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Health Insurance · head to head

Health Protector (Individual Health Protector) vs Family Health Optima Insurance Plan

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Quick verdict

  • Health Protector (Individual Health Protector) is better for shorter waiting periods.

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

Specifications side by side

Spec
Health Protector (Individual Health Protector)
Family Health Optima Insurance Plan
Cover
Plan type
Individual
Family floater
Sum insured options
0.5 lakh, 1 lakh, 1.5 lakh, 2 lakh, 2.5 lakh, 3 lakh, 3.5 lakh, 4 lakh, 4.5 lakh, 5 lakh, 6 lakh, 7 lakh, 8 lakh, 9 lakh, 10 lakh, 11 lakh, 12 lakh, 13 lakh, 14 lakh, 15 lakh, 16 lakh, 17 lakh, 18 lakh, 19 lakh, 20 lakh
5 lakh, 10 lakh, 15 lakh, 20 lakh, 25 lakh
Highest sum insured
20 lakh
25 lakh
Entry age
91 days to 65 years
18 years (adults); 16 days (dependent children) to 65 years
Room rent
No capping for SI Rs 5 lakh and above; below Rs 5 lakh: 1.75% of SI per day (class A cities) / 1.50% (other cities)
Single Private A/C Room
Co-payment
None (optional 10%/20%/25%)
20% of each and every claim for Insured Persons whose age at entry is 61 years and above
Waiting periods
Initial waiting period
30 days
30 days
Pre-existing disease waiting
36 months
36 months
Specific illness waiting
12 months
24 months
Benefits
Pre-hospitalisation
60 days
60 days
Post-hospitalisation
90 days
90 days
Day-care treatment
Yes
Yes
AYUSH treatment
Yes
Yes
Restore benefit
Reinstatement of Basic Sum Insured to the extent of claim paid; free for first claim in policy year, premium charged thereafter
Automatically restored 3 times in a Policy Year by 100% each time upon exhaustion; usable only for illness unrelated to earlier claims (not for Modern Treatment)
No-claim bonus
Cumulative Bonus 25% of basic SI for first claim-free renewal, then 10% per claim-free year, max 100%
Loyalty Bonus 10% of expiring Sum Insured per year (irrespective of claims), up to maximum 100% of Sum Insured
Maternity
Not covered
—
OPD
Not covered
Not covered (unlimited tele-consultation only)
Premium
Sample annual premium
₹10,649
—
Sample premium is for
Age band 26-35, Sum Insured Rs 10,00,000, 'Rate Sheet of Health Protector portfolio without Critical Illness', annual, 'Above rates (in Rs) are exclusive of Taxes'; no premium zones in rate chart; before discounts
—
Insurer
Health incurred claim ratio (insurer)
83.74%
70.3%
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)
10000+
16,000+
IRDAI UIN
IFFHLIP26041V062526
SHAHLIP26046V092526

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

Health Protector (Individual Health Protector)

  • Pro: Specific illnesses covered after 1 year, sooner than 89% of the 46 health insurance plans on Comparezi that state it
  • Pro: No co-payment unless you choose one for a lower premium
  • Pro: No room-rent cap
  • Con: Lower maximum sum insured than 82% of the 52 health insurance plans on Comparezi that state it (₹20 lakh)

Family Health Optima Insurance Plan

  • Con: Co-payment: 20% of each and every claim for Insured Persons whose age at entry is 61 years and above
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