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OneAssure allows you to compare multiple health insurance policies side by side, analyzing coverage, premiums, hospital networks, and benefits to choose the most suitable plan for your needs.

What is the difference between cashless and reimbursement claims in health insurance policies?

Cashless claims let you get treatment at network hospitals without paying upfront, while reimbursement claims require you to pay first and get refunded later.

Does OneAssure provide expert guidance while selecting health insurance with maternity or newborn coverage?

Yes, OneAssure’s insurance experts guide you in selecting plans with maternity benefits, newborn cover, and short waiting periods for family planning needs.

How do co-payment clauses impact health insurance premiums and claim settlements?

Co-payment means you share a part of the claim cost. Opting for co-pay lowers your premium but increases your out-of-pocket expenses.

Which health insurance plan offers the best coverage for critical illnesses and pre-existing diseases?

Plans with comprehensive coverage, minimal waiting periods, and optional critical illness riders are ideal. OneAssure helps identify policies that best meet these requirements.

Can I compare waiting periods and sub-limits for hospitalisation expenses on OneAssure?

Yes, OneAssure’s comparison tool highlights waiting periods, sub-limits, and exclusions so you can choose a policy that maximizes benefits and minimizes restrictions.

What are room rent limits in health insurance, and how do they affect claims?

Room rent limits cap the daily room cost covered by your insurer. Choosing a plan without strict limits ensures higher claim payouts.

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How can I check if a health insurance plan covers daycare procedures and modern treatments?

OneAssure’s policy comparison clearly lists daycare and advanced treatment coverage, helping you pick a plan aligned with your healthcare needs.

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Arogya Sanjeevani Vs Health Advantedge Plus

Insurance Plans Comparison

Digit Arogya Sanjeevani vs ICICI Lombard Health AdvantEdge Plus

Make an informed decision with our detailed side-by-side comparison of top health insurance policies. Compare coverage, benefits, and premiums to find the perfect plan for your needs.

Make an informed decision with our detailed side-by-side comparison of top health insurance policies. Compare...

Arogya Sanjeevani

Cover hospitalisation with a 5% co-pay on every admissible claim, cap room rent at 2% of the sum insured up to ₹5,000 a day, and add a 5% cumulative bonus each claim-free year up to 50%.

What Makes It Special:

Arogya Sanjeevani is a Niva Bupa standard health plan with a sum insured of ₹1 lakh to ₹5 lakh, AYUSH and modern treatment cover, and a 15-day free-look period. It excludes maternity and carries a 5% co-payment on each claim. It provides in-patient hospitalisation cover on an individual or family...

Best For:

Buyers who want AYUSH and modern treatment cover
Buyers who do not need maternity or OPD cover
Families who want a floater with parents and children under one policy
Buyers who want basic in-patient cover at an affordable premium
First-time health insurance buyers

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

Get Personalized Advice

Our insurance experts are here to help you make the right choice. Get personalized recommendations based on your specific needs and budget.

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Quick Decision Guide

Digit Arogya Sanjeevani

Call 1860-500-8888 to confirm room rent limits and the current network before buying.
Confirm the waiting periods and any cataract sublimit on your policy schedule before buying.
The sum insured is capped at ₹5 lakh, so check whether it covers your expected treatment costs.
A 5% co-payment applies to each claim, so factor that into your out-of-pocket costs.
Maternity is excluded, so choose another plan if you need it.

ICICI Lombard Health AdvantEdge Plus

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

Arogya Sanjeevani

Health Insurance Plan

Brochure

Policy Wording

VS

Health AdvantEdge Plus

Health Insurance Plan

Brochure

Policy Wording

Room Rent
Arogya Sanjeevani Normal: Covered up to 2% of the sum insured, with a maximum limit of ₹5,000 per day. ICU: Covered up to 5% of the sum insured, with a maximum limit of ₹10,000 per day.	Health AdvantEdge Plus Normal: No Limit ICU: No Limit If the sum insured health insurance policy is Rs.5 Lakh or above.

