Cover
Plan type
Individual and family floater
Individual and family floater
Sum insured options
25 lakh, 50 lakh, 1 crore
10 lakh, 15 lakh, 20 lakh, 25 lakh, 30 lakh, 40 lakh, 50 lakh
Highest sum insured
100 lakh
50 lakh
Entry age
From 18 years (principal); 3 months (dependent children) (no maximum stated)
From 91 days (no maximum stated)
Room rent
At actuals at Preferred and Verified Provider Network; up to base Private AC room at Other/non-network providers
Actuals up to Sum Insured
Co-payment
Zero co-payment on base benefits except non-intimation co-payment (30% / 15%, or 20% if Other Provider Network access opted) when treated at Other/non-network providers without timely intimation
None (optional 10%/20%)
Waiting periods
Initial waiting period
30 days
30 days
Pre-existing disease waiting
36 months
24 months
Specific illness waiting
24 months
12 months
Benefits
Pre-hospitalisation
60 days
60 days
Post-hospitalisation
90 days
90 days
Day-care treatment
Yes
Yes
Restore benefit
Optional 'Revive': reinstatement of Base Sum Insured in the same Policy Year upon complete or partial utilisation
ReInsure Benefit: unlimited up to 100% of Base Sum Insured (related and unrelated illness)
No-claim bonus
Optional 'Accumulate Plus': 50% of Base SI per policy year, up to 100% / 200% / 400%
Enhanced Cumulative Bonus: 50% of Base Sum Insured per claim-free year up to 200% (reduced in same proportion if claim settled)
Maternity
Not covered
Covered up to INR 50,000 (normal) / INR 75,000 (C-section); waiting 48 months single adult, 24 months other family combinations
OPD
—
Covered: single adult INR 5,000; other family combinations up to INR 10,000/family
Insurer
Health incurred claim ratio (insurer)
—
82.19%
Claims figures for
—
FY 2024-25: health incurred claim ratio including personal accident, IRDAI Annual Report (Statement 10)
Network hospitals (insurer)
—
18,000+
IRDAI UIN
NHIHLIP27047V022627
SBIHLIP24141V022324