InsuranceScope India

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FeatureHDFC Ergo - Energy (Gold)ICICI Lombard - Elevate (Value)
Room Rent LimitCappedNA
Co-PayYesNA
Initial Waiting (Days)30NA
Specific Disease Waiting (Years)2NA
Pre-existing Disease Waiting (Years)21
DomiciliaryYesNA
Organ Donor CoverNo (Covered up to: sum insured)NA
Modern TreatmentsYes (Covered up to: sum insured)NA
Refill on ExhaustionAvailableAvailable
Refill Illness ApplicabilityRelated and unrelated illnessRelated and unrelated illness
Refill TriggerPartial exhaustion of Sum InsuredPartial exhaustion of Sum Insured
Refill LimitOnce in a policy yearUnlimited times in a policy year
Refill Applicable ClaimFirst paid claimSubsequent claims
Bonus Max Limit100%NA
Reduction in Bonus on ClaimNo reductionNA
% Settled < 30 Days96.63%99.94%
% Complaints on Claims0.15%0.14%
Incurred Claim Ratio87.04%85.53%
Claim Settlement Ratio (No.)95.19%82.79%
Claim Settlement Ratio (Value)77.69%63.92%
Claim Rejection Ratio2.47%14.11%
Cashless Hospitals15,000+10,700+
Plan TypeIndividualIndividual