Insurance Plans Comparison
ICICI Lombard Health Shield 360 Retail vs ICICI Lombard Health AdvantEdge Plus
Make an informed decision with our detailed side-by-side comparison of top health insurance policies. Compare...
Read moreHealth 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.
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
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.
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
![]() Health Shield 360 Retail Health Insurance Plan VS VS |
![]() Health AdvantEdge Plus Health Insurance Plan |
| Room Rent |
|---|
Health Shield 360 Retail Covered up to Annual Sum Insured as per plan opted Covered up to Annual Sum Insured |
VS VS |
Health AdvantEdge Plus
|
| Advanced Treatments |
|---|
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) |
VS VS |
Health AdvantEdge Plus
|
| ICU Charges |
|---|
Health Shield 360 Retail Eligible ICU expenses are covered under in-patient treatment, within the applicable Annual Sum Insured and policy conditions. |
VS VS |
Health AdvantEdge Plus Up to sum insured for Apex Plus, subject to the applicable wording. |
| Co-payment |
|---|
Health Shield 360 Retail Not mentioned |
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 |
|---|
Health Shield 360 Retail Any applicable sublimits for specified illnesses, procedures or benefits are governed by the Policy Schedule and selected plan. |
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 |
|---|
Health Shield 360 Retail Available through network hospitals and healthcare providers |
VS VS |
Health AdvantEdge Plus 10,000+ Healthcare Providers across India |
| Daycare Treatment |
|---|
Health Shield 360 Retail Covered up to Annual Sum Insured |
VS VS |
Health AdvantEdge Plus Covered. Requires hospitalization of more than 24 Hours. |
| Cumulative Bonus |
|---|
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%. |
VS VS |
Health AdvantEdge Plus Guaranteed cumulative bonus: 20% of sum insured, up to 100%, under the historical Apex Plus brochure. |
| AYUSH Treatment |
|---|
Health Shield 360 Retail Covered up to Annual Sum Insured |
VS VS |
Health AdvantEdge Plus AYUSH is covered up to Sum Insured. |
| Consumable Cover |
|---|
Health Shield 360 Retail Eligible consumables are covered as part of hospitalisation expenses, except items listed as excluded non-medical expenses. |
VS VS |
Health AdvantEdge Plus Listed non-medical expenses may require the optional Claim Protector benefit; verify the applicable schedule. |
| Initial Waiting Period |
|---|
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. |
VS VS |
Health AdvantEdge Plus 30 days for illnesses; accidental hospitalisation exempt. |
| Specific Waiting Period |
|---|
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. |
VS VS |
Health AdvantEdge Plus 2 years for specified diseases and procedures, subject to the policy wording. |
| PED Waiting Period |
|---|
Health Shield 360 Retail Pre-existing diseases are subject to the applicable waiting period and acceptance terms stated in the policy documents. |
VS VS |
Health AdvantEdge Plus 2 years, subject to disclosure and acceptance by the insurer. |
| Modern Treatment |
|---|
Health Shield 360 Retail Covers specified modern treatments and procedures, including eligible robotic surgeries, oral chemotherapy and other listed treatments, subject to policy terms. |
VS VS |
Health AdvantEdge Plus Covered up to sum insured, subject to policy terms and exclusions. |
| Annual Health Checkup |
|---|
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. |
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 |
|---|
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. |
VS VS |
Health AdvantEdge Plus |
| Post-Hospitalisation |
|---|
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. |
VS VS |
Health AdvantEdge Plus Up to 180 days under the historical Apex Plus brochure. |
| Outpatient Department Cover (OPD Expense) |
|---|
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. |
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 |
|---|
Health Shield 360 Retail A deductible, where applicable to the selected cover, is governed by the Policy Schedule and the terms of that cover. |
VS VS |
Health AdvantEdge Plus Not verified for this variant. |
| Coverage Options |
|---|
Health Shield 360 Retail The policy may be issued on an individual or family-floater basis, as recorded in the Policy Schedule. |
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 |
|---|
Health Shield 360 Retail FY 24-25: ~84% |
VS VS |
Health AdvantEdge Plus FY 24-25: ~84% |
| Maternity Cover |
|---|
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. |
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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