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Health Insurance · head to head

My Health Care Plan (Plan 1) vs MediCare Premier

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Quick verdict

  • MediCare Premier is better for existing illness covered sooner.
  • My Health Care Plan (Plan 1) is better for high sum insured available.

Computed from stored specifications, the published health insurance scoring rules and recorded prices. Not an opinion.

Specifications side by side

Spec
My Health Care Plan (Plan 1)
MediCare Premier
Cover
Plan type
Individual and family floater
Individual and family floater
Sum insured options
3 lakh, 4 lakh, 5 lakh, 7.5 lakh, 10 lakh, 15 lakh, 20 lakh, 25 lakh, 30 lakh, 35 lakh, 40 lakh, 45 lakh, 50 lakh, 75 lakh, 1 crore, 2 crore, 3 crore, 4 crore, 5 crore
5 lakh, 10 lakh, 15 lakh, 20 lakh, 25 lakh, 50 lakh, 75 lakh, 1 crore, 2 crore, 3 crore
Highest sum insured
500 lakh
300 lakh
Entry age
3 months to 65 years
91 days to 65 years
Room rent
SI 3 Lac to 10 Lac: Single Pvt AC Room; above 10 Lacs SI: Actuals (other options selectable)
No room rent sub-limit stated (In-patient Treatment up to Sum Insured)
Co-payment
None
None
Waiting periods
Initial waiting period
30 days
30 days
Pre-existing disease waiting
36 months
24 months
Specific illness waiting
24 months
24 months
Benefits
Pre-hospitalisation
60 days
60 days
Post-hospitalisation
90 days
90 days
Day-care treatment
Yes
Yes
AYUSH treatment
Yes
Yes
Restore benefit
Sum Insured Reinstatement: once for SI below 5 lacs; unlimited for SI 5 lacs and above (available for same illness)
Additional amount equivalent to base Sum Insured, restored once during the policy year
No-claim bonus
Cumulative bonus 50% per annum max 100% for SI 5 lakh and above (25% for SI 3/4 lakh); reduces in case of claim
Cumulative Bonus 50% of base SI per claim-free year, max 100% (50% decrease after a claim) OR 1% discount in renewal premium
Maternity
Covered for SI 5 lakh+ (INR 50,000 to 1,00,000 by SI) after 36-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
Covered up to OPD Sum Insured in Policy Schedule (brochure: OPD benefit of 2X the premium)
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)
Insurer
Health incurred claim ratio (insurer)
87.31%
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)
18,400+
13,000+
IRDAI UIN
BAJHLIP26074V022526
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

My Health Care Plan (Plan 1)

  • Pro: Sum insured up to ₹5 crore, higher than 88% of the 52 health insurance plans on Comparezi that state it
  • Pro: No co-payment on claims

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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