Comparison of Health insurance plans in india 2025

Hey folks, there are more than 100 videos on this topic already available on YouTube. Everyone has their own funda, everyone has their own choices. But purchasing a best health insurance plan is a very difficult task. Because all insurance companies give the title of best health insurance to their health insurance plan. But when it's time to file a claim, this same best plan becomes the worst plan. In my opinion, the best health insurance plan is the same health insurance plan which doesn't bother you while filing a claim and easily settles your claim. If we talk about the features, then all the features are secondary. So in today's video, I have brought to you the comparison of the 7 best health insurance plans of the leading 7 health insurance companies in our country. Watch this video till the end, don't skip it. Share it with your friends and relatives. If you have come to Insurance Seva for the first time, then subscribe to Insurance Seva and press the bell icon. First of all, you should know which are these 7 health insurance companies and which are the 7 health insurance plans of these 7 health insurance companies. I have taken the Elevate plan of ICC Lombard, Optima Secure of HDFC Ergo, Medicare, Premier and Light of Tata AIG, Active plan of Aditya Birla, Neva Bupa's Reassure 2.0, Star Health's Superstar plan which has been launched recently, and Care Health's Ultimate Care plan which has also been launched recently. So first of all, we will talk about the fundamentals of these 7 health insurance companies. What is their claim settlement ratio? What is their claim ratio? What is the status of their claims? What is their process? How many network hospitals do they have? Folks, I have done a lot of research to get this data. It took me a long time to get the claim settlement ratio. Because the claim settlement ratio is a controversial subject. IRDA does not publish the claim settlement ratio on their website. So, claim settlement ratio is available on many sites. It was very difficult to find out which one is correct and which one is genuine. It was very difficult to find out. But I have done a research and I have compared and tallied that research with the claim settlement ratio of Insurance Seva. Then I am going to publish it here. So first of all, we will talk about ICC Lombard. So their claim settlement ratio is 97%. 97% is a good claim settlement ratio. All the claim settlements above 95% will be considered best. The second number we talk about is HDFC Ergo 99%. This is the best company. I have been seeing this for many years. It has been on its claim settlement for many years. It is around 99% or 100%. I have taken this claim settlement comparison from the website of Economic Times. And after taking it from there, I compared it with the claim settlement ratio of Insurance Seva. Which was almost the same. If I talk about HDFC Ergo, Then our own claim settlement ratio is 100%. But 99% I have taken it from the website of Economic Times. On the third number we will talk about Tata AIG. So their claim settlement ratio will be 95%. Aditya Birla 93%. Neewa Bupa 92%. Star Health 82%. Here it is a little compromised. If I talk about Star Health, then their products are also good. Their premiums are also economic as compared to other products. But here the claim settlement ratio and fundamentals are compromised. Lastly, we will talk about Care Health Insurance. So their claim settlement ratio will be 93%. Now let's talk about the Incurred Claim Ratio. So the Incurred Claim Ratio has recently been published by IAD in December on their website. IC Selombat 79%. HDFC Ergo 81%. Which will be the best here too. Tata AIG 78%. Aditya Birla 68%. Neewa Bupa 59%. If we talk about Star Health, then 66%. And if we talk about Care Health, then 58%. Incurred Claim Ratio means how much total premium you have earned in a year. And how much amount of claim have you paid against it. Ideally, your Incurred Claim Ratio should be above 60%. And it should also be below 80%. If your Incurred Claim Ratio is below 60%, then it means that thought process is going to earn a little profit. It is not customer oriented. And it should be less than 80%. Otherwise, you will be at a loss. Then you will have to increase your premiums. Now let's talk about Solvency Ratio. If you want to know the fundamentals of an insurance company, then it is very important to know the Solvency Ratio. Because Solvency Ratio tells you what is the capacity of that insurance company. In other words, how strong is that insurance company financially. In the coming time, how long can it survive. If I talk about ICICI Lombard, then their Solvency Ratio is 2.68. That means whatever total liabilities they have. If there are liabilities of Rs. 100, then they have Rs. 268 against it. That means they have more money and assets than double the liabilities. HDFC Ergo, Rs. 1.68. That means they have Rs. 168 assets and money against Rs. 100 liabilities. Tata AIG, Rs. 2.09. That means they have more than double the liabilities. Aditya Birla, Rs. 1.67. Neewa Bupa, Rs. 2.55. They also have a lot of Solvency Ratio. 