Insurance Plans Comparison
Care Ultimate vs ICICI Lombard Health AdvantEdge Plus
Make an informed decision with our detailed side-by-side comparison of top health insurance policies. Compare...
Read moreUltimate
Health insurance with unlimited restoration, moneyback rewards and long-term loyalty benefits.
What Makes It Special:
Comprehensive Health Insurance
Best For:
Health-conscious customers seeking wellness rewards and renewal discounts.
Individuals interested in unlimited restoration of their sum insured.
Customers who value rewards for remaining claim-free.
People looking for coverage options up to ₹1 crore.
Individuals and families seeking comprehensive hospitalisation coverage.
VS
Health AdvantEdge Plus
Cover pre-existing diseases with no waiting period, reset the sum insured unlimited times for any illness after the first claim, once only at ₹5 lakh or seven-and-a-half lakh, and keep a 20% cumulative bonus up to 100% after a claim.
What Makes It Special:
The Royal Plus Plan under ICICI Lombard Health AdvantEdge offers sum insured options from ₹5 lakh to ₹3 crore, along with eligible hospitalisation, daycare, AYUSH, home care and pre- and post-hospitalisation benefits. Its distinguishing features include a guaranteed cumulative bonus, reset benefit, and Claim Protector at specified sum insured levels....
Best For:
Buyers who want to compare higher sum insured options and additional benefits against their budget and coverage needs.
Families considering optional maternity-related benefits, subject to eligibility and waiting periods.
People looking for a cumulative bonus that can increase cover over eligible claim-free periods.
Buyers who value a restore benefit for eligible subsequent claims in the same policy year.
People seeking cover for eligible hospitalisation and day-care treatment expenses.
Insurance Plans Comparison
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Quick Decision Guide
Review waiting periods: The standard waiting periods are 30 days for initial illnesses, 24 months for named ailments and 36 months for pre-existing diseases.
Evaluate wellness rewards: The optional Wellness Benefit offers renewal discounts based on qualifying healthy days and applicable conditions.
Look at Infinity Bonus: This optional benefit provides an additional 100% of base sum insured per year, irrespective of claims, with continuous renewal.
Consider the moneyback benefit: The optional Premium Payback benefit refunds the first policy year's base premium after five consecutive claim-free policy years, subject to renewal conditions.
Choose for comprehensive coverage: The brochure lists inpatient care, day-care procedures, advanced technology treatments, AYUSH and other hospitalisation benefits, subject to policy terms.
Compare the cost and waiting conditions of optional maternity and non-medical-expense benefits before adding them.
Check the restore benefit's trigger and restrictions rather than assuming it can pay every subsequent claim.
Confirm whether the selected sum insured and policy version provide the room category and ICU cover you expect.
Review the 2-year PED waiting period and disclose all existing medical conditions when applying.
Check the UIN and policy schedule before purchase because the publicly available Apex Plus material is historical.
