How does OneAssure help me compare health insurance policies and choose the best plan?

OneAssure allows you to compare multiple health insurance policies side by side, analyzing coverage, premiums, hospital networks, and benefits to choose the most suitable plan for your needs.

What is the difference between cashless and reimbursement claims in health insurance policies?

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

Does OneAssure provide expert guidance while selecting health insurance with maternity or newborn coverage?

Yes, OneAssure’s insurance experts guide you in selecting plans with maternity benefits, newborn cover, and short waiting periods for family planning needs.

How do co-payment clauses impact health insurance premiums and claim settlements?

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.

Which health insurance plan offers the best coverage for critical illnesses and pre-existing diseases?

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

Can I compare waiting periods and sub-limits for hospitalisation expenses on OneAssure?

Yes, OneAssure’s comparison tool highlights waiting periods, sub-limits, and exclusions so you can choose a policy that maximizes benefits and minimizes restrictions.

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.

Does OneAssure assist with health insurance claims and renewals after I purchase a policy?

Absolutely. OneAssure provides end-to-end support for claims, renewals, and queries, ensuring a hassle-free experience throughout your policy tenure.

How can I check if a health insurance plan covers daycare procedures and modern treatments?

OneAssure’s policy comparison clearly lists daycare and advanced treatment coverage, helping you pick a plan aligned with your healthcare needs.

What documents are needed to buy and claim a health insurance policy online via OneAssure?

To buy a policy, you need ID proof, address proof, and medical details. For claims, hospital bills, prescriptions, and discharge summaries are required.

Oneassure

Health Insurance

Compare Health Insurance Plans

Health Shield 360 Vs Prohealth Accumulate

Insurance Plans Comparison

ICICI Lombard Health Shield 360 vs ManipalCigna ProHealth Accumulate

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...

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.

VS

ProHealth Accumulate

Carry forward a health maintenance benefit for outpatient and inpatient care, add 5% to any unused balance, and put up to half of it toward renewal premium, plus a guaranteed 5% cumulative bonus up to 200%.

What Makes It Special:

ProHealth focuses on providing essential health coverage at an affordable premium. It's designed for budget-conscious individuals who want reliable coverage.

Best For:

Not available

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

ICICI Lombard Health Shield 360

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.

ManipalCigna ProHealth Accumulate

Not available

Insurance Plans Comparison

Detailed Features Comparison

Compare the key features of different health insurance plans

Health Shield 360

Health Insurance Plan

Brochure

Policy Wording

VS

ProHealth Accumulate

Health Insurance Plan

Policy Wording

Room Rent
Health Shield 360 Normal: No Capping (Covered up to Sum Insured) ICU: No Capping (Covered up to Sum Insured)	ProHealth Accumulate Normal: Single Private AC Room ICU: Up to Sum Insured

Advanced Treatments
Health Shield 360 Day Care Procedures Organ Donor Expenses Home Healthcare (Optional) Air Ambulance (Optional) Worldwide Coverage (Optional)	ProHealth Accumulate Sum Insured below ₹5 Lakh: Covered up to 50% of Sum Insured Sum Insured ₹5 Lakh and above: 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.	ProHealth Accumulate Information Unavailable

Co-payment
Health Shield 360 None (100% claims paid by insurer)	ProHealth Accumulate Not mentioned

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.	ProHealth Accumulate Information Unavailable

Waiting Period
Health Shield 360 Information Unavailable	ProHealth Accumulate Initial Waiting Period: 30 Days Pre-existing Disease Waiting Period: Sum Insured up to ₹5 Lakh: 36 Months Sum Insured ₹7.5 Lakh and above: 24 Months Specific Disease/Procedure Waiting Period: 24 Months Bariatric Surgery Waiting Period: 36 Months Maternity & Infertility Waiting Period: 36 Months

Cashless Healthcare Providers
Health Shield 360 6500+ network hospitals	ProHealth Accumulate Not mentioned

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.	ProHealth Accumulate Information Unavailable

Daycare Treatment
Health Shield 360 Covered	ProHealth Accumulate Covered up to Sum Insured

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.	ProHealth Accumulate Information Unavailable

AYUSH Treatment
Health Shield 360 Covered	ProHealth Accumulate 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.	ProHealth Accumulate Information Unavailable

Initial Waiting Period
Health Shield 360 30 days for illnesses. Hospitalisation due to an accident is exempt from this initial waiting period.	ProHealth Accumulate Information Unavailable

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.	ProHealth Accumulate Information Unavailable

