Niva bupa reassre 2.0 vs HDFC Optima Secure vs Care Supreme vs Aditya Birla Active One Max- Complete Comparision

Sr. NoFeatures & BenefitsNiva Bupa Re.Assure 2.0 (Titanium Plus)HDFC Optima SecureCare SupremeAdita Birla Activ One Max
1Entry Age Adults18 years to 65 YearsMinimum 18 Years & To Any AgeMinimum 18 Years & Any Age18 years to Any Age
2Entry Age Child 91 Days to 30 Years & Min 5 Years for Individual91 Days to 25 years91 Days to 25 years91 Days to 25 Years & Min 5 Years for Individual
3Policy TypeIndividual /Multi-Individual & Family FloaterIndividual /Multi-Individual & Family FloaterIndividual /Multi-Individual & Family FloaterIndividual /Multi-Individual & Family Floater
4Tenure1/2/3 Years1/2/3 YearsOne years1/2/3 Years
5Family DefinitionSel+Spouse and 4 Dependents Children upto 25 Years 2 Adults + 3 Kids2 Adults + 2 KidsSel+Spouse and 4 Dependents Childs upto 25 Years 
6Premium TypeAge Banded and Lock the ClockSelf+Spouse and 5 Dependents Children up to 30 Years Age band and year band premiums will varySelf+Spouse and 5 Dependents, Children up to 30 Years 
7Premium ZonesZone -2 : Metro & Non-MetroZone -2 : Metro & Non-MetroZone I, II, III & IVZone I, II & III
8Relationship CoverSelf, spouse, mother, father, mother-in-law, father-in-law, son, daughter, employer, employee2 Adults & 4 Kids, Self, legally married spouse OR live-in partner (same or opposite sex), dependent Children (Natural/legally adopted)Self, spouse/live-in partner/same sex partner, son, daughter, father, mother, mother-in-law, father-in law, grand father, grand motherSelf, Legally Married Spouse OR Live-in Partner (Same Or Opposite Sex),Son, Daughter, Brother, Sister, Grandson, Granddaughter, Son in-Law, Daughter-in-Law,Brother-in-Law, Sister-in-Law, Nephew, Niece, Parents and Parents-in-Law
9Basic Sum Insured10 Lakh to 1 Cr10 Lakh to 2 Cr 7 Lakh to 25 Lakh10 Lakh to 2 Cr
10Room TypeSingle Pvt Room & Shared RoomAny Room, Single Pvt AC Room & Shared RoomAny Room, Single Pvt AC Room & Shared RoomAny Room, Single Pvt AC Room & Shared Room
11Shared Accommodation Benefit Up to Rs.15 Lakh Base Sum Insured: Rs.800 per day; Maximum Rs.4,800 & Above 15 lakh Base Sum Insured Rs.1000 per Day; Maximum Rs.6000Not AvailableNot AvailableNot Available
12ICU ChargesUp to the Sum InsuredUp to the Sum InsuredUp to the Sum InsuredUp to the Sum Insured
13AmbulanceRoad Ambulance: Up to Sum Insured, Air Ambulance: up to Rs. 2.5 Lakh per hospitalizationUp to the Sum Insured , 5 Lakh for Air AmbulanceUp to the Sum Insured, 5 lakh but in optional coverActuals up to Sum Insured, Air Ambulance not available
14Day Care TreatmentUp to the Sum InsuredUp to the Sum InsuredUp to the Sum InsuredUp to the Sum Insured
15Modern Procedures / TreatmentsCovered up to Sum Insured with a sub-limit of Rs.1 Lakh per claim on a few robotic surgeries, for listed Modern TreatmentUp to the Sum InsuredUp to the Sum InsuredUp to the Sum Insured
16HIV / AIDS and STD CoverNot CoverUp to the Sum InsuredNot CoverUp to the Sum Insured
17Mental Illness HospitalizationUp to the Sum InsuredUp to the Sum InsuredUp to the Sum InsuredUp to the Sum Insured
18Obesity TreatmentUp to the Sum InsuredUp to the Sum InsuredUp to the Sum InsuredUp to the Sum Insured
19Pre-Hospitalization Expenses60 Days up to Sum Insured90 Days up to Sum Insured60 Days up to Sum Insured90 Days up to Sum Insured
20Post-Hospitalization Expenses180 Days up to Sum Insured180 Days up to Sum Insured180 Days up to Sum Insured180 Days up to Sum Insured
21Domiciliary- HospitalizationUp to the Sum InsuredUp to the Sum InsuredUp to the Sum InsuredUp to the Sum Insured
22Home Health CareUp to the Sum InsuredUp to the Sum InsuredUp to the Sum InsuredUp to the Sum Insured
