How does OneAssure help me compare health insurance policies and choose the best plan?

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.

Does OneAssure assist with health insurance claims and renewals after I purchase a policy?

Absolutely. OneAssure provides end-to-end support for claims, renewals, and queries, ensuring a hassle-free experience throughout your policy tenure.

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.

What documents are needed to buy and claim a health insurance policy online via OneAssure?

To buy a policy, you need ID proof, address proof, and medical details. For claims, hospital bills, prescriptions, and discharge summaries are required.

Oneassure

Health Insurance

Compare Health Insurance Plans

Optima Lite Vs Prohealth Accumulate

Insurance Plans Comparison

HDFC ERGO Optima Lite vs ManipalCigna ProHealth Accumulate

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...

Optima Lite

Restore your sum insured unlimited times for the same or a different illness, add 10% of the base sum insured every year even after a claim, up to 100%, and cap room rent at 1% a day.

What Makes It Special:

HDFC ERGO Optima Lite is a health insurance plan with ₹5 lakh and ₹7.5 lakh base sum-insured options, unlimited automatic restoration, cumulative bonus and preventive health check-ups. It also offers optional benefits such as an aggregate deductible, Protect Benefit and Plus Benefit, allowing customers to adjust coverage and premiums according...

Best For:

Policyholders who want the flexibility to add non-medical expense coverage or increase their cover through optional benefits.
Customers looking to manage premiums through an optional aggregate deductible.
Buyers who value repeated restoration of the base sum insured for subsequent admissible claims.
Families considering individual or family floater coverage under one policy.
Individuals seeking a base health cover of ₹5 lakh or ₹7.5 lakh.

VS

ProHealth Accumulate

Carry forward a health maintenance benefit for outpatient and inpatient care, add 5% to any unused balance, and put up to half of it toward renewal premium, plus a guaranteed 5% cumulative bonus up to 200%.

What Makes It Special:

ProHealth focuses on providing essential health coverage at an affordable premium. It's designed for budget-conscious individuals who want reliable coverage.

Best For:

Not available

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

HDFC ERGO Optima Lite

Check whether Protect Benefit or Plus Benefit is selected, because these optional benefits are not automatically included in every policy.
Consider the aggregate deductible only if you can afford to pay the selected deductible amount when making claims.
Review the waiting periods and confirm the applicable PED terms against your medical history before purchasing.
Check the 1% room-rent and 2% ICU daily limits before choosing the plan, as exceeding the applicable limits may result in proportionate deductions.
Compare the ₹5 lakh and ₹7.5 lakh base options against your expected hospitalisation costs and financial capacity.

ManipalCigna ProHealth Accumulate

Not available

Insurance Plans Comparison

Detailed Features Comparison

Compare the key features of different health insurance plans

Optima Lite

Health Insurance Plan

Brochure

Policy Wording

VS

ProHealth Accumulate

Health Insurance Plan

Policy Wording

Room Rent
Optima Lite Normal: Up to 1% of Base Sum Insured per day ICU: Up to 2% of Base Sum Insured per day	ProHealth Accumulate Normal: Single Private AC Room ICU: Up to Sum Insured

Advanced Treatments
Optima Lite Robotic Surgeries Oral Chemotherapy Deep Brain Stimulation Balloon Sinuplasty Bronchial Thermoplasty Stereotactic Radio Surgeries Intra Vitreal Injections Immunotherapy Vaporisation of Prostate IONM (Intra Operative Neuro Monitoring) Stem Cell Therapy	ProHealth Accumulate Sum Insured below ₹5 Lakh: Covered up to 50% of Sum Insured Sum Insured ₹5 Lakh and above: Covered up to Sum Insured

ICU Charges
Optima Lite Up to 2% of base sum insured per day.	ProHealth Accumulate Information Unavailable

Co-payment
Optima Lite Not mentioned	ProHealth Accumulate Not mentioned

Disease-wise sublimits
Optima Lite Not verified for all listed treatments; refer to the applicable policy wording.	ProHealth Accumulate Information Unavailable

Waiting Period
Optima Lite Information Unavailable	ProHealth Accumulate Initial Waiting Period: 30 Days Pre-existing Disease Waiting Period: Sum Insured up to ₹5 Lakh: 36 Months Sum Insured ₹7.5 Lakh and above: 24 Months Specific Disease/Procedure Waiting Period: 24 Months Bariatric Surgery Waiting Period: 36 Months Maternity & Infertility Waiting Period: 36 Months

