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Cashless claims let you get treatment at network hospitals without paying upfront, while reimbursement claims require you to pay first and get refunded later.

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Co-payment means you share a part of the claim cost. Opting for co-pay lowers your premium but increases your out-of-pocket expenses.

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Plans with comprehensive coverage, minimal waiting periods, and optional critical illness riders are ideal. OneAssure helps identify policies that best meet these requirements.

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What are room rent limits in health insurance, and how do they affect claims?

Room rent limits cap the daily room cost covered by your insurer. Choosing a plan without strict limits ensures higher claim payouts.

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Medicare Senior Vs Complete Health Insurance Health Shield

Insurance Plans Comparison

TATA AIG Medicare Senior vs ICICI Lombard Complete Health Insurance Health Shield

Make an informed decision with our detailed side-by-side comparison of top health insurance policies. Compare coverage, benefits, and premiums to find the perfect plan for your needs.

Make an informed decision with our detailed side-by-side comparison of top health insurance policies. Compare...

Medicare Senior

Cover hospitalisation from age 61 for you and your spouse, with 30 days before admission and 60 days after discharge, 140 listed day-care procedures, and ambulance charges up to ₹2,000 a stay.

What Makes It Special:

Comprehensive health insurance coverage with hospitalization, day care, pre and post-hospitalization, AYUSH, restoration and additional health benefits.

Best For:

Customers looking for additional protection through benefits such as global cover, consumables and second medical opinion
Individuals seeking additional benefits such as restoration, Cumulative Bonus and preventive health check-ups
Customers looking for AYUSH treatment and domiciliary hospitalization coverage
Individuals seeking inpatient and Day Care Treatment coverage
Senior citizens looking for comprehensive health insurance coverage

Complete Health Insurance Health Shield

Add 10% to the sum insured after every claim-free year, up to 50%, and cover organ-donor expenses up to ₹10 lakh, with domiciliary hospitalisation and air ambulance paid over and above the sum insured.

What Makes It Special:

Health Shield is a variant listed under ICICI Lombard Complete Health Insurance. Its benefits include inpatient hospitalisation, eligible daycare procedures, inpatient AYUSH treatment, pre- and post-hospitalisation expenses, and a reset benefit that can replenish eligible cover after previous claims. The policy also lists a cumulative bonus and wellness services. Coverage...

Best For:

Customers who may use the policy's wellness services and preventive health-check-up facilities.
Buyers who want eligible daycare and inpatient AYUSH treatment covered.
Customers who value a cumulative bonus for claim-free years.
Individuals or families comparing different base sum insured options.
Buyers looking for hospitalisation cover with a reset benefit for subsequent eligible claims.

Insurance Plans Comparison

Get Personalized Advice

Our insurance experts are here to help you make the right choice. Get personalized recommendations based on your specific needs and budget.

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Quick Decision Guide

TATA AIG Medicare Senior

Consider Before Buying: Choosing a room category higher than the eligible category mentioned in the policy schedule results in the policyholder bearing 10% of the admissible claim amount.
Consider Before Buying: A 36-month waiting period applies to pre-existing diseases and a 24-month waiting period applies to specified diseases and procedures, subject to the policy terms.
Reasons to Consider: A 50% Cumulative Bonus is added after every claim-free policy year, up to a maximum of 100% of the Sum Insured.
Reasons to Consider: The policy provides automatic restoration of the Basic Sum Insured once during the policy period, subject to applicable conditions.
Reasons to Consider: The policy covers inpatient treatment, Day Care Treatment, pre and post-hospitalization expenses, AYUSH treatment and domiciliary hospitalization.

ICICI Lombard Complete Health Insurance Health Shield

Verify that the Health Shield variant is still available and that the quoted UIN matches the policy document before purchase.
Compare the cataract sub-limit with your expected needs, especially if selecting a lower sum insured.
Check the 24-month PED and specified-disease waiting periods against your medical history.
Review the reset rules carefully, including the restrictions on using reset cover for the same illness.
Confirm the available sum insured and room-rent limit in the policy schedule before choosing the plan.

