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Health Alpha vs MediCare Premier

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Specifications side by side

Spec
Health Alpha
MediCare Premier
Cover
Plan type
Individual and family floater
Individual and family floater
Sum insured options
5 lakh, 7.5 lakh, 10 lakh, 12.5 lakh, 15 lakh, 20 lakh, 25 lakh, 30 lakh, 35 lakh, 50 lakh, 75 lakh, 1 crore, 150 lakh, 2 crore, 250 lakh, 3 crore
5 lakh, 10 lakh, 15 lakh, 20 lakh, 25 lakh, 50 lakh, 75 lakh, 1 crore, 2 crore, 3 crore
Highest sum insured
300 lakh
300 lakh
Entry age
From 91 days (no maximum stated)
91 days to 65 years
Room rent
Up to actuals or Single Private AC Room or Twin Sharing Room, as opted
No room rent sub-limit stated (In-patient Treatment up to Sum Insured)
Co-payment
None in base (20% if Zone B premium and treated in Zone A; optional voluntary co-pay)
None
Waiting periods
Initial waiting period
30 days
30 days
Pre-existing disease waiting
24 months
24 months
Specific illness waiting
24 months
24 months
Benefits
Pre-hospitalisation
—
60 days
Post-hospitalisation
—
90 days
Day-care treatment
Yes
Yes
AYUSH treatment
Yes
Yes
Restore benefit
Optional: restoration of Base Sum Insured unlimited times during the Policy Year to the extent of claim amount
Additional amount equivalent to base Sum Insured, restored once during the policy year
No-claim bonus
Cumulative Bonus 50% up to 100% to 1000% of Base SI (as opted) per claim-free year, OR 2.5% renewal discount
Cumulative Bonus 50% of base SI per claim-free year, max 100% (50% decrease after a claim) OR 1% discount in renewal premium
Maternity
Optional cover (ages 18-45), 24-month waiting period
Covered: Rs 50,000 (Rs 60,000 girl child) for SI up to 50 lakh; Rs 1,00,000 (Rs 1,20,000 girl child) above; 3-year waiting period
OPD
Optional OPD Cover section
Covered after 2 years of continuous coverage: up to Rs 5,000 per policy year (SI up to 50 lakh) to Rs 20,000 (SI 300 lakh)
Premium
Sample annual premium
₹7,219
—
Sample premium is for
Age band 26-30, Hospitalization Cover Sum Insured Rs 10,00,000, 'Hospitalization Base Office Premium excl GST' from the official rate chart (per insured, before zone/option relativities; Zone A carries 0% discount per prospectus so this is the undiscounted base). Rate chart note: 'Final premium to be assessed basis coverages opted, Zones, family combination, corresponding limits opted, relevant UW parameters'. Policy term not stated on chart.
—
Insurer
Health incurred claim ratio (insurer)
82.19%
76.24%
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)
18,000+
13,000+
IRDAI UIN
SBIHLIP26038V012526
TATHLIP26052V052526

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 Alpha

  • Pro: Pre-existing diseases covered after 2 years, sooner than 82% of the 50 health insurance plans on Comparezi that state it

MediCare Premier

  • Pro: Pre-existing diseases covered after 2 years, sooner than 82% of the 50 health insurance plans on Comparezi that state it
  • Pro: No co-payment on claims
  • Pro: No room-rent cap
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