Cashless Healthcare Providers
Optima Lite 16,000+ Cashless Healthcare Providers	ProHealth Accumulate Not mentioned

Restoration Benefit
Optima Lite Unlimited automatic restoration of up to 100% of base sum insured for subsequent claims during the policy year, subject to conditions.	ProHealth Accumulate Information Unavailable

Daycare Treatment
Optima Lite Covered up to Sum Insured	ProHealth Accumulate Covered up to Sum Insured

Cumulative Bonus
Optima Lite 10% of base sum insured per policy year, up to 100%, irrespective of claims.	ProHealth Accumulate Information Unavailable

AYUSH Treatment
Optima Lite Covered up to Sum Insured	ProHealth Accumulate Covered up to Sum Insured

Consumable Cover
Optima Lite Optional Protect Benefit covers listed non-medical expenses and consumables.	ProHealth Accumulate Information Unavailable

Initial Waiting Period
Optima Lite 30 days for illnesses; eligible accidental injury claims are exempt.	ProHealth Accumulate Information Unavailable

Specific Waiting Period
Optima Lite 2 years for specified illnesses and procedures.	ProHealth Accumulate Information Unavailable

PED Waiting Period
Optima Lite Not verified; confirm against the applicable policy wording.	ProHealth Accumulate Information Unavailable

Annual Health Checkup
Optima Lite Available annually after the first policy year; limit depends on policy type.	ProHealth Accumulate Information Unavailable

Pre-Hospitalisation
Optima Lite 30 days for eligible expenses.	ProHealth Accumulate Information Unavailable

Post-Hospitalisation
Optima Lite 60 days for eligible expenses.	ProHealth Accumulate Information Unavailable

Outpatient Department Cover (OPD Expense)
Optima Lite Optima Wellbeing add-on offers OPD-related services in select cities; not a standard base-plan benefit.	ProHealth Accumulate Information Unavailable

Deductible Option
Optima Lite Optional aggregate deductible of ₹10,000, ₹25,000 or ₹50,000; premium discount may be available.	ProHealth Accumulate Information Unavailable

Coverage Options
Optima Lite ₹5 lakh or ₹7.5 lakh base sum insured; individual or family floater.	ProHealth Accumulate Information Unavailable

Claim Settlement Ratio
Optima Lite Not verified using the latest comparable insurer-level CSR metric. Do not substitute older marketing figures or a different claims metric.	ProHealth Accumulate Information Unavailable

Maternity Cover
Optima Lite Covered up to the applicable sum insured, subject to policy terms and exclusions.	ProHealth Accumulate Information Unavailable

Insurance Plans Comparison

Detailed Features Comparison

Compare the key features of different health insurance plans

Optima Lite

Health Insurance Plan

Brochure

Policy Wording

VS

ProHealth Accumulate

Health Insurance Plan

Policy Wording

Room Rent
Optima Lite Normal: Up to 1% of Base Sum Insured per day ICU: Up to 2% of Base Sum Insured per day
VS VS
ProHealth Accumulate Normal: Single Private AC Room ICU: Up to Sum Insured

Advanced Treatments
Optima Lite Robotic Surgeries Oral Chemotherapy Deep Brain Stimulation Balloon Sinuplasty Bronchial Thermoplasty Stereotactic Radio Surgeries Intra Vitreal Injections Immunotherapy Vaporisation of Prostate IONM (Intra Operative Neuro Monitoring) Stem Cell Therapy
VS VS
ProHealth Accumulate Sum Insured below ₹5 Lakh: Covered up to 50% of Sum Insured Sum Insured ₹5 Lakh and above: Covered up to Sum Insured

ICU Charges
Optima Lite Up to 2% of base sum insured per day.
VS VS
ProHealth Accumulate Information Unavailable

Co-payment
Optima Lite Not mentioned
VS VS
ProHealth Accumulate Not mentioned

Disease-wise sublimits
Optima Lite Not verified for all listed treatments; refer to the applicable policy wording.
VS VS
ProHealth Accumulate Information Unavailable

Waiting Period
Optima Lite Information Unavailable
VS VS
ProHealth Accumulate Initial Waiting Period: 30 Days Pre-existing Disease Waiting Period: Sum Insured up to ₹5 Lakh: 36 Months Sum Insured ₹7.5 Lakh and above: 24 Months Specific Disease/Procedure Waiting Period: 24 Months Bariatric Surgery Waiting Period: 36 Months Maternity & Infertility Waiting Period: 36 Months

Cashless Healthcare Providers
Optima Lite 16,000+ Cashless Healthcare Providers
VS VS
ProHealth Accumulate Not mentioned

