InsuranceScope India

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FeatureICICI Lombard - Health AdvantEdgeNiva Bupa - ReAssure 2.0 (Bronze)
Room Rent LimitNo limitCapped
ICU LimitNo limitNA
Initial Waiting (Days)3030
Pre-existing Disease Waiting (Years)23
DomiciliaryYes (Covered up to: sum insured)NA
Organ Donor CoverYes (Covered up to: sum insured)Yes
Modern TreatmentsYesYes (Covered up to: sum insured)
Refill on ExhaustionAvailableAvailable
Refill Illness ApplicabilityNARelated 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
Refill Applicable ClaimSubsequent claimsFirst paid claim
ConsumablesYesYes
% Settled < 30 Days99.94%99.95%
% Complaints on Claims0.14%0.43%
Incurred Claim Ratio85.53%61.64%
Claim Settlement Ratio (No.)82.79%90.64%
Claim Settlement Ratio (Value)63.92%74.32%
Claim Rejection Ratio14.11%7.30%
Cashless Hospitals10,700+10,000+
Plan TypeIndividualIndividual / Family Floater