TOP 5 HEALTH INSURANCE PLANS IN INDIA
TOP 5 HEALTHINSURANCE PLANS IN INDIA
Picking the right health insurance plan is hard.
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People delay buying because it takes time to research.
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So, this guide compares the top 5 health insurance plans in India using data like claim settlement, complaints, features, pricing, etc.
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This is not a financial advice—just a helpful guide from research.
Choosing a good health insurance is a very difficult task. You
have to do a lot of research for a long time or even for a few weeks. Because
of this research, a lot of people are waiting without taking insurance.
To simplify this effort for you, we are going to take the
top 5 plans in India, that is, we are going to take the top 5 plans at
this point and compare them. That too with data. When we say data, we
need to know the claim settlement ratio, if there are any complaints, what
features are there in the policy, are there any good features, likewise,
how is your pricing, we need to know everything in detail.
NOTE :- First and foremost, I am not a financial advisor
or an insurance advisor. This is the data compiled through my research and
online resources. This is just a guidance, there are no products or
recommendations in this.
You have to choose what suits you and your situation. In
this rating, 0 means bad, 5 means super. Now, we will add these two
ratings, compare their value and give a final rating.
Now, we will start directly from the top 5 plans. In
the first place, there is STRC Ergo Optima Secure. STRC Ergo is the name
of the company, Optima Secure is the name of the plan.
Here, the rating of the insurance company is 4.5. This
is the top rated. Their claim settlement ratio, complaints to volume, solvency
ratio, we can see how these metrics are here. Next, the feature
rating of this policy is also 4.5. Before STRC, the policy called Optima
Restore was the bestseller.
Because its features were very good. Optima Secure gave
better features than that and became the bestseller. A very attractive
feature of this policy is that, from the first day we bought it, they
would have given us double the coverage.
That is, if you have taken a plan with a coverage of 10 lakhs, from the
first day, they will add another 10 lakhs as a secure benefit. That is, we
have a total coverage of 20 lakhs. Next, in many policies, only
medical costumes and doctor costumes will be covered.
Non-medical items cannot be covered. When I say
non-medical items, I mean gloves, bandages, syringes, all such things
will be covered separately. But in this plan, they will cover all
these without any extra cost.
Next year, you will get an extra coverage bonus of 50%. That
is, if you take a policy of 10 lakhs, after a year, they will add an extra
5 lakhs. But they will add this up to a maximum of 100%.
That is, the bonus will be added up to a maximum of 10
lakhs. In many policies, only if you don't claim for a year, they
will give you a bonus the next year. Here, even if you claim, even if
you don't claim, this bonus will be added to you.
In this plan, there is no limit for room rent. No
matter which room you stay in, it will be covered completely. Similarly,
there is no limit for copay class, disease-wise sub-limit, there is
no limit at all.
Usually, if you want to take a plan, it is very common
to take it without a limit like this. If they are alternative medicines, Ayurveda,
Unani, they will give coverage for such treatments. Also, once a
year, there is a restoration cover.
That is, if we get a lot of medical bills in the middle, and
if all our coverage is over, they will completely restore it once. If
you pay a little extra and add on, this will turn into an unlimited
restoration. That is, whenever it is over, they will refill it again
and again.
The only big problem in this policy is its cost. This
is an expensive plan. If you have a budget problem, we will take a
look at cheaper and better plans next.
in the second place, there is Care Supreme. The feature
rating in this plan is also very good. But the insurer rating is very low
when compared to HDFC.
Their advantage is the affordability. The cost of the
policy is very low. So overall, according to the final rating, they
are in the second place.
We can see their claim settlement ratio, complaints,
and other metrics here. Care is the name of an insurance company. This
Supreme is the best selling product in that.
The top feature of this plan is unlimited restoration cover. That
is, even if it is empty every time, they will automatically refill it. Likewise,
there is no sub-limit.
There is no room rent limit, copay class, or business
limit. In this plan, even if we claim for a year, even if we don't
claim, when we go to the next year, they will automatically give a
bonus. You will get a bonus up to 50% and you can take it up to a
maximum of 100% here as well.
If you pay a little extra and add on, they will give
you an additional 100% bonus. This time, it can be extended up to 500%. That
is, if you take a policy with a coverage of 10 lakhs and add on, if
you renew it continuously for 5 years, you will get a bonus coverage up to
60 lakhs.
A big advantage over this policy is your cost. When
compared to Optima Secure, it is 30% to 50% cheaper. For example, if
a 28-year-old person is in a city like Bangalore, in Optima Secure, Rs.13,800
will not be charged for a year.
If we compare this to Care Supreme, Rs.9,000 will be
enough. Their negative is that they don't know how smooth the claim
settlement is. Likewise, their complaints are more when compared to
XTCR.
Next is Active Onemax from Aditya Villa. Even if the
feature is not super duper, the quality and affordability of the insurer
are good. There are no limits in this policy.
There are no restrictions like womb rent limit, co-pay
class, or disease-wise supplement. Their plus point is that there
is unlimited restoration benefit. That is, even if we complete a coverage, they
will keep refilling every time.
You will get a free health checkup for a year. Likewise, if
we renew the policy, we will give a bonus up to 100%. Even if we
don't claim it, even if we don't have a house, this bonus will keep
coming.
They have set a particular limit for that. They will
give a maximum coverage of 3 crores. Alternative medicines like Ayurveda, homeopathy
also have coverage.
The feature to be careful about is the waiting period
for pre-existing illness. Usually, if we already have any complaints related
to BPO, diabetes, or heart, if we have to claim anything related to that, there
will be a wait time. Most of the policies have a wait time of 2-3
years.
You can get these policies in the top features and
the lowest price. But the quality rating of the insurer is low. If
I have to say a very highlighted feature, they give you an age
log benefit.
That is, all these health insurances keep
increasing according to our age. After we buy, the premium keeps
increasing. In the beginning, whatever premium you took, you can
keep touching the same premium.
If you don't claim, the premium keeps increasing. This
is applicable to everyone. That is, no matter how many years you
don't claim, you can continue with the premium you took.
But after you claim, this premium also according
to our age. There is no co-payment clause here, no room rate claimant, no
sub-limits for unlimited restoration benefit and free health
check-ups. If they are alternative medicines, they will give Ayurveda
and homeopathy treatments.
We can see their claim settlement ratio, compliancy, and
other metrics here. They also have a 3-year waiting period
for Next, there is a plan called Elevate from ICICI Lombard. Even
if their feature rating and affordability are good, their
insurer rating is low.
An important reason for this is that their claim
settlement ratio is not that high. This plan has a super
advantage. Even if there are not many features in your base
variant, if you add on and add on, this plan will become
exceptional.
For example, if you add on there will be for
pre-existing diseases. In this plan, 3 years is a bit too
much. But if you add on the diseases you the waiting period
will be reduced to 30 days.
This is a very good feature. Likewise, they
have many other add-ons. To say the good features of there
is no copay class.
They will pay the entire bill. There is no need
to split the bill. Likewise, disease-wise sub-limit.
They will cover all existing diseases. They
also provide unlimited restoration. If you claim within a
year, your coverage will be gone and you will have to refill
again.
They will cover alternative medicines in The
negative is that there is no unlimited room rent limit. If
you want to be admitted in a hospital, they will cover
single private room costs. If you want existing diseases, you
will at least 3 years.
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