PolicyPlain
30 well-known Indian plans · IRDAI trust data baked in

Indian health insurance plans — decoded

Don't have a PDF yet? Start here. Every plan card shows the IRDAI Claim Settlement Ratio, Incurred Claim Ratio and complaints per 10,000 claims — plus the trap clauses (copay slabs, room rent caps, sub-limits, restoration mechanics) that decide whether you actually get paid.

No commission · No broker · No affiliate fees · Numbers cited verbatim from public IRDAI reports
Honest disclosure:Plan details here are compiled from public insurer brochures and third-party aggregators. Sub-limits, copay slabs and premiums vary by variant, city, and medical loading. Always confirm against the official policy wording PDF on the insurer's site before purchase. How we got these numbers →

Showing 4 of 30 plans

Star Health

Star Super Surplus (Super Top-Up)

Sum insured₹5L₹25L
Copay
None published
Room rent
Single private
PED wait
12 mo

Star Health · IRDAI FY 2024-25

CSR

86.34%

ICR

70.3%

Complaints/10k

52

Known traps

  • Aggregate deductible — total claims in a policy year must cross deductible BEFORE top-up activates. Single big bill = good; multiple small bills = deductible not met.
  • Cashless requires deductible to be settled first (either via base policy or out-of-pocket).
See full plan breakdownGet policy wording PDF from Star Health

Last verified: 2026-06 · Source: third party aggregator

Niva Bupa

Niva Bupa Health Recharge (Super Top-Up)

Sum insured₹5L₹95L
Copay
None published
Room rent
Single private
PED wait
36 mo

Niva Bupa · IRDAI FY 2024-25

CSR

92.39%

ICR

61.22%

Complaints/10k

43

Known traps

  • Aggregate deductible mechanics — confirm whether single hospitalisation or annual aggregate triggers top-up.
  • PED waiting 36 months — same as base plans (top-up doesn't reduce PED).
See full plan breakdownGet policy wording PDF from Niva Bupa

Last verified: 2026-06 · Source: third party aggregator

Care

Care Enhance (Super Top-Up)

Sum insured₹10L₹1Cr
Copay
None published
Room rent
Single private
PED wait
36 mo

Care Health · IRDAI FY 2024-25

CSR

96.74%

ICR

64.53%

Complaints/10k

47

Known traps

  • Aggregate deductible — confirm trigger mechanics in policy wording.
  • PED waiting 36 months — top-up doesn't reduce PED inherited from base.
See full plan breakdownGet policy wording PDF from Care

Last verified: 2026-06 · Source: third party aggregator

HDFC ERGO

HDFC ERGO Optima Super Top-Up

Sum insured₹5L₹1Cr
Copay
None published
Room rent
No cap
PED wait
36 mo

HDFC ERGO · IRDAI FY 2024-25

CSR

97.37%

ICR

84.85%

Complaints/10k

15

Known traps

  • Aggregate deductible — claims must cross threshold within policy year for top-up to activate.
  • No room rent cap (a positive), but other HDFC ERGO hospital definition rules apply.
See full plan breakdownGet policy wording PDF from HDFC ERGO

Last verified: 2026-06 · Source: third party aggregator

Plan details compiled from public insurer brochures and third-party aggregators as of 2026-06. Numbers are indicative — sub-limits, copay slabs, and premiums vary by variant, city, and medical loading. Always confirm against the official policy wording on the insurer's website before purchase. PolicyPlain earns no commission and does not recommend any specific plan.

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