Insurance Plans Comparison
ICICI Lombard Health AdvantEdge vs ICICI Lombard Health Shield 360
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
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.
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.
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.
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 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 Normal: No Capping (Covered up to Sum Insured) ICU: No Capping (Covered up to Sum Insured) |
| Advanced Treatments |
|---|
Health AdvantEdge Home care treatment, teleconsultations, domestic air ambulance, bariatric surgery, worldwide cover |
VS VS |
Health Shield 360 Day Care Procedures Organ Donor Expenses Home Healthcare (Optional) Air Ambulance (Optional) Worldwide Coverage (Optional) |
| ICU Charges |
|---|
Health AdvantEdge Eligible ICU expenses are covered within the applicable sum insured and policy limits. |
VS VS |
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. |
| Co-payment |
|---|
Health AdvantEdge 0% co-payment |
VS VS |
Health Shield 360 None (100% claims paid by insurer) |
| Disease-wise sublimits |
|---|
Health AdvantEdge |
VS VS |
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. |
| Cashless Healthcare Providers |
|---|
Health AdvantEdge Cashless treatment available at network hospitals |
VS VS |
Health Shield 360 6500+ network hospitals |
| 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 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. |
| Daycare Treatment |
|---|
Health AdvantEdge All daycare procedures covered |
VS VS |
Health Shield 360 Covered |
| 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 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. |
| AYUSH Treatment |
|---|
Health AdvantEdge Covered up to Sum Insured |
VS VS |
Health Shield 360 Covered |
| 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 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. |
| Initial Waiting Period |
|---|
Health AdvantEdge 30 days for illnesses, except eligible accident-related hospitalisation. |
VS VS |
Health Shield 360 30 days for illnesses. Hospitalisation due to an accident is exempt from this initial waiting period. |
| Specific Waiting Period |
|---|
Health AdvantEdge Generally 24 months for listed diseases and procedures, subject to the applicable wording. |
VS VS |
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. |
| 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 Two years for declared and accepted pre-existing diseases, subject to the applicable policy terms. |
| Modern Treatment |
|---|
Health AdvantEdge Listed modern treatments are covered subject to the applicable plan limits and policy wording. |
VS VS |
Health Shield 360 Eligible modern medical treatments are covered when they meet the policy's definitions, conditions and exclusions. |
| 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 Available as an optional benefit, subject to the selected cover, eligibility, limits and applicable conditions. |
| 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 Eligible medical expenses are covered for up to 90 days before hospitalisation. |
| 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 Eligible medical expenses are covered for up to 180 days after hospitalisation. |
| 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 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. |
| 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 A voluntary deductible may be selected where available. It applies to aggregate hospitalisation expenses during the policy year before the insurer becomes liable. |
| Coverage Options |
|---|
Health AdvantEdge Prime, Royal and Apex plan tiers, with individual and family floater options and optional benefits. |
VS VS |
Health Shield 360 Individual and family floater options are available, subject to the applicable group policy's eligibility and enrolment conditions. |
| Claim Settlement Ratio |
|---|
Health AdvantEdge FY 24-25: ~84% |
VS VS |
Health Shield 360 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 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. |
Insurance Plans Comparison
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