InsuranceScope India

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FeatureNiva Bupa - ReAssure 2.0 (Bronze+)Star Health and Allied - Star Health Premier
Room Rent LimitCappedNo limit
ICU LimitNANo limit
Co-PayNAYes
Disease Sub-limitNAYes
Initial Waiting (Days)3030
Pre-existing Disease Waiting (Years)365
Daycare ProceduresYes (Covered up to: sum insured)Yes (Covered up to: sum insured)
DomiciliaryNAYes (Covered up to: the cover amount)
Organ Donor CoverYesNo
Modern TreatmentsYes (Covered up to: sum insured)NA
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 ClaimFirst paid claimSubsequent claims
ConsumablesYesYes
Bonus RateNA20%
% 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+
AffordabilityAffordableNA
Plan TypeIndividual / Family FloaterIndividual