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HDFC Ergo Energy (Gold)

Introduction to HDFC Ergo Energy (Gold)

HDFC Ergo Energy (Gold) is a health insurance policy offered by HDFC ERGO General Insurance Company Limited. A health insurance plan promises to pay for hospitalization expenses as well as expenses incurred before and after a hospitalization. When it comes to protecting your health, selecting the right health insurance plan is crucial. HDFC Ergo's Energy (Gold) is an exclusive plan designed specifically for individuals with diabetes. With this plan, you gain access to a various benefits and features tailored to meet your healthcare requirements, allowing you to prioritize your well-being without worrying about exorbitant expenses.
 

Verdict: HDFC Ergo Energy (Gold)

This plan is specifically tailored to cater to people with diabetes and hypertension. It is quite easy on the pocket.It not only includes hospitalization and associated expenses but also offers immediate coverage for diabetes and hypertension. Additionally, it covers the cost of HbA1C tests and provides incentives for maintaining good health, which are determined by medical test results and health parameters such as BMI, BP. cholesterol, etc. However, the plan does not provide the option for monthly premium payments. And, our research indicates that the insurer has received fewer complaints related to claims, reflecting a positive claims experience. But, there has been a higher number of complaints related to policy purchases, suggesting a poor track record in terms of purchase experience.

Pros & Cons: HDFC Ergo Energy (Gold)

  • arrow Cheaper than other products in the market
  • arrow No restrictions on the type of hospital room you choose
  • arrow Covers diabetes & hypertension from day 1
  • arrow Provides incentives for good health based on medical test results & health parameters like BMI, BP, etc.
  • arrow Covers the costs of HbA1C test
  • arrow Received fewer complaints on claim settlement compared to other insurers
  • arrow Monthly premium payment mode not available
  • arrow Does not cover health check-up expenses
  • arrow Received higher number of complaints during policy purchase compared to other insurers
  • arrow Our study observed their responses on Twitter to be average in comparison to other insurers

Specific Exclusions: HDFC Ergo Energy (Gold)

01 Injury or disease due to war, invasion, act of foreign enemy, and warlike operations.
02 Injury or illness due to nuclear, chemical or biological attack or weapons
03 Treatment related to intentional self inflicted Injury or attempted suicide by any means
04 Injury or illness due to self injury or participation or involvement in naval, military or air force operation
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About HDFC Ergo General Insurance Company Limited

HDFC Ergo General Insurance Company Limited logo

HDFC ERGO General Insurance Company Limited is a joint venture between HDFC Ltd. and ERGO International AG. The company offers a wide range of general insurance products ranging from Motor, Health, Travel, Home, and Personal Accident in the retail space to Property, Marine, and Liability Insurance in the corporate space. It was founded in 2002 and is headquartered in Mumbai, Maharashtra. Mr. Ritesh Kumar is the company's CEO.

Founded in
2002
JV Partners
HDFC and Ergo International AG
Turnover (GWP)
945.13 Crores
Number of Policies
22,77,486
Number of Claims
11,99,047

Detailed Product Specs: HDFC Ergo Energy (Gold)

Claims Experience advisor
Customer Service advisor
Product Benefits (10L Sum Insured) advisor
Limits and Exclusions advisor
% of claims settled in less than 30 days
Reflects on the speed of settling valid claims
95.75%
% of Complaints received on overall claims
% customers unhappy with claims experience
0.08%
Claims Incurred Ratio
83.53%
Claim Settlement Ratio (No. of claims)
What % of the claims received were paid?
83.31%
No. of Cashless Hospitals
12,000+

Notes
  1. The health insurance data was last updated in June 2023. All data has been sourced from product brochures, policy wordings, prospectus, public disclosures (Q1, FY 2023-2024), IRDAI annual report (2021-22), insurer websites, and the IRDAI website. 
  2. For now, we have considered the most comprehensive plans from leading insurance companies. We will keep updating the product pages with new plans in the coming days.
  3. We have rated only those plans that can be serviced by individual advisors. This is because of our strong belief that health insurance customers need professional assistance from individual advisors before and after purchase. We do not recommend and hence do not rate direct-to-customer health insurance plans or plans where there aren't enough advisors available to service. 
  4. Affordability assessment of plans: 
    • The affordability of comprehensive plans is assessed using premiums for a family of two adults (30 years old) and one child (1 year old) residing in Zone 1 opting for a cover of ₹10 Lakhs. And, the premiums are as of 31st June 2023.
    • The affordability of Care Freedom Plan is assessed using premiums for a 30-year-old male residing in Zone 1 opting for a cover of ₹5 Lakhs. And, the premiums are as of 31st June 2023.
  5. The product benefits section is based on a sum insured of ₹10 Lakhs and only highlights the top benefits and features of health insurance plans. 
  6. Only those hidden and special conditions that apply to the benefits and features we have considered are included in the product pages. 
  7. The product pages only include the most significant specific exclusions under each plan.
  8. The product pages do not include any generic terms, conditions, or exclusions (those that are the same and apply to all health insurance plans).
  9. If the policy wording, brochure, or prospectus state that a benefit/feature is available with a specific plan but it is not available online when generating the premium quote, we have not considered that benefit/feature to be available with the plan.
  10. The response time on Twitter (Beta) was calculated using a sample set of tweets from April, May, and June 2022 (analyzed in August, September, and October 2022). 
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