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Care vs Floater Mediclaim Policy

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Care Health

Care

Sample premium ₹21,061 a year*

Quick verdict

  • Care is better for high sum insured available.

Computed from stored specifications, the published health insurance scoring rules and recorded prices. Not an opinion.

Specifications side by side

Spec
Care
Floater Mediclaim Policy
Cover
Plan type
Individual and family floater
Family floater
Sum insured options
1 lakh, 2 lakh, 3 lakh, 4 lakh, 5 lakh, 7 lakh, 10 lakh, 15 lakh, 20 lakh, 25 lakh, 30 lakh, 40 lakh, 50 lakh, 60 lakh, 75 lakh, 1 crore, 150 lakh, 2 crore, 3 crore, 6 crore
2 lakh, 3 lakh, 5 lakh, 8 lakh, 10 lakh, 12 lakh, 15 lakh, 25 lakh, 50 lakh, 1 crore, 2 crore, 3 crore, 5 crore
Highest sum insured
600 lakh
500 lakh
Entry age
From 5 years (individual); 91 days (floater, with at least one insured aged 18+) (no maximum stated)
3 months to 65 years
Room rent
Rs 5/7/10 lakh (Care 4): Single Private Room; Rs 15-40 lakh and above: Single Private Room upgradable to next level if not available; Rs 1-4 lakh: up to 1% of SI per day
1% of Sum Insured per day, maximum Rs. 15,000 per day (Basic Plan up to Rs 15L)
Co-payment
None mandatory; optional 20% per claim for age 61+
20% if insured from Zone 2 is treated in Zone 1; none otherwise
Waiting periods
Initial waiting period
30 days
30 days
Pre-existing disease waiting
36 months
36 months
Specific illness waiting
24 months
—
Benefits
Pre-hospitalisation
30 days
30 days
Post-hospitalisation
60 days
60 days
Day-care treatment
Yes
Yes
AYUSH treatment
Yes
Yes
Restore benefit
Automatic Recharge: entire sum insured reinstated once per policy year (unlimited times with optional Unlimited Automatic Recharge)
—
No-claim bonus
Flat 10% of base sum insured per claim-free year, up to 50%; reduced by 10% of base SI in a claim year
25% at each claim-free renewal; limit 25%/50% (Basic Plan) or 25%-100% (Uplift Plan); reduced at same rate on claim
Maternity
Only for SI Rs 50/60/75 lakh (Care 6), floater, after 24 months
—
OPD
Not covered in base; optional OPD Care / Everyday Care
—
Premium
Sample annual premium
₹21,061
—
Sample premium is for
Individual 1A, age band 25-35, Care 4 plan, Sum Insured Rs 10,00,000, Zone 1, base gross premium excluding GST
—
Insurer
Health incurred claim ratio (insurer)
64.53%
100.98%
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)
22,100+ (as of Dec 2025)
—
IRDAI UIN
CHIHLIP26055V092526
NIAHLIP25039V102425

A tick marks the better value where the category rules say higher (or lower) is better. Text values are shown without a winner. Ties have no winner.

Pros and cons

Care

  • Pro: Sum insured up to ₹6 crore, higher than 98% of the 52 health insurance plans on Comparezi that state it
  • Pro: No co-payment unless you choose one for a lower premium
  • Con: Shorter pre-hospitalisation cover than 85% of the 49 health insurance plans on Comparezi that state it (30 days)
  • Con: Shorter post-hospitalisation cover than 85% of the 49 health insurance plans on Comparezi that state it (60 days)

Floater Mediclaim Policy

  • Pro: Sum insured up to ₹5 crore, higher than 88% of the 52 health insurance plans on Comparezi that state it
  • Con: Shorter pre-hospitalisation cover than 85% of the 49 health insurance plans on Comparezi that state it (30 days)
  • Con: Shorter post-hospitalisation cover than 85% of the 49 health insurance plans on Comparezi that state it (60 days)
  • Con: Co-payment: 20% if insured from Zone 2 is treated in Zone 1; none otherwise
  • Con: Room rent capped: 1% of Sum Insured per day, maximum Rs. 15,000 per day (Basic Plan up to Rs 15L)
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