Insurance Plans Comparison
Detailed Features Comparison
Compare the key features of different health insurance plans
Ultimate Health Insurance Plan VS VS |
![]() Health AdvantEdge Plus Health Insurance Plan |
| Room Rent |
|---|
Ultimate All room categories are covered |
VS VS |
Health AdvantEdge Plus
|
| ICU Charges |
|---|
Ultimate No restriction on ICU room rent |
VS VS |
Health AdvantEdge Plus Up to sum insured for Apex Plus, subject to the applicable wording. |
| Advanced Treatments |
|---|
Ultimate Information Unavailable |
VS VS |
Health AdvantEdge Plus
|
| Co-payment |
|---|
Ultimate Not available |
VS VS |
Health AdvantEdge Plus Co payment is applicable as chosen by the insured. It allows the insured to opt for 10% or 20% co-payment. |
| Disease-wise sublimits |
|---|
Ultimate No |
VS VS |
Health AdvantEdge Plus Certain benefits have specific limits, including ambulance, animal-bite vaccination, bariatric surgery and home-care treatment. Other limits depend on the policy terms. |
| Cashless Healthcare Providers |
|---|
Ultimate 21700+ Healthcare Providers |
VS VS |
Health AdvantEdge Plus 10,000+ Healthcare Providers across India |
| Restoration Benefit |
|---|
Ultimate Yes, your sum insured restores to 100% each time you make a claim in a policy year, for both related and unrelated illnesses |
VS VS |
Health AdvantEdge Plus Information Unavailable |
| Daycare Treatment |
|---|
Ultimate Covers medical expenses for treatments not requiring 24-hour hospitalization, up to annual sum insured |
VS VS |
Health AdvantEdge Plus Covered. Requires hospitalization of more than 24 Hours. |
| Cumulative Bonus |
|---|
Ultimate Your sum insured increases by 50% every year maximum upto 100%. However, you can pay an additional premium to increase sum insured up to 100%, every year. |
VS VS |
Health AdvantEdge Plus Guaranteed cumulative bonus: 20% of sum insured, up to 100%, under the historical Apex Plus brochure. |
| AYUSH Treatment |
|---|
Ultimate Covers AYUSH treatment expenses up to your annual sum insured during the policy period |
VS VS |
Health AdvantEdge Plus AYUSH is covered up to Sum Insured. |
| Consumable Cover |
|---|
Ultimate No. However, available as an add-on |
VS VS |
Health AdvantEdge Plus Listed non-medical expenses may require the optional Claim Protector benefit; verify the applicable schedule. |
| Initial Waiting Period |
|---|
Ultimate 30 days |
VS VS |
Health AdvantEdge Plus 30 days for illnesses; accidental hospitalisation exempt. |
| Specific Waiting Period |
|---|
Ultimate 2 years |
VS VS |
Health AdvantEdge Plus 2 years for specified diseases and procedures, subject to the policy wording. |
| PED Waiting Period |
|---|
Ultimate 3 years |
VS VS |
Health AdvantEdge Plus 2 years, subject to disclosure and acceptance by the insurer. |
| Modern Treatment |
|---|
Ultimate Hospital expenses for listed advanced treatments are covered up to your full sum insured during the policy period |
VS VS |
Health AdvantEdge Plus Covered up to sum insured, subject to policy terms and exclusions. |
| Annual Health Checkup |
|---|
Ultimate Health checkup is not included as part of base cover. However, available as an add-on |
VS VS |
Health AdvantEdge Plus Annual benefit from the first year; historical brochure specifies up to 0.5% of sum insured, capped at ₹10,000, on a cashless basis. |
| Pre-Hospitalisation |
|---|
Ultimate You get cover for medical tests and doctor visits up to 60 days before hospitalisation, if your main claim is approved |
VS VS |
Health AdvantEdge Plus |
| Post-Hospitalisation |
|---|
Ultimate You get cover for medical bills up to 90 days after discharge, including physiotherapy if your doctor prescribes it |
VS VS |
Health AdvantEdge Plus Up to 180 days under the historical Apex Plus brochure. |
| Outpatient Department Cover (OPD Expense) |
|---|
Ultimate OPD expense is not included as part of base cover. However, available as an add-on |
VS VS |
Health AdvantEdge Plus General OPD cover not verified. Teleconsultations are listed in the historical brochure as an included value-added service. |
| Deductible Option |
|---|
Ultimate Not available |
VS VS |
Health AdvantEdge Plus Not verified for this variant. |
| Coverage Options |
|---|
Ultimate Available coverage options: ₹5L, 7L, 10L, 15L, 20L, 25L, 50L, 1 Cr |
VS VS |
Health AdvantEdge Plus Individual/family cover; historical Apex Plus brochure also lists worldwide cover for sum insured of ₹25 lakh and above. Confirm current availability and conditions. |
| Claim Settlement Ratio |
|---|
Ultimate 96% |
VS VS |
Health AdvantEdge Plus FY 24-25: ~84% |
| Maternity Cover |
|---|
Ultimate Not available |
VS VS |
Health AdvantEdge Plus Optional; historical brochure specifies 10% of base sum insured, capped at ₹10 lakh, for up to 3 deliveries. Waiting periods and eligibility must be checked in the applicable wording. |
Insurance Plans Comparison
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