Advanced Treatments
Arogya Sanjeevani Uterine Artery Embolization and HIFU (High intensity focused ultrasound) Balloon Sinuplasty Deep Brain stimulation Oral chemotherapy Immunotherapy - Monoclonal Antibody to be given as injection Intra vitreal injections Robotic surgeries Stereotactic radio surgeries Bronchical Thermoplasty Vaporisation of the prostrate (Green laser treatment or holmium laser treatment) IONM - (Intra Operative Neuro Monitoring) Stem cell therapy: Hematopoietic stem cells for bone marrow transplant for haematological conditions to be covered up to 50% of sum insured.	Health AdvantEdge Plus Oral Chemotherapy Robotic Surgeries Stem Cell Therapy

Advanced Treatments

Arogya Sanjeevani

Uterine Artery Embolization and HIFU (High intensity focused ultrasound)
Balloon Sinuplasty
Deep Brain stimulation
Oral chemotherapy
Immunotherapy - Monoclonal Antibody to be given as injection
Intra vitreal injections
Robotic surgeries
Stereotactic radio surgeries
Bronchical Thermoplasty
Vaporisation of the prostrate (Green laser treatment or holmium laser treatment)
IONM - (Intra Operative Neuro Monitoring)
Stem cell therapy: Hematopoietic stem cells for bone marrow transplant for haematological conditions to be covered up to 50% of sum insured.

Health AdvantEdge Plus

Oral Chemotherapy
Robotic Surgeries
Stem Cell Therapy

ICU Charges
Arogya Sanjeevani Covered as part of in-patient hospitalisation, up to the sum insured. Confirm any room or ICU limit on the policy schedule, or with 1860-500-8888.	Health AdvantEdge Plus Up to sum insured for Apex Plus, subject to the applicable wording.

Co-payment
Arogya Sanjeevani 5% co-payment is applicable to all claims, meaning the policyholder must bear 5% of the admissible claim amount.	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
Arogya Sanjeevani A cataract sublimit may apply. The standard product in other insurers’ versions caps cataract at 25% of the sum insured or ₹40,000, whichever is lower. Confirm Niva Bupa’s sublimits on the policy schedule, or with 1860-500-8888.	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
Arogya Sanjeevani Access to over 16,400 cashless network hospitals across India.	Health AdvantEdge Plus 10,000+ Healthcare Providers across India

Restoration Benefit
Arogya Sanjeevani Kindly refer to the policy wording.	Health AdvantEdge Plus Information Unavailable

Daycare Treatment
Arogya Sanjeevani Covers medical procedures requiring hospitalization for less than 24 hours, such as cataract surgery, chemotherapy, and dialysis, when conducted in a recognized hospital.	Health AdvantEdge Plus Covered. Requires hospitalization of more than 24 Hours.

Cumulative Bonus
Arogya Sanjeevani Kindly refer to the policy wording.	Health AdvantEdge Plus Guaranteed cumulative bonus: 20% of sum insured, up to 100%, under the historical Apex Plus brochure.

AYUSH Treatment
Arogya Sanjeevani Covers Ayurveda, Yoga, Unani, Siddha, and Homeopathy (AYUSH) inpatient treatments up to the sum insured, provided the treatment is taken at an AYUSH-recognized hospital.	Health AdvantEdge Plus AYUSH is covered up to Sum Insured.

Consumable Cover
Arogya Sanjeevani Kindly refer to the policy wording. Confirm with Niva Bupa on 1860-500-8888.	Health AdvantEdge Plus Listed non-medical expenses may require the optional Claim Protector benefit; verify the applicable schedule.

Initial Waiting Period
Arogya Sanjeevani 30 days from inception, except for accidents	Health AdvantEdge Plus 30 days for illnesses; accidental hospitalisation exempt.

Specific Waiting Period
Arogya Sanjeevani Kindly refer to the policy wording.	Health AdvantEdge Plus 2 years for specified diseases and procedures, subject to the policy wording.