Insurance Plans Comparison

Detailed Features Comparison

Compare the key features of different health insurance plans

Medicare Senior

Health Insurance Plan

Brochure

Policy Wording

Complete Health Insurance Health Shield

Health Insurance Plan

Brochure

Room Rent
Medicare Senior Covered according to the room category specified in the Policy Schedule.	Complete Health Insurance Health Shield Normal: Health Shield offers room rent and ICU coverage without sub-limits, ensuring full financial support for hospitalization, including intensive care expenses.

ICU Charges
Medicare Senior Covered as part of eligible inpatient hospitalisation expenses, subject to the Sum Insured and policy terms.	Complete Health Insurance Health Shield Covered under eligible inpatient hospitalisation, subject to policy terms.

Advanced Treatments
Medicare Senior Information Unavailable	Complete Health Insurance Health Shield Covers advanced treatments, including robotic surgeries, stem cell therapy, immunotherapy, and modern cancer treatments

Co-payment
Medicare Senior 10% of the admissible claim amount applies when the insured chooses a room category higher than the eligible room category.	Complete Health Insurance Health Shield 10% of copay will be applied to every admissible claim.

Disease-wise sublimits
Medicare Senior Applicable limits may apply to specific benefits and treatments as specified in the policy.	Complete Health Insurance Health Shield Cataract: ₹20,000 per eye per policy year for sum insured up to ₹5 lakh; ₹1 lakh per eye per policy year for sum insured above ₹5 lakh.

Cashless Healthcare Providers
Medicare Senior Cashless treatment available at network providers, subject to pre-authorisation and applicable policy conditions.	Complete Health Insurance Health Shield 10,896+ hospitals across India.

Restoration Benefit
Medicare Senior Basic Sum Insured is automatically restored once during the policy period after exhaustion of the Sum Insured and accrued Cumulative Bonus, subject to applicable conditions.	Complete Health Insurance Health Shield Unlimited Reset Benefit is listed; reset does not trigger on the first claim and remains subject to illness, insured-person and other policy conditions.

Cumulative Bonus
Medicare Senior 50% of Sum Insured for every claim-free year, up to a maximum of 100% of Sum Insured.	Complete Health Insurance Health Shield 10% of annual sum insured per claim-free year, up to 50%; accumulated bonus reduces by 10% of annual sum insured following a claim, as specified in the policy.

Daycare Treatment
Medicare Senior Listed Day Care Procedures are covered as specified under the policy.	Complete Health Insurance Health Shield Covered under the policy.

Consumable Cover
Medicare Senior Covered for specified consumables as per the policy terms.	Complete Health Insurance Health Shield

AYUSH Treatment
Medicare Senior Covered for eligible inpatient treatment in an AYUSH Hospital.	Complete Health Insurance Health Shield Covered under this policy

Initial Waiting Period
Medicare Senior 30 days, except for claims arising from accidents	Complete Health Insurance Health Shield 30 days for illnesses; injury-related hospitalisation is excepted.

Specific Waiting Period
Medicare Senior 24 months for specified diseases and procedures, subject to applicable policy terms.	Complete Health Insurance Health Shield 24 months for specified illnesses and treatments.

PED Waiting Period
Medicare Senior 36 months of continuous coverage.	Complete Health Insurance Health Shield 24 months for declared and accepted pre-existing diseases.

Modern Treatment
Medicare Senior Covered as per applicable policy terms and conditions.	Complete Health Insurance Health Shield Not verified as a separately defined benefit in the reviewed Health Shield document.

Annual Health Checkup
Medicare Senior Available once after every two continuous claim-free policy years, subject to the applicable limit and policy conditions.	Complete Health Insurance Health Shield Health-check-up coupon each policy year, up to 2 coupons per year for floater policies.

Pre-Hospitalisation
Medicare Senior Covered for up to 60 days before hospitalisation.	Complete Health Insurance Health Shield Up to 30 days.

Post-Hospitalisation
Medicare Senior Covered for up to 90 days after discharge.	Complete Health Insurance Health Shield Up to 60 days.

