InsuranceScope India

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FeatureNiva Bupa - Health Premier (Gold)Star Health and Allied - Star Health Super Star (Secure)
Room Rent LimitCappedNA
Initial Waiting (Days)30NA
Specific Disease Waiting (Years)1NA
Pre-existing Disease Waiting (Years)23
Post-Hospitalisation180 days (Covered up to: sum insured)NA
Daycare ProceduresYesNA
DomiciliaryYes (Covered up to: sum insured)NA
Organ Donor CoverYesNA
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 ClaimSubsequent claimsSubsequent claims
ConsumablesYesNA
Bonus Max Limit100%NA
% Settled < 30 Days99.95%97.69%
% Complaints on Claims0.43%0.52%
Incurred Claim Ratio61.64%70.53%
Claim Settlement Ratio (No.)90.64%87.17%
Claim Settlement Ratio (Value)74.32%84.62%
Claim Rejection Ratio7.30%11.32%
Cashless Hospitals10,000+14,000+
Plan TypeIndividual / Family FloaterIndividual