InsuranceScope India

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FeatureAditya Birla - Activ One (Economy)ICICI Lombard - Elevate
Room Rent LimitNANo limit
ICU LimitNANo limit
Co-PayNAYes
Initial Waiting (Days)NA30
Specific Disease Waiting (Years)NA1
Pre-existing Disease Waiting (Years)31
Daycare ProceduresNAYes (Covered up to: sum insured)
DomiciliaryNAYes
Organ Donor CoverNANo
Modern TreatmentsNANo
Refill on ExhaustionAvailableAvailable
Refill Illness ApplicabilityRelated and unrelated 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
Refill Applicable ClaimSubsequent claimsSubsequent claims
ConsumablesNAYes
% Settled < 30 Days99.90%99.94%
% Complaints on Claims0.16%0.14%
Incurred Claim Ratio75.97%85.53%
Claim Settlement Ratio (No.)94.09%82.79%
Claim Settlement Ratio (Value)79.61%63.92%
Claim Rejection Ratio3.98%14.11%
Cashless Hospitals11,000+10,700+
Plan TypeIndividualIndividual