Cover
Plan type
Individual and family floater
Individual and family floater
Sum insured options
1 crore
5 lakh, 7 lakh, 10 lakh, 15 lakh, 20 lakh, 25 lakh, 30 lakh, 40 lakh, 50 lakh, 75 lakh, 1 crore
Highest sum insured
100 lakh
100 lakh
Entry age
—
18 years (adult); 91 days (dependent child, floater); 5 years (individual policy) to 45 years
Room rent
No limits; any room of choice; no ICU day/charge limits
Any Room (SI Rs 5 lacs and above)
Co-payment
Zero co-pay as a standard feature
Nil
Waiting periods
Initial waiting period
0 days
30 days
Pre-existing disease waiting
—
36 months
Specific illness waiting
0 months
24 months
Benefits
Pre-hospitalisation
60 days
90 days
Post-hospitalisation
180 days
180 days
Day-care treatment
Yes
Yes
Restore benefit
Coverage gets restored unlimited times in a year
Binge Refill: up to 100% of Sum Insured, unlimited times, for any illness/injury
No-claim bonus
—
10% of SI per annum, max up to 100% (optional Super No Claim Bonus 50% per annum, max 100%)
Maternity
Optional add-on: 'Covers delivery expenses and newborn care after the applicable waiting period'
Preferred plan only: normal delivery Rs 40,000 / C-section Rs 60,000 over and above base SI, after 36 months waiting period
OPD
Optional add-on: 'Doctor visits, tests and chemist bills outside the hospital'
Optional cover only
Insurer
Health incurred claim ratio (insurer)
57.82%
71.5%
Claims figures for
FY 2024-25: health incurred claim ratio including personal accident, IRDAI Annual Report (Statement 10)
FY 2024-25: health incurred claim ratio including personal accident, IRDAI Annual Report (Statement 10)
Network hospitals (insurer)
13,200
—
IRDAI UIN
ACKHLIP25035V022425
ADIHLIP22008V012223