InsuranceScope India

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FeatureAcko - Standard Health InsuranceHDFC Ergo - Optima Restore
Room Rent LimitNo limitNo limit
ICU LimitNo limitNo limit
Co-PayNoNA
Disease Sub-limitNoNA
Initial Waiting (Days)3030
Specific Disease Waiting (Years)22
Pre-existing Disease Waiting (Years)33
Pre-Hospitalisation60 days (Covered up to: sum insured)60 days (Covered up to: sum insured)
Post-Hospitalisation120 days (Covered up to: sum insured)180 days (Covered up to: sum insured)
Daycare ProceduresYesYes (Covered up to: sum insured)
DomiciliaryYes (Covered up to: sum insured)Yes (Covered up to: sum insured)
Organ Donor CoverYes (Covered up to: sum insured)Yes (Covered up to: sum insured)
Modern TreatmentsYesNA
Refill on ExhaustionAvailableAvailable
Refill Illness ApplicabilityUnrelated illnessRelated and unrelated illness
Refill TriggerPartial exhaustion of Sum InsuredPartial exhaustion of Sum Insured
Refill LimitUnlimited times in a policy yearUnlimited times in a policy year (Add-on)
Refill Applicable ClaimSubsequent claimsSubsequent claims
ConsumablesYesYes
Bonus Rate10%NA
Bonus Max Limit100%100%
Reduction in Bonus on ClaimNo reductionNA
% Settled < 30 Days99.66%96.63%
% Complaints on Claims0.16%0.15%
Incurred Claim Ratio58.43%87.04%
Claim Settlement Ratio (No.)92.44%95.19%
Claim Settlement Ratio (Value)81.11%77.69%
Claim Rejection Ratio4.24%2.47%
Cashless Hospitals11,500+15,000+
AffordabilityAffordableNA
Plan TypeIndividualIndividual