HDFC ERGO Health Wallet Health Insurance

Claim Settlement Ratio | 86.52% |
COVID-19 Cover | Yes |
In-House Claim Settlement | Available |
Network Hospitals | 10,000+ |
Policies Sold | 10,66,395 |
Renewability | Lifelong Renewability |
About HDFC ERGO Health Wallet Health Insurance
Health Wallet by HDFC ERGO General Insurance is a medical insurance plan which provides unique coverage benefits. It is an indemnity oriented health insurance plan which pays for the hospitalisation costs incurred. Moreover, the plan can be taken on an individual or family floater basis. A unique feature about the plan is that the unutilised amount of the plan’s coverage under Reserve Benefit can be carried forward to the next year and can be accumulated for high medical costs later on. Moreover, the accumulated carried forward benefit can also be used to pay for OPD expenses or the premium of the policy.
The sum insured under the policy starts at Rs. 3 Lakh and goes up to Rs. 50 Lakh. All the basic coverage benefits are included like inpatient hospitalisation, ambulance costs, organ donor cover, day care treatments, etc. Moreover, there are value-added benefits like multiplier benefit, restore benefit, recovery benefit, etc.
Health Insurance Calculator
Whom do you want the insurance for ?
Select the age of all members
- You
Where do you live ?
Choose required Coverage for yourself?
Key Inclusions and Exclusions of the Plan
What's Included
- 100% restoration of sum insured if the coverage limit is used up in a policy year
- Lump sum recovery benefit of INR 10,000 if hospitalisation exceeds 10 days
- Free annual health check-ups every year
- Worldwide emergency coverage for up to 50% of the sum insured
- Reserve benefit of Rs. 5000 to Rs. 25,000 every year which can be carried forward if not utilised
What's Not Included
- Attempted suicide or self-inflicted injuries
- Treatment for an injury due to war and related perils are not covered
- Expenses incurred for the diseases due to the use or abuse of alcohol and drugs are excluded
- All treatment related to cosmetic is not covered under the policy
- Obesity or wealth control related treatments are not covered by the policy
1957 HDFC ERGO Cashless Network Hospitals in India
Choose HDFC ERGO Critical Illness Plan
Choose HDFC ERGO Plan for

Claim Process at HDFC ERGO Health Insurance
Buy Insurance Plans - Compare & Save Big*
FAQs on Health Wallet Health Insurance Plan
How does Reserve Benefit work?
There is a coverage limit on Reserve Benefit under the plan. This benefit covers the OPD expenses incurred by the policyholder on consultations, diagnostic tests, medicines, etc. After the end of the policy year, if the Reserve Benefit coverage is not utilised in full, the unused amount is carried forward to the next year. This accumulation continues every year there is an unused balance. Moreover, 6% bonus is also added on the carried forward balance. The accumulated balance can then be used to pay the premium or for OPD expenses.
What is the multiplier benefit?
Multiplier benefit is a no claim bonus which is allowed if no claim is made in a policy year. For every claim-free year, the sum insured increases by 50% and, therefore, doubles after two claim-free policy years.
What are the eligibility requirements of buying the plan?
Individuals aged 91 days and above and up to 65 years can buy the plan. Children aged 91 days to 5 years are allowed coverage only when either parent is insured under the plan
Which family members can be covered under the plan?
Self, spouse, dependent children, dependent parents and dependent parents-in-law can be covered.
For how long can the policy be renewed?
The policy offers lifelong renewals without a maximum limit on exit age.
What are the waiting periods under the plan?
There is an initial waiting period of 30 days after buying the policy during which illnesses suffered would not be covered. Thereafter, specific ailments like hernia, cataract, etc. are covered after a waiting period of 2 years. For pre-existing illnesses, the waiting period is 3 years.
What is the limit of coverage on ambulance costs?
Ambulance costs are covered for up to Rs. 2000 per instance of hospitalisation.
What is AYUSH Treatment?
AYUSH treatments mean treatments taken under non-allopathic medical practices like Ayurveda, Unani, Siddha and Homeopathy.
Are medical check-ups required before buying the policy?
Pre-entrance medical check-ups might be required depending on the age of the insured and the sum insured opted for. If the tests are conducted and the policy is accepted by the insurance company, the cost of the medical check-ups would be reimbursed fully.
What does worldwide emergency care cover?
Under worldwide emergency care, if the insured suffers a medical emergency when travelling abroad and is hospitalised in an international hospital, the cost of treatments are covered.