23AYUSH TreatmentUp to the Sum InsuredUp to the Sum InsuredUp to the Sum InsuredUp to the Sum Insured
24Organ Donor ExpensesUp to the Sum Insured only for HarvestingUp to the Sum Insured only for HarvestingUp to the Sum Insured only for HarvestingUp to the Sum Insured only for Harvesting
25Annual Health Check-upFor a defined list of tests; up to Rs.500 for every Rs.1 Lakh Base Sum Insured; (Individual: Maximum Irs. 5,000 per Insured; Family Floater: Maximum Rs. 10,000 per policy).Family Floater policies limits will be for 5 Lakh SI Rs.2500, 10 Lakh SI Rs. 5000, 15 Lakh SI Rs. 8000, for 20,25 and 50 Lakh SI Rs. 10000 and 1 Cr & 2 Cr SI Rs. 15000 per policy year after 1st renewal of the policy, only on Reimbursement basisOnce for all Insured every policy year but in Optional Cover Only(Listed & Cashless)
26ReAssureX/ Super Reload/Reload/RechargeUnlimited times Claim will be paid up to the Base Sum Insured and the rest will be carried forwardAs an Optional Cover, if opted will work 2X of Base Sum Insured from 1st ClaimAvailable for unlimited timesUnlimited times the Claim will be paid up to the Base Sum Insured and the rest will not be carried forward
27Booster+/ Super Credit/NCB10X: Unutilized Base Sum Insured carries forward to the next policy year, a maximum of up to 10 times100% upto 400%Cumulative Bonus (NCB) 50% upto 100% In Buit but adding Optional Cover NCB Super Up to 100% of SI per year, Max up to 500% of Sum Insured Note: Shall not reduce in case of claim total Sum Insured after 5th Renewal is 7th Times of Base Sum Insured6X: Unutilized Base Sum Insured carries forward to the next policy year, a maximum of up to 6 times
28Live Healthy- Renewal Discount / 
Health Returns
Up to 30% discount on premium at the time of Renewal.Not AvailableUpto 30% but in Optional CoverUp to 100% discount on net premium at the time of Renewal.
29Second Medical OpinionOnce in a policy year for Any ConditionsOnce in a policy year for Any ConditionsNot AvailableOnce in a policy year for Any Conditions
30E-consultationUnlimited e-consultation within our networkUnlimited e-consultation within our networkUnlimited e-consultation within our networkUnlimited e-consultation within our network
31Pre-Existing Waiting Period36 Months36 Months36 Months36 Months
32Specific Surgeries Waiting Periods24 Months24 Months24 Months24 Months
33Lifestyle Medical Conditions waiting periodsAs per the Pre-Existing Waiting PeriodAs per the Pre-Existing Waiting PeriodAs per the Pre-Existing Waiting PeriodFrom Day 1 Coverage for IPD for Asthma, BP, Cholesterol, Diabetic
34Non Medical Expenses Waiver/Consumables WaiverAs per Listed AnnexureOnly Annexure A is CoveredCoverage of expense related to 68 Non-payable items during Hospitalization, but in Optional CoverAs per Listed Annexure, I, II, III & IV
35Claim Ratio it will changes per Quarter Ref. The Economic Times Article DT 21st March 202592.02%99.16% (Including Non Health)92.77%92.97%
36Real Claim Experience (On Practicle Profeesional Experience)Moderate to HighHighModerateModerate to High
37Re-Consideration Claim AcceptanceLow Very LowModerateModerate to High
38Pros10X Coverage & “Lock the Clock” FeaturesHigh Claim Settlement Ratio7X Coverage6X Coverage and Facility to earn 100% Net Premium and policy will be renew only with GST(HealthReturns) 
39ConsCapping on Robotic Surgeries Too High PremiumMultiple Benefits only on Optional Basis, which pay extra premiumsSometimes technical glitches due to mutiple services offer by Partners 
40Premium RangeCompetitiveHigh CompetitiveCompetitive
41

Similar Posts

Leave a Reply

Your email address will not be published. Required fields are marked *