Insurance Plans Comparison
Star Special Care Gold vs ICICI Lombard Max Protect Premium
Make an informed decision with our detailed side-by-side comparison of top health insurance policies. Compare...
Read moreSpecial Care Gold
Cover hospital bills for a listed disability or HIV with a 20% co-pay, and if the CD4 count falls below 150 after 90 days pay a once-in-a-lifetime lump sum of the sum insured or the remaining balance.
What Makes It Special:
Special Care Gold is designed for persons with disabilities and individuals with HIV/AIDS. The product provides individual indemnity and benefit coverage, with defined eligibility requirements, hospitalisation cover, daycare treatment, AYUSH treatment, modern treatment coverage and a 20% co-payment that can be waived through an optional benefit.
Best For:
Customers who need defined coverage with optional co-payment waiver
Customers looking for AYUSH hospitalisation coverage
Families seeking specialised health insurance for eligible members
Eligible individuals living with HIV/AIDS
Eligible persons with disabilities
VS
Max Protect Premium
A ₹1 crore family cover with international treatment and any-room access
What Makes It Special:
Max Protect Premium is the higher MaxProtect variant with a ₹1 crore sum insured. It adds international treatment cover, air ambulance access, and a claim protector feature, and allows any room category except suite.
Best For:
Buyers who do not need maternity cover or outpatient consultations
Frequent travellers who want air ambulance access
Buyers who want access to any room category except suite
Families who want a ₹1 crore sum insured with restoration
Buyers who need international treatment cover
Insurance Plans Comparison
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Quick Decision Guide
No pre-policy medical test is required, subject to submission requirements.
A co-payment waiver is available for additional premium.
AYUSH inpatient treatment is covered up to 100% of Sum Insured.
Sum Insured options of ₹4 Lakh and ₹5 Lakh are available.
The product is specifically structured for disability and HIV/AIDS-related eligibility.
Kindly consult the insurer on co-payment and sublimits before buying.
Maternity and outpatient consultations are not covered.
Confirm the international cover limits, since the policy wording is not yet verified.
The PED waiting period is 3 years, so consider the add-on that reduces it to 2 years.
Premium costs more than Classic, so compare the added international benefits against your needs.
Insurance Plans Comparison
Detailed Features Comparison
Compare the key features of different health insurance plans
![]() Special Care Gold Health Insurance Plan VS VS |
![]() Max Protect Premium Health Insurance Plan |
| Room Rent |
|---|
Special Care Gold Up to 1% of Sum Insured per day |
VS VS |
Max Protect Premium Any room except suite. Suite room charges are shared with the insurer. |
| ICU Charges |
|---|
Special Care Gold Up to 2% of Sum Insured per day |
VS VS |
Max Protect Premium Kindly refer to policy wording |
| Disease-wise sublimits |
|---|
Special Care Gold Specified treatment limits apply |
VS VS |
Max Protect Premium Kindly refer to the policy wording. |
| Co-payment |
|---|
Special Care Gold 20% on all claims; waiver available for additional premium |
VS VS |
Max Protect Premium Kindly refer to policy wording. |
| Restoration Benefit |
|---|
Special Care Gold Not specified |
VS VS |
Max Protect Premium Restores up to 100% of the sum insured, multiple times in a policy year. Kindly consult the conditions. |
| Cashless Healthcare Providers |
|---|
Special Care Gold Cashless treatment available at network hospitals |
VS VS |
Max Protect Premium 14,000+ cashless network hospitals |
| Cumulative Bonus |
|---|
Special Care Gold Not specified |
VS VS |
Max Protect Premium Kindly review the policy wording. |
| Daycare Treatment |
|---|
Special Care Gold All daycare procedures covered |
VS VS |
Max Protect Premium Kindly refer to the policy wording. |
| Consumable Cover |
|---|
Special Care Gold Not specified |
VS VS |
Max Protect Premium Kindly refer to policy wording. |
| AYUSH Treatment |
|---|
Special Care Gold Covered up to 100% of Sum Insured |
VS VS |
Max Protect Premium Kindly refer to policy wording. |
| Initial Waiting Period |
|---|
Special Care Gold 30 Days for indemnity basis; 90 Days for HIV/AIDS benefit basis |
VS VS |
Max Protect Premium 30 DAYS |
| Specific Waiting Period |
|---|
Special Care Gold 24 Months |
VS VS |
Max Protect Premium Kindly refer to policy wording. |
| PED Waiting Period |
|---|
Special Care Gold 36 Months for PEDs other than specified disability and HIV/AIDS; 24 Months for pre-existing disability |
VS VS |
Max Protect Premium 3 years, reducible to 2 years with the add-on |
| Modern Treatment |
|---|
Special Care Gold Covered up to 50% of Sum Insured for listed modern treatments |
VS VS |
Max Protect Premium Covered. Kindly consult for limits. |
| Annual Health Checkup |
|---|
Special Care Gold Not specified |
VS VS |
Max Protect Premium Not offered |
| Pre-Hospitalisation |
|---|
Special Care Gold Up to 30 Days |
VS VS |
Max Protect Premium 60 days before hospitalisation. Kindly confirm. |
| Post-Hospitalisation |
|---|
Special Care Gold Up to 60 Days |
VS VS |
Max Protect Premium 180 days after discharge. Kindly confirm. |
| Outpatient Department Cover (OPD Expense) |
|---|
Special Care Gold Not a standard OPD benefit |
VS VS |
Max Protect Premium Not covered. Doctor consultations are not covered. |
| Deductible Option |
|---|
Special Care Gold Not specified |
VS VS |
Max Protect Premium Kindly refer to policy wording. |
| Coverage Options |
|---|
Special Care Gold ₹4 Lakh and ₹5 Lakh, individual basis |
VS VS |
Max Protect Premium ₹1 crore base cover. Room rent modifier and PED reduction add-ons available. |
| Claim Settlement Ratio |
|---|
Special Care Gold Not specified |
VS VS |
Max Protect Premium FY 24-25: ~84% |
| Maternity Cover |
|---|
Special Care Gold Not specified as a standard maternity benefit |
VS VS |
Max Protect Premium Not offered |
Insurance Plans Comparison
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