Insurance Plans Comparison
ICICI Lombard Health Shield 360 vs ICICI Lombard Health Elite Plus
Make an informed decision with our detailed side-by-side comparison of top health insurance policies. Compare...
Read moreHealth Shield 360
Reset up to 100% of the sum insured unlimited times for a later unrelated illness, cover 90 days before hospitalisation and 180 days after, and add a 10% claim-free cumulative bonus up to 100%.
What Makes It Special:
Health Shield 360 by ICICI Lombard is a group health insurance product offering hospitalisation, daycare procedures, inpatient AYUSH treatment and pre- and post-hospitalisation expenses. Its key features include an unlimited reset benefit, a cumulative bonus of up to 100% of the sum insured and optional covers such as OPD, maternity,...
Best For:
Customers who value the flexibility to select additional protection, subject to group policy availability.
People seeking optional benefits such as OPD consultations, diagnostics or maternity cover.
Customers who want to build additional cover through claim-free-year bonuses.
Individuals or families looking for hospitalisation and daycare treatment cover.
Customers seeking health insurance with an unlimited reset benefit for eligible future claims.
VS
Health Elite Plus
Get a single private room and reset up to 100% of the sum insured once for the same illness and unlimited times for a different illness, with a 20% loyalty bonus up to 100% that stays after a claim.
What Makes It Special:
ICICI Lombard Health Elite Plus offers an unlimited reset benefit that can replenish up to 100% of the base sum insured when the available cover becomes insufficient after previous claims. It can be used unlimited times for different illnesses and once for the same illness, subject to policy conditions. The plan...
Best For:
Buyers who want the option to add specific benefits, such as worldwide hospitalisation cover or outpatient services, subject to eligibility and additional premium.
Customers seeking benefits such as donor expenses, domiciliary hospitalisation and air ambulance cover.
People who value a guaranteed cumulative bonus that can increase their available cover over time.
Buyers who want a reset benefit for eligible subsequent hospitalisation claims.
Individuals or families looking for a health insurance plan with multiple sum insured options.
Insurance Plans Comparison
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Quick Decision Guide
Understand the reset benefit's restrictions, including its non-availability for the first claim and its annual reset limit.
Evaluate optional benefits, including Claim Protector, OPD, maternity and worldwide cover, against their additional premiums and limits.
Check the room-category entitlement, as choosing a higher category may lead to proportionate deductions.
Review the two-year PED and specified-treatment waiting periods before choosing the plan.
Compare the available sum insured with likely hospitalisation costs and your existing health insurance.
If you need worldwide cover or other add-ons, confirm their availability, waiting periods, limits and additional premium before purchasing.
If you opt for voluntary co-payment or treatment outside your selected pricing zone, account for the applicable out-of-pocket share.
If you expect to use outpatient services, confirm whether the optional BeFit cover is selected and what its specific limits include.
If you have a pre-existing condition, check the 24-month waiting period and disclose your medical history accurately.
Choose a sum insured that fits your expected medical costs and check how room eligibility changes at the ₹20 lakh threshold.
Insurance Plans Comparison
Detailed Features Comparison
Compare the key features of different health insurance plans
![]() Health Shield 360 Health Insurance Plan VS VS |
![]() Health Elite Plus Health Insurance Plan |
| Room Rent |
|---|
Health Shield 360 Normal: No Capping (Covered up to Sum Insured) ICU: No Capping (Covered up to Sum Insured) |
VS VS |
Health Elite Plus
|
| Advanced Treatments |
|---|
Health Shield 360 Day Care Procedures Organ Donor Expenses Home Healthcare (Optional) Air Ambulance (Optional) Worldwide Coverage (Optional) |
VS VS |
Health Elite Plus
|
| ICU Charges |
|---|
Health Shield 360 ICU expenses are covered under eligible hospitalisation claims, subject to the applicable sum insured and any room or ICU restrictions in the policy schedule. |
VS VS |
Health Elite Plus Not verified for the exact current variant configuration. |
| Co-payment |
|---|
Health Shield 360 None (100% claims paid by insurer) |
VS VS |
Health Elite Plus Insured can choose 10% or 20% co-payment, allowing cost-sharing for lower premium expenses. |
| Disease-wise sublimits |
|---|
Health Shield 360 Disease- or procedure-specific sublimits may apply if the relevant optional sublimit benefit is selected under the policy. The applicable limits are determined by the policy schedule. |
VS VS |
Health Elite Plus Cataract treatment is limited to 10% of the sum insured, up to ₹1 lakh per eye, after the applicable two-year period. Other applicable limits and exclusions must be checked in the policy wording. |
| Cashless Healthcare Providers |
|---|
