Insurance Plans Comparison
ICICI Lombard Health AdvantEdge vs ICICI Lombard Health Shield 360 Retail
Make an informed decision with our detailed side-by-side comparison of top health insurance policies. Compare...
Read moreHealth AdvantEdge
Stay in any room category and restore 100% of the base sum insured even after only part of it is used, including for the same illness, along with a 20% cumulative bonus up to 100%.
What Makes It Special:
ICICI Lombard Health AdvantEdge is a comprehensive health insurance policy available through individual and family floater configurations. It covers eligible hospitalisation, daycare procedures, domiciliary hospitalisation, pre- and post-hospitalisation expenses, ambulance services and AYUSH treatment. The plan also provides wellness and preventive health check-up benefits, with optional features such as maternity...
Best For:
Buyers who want to evaluate optional maternity, teleconsultation or non-medical expense protection.
Customers interested in preventive health check-ups and wellness services.
Buyers who value restoration and loyalty benefits, subject to policy conditions.
Families who want to share a sum insured through a family floater policy.
Individuals looking for comprehensive health insurance with multiple sum insured options.
VS
Health Shield 360 Retail
Reset up to 100% of the sum insured once for the same illness and unlimited times for a different illness, and add a 20% cumulative bonus each claim-free year, up to 100% of the sum insured.
What Makes It Special:
Health Shield 360 Retail provides cover for eligible in-patient hospitalisation, day-care procedures, specified modern treatments, pre- and post-hospitalisation expenses, and in-patient AYUSH treatment. Its Reset Benefit can replenish cover within defined limits, while the Guaranteed Cumulative Bonus may increase the available cover after claim-free policy years. Wellness services and optional...
Best For:
Buyers interested in wellness services and optional benefits, provided the required cover is selected and recorded in the policy schedule.
People looking for a cumulative bonus that can increase available cover after claim-free years.
Buyers who value a reset benefit for eligible future hospitalisation claims.
Families considering a family-floater option, where eligible family members can be covered under one policy.
Individuals seeking health insurance for eligible hospitalisation and day-care treatment expenses.
Insurance Plans Comparison
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Quick Decision Guide
Confirm whether your preferred hospitals are in the current cashless network and verify the exact terms shown in your policy schedule.
Compare the additional premium and limits for optional maternity, Claim Protector and other add-on benefits before selecting them.
Check waiting periods for pre-existing diseases and listed conditions before relying on the policy for planned treatment.
Review the room-rent option carefully because selecting a room above the applicable entitlement may affect the claim settlement.
Select the Prime, Royal or Apex tier based on your required sum insured and the options currently offered.
Compare optional benefits and their additional premiums against your needs, because an optional cover applies only when it has been selected and recorded in the policy documents.
Understand the Reset Benefit conditions, including the restriction on using it for the first claim and the rules for repeated claims relating to the same illness or injury.
Confirm the room eligibility, applicable co-payment, deductible and any disease or procedure sublimits in your Policy Schedule.
Review the waiting periods for pre-existing diseases and specified illnesses before relying on the policy for planned treatment.
Check the selected Sum Insured and whether an individual or family-floater policy suits the people you want to insure.
Insurance Plans Comparison
Detailed Features Comparison
Compare the key features of different health insurance plans
![]() Health AdvantEdge Health Insurance Plan VS VS |
![]() Health Shield 360 Retail Health Insurance Plan |
| Room Rent |
|---|
Health AdvantEdge Normal: Any category room; Up to Sum Insured ICU: Up to Sum Insured |
VS VS |
Health Shield 360 Retail Covered up to Annual Sum Insured as per plan opted Covered up to Annual Sum Insured |
| Advanced Treatments |
|---|
Health AdvantEdge Home care treatment, teleconsultations, domestic air ambulance, bariatric surgery, worldwide cover |
VS VS |
Health Shield 360 Retail Uterine Artery Embolization (UAE) and HIFU Immunotherapy (Monoclonal Antibody Injection) Green Laser/Holmium Laser Treatment for Prostate Stem Cell Therapy for Hematological Conditions Balloon Sinuplasty Oral Chemotherapy Robotic Surgeries Stereotactic Radio Surgery Deep Brain Stimulation Intra Vitreal Injections Bronchial Thermoplasty Intra Operative Neuro Monitoring (IONM) |
| ICU Charges |
|---|
Health AdvantEdge Eligible ICU expenses are covered within the applicable sum insured and policy limits. |
VS VS |
Health Shield 360 Retail Eligible ICU expenses are covered under in-patient treatment, within the applicable Annual Sum Insured and policy conditions. |
| Co-payment |
|---|
Health AdvantEdge 0% co-payment |
VS VS |
Health Shield 360 Retail Not mentioned |
| Disease-wise sublimits |
|---|
Health AdvantEdge |
VS VS |
Health Shield 360 Retail Any applicable sublimits for specified illnesses, procedures or benefits are governed by the Policy Schedule and selected plan. |
| Cashless Healthcare Providers |
|---|
