Cover
Plan type
Individual and family floater
Individual and family floater
Sum insured options
1 crore
3 lakh, 5 lakh, 7.5 lakh, 10 lakh, 15 lakh, 20 lakh, 25 lakh, 50 lakh, 1 crore
Highest sum insured
100 lakh
100 lakh
Room rent
No limits; any room of choice; no ICU day/charge limits
No limit (any room); optional room type modification
Co-payment
Zero co-pay as a standard feature
None mandatory; optional Tiered Network carries 20% co-payment outside the network
Benefits
Pre-hospitalisation
60 days
60 days
Post-hospitalisation
180 days
180 days
Day-care treatment
Yes
Yes
Restore benefit
Coverage gets restored unlimited times in a year
ReAssure Forever: triggers after the 1st claim; unlimited; each claim up to the Base sum insured
No-claim bonus
—
Booster+: unutilised Base sum insured carries forward, up to 1X-10X by variant and entry age
Maternity
Optional add-on: 'Covers delivery expenses and newborn care after the applicable waiting period'
Covered under M-iracle sum insured; waiting period 48 months (Gold+), 24 months (Diamond+), 9 months (Platinum+/Titanium+)
OPD
Optional add-on: 'Doctor visits, tests and chemist bills outside the hospital'
Not covered in base (unlimited e-consultation); optional WellConsult OPD wallet
Insurer
Health incurred claim ratio (insurer)
57.82%
61.22%
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
19,000+
IRDAI UIN
ACKHLIP25035V022425
NBHHLIP26049V022526