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ICICI Lombard vs HDFC ERGO (A Comparison)

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+

Difference between ICICI Lombard vs HDFC ERGO Family Health Insurance Plans

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:

 

  • Both plans offer lifelong renewability, ensuring that the policy can be renewed for the insured person’s entire lifetime. They also have similar benefits such as coverage for hospitalization, restore benefit, room limit, pre and post-hospitalization and so on.
  • A significant difference is in the coverage of maternity expenses. ICICI Lombard Health AdvantEdge includes coverage for maternity expenses, which can be beneficial for couples planning to start a family. In contrast, HDFC ERGO Optima Restore Family Plan excludes maternity expenses from its coverage. Therefore, if maternity coverage is a priority, ICICI Lombard’s plan would be more suitable.
  • Another major difference between both plans is the sum insured limit. HDFC ERGO Optima Restore offers a vast range of sum insured choices ranging from 3 Lacs up to 50 Lacs. While ICICI Lombard offers a limited range of sum insured options, only between 2 Lac and 3 lacs. Keeping in mind the rising costs of medical inflation, this might pose a challenge for persons who wish to provide adequate coverage for their family members.

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.

ICICI Lombard Critical Illness Cover vs. HDFC ERGO Critical Illness Insurance

Plan features

ICICI Lombard Critical Illness Cover

HDFC ERGO Critical Illness Insurance  ( Silver and Platinum Plan)

Coverage

Covers 9 life threatening illnesses:

  • Cancer of specified severity
  • Open chest CABG
  • Stroke resulting in paralysis
  • First Heart Attack
  • Major Organ/Bone Marrow Transplant
  • Kidney Failure
  • Heart Valve Replacement
  • End Stage Liver Disease

Covers 15 life threatening illnesses:

  • Cancer
  • Heart Attack
  • Stroke
  • Major Organ Transplant
  • Multiple Sclerosis
  • Paralysis
  • Kidney Failure
  • Aorta Graft Surgery
  • Coronary Bypass Surgery
  • Brain Tumor
  • End Stage Liver Disease
  • Alzheimer
  • Heart Valve Replacement
  • Parkinson’s Disease
  • Pulmonary Arterial Hypertension

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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