PED Waiting Period
Health Shield 360 Two years for declared and accepted pre-existing diseases, subject to the applicable policy terms.	ProHealth Accumulate Information Unavailable

Modern Treatment
Health Shield 360 Eligible modern medical treatments are covered when they meet the policy's definitions, conditions and exclusions.	ProHealth Accumulate Information Unavailable

Annual Health Checkup
Health Shield 360 Available as an optional benefit, subject to the selected cover, eligibility, limits and applicable conditions.	ProHealth Accumulate Information Unavailable

Pre-Hospitalisation
Health Shield 360 Eligible medical expenses are covered for up to 90 days before hospitalisation.	ProHealth Accumulate Information Unavailable

Post-Hospitalisation
Health Shield 360 Eligible medical expenses are covered for up to 180 days after hospitalisation.	ProHealth Accumulate Information Unavailable

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.	ProHealth Accumulate Information Unavailable

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.	ProHealth Accumulate Information Unavailable

Coverage Options
Health Shield 360 Individual and family floater options are available, subject to the applicable group policy's eligibility and enrolment conditions.	ProHealth Accumulate Information Unavailable

Claim Settlement Ratio
Health Shield 360 FY 24-25: ~84%	ProHealth Accumulate 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.	ProHealth Accumulate Information Unavailable

Insurance Plans Comparison

Detailed Features Comparison

Compare the key features of different health insurance plans

Health Shield 360

Health Insurance Plan

Brochure

Policy Wording

VS

ProHealth Accumulate

Health Insurance Plan

Policy Wording

Room Rent
Health Shield 360 Normal: No Capping (Covered up to Sum Insured) ICU: No Capping (Covered up to Sum Insured)
VS VS
ProHealth Accumulate Normal: Single Private AC Room ICU: 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
ProHealth Accumulate Sum Insured below ₹5 Lakh: Covered up to 50% of Sum Insured Sum Insured ₹5 Lakh and above: 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
ProHealth Accumulate Information Unavailable

Co-payment
Health Shield 360 None (100% claims paid by insurer)
VS VS
ProHealth Accumulate Not mentioned

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
ProHealth Accumulate Information Unavailable

Waiting Period
Health Shield 360 Information Unavailable
VS VS
ProHealth Accumulate Initial Waiting Period: 30 Days Pre-existing Disease Waiting Period: Sum Insured up to ₹5 Lakh: 36 Months Sum Insured ₹7.5 Lakh and above: 24 Months Specific Disease/Procedure Waiting Period: 24 Months Bariatric Surgery Waiting Period: 36 Months Maternity & Infertility Waiting Period: 36 Months

Cashless Healthcare Providers
Health Shield 360 6500+ network hospitals
VS VS
ProHealth Accumulate Not mentioned

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
ProHealth Accumulate Information Unavailable

Daycare Treatment
Health Shield 360 Covered
VS VS
ProHealth Accumulate Covered up to Sum Insured

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
ProHealth Accumulate Information Unavailable

AYUSH Treatment
Health Shield 360 Covered
VS VS
ProHealth Accumulate 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
ProHealth Accumulate Information Unavailable

Initial Waiting Period
Health Shield 360 30 days for illnesses. Hospitalisation due to an accident is exempt from this initial waiting period.
VS VS
ProHealth Accumulate Information Unavailable

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
ProHealth Accumulate Information Unavailable

PED Waiting Period
Health Shield 360 Two years for declared and accepted pre-existing diseases, subject to the applicable policy terms.
VS VS
ProHealth Accumulate Information Unavailable

Modern Treatment
Health Shield 360 Eligible modern medical treatments are covered when they meet the policy's definitions, conditions and exclusions.
VS VS
ProHealth Accumulate Information Unavailable

Annual Health Checkup
Health Shield 360 Available as an optional benefit, subject to the selected cover, eligibility, limits and applicable conditions.
VS VS
ProHealth Accumulate Information Unavailable

Pre-Hospitalisation
Health Shield 360 Eligible medical expenses are covered for up to 90 days before hospitalisation.
VS VS
ProHealth Accumulate Information Unavailable

Post-Hospitalisation
Health Shield 360 Eligible medical expenses are covered for up to 180 days after hospitalisation.
VS VS
ProHealth Accumulate Information Unavailable

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
ProHealth Accumulate Information Unavailable

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
ProHealth Accumulate Information Unavailable

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
ProHealth Accumulate Information Unavailable

Claim Settlement Ratio
Health Shield 360 FY 24-25: ~84%
VS VS
ProHealth Accumulate 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
ProHealth Accumulate Information Unavailable

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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Why Choose Our Expert Consultation?

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

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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