Insurance Plans Comparison
ICICI Lombard Health AdvantEdge Plus vs ICICI Lombard iHealth
Make an informed decision with our detailed side-by-side comparison of top health insurance policies. Compare...
Read moreHealth 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.
VS
iHealth
Reset up to 100% of the sum insured once in a policy year for a later unrelated illness, and cover inpatient hospitalisation, AYUSH treatment, specified day care procedures and a wellness programme.
What Makes It Special:
iHealth is a discontinued ICICI Lombard Complete Health Insurance tier, offered on an individual or floater basis. It covers in-patient hospitalisation, pre- and post-hospitalisation expenses, day-care procedures, and in-patient AYUSH treatment, with a 2-year waiting period for pre-existing diseases and a Reset Benefit for the sum insured.
Best For:
Existing policyholders reviewing their current iHealth cover before renewal, since this plan is no longer sold
Individuals who want coverage for hospitalisation and related pre- and post-hospitalisation costs
Policyholders who value a cumulative bonus that increases cover over claim-free years
Buyers who want a restoration feature to top up the sum insured after a large claim in the same year
Families who want a floater policy for parents, children, and spouse under one sum insured
Insurance Plans Comparison
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Quick Decision Guide
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.
Check the sublimits for listed surgeries, such as cataract at ₹20,000 per eye, if you are considering the lower sum insured options.
Maternity cover is not part of the base iHealth tier, so choose a higher tier if you need it and can wait 3 years.
Reset Benefit is limited to once per policy year and cannot be used for the same illness already claimed, so do not count it as unlimited cover.
Note the 2-year waiting period for pre-existing diseases and the listed illnesses, and plan your cover accordingly if you have an existing condition.
Because the plan is discontinued, check whether an ICICI Lombard successor such as Health Shield or Health Shield Plus suits your needs before buying.
Insurance Plans Comparison
Detailed Features Comparison
Compare the key features of different health insurance plans
![]() Health AdvantEdge Plus Health Insurance Plan VS VS |
![]() iHealth Health Insurance Plan |
| Room Rent |
|---|
Health AdvantEdge Plus
|
VS VS |
iHealth Including in-patient hospitalization expenses such as room rent and ICU charges. Notably, there are no sub-limits on room rent or ICU charges. |
| Advanced Treatments |
|---|
Health AdvantEdge Plus
|
VS VS |
iHealth ICICI iHealth covers advanced medical treatments, ensuring access to modern healthcare. It includes robotic surgeries, stem cell therapy (for approved conditions), targeted cancer therapies, and other cutting-edge procedures. |
| ICU Charges |
|---|
Health AdvantEdge Plus Up to sum insured for Apex Plus, subject to the applicable wording. |
VS VS |
iHealth Covered under the in-patient hospitalisation cover up to the sum insured, for a hospitalisation of at least 24 consecutive hours. Kindly consult the policy wording for any cap. |
| Co-payment |
|---|
Health AdvantEdge Plus Co payment is applicable as chosen by the insured. It allows the insured to opt for 10% or 20% co-payment. |
VS VS |
iHealth Does not have a mandatory co-payment for most policyholders. However, for senior citizens or specific policy variants, a co-payment clause may apply, requiring the insured to bear a percentage of the claim amount. |
| Disease-wise sublimits |
|---|
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. |
VS VS |
iHealth Sublimits apply to listed surgeries in the lower sum insured tiers. For example, cataract is limited to ₹20,000 per eye. Kindly consult the policy wording for the full schedule. |
| Cashless Healthcare Providers |
|---|
Health AdvantEdge Plus 10,000+ Healthcare Providers across India |
VS VS |
iHealth 10,896+ hospitals across india |
| Restoration Benefit |
|---|
Health AdvantEdge Plus Information Unavailable |
VS VS |
iHealth Reset Benefit: resets up to 100% of the sum insured once per policy year. Reset is not triggered by the first claim. The reset amount can be used only for future claims in the same policy year that are unrelated to an illness already claimed. Unused reset is not carried forward. |
| Daycare Treatment |
|---|
Health AdvantEdge Plus Covered. Requires hospitalization of more than 24 Hours. |
VS VS |
iHealth Covered under the policy. |
| Cumulative Bonus |
|---|
Health AdvantEdge Plus Guaranteed cumulative bonus: 20% of sum insured, up to 100%, under the historical Apex Plus brochure. |
VS VS |
iHealth Additional Sum Insured of 10% of the annual sum insured for each claim-free year, up to a maximum of 50%. A claim reduces the accumulated amount by 10% of the annual sum insured in the following year. |
| AYUSH Treatment |
|---|
Health AdvantEdge Plus AYUSH is covered up to Sum Insured. |
VS VS |
iHealth Covered under this policy |
| Consumable Cover |
|---|
Health AdvantEdge Plus Listed non-medical expenses may require the optional Claim Protector benefit; verify the applicable schedule. |
VS VS |
iHealth Kindly refer to the policy wording. |
| Initial Waiting Period |
|---|
Health AdvantEdge Plus 30 days for illnesses; accidental hospitalisation exempt. |
VS VS |
iHealth 30 days from inception. Accident-related hospitalisation is exempt. |
| Specific Waiting Period |
|---|
Health AdvantEdge Plus 2 years for specified diseases and procedures, subject to the policy wording. |
VS VS |
iHealth 2 years for listed illnesses and procedures. Maternity has a 3-year waiting period where opted. |
| PED Waiting Period |
|---|
Health AdvantEdge Plus 2 years, subject to disclosure and acceptance by the insurer. |
VS VS |
iHealth 2 years for declared and accepted pre-existing diseases |
| Modern Treatment |
|---|
Health AdvantEdge Plus Covered up to sum insured, subject to policy terms and exclusions. |
VS VS |
iHealth Kindly refer to the policy wording |
| Annual Health Checkup |
|---|
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. |
VS VS |
iHealth Free health check-up at designated centres. Floater policies receive a maximum of 2 coupons per year. |
| Pre-Hospitalisation |
|---|
Health AdvantEdge Plus |
VS VS |
iHealth Up to 30 days before hospitalisation, up to the sum insured |
| Post-Hospitalisation |
|---|
Health AdvantEdge Plus Up to 180 days under the historical Apex Plus brochure. |
VS VS |
iHealth Up to 60 days after discharge, up to the sum insured |
| Outpatient Department Cover (OPD Expense) |
|---|
Health AdvantEdge Plus General OPD cover not verified. Teleconsultations are listed in the historical brochure as an included value-added service. |
VS VS |
iHealth Outpatient Treatment Cover is available as a benefit in the plan tiers that include it. Reimbursement is subject to a limit of ₹5,000 on a floater basis. Kindly consult the plan details for eligibility. |
| Deductible Option |
|---|
Health AdvantEdge Plus Not verified for this variant. |
VS VS |
iHealth Kindly consult the policy wording |
| Coverage Options |
|---|
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. |
VS VS |
iHealth Individual and floater cover. The base iHealth tier is available at ₹3, ₹4, and ₹5 lakh sum insured. |
| Claim Settlement Ratio |
|---|
Health AdvantEdge Plus FY 24-25: ~84% |
VS VS |
iHealth FY 24-25: ~84% |
| Maternity Cover |
|---|
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. |
VS VS |
iHealth Not included in the base iHealth tier. Maternity cover with a 3-year waiting period is available in higher plan tiers only when opted for. It covers delivery and caesarean section (₹15,000 normal, ₹25,000 caesarean), pre- and post-natal expenses (₹2,000 each), and newborn cover (₹10,000), limited to two deliveries during the policy period. |
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