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Health Shield 360 Retail

ICICI Lombard General Insurance Company Limited

Score
90
3/10
Low Risk
Premium Range
₹4,996 - ₹50,000/yr
Coverage
₹5L - ₹50L
Claim Ratio
97.47%
Waiting Period
Pre-existing diseases covered after 48 months continuous coverage

Best For

Families and individuals looking for comprehensive health insurance with wellness ecosystem, modern treatment coverage and unlimited reset benefits

Pros
  • Unlimited reset for different illnesses
  • Guaranteed cumulative bonus not reduced after claim
  • AYUSH hospitalization covered
  • Modern treatment coverage available
  • Air ambulance cover included
  • Strong wellness rewards ecosystem
  • Unlimited teleconsultation
  • Home care treatment available
  • Preventive health check-up available
  • Cashless network support
Cons
  • PED waiting period is 4 years
  • Reset benefit has relapse restriction
  • Home care treatment needs prior approval
  • Many domiciliary illnesses excluded
  • Optional covers require extra premium
Hidden Clauses — Read Carefully
  • Reset benefit does not apply to same illness relapse within 45 days
  • Reset benefit does not trigger for first claim in policy year
  • Guaranteed cumulative bonus usable only after base sum insured exhaustion
  • Wellness points require minimum 400 points for redemption
  • Wellness points expire after carry-forward duration
  • Home care treatment through network provider preferred
  • Air ambulance available only within India
  • Transportation from hospital to residence not covered
  • Wellness program terms may change as per regulatory framework

my: Optima Secure

HDFC ERGO General Insurance Company Limited

Score
79
2/10
Low Risk
Premium Range
Varies
Coverage
₹5L - ₹2Cr
Claim Ratio
97.5%
Waiting Period
Pre-existing diseases covered after 3 years subject to continuous coverage and disclosure requirements.

Best For

Families seeking high effective coverage with restoration and long-term hospitalization protection.

Pros
  • Strong restoration architecture
  • Same illness restore supported
  • No room rent restriction
  • Consumable coverage through Protect Benefit
  • High effective usable coverage
  • Strong catastrophic hospitalization protection
  • Large cashless hospital ecosystem
  • AYUSH and modern treatment coverage
  • Strong long-term inflation protection
Cons
  • Policy wording complexity high
  • Deductible structures can disable benefits
  • Premium escalation possible with age
  • Strict underwriting behavior reported for PED cases
  • Global treatment conditions operationally restrictive
  • Cashless overseas treatment not guaranteed
Hidden Clauses — Read Carefully
  • Single claim cannot exceed Base Sum Insured plus applicable Plus Benefit plus Secure Benefit.
  • Restore benefit subject to policy wording conditions.
  • Plus Benefit credited only after completion of policy year.
  • Home healthcare available only on cashless basis in select cities.
  • Deductible variants can disable Protect, Restore and Plus-related benefits.
  • Overseas treatment claims may work mainly on reimbursement basis.
  • Portability continuity may not fully preserve planned overseas treatment waiting periods.

Home Credit Assure Shakti + Bharat Griha Raksha Plus - Long Term Insurance

HDFC ERGO General Insurance Company Limited

Score
66
3/10
Low Risk
Premium Range
Varies
Coverage
Varies
Claim Ratio
97.45%
Waiting Period
Critical Illness waiting period is 90 days. Angioplasty waiting period is 180 days.

Best For

Home loan borrowers seeking bundled long-term property protection, critical illness, personal accident and EMI protection benefits.

Pros
  • Very high maximum sum insured up to INR 4 crore
  • Long tenure property protection up to 30 years
  • Strong critical illness coverage options
  • No survival period for critical illness claims
  • Covers disappearance and comatose under accidental death
  • Multiple policy structures including floater and multi-individual
Cons
  • Coverage restricted to loan-linked customers
  • No cumulative bonus structure
  • No maternity benefits
  • No restoration/recharge benefit
  • Several sections applicable only for salaried individuals
Hidden Clauses — Read Carefully
  • If 100% claim is paid under Major Medical Illness or Personal Accident section, corresponding linked section terminates
  • Reducing balance sum insured applies for older ages and longer loan tenures
  • Loss of Job benefit payable only once during policy period
  • Claim must generally be reported within 30 days from date of loss
  • Angioplasty covered only under Platinum 52 illness option
  • EMI benefit applicable only for salaried insured persons