Restoration Benefit
Optima Lite Unlimited automatic restoration of up to 100% of base sum insured for subsequent claims during the policy year, subject to conditions.
VS VS
ProHealth Accumulate Information Unavailable

Daycare Treatment
Optima Lite Covered up to Sum Insured
VS VS
ProHealth Accumulate Covered up to Sum Insured

Cumulative Bonus
Optima Lite 10% of base sum insured per policy year, up to 100%, irrespective of claims.
VS VS
ProHealth Accumulate Information Unavailable

AYUSH Treatment
Optima Lite Covered up to Sum Insured
VS VS
ProHealth Accumulate Covered up to Sum Insured

Consumable Cover
Optima Lite Optional Protect Benefit covers listed non-medical expenses and consumables.
VS VS
ProHealth Accumulate Information Unavailable

Initial Waiting Period
Optima Lite 30 days for illnesses; eligible accidental injury claims are exempt.
VS VS
ProHealth Accumulate Information Unavailable

Specific Waiting Period
Optima Lite 2 years for specified illnesses and procedures.
VS VS
ProHealth Accumulate Information Unavailable

PED Waiting Period
Optima Lite Not verified; confirm against the applicable policy wording.
VS VS
ProHealth Accumulate Information Unavailable

Annual Health Checkup
Optima Lite Available annually after the first policy year; limit depends on policy type.
VS VS
ProHealth Accumulate Information Unavailable

Pre-Hospitalisation
Optima Lite 30 days for eligible expenses.
VS VS
ProHealth Accumulate Information Unavailable

Post-Hospitalisation
Optima Lite 60 days for eligible expenses.
VS VS
ProHealth Accumulate Information Unavailable

Outpatient Department Cover (OPD Expense)
Optima Lite Optima Wellbeing add-on offers OPD-related services in select cities; not a standard base-plan benefit.
VS VS
ProHealth Accumulate Information Unavailable

Deductible Option
Optima Lite Optional aggregate deductible of ₹10,000, ₹25,000 or ₹50,000; premium discount may be available.
VS VS
ProHealth Accumulate Information Unavailable

Coverage Options
Optima Lite ₹5 lakh or ₹7.5 lakh base sum insured; individual or family floater.
VS VS
ProHealth Accumulate Information Unavailable

Claim Settlement Ratio
Optima Lite Not verified using the latest comparable insurer-level CSR metric. Do not substitute older marketing figures or a different claims metric.
VS VS
ProHealth Accumulate Information Unavailable

Maternity Cover
Optima Lite Covered up to the applicable sum insured, subject to policy terms and exclusions.
VS VS
ProHealth Accumulate Information Unavailable

Insurance Plans Comparison

Still Confused? Get Expert 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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Why Choose Our Expert Consultation?

End-to-End Support

From choosing the right policy to managing claims, every step is handled for you

Zero Spam. Zero Hassle

Pure advice, no unwanted calls, no unnecessary push

Free Expert Consultation

Talk to experienced advisors at no cost, and make confident decisions

24/7 Claim Assistance

Get a dedicated expert managing your claim end-to-end, from hospital admission to approval, including dispute resolution and support

End-to-End Support

From choosing the right policy to managing claims, every step is handled for you

Zero Spam. Zero Hassle

Pure advice, no unwanted calls, no unnecessary push

Free Expert Consultation

Talk to experienced advisors at no cost, and make confident decisions

24/7 Claim Assistance

Get a dedicated expert managing your claim end-to-end, from hospital admission to approval, including dispute resolution and support

What Our Experts Help You With

Personalised Recommendations

Every suggestion is backed by expert analysis of your life stage, goals, and budget

Expert-Led Policy Review

We decode the fine print—identifying risks, sub-limits, and gaps you may have missed. No surprises later

Smart, Tech-Enabled Experience

From digital onboarding to real-time claim tracking, our platform makes insurance easy, accessible, and stress-free

Insurance Plans Comparison

Explore Insurance Category

Senior Citizen Health Plan

Secure against age-related medical costs
Tailored for seniors healthcare needs

Family Health Plan

One policy covers the entire family
High sum insured with cashless care
Multiple coverage options based on your family needs

Maternity Health Plan

Covers delivery, newborn care, and maternity expenses
Reduces financial stress of childbirth costs

Insurance Plans Comparison

Frequently Asked Questions (FAQs)

Having questions? We've got answers. Explore our FAQs to find the information you need.

1-5 of 10 FAQs

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