Health Shield 360 6500+ network hospitals |
VS VS |
Health Elite Plus 10,000+ Cashless Healthcare Providers |
| Restoration Benefit |
|---|
Health Shield 360 The Unlimited Reset Benefit can reset up to 100% of the annual sum insured an unlimited number of times in a policy year when the available cover is insufficient after previous claims. The reset does not apply to the first claim, is limited to the annual sum insured, and is subject to reuse conditions and policy terms. |
VS VS |
Health Elite Plus Reset of up to 100% of the base sum insured, unlimited times for different illnesses and once for the same illness. It does not trigger on the first claim and is subject to the policy conditions. |
| Daycare Treatment |
|---|
Health Shield 360 Covered |
VS VS |
Health Elite Plus Covers procedures requiring less than 24-hour hospitalization, like cataract surgery and chemotherapy. |
| Cumulative Bonus |
|---|
Health Shield 360 An additional sum insured of 10% accrues for each claim-free policy year, up to 100% of the sum insured. A claim can reduce the accrued bonus by 10% of the annual sum insured. |
VS VS |
Health Elite Plus Loyalty bonus is described in the available policy information; current applicable rate and maximum require verification. |
| AYUSH Treatment |
|---|
Health Shield 360 Covered |
VS VS |
Health Elite Plus Coverage for Ayurveda, Yoga, Unani, Siddha, and Homeopathy at government-recognized institutions. |
| Consumable Cover |
|---|
Health Shield 360 Non-payable items are not automatically covered under the standard plan. The optional Claim Protector benefit can cover eligible listed items, subject to its terms. |
VS VS |
Health Elite Plus Not verified as a standard benefit for the exact current variant. |
| Initial Waiting Period |
|---|
Health Shield 360 30 days for illnesses. Hospitalisation due to an accident is exempt from this initial waiting period. |
VS VS |
Health Elite Plus 30 days for illnesses from the start of the policy; accidents are excluded from this waiting-period restriction. |
| Specific Waiting Period |
|---|
Health Shield 360 Two years for specified illnesses and treatments. A separate 90-day restriction applies to expenses related to hypertension, diabetes and cardiac conditions, subject to the policy's PED provisions. |
VS VS |
Health Elite Plus 24 months for specified diseases and procedures listed in the policy. |
| PED Waiting Period |
|---|
Health Shield 360 Two years for declared and accepted pre-existing diseases, subject to the applicable policy terms. |
VS VS |
Health Elite Plus 24 months for declared and accepted pre-existing diseases, subject to policy terms and applicable portability rules. |
| Modern Treatment |
|---|
Health Shield 360 Eligible modern medical treatments are covered when they meet the policy's definitions, conditions and exclusions. |
VS VS |
Health Elite Plus Covered up to the annual sum insured, subject to policy terms and exclusions. |
| Annual Health Checkup |
|---|
Health Shield 360 Available as an optional benefit, subject to the selected cover, eligibility, limits and applicable conditions. |
VS VS |
Health Elite Plus Preventive health check-up available at designated centres, subject to policy conditions. |
| Pre-Hospitalisation |
|---|
Health Shield 360 Eligible medical expenses are covered for up to 90 days before hospitalisation. |
VS VS |
Health Elite Plus 60 days |
| Post-Hospitalisation |
|---|
Health Shield 360 Eligible medical expenses are covered for up to 180 days after hospitalisation. |
VS VS |
Health Elite Plus 180 days. |
| Outpatient Department Cover (OPD Expense) |
|---|
Health Shield 360 Optional reimbursement cover for eligible consultations, pharmacy expenses and diagnostics. Limits are ₹2,000 for ₹5 lakh sum insured, ₹4,000 for ₹10 lakh and ₹7,500 for ₹25 lakh or ₹50 lakh. |
VS VS |
Health Elite Plus Not included as a general unlimited standard benefit. Optional BeFit provides specified outpatient consultations and related benefits on a cashless basis, according to the selected plan. |
| Deductible Option |
|---|
Health Shield 360 A voluntary deductible may be selected where available. It applies to aggregate hospitalisation expenses during the policy year before the insurer becomes liable. |
VS VS |
Health Elite Plus No deductible option. |
| Coverage Options |
|---|
Health Shield 360 Individual and family floater options are available, subject to the applicable group policy's eligibility and enrolment conditions. |
VS VS |
Health Elite Plus Individual and family floater options, with sum insured options from ₹5 lakh to ₹3 crore. |
| Claim Settlement Ratio |
|---|
Health Shield 360 FY 24-25: ~84% |
VS VS |
Health Elite Plus Information Unavailable |
| Maternity Cover |
|---|
Health Shield 360 Available as an optional benefit for eligible delivery expenses, including caesarean delivery and lawful medical termination of pregnancy. Cover is limited to two deliveries or terminations during the period of insurance, subject to the applicable terms. |
VS VS |
Health Elite Plus Childbirth-related medical expenses are excluded, except ectopic pregnancy, as stated in the exclusions. |
Insurance Plans Comparison
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