InsuranceScope India

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FeatureICICI Lombard - ElevateStar Health and Allied - Star Health Premier
Room Rent LimitNo limitNo limit
ICU LimitNo limitNo limit
Co-PayYesYes
Disease Sub-limitNAYes
Initial Waiting (Days)3030
Specific Disease Waiting (Years)1NA
Pre-existing Disease Waiting (Years)165
Daycare ProceduresYes (Covered up to: sum insured)Yes (Covered up to: sum insured)
DomiciliaryYesYes (Covered up to: the cover amount)
Organ Donor CoverNoNo
Modern TreatmentsNoNA
Refill on ExhaustionAvailableNo
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 yearOnce in a policy year
Refill Applicable ClaimSubsequent claimsSubsequent claims
ConsumablesYesYes
Bonus RateNA20%
% 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+
Plan TypeIndividualIndividual