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Pick a coverage concern and see its exact policy terms, compared side-by-side across top Indian health insurance plans.
The concerns that cost the most when a plan gets them wrong
All 6 coverage topics in one place - start with the worry on your mind, and open the features that decide it.
Every feature behind Everyday medical costs, deciders first - pick one to see how the plans differ.
2 more features here look much the same across the plans we cover - they rarely decide the choice.
Covers dental treatment requiring a hospital visit - like surgical tooth removal under anaesthesia, jaw injury treatment, or oral cancer surgery. Some plans also cover routine dental check-ups and fillings. Cosmetic dental work and braces are not included.
Star HealthStandardSuper StarDental treatment and surgery are excluded unless an accidental injury makes hospitalisation necessary; then they are paid as ordinary in-patient treatment up to your Sum Insured. Separately, a cashless dental consultation, IOPA X-ray and scaling is available for one insured person a year, and only in the 2nd and 3rd policy year. Dental implants are never payable.
The check-up is for one insured person under each policy in a policy year, so a family shares a single entitlement; under a multi-individual policy each insured gets their own. It is cashless only, so it has to be taken at a network provider.
HDFC ERGOStandardOptima RestoreDental treatment is paid only when it needs a hospital admission: jaw surgery after an accident, an impacted tooth removed under general anaesthesia, oral cancer surgery. It then draws on your full Sum Insured with no dental cap of its own. Fillings, cleaning, crowns and every other clinic visit are not paid.
The rule turns on where the treatment happens, not on what caused it. A dental problem from disease is treated the same as one from an accident, as long as it needs hospitalisation.
Care HealthStandardCare AdvantageDental work is paid the way any other treatment is: as an admitted hospital stay, or as one of six dental procedures on the day care list - splinting avulsed teeth, suturing a lacerated lip or oral mucosa, oral biopsy, FNAC and an oral smear. There is no separate dental cap, and no cover for routine dental visits.
Dentures, artificial teeth and similar external appliances are excluded by name, and this policy has no out-patient benefit, so a filling, a crown or a check-up is paid by you. A jaw injury or oral cancer surgery that needs admission is covered like any other hospitalisation.
Aditya BirlaStandardActiv One · VYTLDental treatment is paid only when you are admitted as an in-patient, up to the Sum Insured. The exclusions then narrow it sharply: treatment for conditions of your natural teeth and gums is paid only if you are hospitalised because of an accident.
Routine, preventive, diagnostic, restorative and cosmetic dental work is excluded outright. Fillings, crowns, cleanings and check-ups are paid by you.
HDFC ERGOStandardOptima Secure · Optima-SelectIn-patient dental treatment is covered up to your full sum insured on every plan. The benefit clause covers dental treatment needed because of a disease or an injury. Routine dentistry is not covered - anything done on an outpatient basis is excluded, as is cosmetic dental work.
The plan chart labels this row 'Dental Treatment (Accidental Hospitalization only)' while the benefit clause in both the policy and the prospectus says 'necessitated due to disease or Injury'. If you are claiming for a disease-driven dental admission, expect to have to point at the clause.
Star HealthStandardStar ComprehensiveDental treatment in hospital is paid only when an accident makes it necessary; dental surgery for disease is excluded. Separately, out-patient dental and eye treatment is paid up to ₹5,000 to ₹15,000 depending on your Sum Insured, once for every block of three continuous years. Dental implants are never paid.
Dental implants are excluded outright. Dental surgery for gum disease or decay is not paid either unless an accident caused it, so you pay those bills from your own pocket.
Star HealthLimitedFamily Health OptimaDental treatment is excluded unless an accidental injury makes hospitalisation necessary. Dental implants are never payable, and routine dental work - check-ups, fillings, crowns and extractions - is not covered.
The carve-back needs both halves: an accident, and treatment that requires hospitalisation. A tooth broken in a fall but treated in a dentist's chair is not paid.
ICICI LombardLimitedElevateDental treatment is excluded, with one exception: if you are hospitalised because of an accident and dental work is needed then, it is covered as part of that claim, up to your Sum Insured. Routine, restorative and cosmetic dental work stays out, and the BeFit out-patient option expressly excludes dental treatment.
The exception needs hospitalisation due to an accident, so a broken tooth treated in a dental chair is not covered even though the accident was real. There is no dental add-on in this product.
Star HealthLimitedStar Health AssureDental treatment is paid only when an accident causes it and the treatment needs hospitalisation. Everything else - decay, gum disease, extractions, crowns and routine dental visits - is excluded, and dental implants are never paid, even after an accident.
Accidental dental work done in a dental clinic without admission is outside the cover, because the clause requires hospitalisation as well as an accident.
Niva BupaLimitedReAssure 3.0 · ClassicDental treatment is excluded unless it is due to an accident or a cancer. Where it does qualify, it is paid as part of hospitalisation up to your Sum Insured, with no separate dental cap. Routine dental work is available only if you buy the WellConsult+ out-patient benefit, and cosmetic dental work stays excluded even then.
Under WellConsult+, dental procedures are capped at 12.5% of the WellConsult+ Sum Insured, which is itself a multiple of your base premium, not of your health Sum Insured. Reimbursement claims under that benefit carry a flat 20% co-payment.
Care HealthNot coveredCare SupremeThere is no dental benefit in this product and no dental add-on to buy. Dental treatment is defined in the policy but no clause pays for it, and dentures and artificial teeth are named in the exclusions.
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