PED Waiting Period
Arogya Sanjeevani Up to 48 months under the IRDAI standard. Confirm on the policy schedule, or with 1860-500-8888.	Health AdvantEdge Plus 2 years, subject to disclosure and acceptance by the insurer.

Modern Treatment
Arogya Sanjeevani Covered up to 50% of the sum insured, including robotic surgery and oral chemotherapy (BankBazaar). Confirm the limit on the policy schedule.	Health AdvantEdge Plus Covered up to sum insured, subject to policy terms and exclusions.

Annual Health Checkup
Arogya Sanjeevani Kindly refer to the policy wording. Confirm with Niva Bupa on 1860-500-8888.	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
Arogya Sanjeevani Up to 30 days before admission under the IRDAI standard product. Confirm on the policy schedule, or with 1860-500-8888.	Health AdvantEdge Plus

Post-Hospitalisation
Arogya Sanjeevani Up to 60 days after discharge under the IRDAI standard product. Confirm on the policy schedule, or with 1860-500-8888.	Health AdvantEdge Plus Up to 180 days under the historical Apex Plus brochure.

Outpatient Department Cover (OPD Expense)
Arogya Sanjeevani Not covered (not listed in the standard product’s benefits)	Health AdvantEdge Plus General OPD cover not verified. Teleconsultations are listed in the historical brochure as an included value-added service.

Deductible Option
Arogya Sanjeevani kindly refer to the policy wording.	Health AdvantEdge Plus Not verified for this variant.

Coverage Options
Arogya Sanjeevani Individual or family floater, within the ₹1 lakh to ₹5 lakh sum insured range	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
Arogya Sanjeevani Claim Settlement Ratio (CSR) of 93.3% as a three-year IRDAI weighted average, and 95.6% in recent quarterly company disclosures (Q1 FY 2026-27).	Health AdvantEdge Plus FY 24-25: ~84%

Maternity Cover
Arogya Sanjeevani Not covered. Maternity expenses are excluded.	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

Detailed Features Comparison

Compare the key features of different health insurance plans

Arogya Sanjeevani

Health Insurance Plan

Brochure

Policy Wording

VS

Health AdvantEdge Plus

Health Insurance Plan

Brochure

Policy Wording

Room Rent
Arogya Sanjeevani Normal: Covered up to 2% of the sum insured, with a maximum limit of ₹5,000 per day. ICU: Covered up to 5% of the sum insured, with a maximum limit of ₹10,000 per day.
VS VS
Health AdvantEdge Plus Normal: No Limit ICU: No Limit If the sum insured health insurance policy is Rs.5 Lakh or above.

Advanced Treatments
Arogya Sanjeevani Uterine Artery Embolization and HIFU (High intensity focused ultrasound) Balloon Sinuplasty Deep Brain stimulation Oral chemotherapy Immunotherapy - Monoclonal Antibody to be given as injection Intra vitreal injections Robotic surgeries Stereotactic radio surgeries Bronchical Thermoplasty Vaporisation of the prostrate (Green laser treatment or holmium laser treatment) IONM - (Intra Operative Neuro Monitoring) Stem cell therapy: Hematopoietic stem cells for bone marrow transplant for haematological conditions to be covered up to 50% of sum insured.
VS VS
Health AdvantEdge Plus Oral Chemotherapy Robotic Surgeries Stem Cell Therapy

ICU Charges
Arogya Sanjeevani Covered as part of in-patient hospitalisation, up to the sum insured. Confirm any room or ICU limit on the policy schedule, or with 1860-500-8888.
VS VS
Health AdvantEdge Plus Up to sum insured for Apex Plus, subject to the applicable wording.

