InsuranceScope India

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FeatureICICI Lombard - ElevateStar Health and Allied - Star Health Cardiac Care (Platinum)
Room Rent LimitNo limitCapped
ICU LimitNo limitNA
Co-PayYesNA
Initial Waiting (Days)3030
Specific Disease Waiting (Years)12
Pre-existing Disease Waiting (Years)13
Daycare ProceduresYes (Covered up to: sum insured)NA
DomiciliaryYesYes
Organ Donor CoverNoYes (Covered up to: sum insured)
Modern TreatmentsNoNA
Refill on ExhaustionAvailableAvailable
Refill Illness ApplicabilityRelated and unrelated illnessNA
Refill TriggerPartial exhaustion of Sum InsuredNA
Refill LimitUnlimited times in a policy yearOnce in a policy year
Refill Applicable ClaimSubsequent claimsSubsequent claims
ConsumablesYesNA
Bonus Max LimitNA200%
% Settled < 30 Days99.94%97.69%
% Complaints on Claims0.14%0.52%
Incurred Claim Ratio85.53%70.53%
Claim Settlement Ratio (No.)82.79%87.17%
Claim Settlement Ratio (Value)63.92%84.62%
Claim Rejection Ratio14.11%11.32%
Cashless Hospitals10,700+14,000+
AffordabilityNAExpensive
Plan TypeIndividualIndividual