InsuranceScope India

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FeatureHDFC Ergo - Optima Secure Global PlusICICI Lombard - Complete Health Insurance (iHealth)
Co-PayNANo
Pre-existing Disease Waiting (Years)3NA
Daycare ProceduresNAYes (Covered up to: sum insured)
DomiciliaryNAYes
Organ Donor CoverNAYes
Modern TreatmentsNAYes (Covered up to: sum insured)
Refill on ExhaustionAvailableAvailable
Refill Illness ApplicabilityRelated and unrelated illnessNA
Refill TriggerPartial exhaustion of Sum InsuredPartial exhaustion of Sum Insured
Refill LimitUnlimited times in a policy year (Add-on)Once in a policy year
Refill Applicable ClaimSubsequent claimsSubsequent claims
ConsumablesNANo
Bonus RateNA10%
% 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