Outpatient Department Cover (OPD Expense)
Medicare Senior Not covered as a general base OPD benefit.	Complete Health Insurance Health Shield Wellness points may be redeemable for eligible outpatient expenses; a fixed comprehensive OPD limit was not verified.

Deductible Option
Medicare Senior Not specified as a standard deductible option.	Complete Health Insurance Health Shield Not verified in the reviewed Health Shield document.

Coverage Options
Medicare Senior Individual and Family Floater options, subject to the Sum Insured options available under the policy.	Complete Health Insurance Health Shield Individual or family floater; listed sum insured options from ₹3 lakh to ₹50 lakh.

Claim Settlement Ratio
Medicare Senior Not specified in the supplied policy document.	Complete Health Insurance Health Shield FY 2024-25: 83.65%

Maternity Cover
Medicare Senior Not covered under the base policy.	Complete Health Insurance Health Shield Excluded under the reviewed policy wording, except for stated policy exceptions such as ectopic pregnancy.

Insurance Plans Comparison

Detailed Features Comparison

Compare the key features of different health insurance plans

Medicare Senior

Health Insurance Plan

Brochure

Policy Wording

Complete Health Insurance Health Shield

Health Insurance Plan

Brochure

Room Rent
Medicare Senior Covered according to the room category specified in the Policy Schedule.
VS VS
Complete Health Insurance Health Shield Normal: Health Shield offers room rent and ICU coverage without sub-limits, ensuring full financial support for hospitalization, including intensive care expenses.

ICU Charges
Medicare Senior Covered as part of eligible inpatient hospitalisation expenses, subject to the Sum Insured and policy terms.
VS VS
Complete Health Insurance Health Shield Covered under eligible inpatient hospitalisation, subject to policy terms.

Advanced Treatments
Medicare Senior Information Unavailable
VS VS
Complete Health Insurance Health Shield Covers advanced treatments, including robotic surgeries, stem cell therapy, immunotherapy, and modern cancer treatments

Co-payment
Medicare Senior 10% of the admissible claim amount applies when the insured chooses a room category higher than the eligible room category.
VS VS
Complete Health Insurance Health Shield 10% of copay will be applied to every admissible claim.

Disease-wise sublimits
Medicare Senior Applicable limits may apply to specific benefits and treatments as specified in the policy.
VS VS
Complete Health Insurance Health Shield Cataract: ₹20,000 per eye per policy year for sum insured up to ₹5 lakh; ₹1 lakh per eye per policy year for sum insured above ₹5 lakh.

Cashless Healthcare Providers
Medicare Senior Cashless treatment available at network providers, subject to pre-authorisation and applicable policy conditions.
VS VS
Complete Health Insurance Health Shield 10,896+ hospitals across India.

Restoration Benefit
Medicare Senior Basic Sum Insured is automatically restored once during the policy period after exhaustion of the Sum Insured and accrued Cumulative Bonus, subject to applicable conditions.
VS VS
Complete Health Insurance Health Shield Unlimited Reset Benefit is listed; reset does not trigger on the first claim and remains subject to illness, insured-person and other policy conditions.

Cumulative Bonus
Medicare Senior 50% of Sum Insured for every claim-free year, up to a maximum of 100% of Sum Insured.
VS VS
Complete Health Insurance Health Shield 10% of annual sum insured per claim-free year, up to 50%; accumulated bonus reduces by 10% of annual sum insured following a claim, as specified in the policy.

Daycare Treatment
Medicare Senior Listed Day Care Procedures are covered as specified under the policy.
VS VS
Complete Health Insurance Health Shield Covered under the policy.

Consumable Cover
Medicare Senior Covered for specified consumables as per the policy terms.
VS VS
Complete Health Insurance Health Shield

AYUSH Treatment
Medicare Senior Covered for eligible inpatient treatment in an AYUSH Hospital.
VS VS
Complete Health Insurance Health Shield Covered under this policy

Initial Waiting Period
Medicare Senior 30 days, except for claims arising from accidents
VS VS
Complete Health Insurance Health Shield 30 days for illnesses; injury-related hospitalisation is excepted.