Health AdvantEdge Cashless treatment available at network hospitals |
VS VS |
Health Shield 360 Retail Available through network hospitals and healthcare providers |
| Restoration Benefit |
|---|
Health AdvantEdge Restore Benefit can restore up to 100% of the sum insured once in a policy year under the cited policy version, subject to the applicable claim conditions. |
VS VS |
Health Shield 360 Retail Information Unavailable |
| Daycare Treatment |
|---|
Health AdvantEdge All daycare procedures covered |
VS VS |
Health Shield 360 Retail Covered up to Annual Sum Insured |
| Cumulative Bonus |
|---|
Health AdvantEdge Guaranteed Cumulative Bonus of 20% of the sum insured for an eligible claim-free year under the cited policy version; accrued bonus is not reduced by a claim, subject to policy terms. |
VS VS |
Health Shield 360 Retail Guaranteed Cumulative Bonus can increase by 20% of the applicable Annual Sum Insured for each claim-free policy year, up to 100%. |
| AYUSH Treatment |
|---|
Health AdvantEdge Covered up to Sum Insured |
VS VS |
Health Shield 360 Retail Covered up to Annual Sum Insured |
| Consumable Cover |
|---|
Health AdvantEdge Claim Protector is available as an optional cover for eligible non-medical expenses, subject to the selected option and policy terms. |
VS VS |
Health Shield 360 Retail Eligible consumables are covered as part of hospitalisation expenses, except items listed as excluded non-medical expenses. |
| Initial Waiting Period |
|---|
Health AdvantEdge 30 days for illnesses, except eligible accident-related hospitalisation. |
VS VS |
Health Shield 360 Retail A 30-day waiting period applies to illnesses, subject to the policy wording and applicable exceptions. Accidental injuries are treated according to the policy’s terms. |
| Specific Waiting Period |
|---|
Health AdvantEdge Generally 24 months for listed diseases and procedures, subject to the applicable wording. |
VS VS |
Health Shield 360 Retail Listed diseases and procedures may be subject to specific waiting periods. The applicable period and exclusions should be checked against the policy schedule and wording. |
| PED Waiting Period |
|---|
Health AdvantEdge Generally 24 months for declared and accepted pre-existing diseases under the cited policy version; confirm the applicable plan and policy schedule. |
VS VS |
Health Shield 360 Retail Pre-existing diseases are subject to the applicable waiting period and acceptance terms stated in the policy documents. |
| Modern Treatment |
|---|
Health AdvantEdge Listed modern treatments are covered subject to the applicable plan limits and policy wording. |
VS VS |
Health Shield 360 Retail Covers specified modern treatments and procedures, including eligible robotic surgeries, oral chemotherapy and other listed treatments, subject to policy terms. |
| Annual Health Checkup |
|---|
Health AdvantEdge Preventive health check-up coupons are available under the cited policy version for eligible insured adults; package and usage conditions apply. |
VS VS |
Health Shield 360 Retail Annual check-up benefits are available under the applicable cover and plan terms. Eligibility and limits depend on the selected option. |
| Pre-Hospitalisation |
|---|
Health AdvantEdge Covered for the period specified in the applicable policy wording; verify the exact duration for the current UIN. |
VS VS |
Health Shield 360 Retail Eligible medical expenses incurred before hospitalisation are covered for the period and within the limits specified in the Policy Schedule, subject to the related hospitalisation claim being admissible. |
| Post-Hospitalisation |
|---|
Health AdvantEdge Covered for the period specified in the applicable policy wording; confirm the exact limit for the current UIN. |
VS VS |
Health Shield 360 Retail Eligible post-hospitalisation medical expenses are covered for the period and limits specified in the Policy Schedule, subject to acceptance of the related hospitalisation claim. |
| Outpatient Department Cover (OPD Expense) |
|---|
Health AdvantEdge Not a blanket standard OPD reimbursement benefit. Optional BeFit/OPD-related cover may be available with eligible configurations. |
VS VS |
Health Shield 360 Retail Out-patient consultations and other OPD services may be available under the applicable optional cover, subject to its limits and conditions. |
| Deductible Option |
|---|
Health AdvantEdge A voluntary deductible may be available under selected configurations; confirm the amount and terms in the policy schedule. |
VS VS |
Health Shield 360 Retail A deductible, where applicable to the selected cover, is governed by the Policy Schedule and the terms of that cover. |
| Coverage Options |
|---|
Health AdvantEdge Prime, Royal and Apex plan tiers, with individual and family floater options and optional benefits. |
VS VS |
Health Shield 360 Retail The policy may be issued on an individual or family-floater basis, as recorded in the Policy Schedule. |
| Claim Settlement Ratio |
|---|
Health AdvantEdge FY 24-25: ~84% |
VS VS |
Health Shield 360 Retail FY 24-25: ~84% |
| Maternity Cover |
|---|
Health AdvantEdge Optional maternity benefit may cover eligible maternity expenses up to 10% of annual sum insured, capped at ₹1 lakh; newborn expenses may be covered over and above this limit, subject to policy terms. |
VS VS |
Health Shield 360 Retail Maternity-related expenses are covered only where the applicable cover is selected and recorded in the Policy Schedule, subject to its waiting period, limits and conditions. |
Insurance Plans Comparison
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