Insurance Plans Comparison
Star Optima Insurance vs Niva Bupa Health Companion Family First Plan
Make an informed decision with our detailed side-by-side comparison of top health insurance policies. Compare...
Read moreOptima Insurance
Cover a newborn from day 16 up to 10% of the sum insured or ₹50,000, whichever is less, add 25% extra cover up to ₹5 lakh after a road accident, and get up to 20% off renewal for wellness points.
What Makes It Special:
Optima Insurance is a family floater health insurance plan focused on hospitalization protection, restoration, recharge and wellness-linked benefits. The source content also lists newborn baby coverage, loyalty bonus accumulation, AYUSH treatment, organ donor expenses, domiciliary treatment and tele-consultation support.
Best For:
Families looking for family floater coverage
Customers wanting restoration and recharge benefits
Families planning long-term coverage
Customers interested in wellness-linked benefits
Families wanting newborn hospitalization coverage
VS
Health Companion Family First Plan
Cover an extended family with a separate sum insured per person and a shared floater after that sum insured is used, and add 20% of each person's base sum insured each claim-free year up to 100%.
What Makes It Special:
Family First is a Health Companion variant. The prospectus describes an individual or family floater with a refill benefit, no-claim bonus, a 60-day pre and 180-day post-hospitalisation cover, and optional hospital cash and personal accident cover.
Best For:
Buyers who do not need maternity or OPD cover
Buyers who need hospitalisation, day care and AYUSH cover
Families with a parent covered alongside the insured
Buyers who want a no-claim bonus that builds to 100%
Families who want a floater with a refill benefit
Insurance Plans Comparison
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Quick Decision Guide
Review the 36-month PED waiting period
Check the 20% co-payment for entry age 61 years and above
Understand how restoration can be used
Review newborn baby eligibility and waiting conditions
Check limits applicable to modern treatments
Children are split off to their own policy after 26.
The 20% co-payment applies to higher room categories on Variant 2023, so choose your room carefully.
Refill applies once a year, so it is not unlimited cover.
Maternity is excluded, so choose another plan if you plan a pregnancy.
The 36-month PED wait applies, so buy early if anyone has an existing condition.
Insurance Plans Comparison
Detailed Features Comparison
Compare the key features of different health insurance plans
![]() Optima Insurance Health Insurance Plan VS VS |
Health Companion Family First Plan Health Insurance Plan |
| Room Rent |
|---|
Optima Insurance Covered; specific room category conditions apply |
VS VS |
Health Companion Family First Plan
|
| ICU Charges |
|---|
Optima Insurance Covered up to Sum Insured |
VS VS |
Health Companion Family First Plan Covered up to the sum insured as part of in-patient care |
| Advanced Treatments |
|---|
Optima Insurance Information Unavailable |
VS VS |
Health Companion Family First Plan
|
| Co-payment |
|---|
Optima Insurance 20% mandatory for entry age 61 years and above; voluntary options may be available |
VS VS |
Health Companion Family First Plan The policy does not mandate a co-payment, meaning the insurer covers the full admissible claim amount without requiring the insured to pay a portion. |
| Disease-wise sublimits |
|---|
Optima Insurance Modern treatments have specified sub-limits |
VS VS |
Health Companion Family First Plan No disease sublimit schedule in the prospectus. Sum insured limits apply to all covered treatment. |
| Cashless Healthcare Providers |
|---|
Optima Insurance Available at network hospitals |
VS VS |
Health Companion Family First Plan Access to over 10,000 network hospitals and clinics for cashless treatments, ensuring convenient and hassle-free medical care. |
| Restoration Benefit |
|---|
Optima Insurance Automatic restoration up to three times in a policy year |
VS VS |
Health Companion Family First Plan Refill: restores up to the base sum insured once per policy year, for the same or a different illness, after the first paid claim |
| Daycare Treatment |
|---|
Optima Insurance Covered |
VS VS |
Health Companion Family First Plan Covers medical procedures that require less than 24-hour hospitalization, such as cataract surgery and chemotherapy, accommodating treatments that don't necessitate extended hospital stays. |
| Cumulative Bonus |
|---|
Optima Insurance Loyalty bonus accumulation up to 100% of Sum Insured |
VS VS |
Health Companion Family First Plan No claim bonus of 20% of the expiring base sum insured for each claim-free year, up to 100% of the base sum insured. A claim does not reduce the bonus. |
| AYUSH Treatment |
|---|
Optima Insurance Covered up to Sum Insured |
VS VS |
Health Companion Family First Plan Expenses for alternative treatments, including Ayurveda, Yoga, Unani, Siddha, and Homeopathy, are covered when availed at government-recognized institutions, promoting holistic healthcare options. |
| Consumable Cover |
|---|
Optima Insurance Not specified in the retrieved source |
VS VS |
Health Companion Family First Plan Medicines and consumables prescribed during treatment are covered. Items in Annexure II, such as toiletries, gloves and diapers, are not. |
| Initial Waiting Period |
|---|
Optima Insurance 30 days |
VS VS |
Health Companion Family First Plan 30 days, except accidents |
| Specific Waiting Period |
|---|
Optima Insurance 24 months |
VS VS |
Health Companion Family First Plan 24 months for listed conditions |
| PED Waiting Period |
|---|
Optima Insurance 36 months |
VS VS |
Health Companion Family First Plan 36 months. |
| Modern Treatment |
|---|
Optima Insurance Covered with specified sub-limits |
VS VS |
Health Companion Family First Plan Covered up to the sum insured. Includes robotic surgery, stereotactic radiosurgery, deep brain stimulation, oral chemotherapy and other listed treatments. |
| Annual Health Checkup |
|---|
Optima Insurance Available |
VS VS |
Health Companion Family First Plan Once every policy year from day one, for defined tests. Up to ₹500 per ₹1 lakh of base sum insured. Individual: ₹5,000 maximum per insured. Floater: ₹10,000 per policy. Booked through the app, cashless only. |
| Pre-Hospitalisation |
|---|
Optima Insurance Covered, subject to policy terms |
VS VS |
Health Companion Family First Plan 60 days before admission, up to the sum insured |
| Post-Hospitalisation |
|---|
Optima Insurance Covered, subject to policy terms |
VS VS |
Health Companion Family First Plan 180 days after discharge, up to the sum insured |
| Outpatient Department Cover (OPD Expense) |
|---|
Optima Insurance Not specified in the retrieved source |
VS VS |
Health Companion Family First Plan Not covered. OPD treatment is an excluded expense. |
| Deductible Option |
|---|
Optima Insurance Not specified in the retrieved source |
VS VS |
Health Companion Family First Plan Annual aggregate deductible of ₹10,000, ₹20,000, ₹30,000, ₹50,000, ₹1 lakh, ₹2 lakh, ₹3 lakh, ₹4 lakh, ₹5 lakh or ₹10 lakh. Does not apply to health checks, animal bite or hospital cash. |
| Coverage Options |
|---|
Optima Insurance Family Floater |
VS VS |
Health Companion Family First Plan Individual or floater, with optional hospital cash, personal accident and deductible |
| Claim Settlement Ratio |
|---|
Optima Insurance Not specified in the retrieved source |
VS VS |
Health Companion Family First Plan 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 |
|---|
Optima Insurance Not specified in the retrieved source |
VS VS |
Health Companion Family First Plan Not covered. Maternity expenses are an excluded expense. |
Insurance Plans Comparison
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