Overview
The ACKO Standard Health Plan is a comprehensive policy offering financial assistance during medical emergencies. It covers hospitalization, daycare treatments, ambulance charges, and more, with zero deductions on claims and no room rent capping. It includes in-built cover for non-medical expenses, ensuring a straightforward and reliable claims process for individuals and families.
Experts Review
Written by Nikhil Nair
Senior Writer
The ACKO Standard Health Plan is designed to offer a hassle-free experience, particularly with the zero deductions on claims, which is a big plus as no one likes hidden costs eating into their claim amount. In addition, the no room rent capping is a nice touch that gives you the flexibility to choose a room without worrying about extra expenses. The non-medical expenses coverage ensures you’re not forced to pay extra for essential benefits, which is always a good sign. Above all, it is one of the most affordable plans on the market.
The one drawback of the plan is the waiting periods—2 years for specific illnesses and 3 years for pre-existing diseases in addition to the initial waiting period of 30 days. Conveyed as the biggest selling point by ACKO, the “no waiting period” feature not being a part of this policy makes the Platinum Health Plan a much better pick overall. In addition, the insurer’s relatively recent entry into the market and limited credibility metrics can also be cause for concern.
Pros
Feature set is satisfactory.
Great pick if you're looking for something affordable.
Insurer has a solid track record with great claim and service metrics.
Cons
Maternity benefits not offered, which is a notable gap.
Doctor consultations are not covered, which could be a drawback for some.
Acko
Key Insights
Founded
2016
Acko was established 9 years ago, making it a relatively new entrant with a developing track record.
Claims Experience
97% claims settled in 30 Days
Acko settles 97% of all claims it receives demonstrating strong credibility.
Network Hospitals
10,000+
Acko maintains a moderate network of 10,000 hospitals, offering reasonable coverage across key locations.
Complaints
19 complaints per 10,000 claims registered
Acko experiences a moderate number of complaints, indicating room for improvement in addressing customer concerns.
Features
All
Great
Good
Co-payment
The insurer will bear the entire cost of treatment (up to the sum insured). You won’t have to pay a single penny. Meaning this policy has no co-payment.
Room Rent
Shared room, single room, deluxe room or any room that’s available. The insurer won’t nitpick on your choice of room since the policy has no restrictions on room rent.
Disease sub-limit
No funny business here. If your insurer hasn’t explicitly stated they won’t cover a certain illness, you can claim the full amount up to the sum insured, irrespective of the disease you’re dealing with. Meaning this policy doesn't impose the dreaded disease wise sub-limits.
Pre existing diseases waiting
If you’re already dealing with diabetes, cardiovascular problems or any such illnesses, the insurer will cover all costs arising out of these pre-existing problems after you wait for 3 years.
Pre/Post hospitalization
No worries if the doctor had to run a host of diagnostic tests before or after hospitalizing you. The insurer has your back. They will cover this amount in full for a pretty reasonable duration - 60 days before you are hospitalized and 120 days after discharge. This includes the cost of medication by the way.
Permanent Exclusions
Conditions or treatments that the policy clearly says it will not cover.
Hormonal Therapies: Growth hormone therapy and/or any form of hormone replacement therapy (HRT) and/or administration of other hormonal medication (NOTE: This is from the part of PEs which can't be waived)
Expenses related to any admission primarily for diagnostics and evaluation purposes are excluded.
Diagnostic expenses not related or incidental to current diagnosis and treatment are excluded.
Expenses for admission primarily for bed rest and not for treatment are excluded.
Custodial care at home or in a facility for help with daily activities is excluded.
Disclaimer: For illustration purposes only - exact terms are in the policy wording.
Specific Illness
The following illnesses are not covered under the policy for 2 years.
Cataract
Glaucoma
Other disorders of lens
Disorders of retina
Pancreatitis
Waiting Period
30 days Initial waiting period
2 years Specific illness waiting period
3 years Pre-existing disease waiting period
Ditto's Take
◦ Standard ◦
After a close look at the waiting periods, it’s safe to say they are fairly standard.
What's missing in the policy
Maternity benefits not offered.
Doctor consultations are not covered.
Customer Reviews
A
Akshay Kumar
Zero deductions on claims is a huge plus! No hidden costs eating into my claim amount.
B
Bhumi Pednekar
No room rent capping gives me the flexibility to choose a room without worrying about extra expenses.
K
Kartik Aaryan
Non-medical expenses coverage ensures I’m not forced to pay extra for essential benefits.
R
Ranveer Singh
Need to check the network hospital list carefully, especially in smaller towns.
A
Alia Bhatt
Being a newer player, their long-term claim settlement record is still being built.
S
Shraddha Kapoor
Good for people who want a modern insurance experience without too many complex terms.
R
Rajesh
Zero deductions on claims is a big relief, no hidden costs.
P
Pooja
No room rent capping is great, gives flexibility.
A
Amit
Non-medical expenses covered, acha feature hai.
P
Pooja
Is this plan suitable for older people too?
A
Aisha
Standard waiting periods are a bit long for some conditions.
D
Deepika
Good value for money with these features.
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Frequently Asked Questions
Does Standard Health have waiting periods?
- 30-Day Waiting Period: Hospitalizations won’t be covered for the first 30 days of the policy unless it’s an accident.
- Specific Illness Waiting Period: There’s a 2-year waiting period for a list of diseases which is a mandate before you can start claiming.
- Pre-Existing Disease Waiting Period: There's a 3-year waiting period for any pre-existing disease you may have while buying the policy.
Does Standard Health have room rent restrictions?
Does Standard Health offer a restoration benefit?
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