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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 Cancer & serious illness, 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 advanced medical procedures like robotic surgery, oral chemotherapy, and stem cell treatment. These methods are now used by top hospitals but can be very expensive. Without this, your insurer might refuse to pay because the treatment does not appear on their older approved list.
HDFC ERGOStrongOptima Secure · Optima-SelectThis policy sets no separate rule for modern treatments. There is no list of approved advanced procedures and no sub-limit on them, so robotic surgery, oral chemotherapy and similar treatments are paid under the main hospitalisation clause, up to your full sum insured.
The usual limits still apply: the treatment must be medically necessary and prescribed in writing, and anything the policy classes as unproven or experimental is excluded.
Star HealthStrongSuper StarThe twelve modern procedures on the regulator's standard list, from robotic surgery and oral chemotherapy to deep brain stimulation and stem cell therapy for bone marrow transplant, are paid up to your full Sum Insured with no per-procedure cap. Pre and post hospitalisation expenses for them are included.
HDFC ERGOStrongOptima RestoreThe wording carries no separate modern treatment clause and sets no sub-limit for one. Robotic surgery, oral chemotherapy, stem cell therapy for a bone marrow transplant and the other procedures on the standard IRDAI list are paid as ordinary in-patient treatment, up to your Sum Insured. Most policies cap this group at a share of the cover; here nothing caps it.
Because no clause names these procedures, a claim is tested only as in-patient treatment: it must be medically necessary, charged at reasonable and customary rates and not an unproven treatment. An admission only to give intra-articular or intra-lesional injections, Zolendronic acid or IV immunoglobulin is excluded.
ICICI LombardStrongElevateTwelve technological advancements - robotic surgery, oral chemotherapy, stem cell therapy for bone marrow transplant, deep brain stimulation, stereotactic radiosurgery and the rest - are covered up to your full Sum Insured, with no per-procedure cap.
The table is the standard IRDAI set, so it is not a narrow list, but a technique newer than the table is not covered. Under the Worldwide Cover option a further group is excluded, including cyber knife treatment, femto laser surgery and bioabsorbable stents.
Care HealthStrongCare AdvantageTwelve advanced methods - among them oral chemotherapy, robotic surgery, deep brain stimulation, immunotherapy and stem cell therapy for bone marrow transplant - are paid up to your full Sum Insured. Any advanced method outside those twelve is permanently excluded.
The twelve are the IRDAI standard set, so this is not a narrow list, but it is a closed one. Anything outside the twelve is excluded outright, so a newer technique your doctor recommends may not be payable at all, and you would pay that bill yourself.
Aditya BirlaStrongActiv One · VYTLTwelve modern procedures - robotic surgery, oral chemotherapy, deep brain stimulation, stem cell therapy for bone marrow transplant and others - are paid at actual cost up to the Sum Insured, with no separate sub-limit. Most policies cap this group at a share of the cover; this one does not.
The twelve are the standard IRDAI set, and the policy says the list can be changed as medicine advances. A newer technique that is not yet on it can be refused until the insurer adds it.
Care HealthStrongCare SupremeTwelve advanced treatment methods, including robotic surgery, oral chemotherapy, immunotherapy and stem cell therapy for bone marrow transplant, are covered up to the full Sum Insured with no separate sub-limit.
The list is the standard set of twelve methods and the policy pays only for those. A newer technique that is not on the list is excluded, even if the hospital treats it as routine.
Star HealthStrongStar Health AssureThe twelve modern treatments in the standard IRDAI list, including robotic surgery, oral chemotherapy and stem cell therapy for bone marrow transplant, are covered up to the full Sum Insured. There is no separate rupee or percentage sub-limit, which is unusual - most Indian plans cap these procedures well below the Sum Insured.
Cover applies wherever the procedure is medically indicated, as in-patient or day care, and the pre and post hospitalisation expenses for it are included in the same Sum Insured.
Niva BupaStrongReAssure 3.0 · EliteTwelve advanced procedures including robotic surgery, oral chemotherapy, stem cell therapy and deep brain stimulation are covered. Elite and Black pay them up to your full Sum Insured. Classic and Select cap them at Rs 1,00,000 for each complete claim, which a single robotic surgery can pass in one admission.
The Rs 1,00,000 cap on Classic and Select applies per complete claim, so a long treatment course does not get a fresh limit each time within the same claim. The Modern Treatments+ option removes that cap entirely, and it can be bought only on those two plans.
Star HealthStrongStar ComprehensiveTwelve modern procedures are covered, but nine of them carry their own rupee cap for the whole policy period, and the cap rises with your Sum Insured. Only bronchial thermoplasty, prostate vaporisation and nerve monitoring during surgery are paid up to the full Sum Insured. The caps sit well below the cover most buyers think they have. Deep Dive to know more.
If a procedure costs more than its printed cap, you pay the balance.
Star HealthStrongFamily Health OptimaTwelve modern procedures are covered, each with its own rupee cap per policy year that rises with your Sum Insured. Three of them - bronchial thermoplasty, green or holmium laser vaporisation of the prostate, and intra-operative neuro monitoring - run up to the full Sum Insured. Every cap sits inside the Sum Insured, not on top of it.
Neither the automatic restoration nor the recharge benefit applies to modern treatments. Once a procedure's cap is used for the year there is no second pool for it - at ₹10 lakh Sum Insured robotic surgery stops at ₹3,00,000 and you pay the rest from your own pocket.
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Every feature, A to Z
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