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When it comes to safe guarding your health, choosing the right insurance provider can seem like a daunting task. Two of the most renowned names are ICICI Lombard and HDFC ERGO. Both the companies offer a wide range of health insurance policies that cater to different health care needs of individuals. But how are their plans different from each other?
In this article, we will compare some key features of ICICI Lombard and HDFC ERGO. We will also compare two of their most popular plans for your better understanding.
Firstly let us look at some key features of both the health insurance providers
About the Company | ICICI Lombard | HDFC ERGO |
Claim Settlement Ratio | 99.7% | 98.49% |
Network Hospitals | 7500+ | 12000+ |
Incurred Claim Ratio | 76% | 62% |
Branches | 200+ | 650+ |
Employees | 10,000+ | 10,000+ |
Now, let us highlight the key differences between the family health plans offered by both the companies, to give you a fair understanding.
Plan features | ICICI Lombard Health AdvantEdge | HDFC ERGO Optima Restore Family |
Hospitalization | Covered | Covered |
Restore Benefit | 100% | 100% |
No Claim Bonus | 20% increase SI, for every claim free year, subject to a maximum of 100% | 50% increase SI, for every claim free year, subject to a maximum of 100% |
Co-payment | Available as optional add on cover | NA |
Room Limit | No Capping | No Capping |
Pre-Hospitalization | 60 days | 60 days |
Post-Hospitalization | 180 days | 180 days |
Health Check-up | Up to ₹ 10,000 | Up to ₹ 10,000 |
Road Ambulance | Covered | Covered |
Air Ambulance | Covered upto SI | Covered |
Waiting period | Pre-exisiting diseases covered after 2 years | Pre-exisiting diseases covered after 3 years |
Maternity Expenses | Covered | Excluded |
Ayush | Covered | Excluded |
Renewability | Lifelong | Lifelong |
Sum Insured | ₹ 2 lacs up to ₹ 3 Lacs | Starting from ₹ 3 Lacs up to ₹ 50 Lacs |
From the perspective of a health insurance buyer, there are several key differences between the family floater plans offered by the two respective companies. As per our conclusion, we are highlighting some key differences:
From coverage point of view, HDFC ERGO Optima Restore Family provides a broader range of options, allowing you better coverage to meet your family’s healthcare needs.
Plan features | ICICI Lombard Critical Illness Cover | HDFC ERGO Critical Illness Insurance ( Silver and Platinum Plan) |
Coverage | Covers 9 life threatening illnesses:
| Covers 15 life threatening illnesses:
|
Renewability | Lifelong | Lifelong |
Lumpsum Payout | Applicable on first diagnosis of any of the specified illnesses | Applicable on first diagnosis of any of the specified illnesses |
Sum Insured | Starting from ₹ 5 Lacs | ₹ 3 up to ₹ 12 Lakh |
While both plans are pretty much similar, ICICI Lombard Critical Illness Cover focuses on a narrower range of nine specific illnesses, while HDFC ERGO Critical Illness Insurance provides coverage for fifteen life-threatening illnesses.
Hence, you must consider the health care needs of yourself and your family members and also check out the specified illnesses covered by each plan to make an informed decision.
Author Bio
This article is written by Team InsuranceLiya.com, an independent website that writes about insurance, finance, health, and more. Our writers have a wealth of knowledge, experience, and degrees in the fields of insurance, finance, economics, and beyond.
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