Insurance Plans Comparison
ICICI Lombard Health Shield 360 vs Niva Bupa Health Assurance
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 Assurance
Choose a listed critical-illness lump sum, accident cover and daily hospital cash as fixed benefits you can combine, with hospital cash paid for each day in hospital up to 45 days a year.
What Makes It Special:
Health Assurance is a Niva Bupa family plan made up of three separate covers. CritiCare pays a lump sum for listed critical illnesses. HospiCash pays a fixed daily cash amount during hospitalisation. AccidentCare pays for accidental death, permanent disability and temporary disability.
Best For:
Buyers who want lifelong renewal on all three covers
Parents who want child education benefits paid on an accidental death or permanent disability of the proposer
Working adults who want accident death, disability and income-loss cover
Buyers who want daily cash to cover incidental costs during a hospital stay
Families who want a lump sum if a listed critical illness is diagnosed
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Our insurance experts are here to help you make the right choice. Get personalized recommendations based on your specific needs and budget.
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.
The sum insured for AccidentCare and TTD is linked to annual income, so check the limits against your income.
Only 2 adults can be covered under a CritiCare family option, so check this before buying for a larger family.
AccidentCare has no waiting period, but it is available only to Risk Class 1 and 2 occupations, with a 50% loading for Risk Class 2.
HospiCash pays a fixed daily amount for up to 45 days a year, so it does not reimburse hospital bills.
CritiCare does not start for 90 days, and a 36-month PED wait applies, so buy early if you have a condition.
Insurance Plans Comparison
Detailed Features Comparison
Compare the key features of different health insurance plans
![]() Health Shield 360 Health Insurance Plan VS VS |
Health Assurance 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 Assurance Normal: Covered up to Sum Insured ICU: Covered up to Sum Insured |
| Advanced Treatments |
|---|
Health Shield 360 Day Care Procedures Organ Donor Expenses Home Healthcare (Optional) Air Ambulance (Optional) Worldwide Coverage (Optional) |
VS VS |
Health Assurance Modern Treatments covered up to Sum Insured |
| 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 Assurance Under HospiCash, the ICU cash benefit is double the daily cash benefit for ICU stays, up to 7 days a year. |
| Co-payment |
|---|
Health Shield 360 None (100% claims paid by insurer) |
VS VS |
Health Assurance Optional co-payment available |
| 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 Assurance Information Unavailable |
| Cashless Healthcare Providers |
|---|
Health Shield 360 6500+ network hospitals |
VS VS |
Health Assurance 10,000+ Network Hospitals |
| 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 Assurance Information Unavailable |
| Daycare Treatment |
|---|
Health Shield 360 Covered |
VS VS |
Health Assurance Covered |
| 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 Assurance AccidentCare renewal benefit: the sum insured rises by 5% for each claim-free year, up to a total of 25%. Applies to all AccidentCare benefits except TTD and accident hospitalisation. |
| AYUSH Treatment |
|---|
Health Shield 360 Covered |
VS VS |
Health Assurance Covered up to Sum Insured |
| 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 Assurance Please refer to the policy wording. |
| 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 Assurance CritiCare: 90 days. HospiCash: 30 days, except accidents. AccidentCare: none. |
| 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 Assurance HospiCash only: 24 months for 17 listed conditions and procedures |
| PED Waiting Period |
|---|
Health Shield 360 Two years for declared and accepted pre-existing diseases, subject to the applicable policy terms. |
VS VS |
Health Assurance 36 months for CritiCare and HospiCash |
| Modern Treatment |
|---|
Health Shield 360 Eligible modern medical treatments are covered when they meet the policy's definitions, conditions and exclusions. |
VS VS |
Health Assurance Not covered as a separate benefit. AccidentCare Hospitalisation covers surgery, room rent and related costs for accidental injury up to 2% of the AccidentCare sum insured. |
| Annual Health Checkup |
|---|
Health Shield 360 Available as an optional benefit, subject to the selected cover, eligibility, limits and applicable conditions. |
VS VS |
Health Assurance Kindly refer to the policy wording. |
| Pre-Hospitalisation |
|---|
Health Shield 360 Eligible medical expenses are covered for up to 90 days before hospitalisation. |
VS VS |
Health Assurance Information Unavailable |
| Post-Hospitalisation |
|---|
Health Shield 360 Eligible medical expenses are covered for up to 180 days after hospitalisation. |
VS VS |
Health Assurance Kindly refer to policy wording. |
| 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 Assurance Not covered. |
| 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 Assurance Kindly refer to the policy wording. |
| 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 Assurance AccidentCare (individual or family, with optional TTD and accident hospitalisation), CritiCare (individual or family floater, Option 1 lump sum or Option 2 lump sum with staggered payout), HospiCash (individual or family, daily cash). |
| Claim Settlement Ratio |
|---|
Health Shield 360 FY 24-25: ~84% |
VS VS |
Health Assurance Claim Settlement Ratio (CSR) of 93.3% as a three-year IRDAI weighted average, and 95.6% in recent quarterly company disclosures (Q1 FY 2026-27). |
| 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 Assurance Information Unavailable |
Insurance Plans Comparison
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