condition. In insurance lingo, they call this a policy with no domiciliary cover.

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What's okay here?

ncb

Multiplier benefit

Your sum insured increases by 10% each year, even if you've claimed in the previous year. But before you get too ahead of yourself, do note that they’ll stop offering you the bonus when your sum insured increases by 100%. But hey, it's still a bonus.

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healthCheckup

Free Health Checkups

If you want to get a full-body checkup just to make sure you’re in fine working condition, be ready to pay for it yourself. But, you can get reimbursement of up to ₹750 twice a year for your HbA1C tests done.

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Frequently Asked Questions

Yes. Energy Silver imposes 4 kinds of waiting periods -
  • 30-Day Waiting Period: Hospitalizations won’t be covered for the first 30 days of the policy unless it’s an accident.
  • Specific Illness Waiting Period: There’s a 2-year waiting period for a list of diseases which is a mandate before you can start claiming.
  • Pre-Existing Disease Waiting Period: There's a 2-year waiting period for any pre-existing disease you may have while buying the policy.
  • No waiting period for illnesses and conditions arising out of Diabetes and Hypertension like Type 1 and 2 Diabetes Mellitus, Impaired Fasting Glucose, and Impaired Glucose Tolerance.
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