Cover
Plan type
Individual and family floater
Individual and family floater
Sum insured options
1 crore
5 lakh, 7.5 lakh, 10 lakh, 15 lakh, 20 lakh, 25 lakh, 50 lakh, 1 crore, 2 crore, 3 crore
Highest sum insured
100 lakh
300 lakh
Entry age
—
From 91 days (children); 18 years (adults) (no maximum stated)
Room rent
No limits; any room of choice; no ICU day/charge limits
Single Private AC Room (ICU no limit); optional modification to Any room or Twin Sharing AC room
Co-payment
Zero co-pay as a standard feature
None mandatory (no zonal co-pay); optional voluntary co-payment 10%/20%/30%
Waiting periods
Initial waiting period
0 days
0 days
Pre-existing disease waiting
—
0 months
Specific illness waiting
0 months
0 months
Benefits
Pre-hospitalisation
60 days
90 days
Post-hospitalisation
180 days
180 days
Day-care treatment
Yes
Yes
Restore benefit
Coverage gets restored unlimited times in a year
Multiple Restoration in a Policy Year for all illnesses and injury, whether related or unrelated, in addition to the Base Sum Insured
No-claim bonus
—
Gullak: guaranteed increase of 100% of Base Sum Insured each policy year, up to a maximum of 1,500%, irrespective of claims
Maternity
Optional add-on: 'Covers delivery expenses and newborn care after the applicable waiting period'
Optional cover: up to 20% of Base SI (max Rs 5 Lac), 36 months waiting period
OPD
Optional add-on: 'Doctor visits, tests and chemist bills outside the hospital'
Not covered (unlimited tele-consultation with network General Physician)
Insurer
Health incurred claim ratio (insurer)
57.82%
74.81%
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)
13,200
—
IRDAI UIN
ACKHLIP25035V022425
MCIHLIP27040V032627