Co-payment
Arogya Sanjeevani 5% co-payment is applicable to all claims, meaning the policyholder must bear 5% of the admissible claim amount.
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
Arogya Sanjeevani A cataract sublimit may apply. The standard product in other insurers’ versions caps cataract at 25% of the sum insured or ₹40,000, whichever is lower. Confirm Niva Bupa’s sublimits on the policy schedule, or with 1860-500-8888.
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
Arogya Sanjeevani Access to over 16,400 cashless network hospitals across India.
VS VS
Health AdvantEdge Plus 10,000+ Healthcare Providers across India

Restoration Benefit
Arogya Sanjeevani Kindly refer to the policy wording.
VS VS
Health AdvantEdge Plus Information Unavailable

Daycare Treatment
Arogya Sanjeevani Covers medical procedures requiring hospitalization for less than 24 hours, such as cataract surgery, chemotherapy, and dialysis, when conducted in a recognized hospital.
VS VS
Health AdvantEdge Plus Covered. Requires hospitalization of more than 24 Hours.

Cumulative Bonus
Arogya Sanjeevani Kindly refer to the policy wording.
VS VS
Health AdvantEdge Plus Guaranteed cumulative bonus: 20% of sum insured, up to 100%, under the historical Apex Plus brochure.

AYUSH Treatment
Arogya Sanjeevani Covers Ayurveda, Yoga, Unani, Siddha, and Homeopathy (AYUSH) inpatient treatments up to the sum insured, provided the treatment is taken at an AYUSH-recognized hospital.
VS VS
Health AdvantEdge Plus AYUSH is covered up to Sum Insured.

Consumable Cover
Arogya Sanjeevani Kindly refer to the policy wording. Confirm with Niva Bupa on 1860-500-8888.
VS VS
Health AdvantEdge Plus Listed non-medical expenses may require the optional Claim Protector benefit; verify the applicable schedule.

Initial Waiting Period
Arogya Sanjeevani 30 days from inception, except for accidents
VS VS
Health AdvantEdge Plus 30 days for illnesses; accidental hospitalisation exempt.

Specific Waiting Period
Arogya Sanjeevani Kindly refer to the policy wording.
VS VS
Health AdvantEdge Plus 2 years for specified diseases and procedures, subject to the policy wording.

PED Waiting Period
Arogya Sanjeevani Up to 48 months under the IRDAI standard. Confirm on the policy schedule, or with 1860-500-8888.
VS VS
Health AdvantEdge Plus 2 years, subject to disclosure and acceptance by the insurer.

Modern Treatment
Arogya Sanjeevani Covered up to 50% of the sum insured, including robotic surgery and oral chemotherapy (BankBazaar). Confirm the limit on the policy schedule.
VS VS
Health AdvantEdge Plus Covered up to sum insured, subject to policy terms and exclusions.

Annual Health Checkup
Arogya Sanjeevani Kindly refer to the policy wording. Confirm with Niva Bupa on 1860-500-8888.
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
Arogya Sanjeevani Up to 30 days before admission under the IRDAI standard product. Confirm on the policy schedule, or with 1860-500-8888.
VS VS
Health AdvantEdge Plus

Post-Hospitalisation
Arogya Sanjeevani Up to 60 days after discharge under the IRDAI standard product. Confirm on the policy schedule, or with 1860-500-8888.
VS VS
Health AdvantEdge Plus Up to 180 days under the historical Apex Plus brochure.

Outpatient Department Cover (OPD Expense)
Arogya Sanjeevani Not covered (not listed in the standard product’s benefits)
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
Arogya Sanjeevani kindly refer to the policy wording.
VS VS
Health AdvantEdge Plus Not verified for this variant.

Coverage Options
Arogya Sanjeevani Individual or family floater, within the ₹1 lakh to ₹5 lakh sum insured range
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
Arogya Sanjeevani Claim Settlement Ratio (CSR) of 93.3% as a three-year IRDAI weighted average, and 95.6% in recent quarterly company disclosures (Q1 FY 2026-27).
VS VS
Health AdvantEdge Plus FY 24-25: ~84%

Maternity Cover
Arogya Sanjeevani Not covered. Maternity expenses are excluded.
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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Secure against age-related medical costs
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One policy covers the entire family
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Covers delivery, newborn care, and maternity expenses
Reduces financial stress of childbirth costs

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