Specific Waiting Period
Medicare Senior 24 months for specified diseases and procedures, subject to applicable policy terms.
VS VS
Complete Health Insurance Health Shield 24 months for specified illnesses and treatments.

PED Waiting Period
Medicare Senior 36 months of continuous coverage.
VS VS
Complete Health Insurance Health Shield 24 months for declared and accepted pre-existing diseases.

Modern Treatment
Medicare Senior Covered as per applicable policy terms and conditions.
VS VS
Complete Health Insurance Health Shield Not verified as a separately defined benefit in the reviewed Health Shield document.

Annual Health Checkup
Medicare Senior Available once after every two continuous claim-free policy years, subject to the applicable limit and policy conditions.
VS VS
Complete Health Insurance Health Shield Health-check-up coupon each policy year, up to 2 coupons per year for floater policies.

Pre-Hospitalisation
Medicare Senior Covered for up to 60 days before hospitalisation.
VS VS
Complete Health Insurance Health Shield Up to 30 days.

Post-Hospitalisation
Medicare Senior Covered for up to 90 days after discharge.
VS VS
Complete Health Insurance Health Shield Up to 60 days.

Outpatient Department Cover (OPD Expense)
Medicare Senior Not covered as a general base OPD benefit.
VS VS
Complete Health Insurance Health Shield Wellness points may be redeemable for eligible outpatient expenses; a fixed comprehensive OPD limit was not verified.

Deductible Option
Medicare Senior Not specified as a standard deductible option.
VS VS
Complete Health Insurance Health Shield Not verified in the reviewed Health Shield document.

Coverage Options
Medicare Senior Individual and Family Floater options, subject to the Sum Insured options available under the policy.
VS VS
Complete Health Insurance Health Shield Individual or family floater; listed sum insured options from ₹3 lakh to ₹50 lakh.

Claim Settlement Ratio
Medicare Senior Not specified in the supplied policy document.
VS VS
Complete Health Insurance Health Shield FY 2024-25: 83.65%

Maternity Cover
Medicare Senior Not covered under the base policy.
VS VS
Complete Health Insurance Health Shield Excluded under the reviewed policy wording, except for stated policy exceptions such as ectopic pregnancy.

Insurance Plans Comparison

Still Confused? Get Expert Advice

Our insurance experts are here to help you make the right choice. Get personalized recommendations based on your specific needs and budget.

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End-to-End Support

From choosing the right policy to managing claims, every step is handled for you

Zero Spam. Zero Hassle

Pure advice, no unwanted calls, no unnecessary push

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Talk to experienced advisors at no cost, and make confident decisions

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Get a dedicated expert managing your claim end-to-end, from hospital admission to approval, including dispute resolution and support

End-to-End Support

From choosing the right policy to managing claims, every step is handled for you

Zero Spam. Zero Hassle

Pure advice, no unwanted calls, no unnecessary push

Free Expert Consultation

Talk to experienced advisors at no cost, and make confident decisions

24/7 Claim Assistance

Get a dedicated expert managing your claim end-to-end, from hospital admission to approval, including dispute resolution and support

What Our Experts Help You With

Personalised Recommendations

Every suggestion is backed by expert analysis of your life stage, goals, and budget

Expert-Led Policy Review

We decode the fine print—identifying risks, sub-limits, and gaps you may have missed. No surprises later

Smart, Tech-Enabled Experience

From digital onboarding to real-time claim tracking, our platform makes insurance easy, accessible, and stress-free

Insurance Plans Comparison

Explore Insurance Category

Senior Citizen Health Plan

Secure against age-related medical costs
Tailored for seniors healthcare needs

Family Health Plan

One policy covers the entire family
High sum insured with cashless care
Multiple coverage options based on your family needs

Maternity Health Plan

Covers delivery, newborn care, and maternity expenses
Reduces financial stress of childbirth costs

Insurance Plans Comparison

Frequently Asked Questions (FAQs)

Having questions? We've got answers. Explore our FAQs to find the information you need.

1-5 of 10 FAQs

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TATA AIG Medicare Senior vs ICICI Lombard Complete Health Insurance Health Shield

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