2.21 for Star Health. And if we talk about Care Health, then their Solvency Ratio will be 1.74. Now let's talk about Network Hospitals. Network Hospitals are an important aspect. Because you are purchasing a health insurance policy, then you should know that the number of Network Hospitals of the health insurance policy you are purchasing all over India. So, they have 15,000 plus ICICI Lombard. They have 14,000 plus HDFC Ergo. They have 10,000 plus Tata AIG. Aditya Birla has 11,000 plus Network Hospitals. Neewa Bupa also has 11,000 plus. They have 14,000 plus Star Health. They have 9,500 plus Care Health Insurance. They have a good network of Network Hospitals. Now let's talk about the reimbursement claim process. I don't talk about cashless here because the claim process of cashless is almost the same for all companies. The same 30-day TAT and 3-hour TAT for final approval. So, if I talk about the reimbursement claim, ICICI Lombard, HDFC Ergo, Tata AIG, Aditya Birla, Neewa Bupa, all these companies have online claim process reimbursement. They have their own links and apps. You can upload your documents there and your claim is settled. But Star Health is also compromised here. Their reimbursement claim process is fully offline. You have to intimate the insurance company here. Within 15 days, you have to submit all the documents in their branch. After that, your claim is settled somewhere. If I talk about Care Health Insurance, they also have an online process. You can also send their claim offline. But they have an online facility available. So, these were the fundamentals. Now if I compare the fundamentals, the number one here is HDFC Ergo. If you talk about the claim process, if you talk about the network hospitals, if you talk about the claim settlement ratio, or if you talk about the incurred claim ratio, I will give the second number to ICICI Lombard after checking all the fundamentals. After that, all the companies are available. But Star Health is compromised here. On many points. Now let's talk about its other features. Jumpstart ICICI Lombard is an add-on feature for hypertension, diabetes, obesity, asthma and hyperlipidemia You will get a cover from the 31st day if there is any of these pre-existing diseases. And this feature is available in almost all insurance companies. HDFC Ergo has launched its ABCD cover. In which you will get a cover from the 31st day for asthma, blood pressure, cholesterol, diabetes. This is the USP of Aditya Bulla's Active and Plan. They cover chronic care from day 1. Along with that, there is also a cover for stents. If there is a stent in the heart, you will get a cover from day 1. In Neva Bupa, you can get a cover for hypertension and diabetes from day 1 after adding DM Rider. And if we talk about Star Health, there is an instant cover in Quick Shield and Care Health Insurance. But along with care, you will also get a cover for stents. That is, if you have a coronary artery disease, you will also get a cover from the 31st day. Power Booster is in ICICI Lombard. Whatever your time period is, there will be an add-on cover. Every year there will be a 100% increase. This will beat your inflation. Plus Benefit HDFC Ergo is in Optima Secure. Every year there will be a 50% increase. Maximum will go up to 100% whether there is a claim or not. Global Cover is in Tata AIG. Reduction in waiting period is in Aditya Bulla's Active 1 Plan. And if you take their Max variant, then your time period will increase up to 500 times. Neva Bupa has brought Booster Plus, where your time period will increase up to 3 times, 5 times and 10 times. If we talk about Star Health, then your time period there will also increase 100% for a lifetime. It is an add-on cover. It is called Super Star Bonus. Infinity Bonus is a part of Care Health Insurance, where your time period will increase 100% for a lifetime. IC Sloan Bart has another feature, Infinite Care. This is a very good feature. This feature is also in Star Health and also in Ultimate Care. This feature says that you can take an unlimited claim once in your life. And when to take that unlimited claim, you will decide. And if I talk about this feature, if I talk about Care, then you can take this feature twice in your life. Unlimited Restoration, Same Person, Same Illness, it is available in all policies. If I talk about Consumable Cover, then it is an inbuilt feature in SDFC Ergo with a product benefit. And in all other plans, you can take it with an add-on cover. Let's talk about the next feature, which is a unique feature in Tata AIG. Daily Cash, Prolonged Hospitalization, you get 1% of the Summary Short. Accidental Rider, Daily Cash Benefit, if a child is hospitalized. Also, if I talk about Star, there is a long-term discount. You can take the policy for 5 years. And this 5-year policy you will also get in ICC Lombard. And all other features you can see on my screen. If I talk about Care, then in Ultimate Care, you can take your 1-year premium back if your policy remains claim-free for 5 years. And this is going to happen with you every 5 years. This is also a good feature. Loyalty Boost, Double Your Summary Short, after 7 years, your Summary Short will be doubled if it is a claim-free year. There is an OPD cover in this. 4 are for Physicians. You can take General Physician's OPD and 4 are for Super Specialist Consultation. In ICC Lombard, there is a BFIT option. If you add BFIT, you can add a lot of OPD and Sessions. The same feature is also given in Aditya Birla's Active One Plan. Now let's