InsuranceScope India

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FeatureAditya Birla - Activ One (Smart)ManipalCigna - Sarvah (Uttam)
Room Rent LimitNACapped
Co-PayNAYes
Disease Sub-limitNAYes
Pre-existing Disease Waiting (Years)13
Daycare ProceduresNAYes (Covered up to: sum insured)
DomiciliaryNAYes (Covered up to: sum insured)
Organ Donor CoverNANo (Covered up to: sum insured)
Modern TreatmentsNAYes
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 (Add-on)
Refill Applicable ClaimSubsequent claimsSubsequent claims (Add-on)
ConsumablesNANo
Bonus Max LimitNA1000%
% Settled < 30 Days99.90%98.69%
% Complaints on Claims0.16%0.25%
Incurred Claim Ratio75.97%75.45%
Claim Settlement Ratio (No.)94.09%93.07%
Claim Settlement Ratio (Value)79.61%66.77%
Claim Rejection Ratio3.98%6.24%
Cashless Hospitals11,000+26,000+
Plan TypeIndividualIndividual