see the basic features of this plan. The basic features are almost the same for all plans. Summary Short options will come first. In ICC Lombard, you have unlimited Summary Short options from Rs. 5 lakhs. In SDFC Ergo, you have options from Rs. 5 lakhs to Rs. 3 crores. In Tata AIG, you have options from Rs. 5 lakhs to Rs. 3 crores. In Aditya Birla, you will get a Summary Short from Rs. 6 crores. In Nivabhupa, you will get a Summary Short from Rs. 1 crore to Rs. 5 lakhs. In Superstar, you will get a Summary Short from Rs. 10 lakhs to Rs. 1 crore. In Ultimate Care, you will get a Summary Short from Rs. 5 lakhs to Rs. 1 crore. In all these plans, there is no limit for entry age. The minimum age is 18 years, but anyone can take these policies. In Policy Tenure, you can leave 2 or 3 policies. ICCO Lombard's Elevate Plan, Ultimate Care, and Superstar can take 5-year policy. In all other policies, you can get a 3-year Policy Tenure. Variants are in HDFC Ergo, Tata AIG, Aditya Birla, and Nivabhupa. In ICCO Lombard, and Superstar Care, there is no variant. There are multiple options for family size. 2-Aidl 3-Kid, ICCO Lombard, 2-Aidil 4-Kid, HDFC Ergo, Tata AIG, 2-Aidil 3-Kid, 2-Aidil 4-Kid, Aditya Birla, Aditya Birla Active 1, Nivabhupa, Reassure 2.0, 2-Aidil 4-Kid, Superstar, and 2-Aidil 2-Kid Ultimate Care. In Room Rent, the expenses are linked to hospital expenses. In any plan, there is no limit or sub-limit. In ICCO Lombard, there is a single private AC room. It can be upgraded with additional premium. It can also be downgraded. Next feature is Restoration Unlimited, Same Person, Same Illness. In Tata AIG's Medicare plan, Unlimited Restoration is available. HDFC Ergo Optimistic Cure Nivabhupa Unlimited Restoration is different from other Unlimited Restorations. Restoration is always Triggered. If you take one claim, Restoration will be Triggered in all claims. In Road Ambulance, Up to some assured ICCO Lombard Elevate, Optima Secure, Aditya Birla, Nivabhupa, Superstar, Tata AIG Rs. 5000, Rs. 7500, Rs. 10000, Rs. 20000, Rs. 30000 is the capping. Air Ambulance also has capping in Tata AIG, Superstar, HDFC Ergo, Optima Secure. In any plan, there is no capping on Air Ambulance. Domiciliary Treatment, Home Care Treatment, there is no capping. Initial PED waiting period is kept in all health insurance plans. No Claim Bonus, which is also known as Cumulative Bonus. Inbuilt, 20% yearly, maximum 100% will not be reduced on claim in ICCO Lombard Elevate Plan. HDFC Ergo, Optima Secure has 50% yearly, maximum 100% on claim and no claim. Same Tata AIG, Aditya Birla, maximum 100%, maximum 500% Neva Bupa, 3X, 5X, 10X Star, Superstar, Ultimate Care, 50% yearly, maximum 100% will not be reduced on Ultimate Care. Next slide Annual Health Checkup Insurance Companies have brought it with Addon to reduce premium. Addon is available in ICICO Lombard, HDFC Ergo, Tata AIG, Aditya Birla, Neva Bupa, but in Star, Superstar and Ultimate Care Addon is with cover. Alternative Treatment Maternity HDFC Ergo, Neva Bupa, Ultimate Care Addon is optional with waiting period. 2 years waiting in Lombard 4 years waiting in Tata AIG VIP VIP Plus Aditya Birla Superstar Consumable item list 1, 2, 3, 4 Some policies have cover Ultimate Care with Addon Neva Bupa, 2X, 5X, 10X HDFC Ergo, Optima Secure inbuilt cover Aditya Birla Acti1 inbuilt cover Wellness Program up to 30% discount in Lombard Health, Gym Track All activities App Discounts on Renewal App All policies Aditya Birla, Neva Bupa, Superstar, Tata AIG Available Deductible Discount Premium to reduce the premium. If you apply for a deductible, your premium will be reduced by Rs. 20,000 to Rs. 25,000. In the first claim, you have to pay the deductible amount from your pocket. This option is not available in ICC Lombard. But in SDFC Ergo Optima Secure, you have options of Rs. 25,000 to Rs. 50,000 and Rs. 1 Lakh deductible. In Aditya Builda, there are deductibles of Rs. 15,000 to Rs. 25,000. In Niva Bupa, there are options of Rs. 20,000 to Rs. 1 Lakh. In Superstar, you have options of Rs. 5 Lakh deductible starting from Rs. 10,000. In Ultimate Care, there are no options of deductible. How is premium pricing decided? In all these policies, you have to pay zone-based pricing. Zone A, Zone B, Zone C and Zone D. ICC Lombard has divided it into 4 zones. SDFC Ergo Optima Secure has divided it into 2 zones. In all other 5 policies, there will be zone-based pricing. You have to pay your premium according to the zone. Let's come to the conclusion of this comparison. What does the conclusion say? There are 7 health insurance plans. These are the health insurance plans which are the most popular in India. They sell the most. I will give SDFC Ergo the first ranking. Why? Because the claim settlement ratio is the best. Incurred claim ratio is the best. They have network hospitals. They have early discharge facility in many listed hospitals. This company will give you post-hospitalization expenses on a cashless basis. This is the number 1 company. The second option is ICC Lombard's Elevate plan. The plan is good. The company's fundamentals are strong. You can take Aditya Birla, Neva Bupa or Care Health Insurance. It is your choice which plan suits you How did you like this video? You can ask me your questions in the comment box. See you in the next video. Till then, Jai Hind, Jai Bharat.