Star Health Cardiac Care Platinum vs Bajaj Allianz Health Care Supreme Ultimo
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Introduction
Before we start comparing these two policies we have to set out some ground rules.
Both products are marketed by different insurance companies. Cardiac Care Platinum is sold by Star Health and Health Care Supreme Ultimo is sold by Bajaj Allianz. So any meaningful comparison should include a comparison of the product alongside the insurers themselves.
Second, we know that both products have massive differences in their core structure. Cardiac Care Platinum is specifically designed for people suffering from heart ailments. However, Health Care Supreme Ultimo is a premium policy built for people who want to leave no stone unturned when it comes to their health. It’s expensive and it does pretty much everything you expect a good policy to do. So in many ways, you’re comparing apples and oranges here.
And finally, any comparison is ultimately futile without considering the use case. Who are you buying this policy for? You, your family, your parents?
That’s something you’ll need to answer before using this guide. So with that introduction out of the way, we can get to comparing the actual policies themselves.
Let’s start with Cardiac Care Platinum. The product comes from Star Health’s stable:
Star Health Insurance is India's first standalone health insurance firm. And with an army of retail advisors pushing their products across the country, they’ve managed to capture a fair share of the Indian market.
The company also boasts a network of over 14,000+ hospitals and a decent claim settlement ratio of 83%.
Health Care Supreme Ultimo meanwhile comes from Bajaj Allianz’s stable:
Founded in 2001, the company is a joint venture between Bajaj Finserv Limited (of the Bajaj Group) and Allianz SE, a German financial services corporation.
And while they may not be the biggest insurer out there, they do have a claim settlement ratio of 95%, with a network of more than 8,000 hospitals.
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Compare Insurances Insurance Parameters Recommended Not Recommended | Cardiac Care Platinum | Health Care Supreme Ultimo |
|---|---|---|
| Network hospitals | 14,000+ | 8,000+ |
| Claim settlement ratio (avg. of last 3 years) | 83% | 95% |
| Co-payment | No | No |
| Room rent | Single Private room | Any Room |
| Disease sub-limit | Yes | No |
| Pre existing diseases waiting | 4 years | 2 years |
| Pre/Post hospitalization | 30/60 days | 60/90 days |
| No claim bonus | 10% per year (up to 100%) | 10% per year (up to 50%) |
| Domiciliary | ||
| Ayush treatments | ||
| Restoration benefit | 100% restoration (once for different illness) | 100% restoration (once for different illness after complete exhaustion of sum insured) |
| Health check-up | Once every year | Once every year |
| Maternity | Available (up to ₹75,000 after 2 years) | |
| Out Patient Department | Up to ₹3,500 | Up to ₹17,500 (Annually) |
| Day care |
Feature Comparison
Co payment
With a co-payment clause, the insurer will mandate that you pay a part of the bill. So if the bill adds up to Rs. 2,00,000 and the co-payment is set at 20% then you could be asked to pay Rs. 40,000 from the bill. In this case, however, Cardiac Care Platinum doesn’t impose a co-payment clause. And neither does Health Care Supreme Ultimo.
Room rent
If the policy does impose room rent restrictions then the insurer may only let you stay in a room of a certain specification or impose a cap on the total room rent. If you were to breach either criterion then the insurance company may ask you to pay a portion of all the expenses you incurred while staying in the room. In this case, however, Cardiac Care Platinum only lets you stay in a single private room but you can pick any room you want with Health Care Supreme Ultimo.
Sub limits
Some policies will tell you that they will cover all medical expenses up until the sum insured, but then impose caps on the total costs you can incur while dealing with a very specific list of diseases. We call these caps “Disease Wise Sub Limits.” In this case, Cardiac Care Platinum imposes disease-wise sub-limits on null whereas Health Care Supreme Ultimo doesn’t impose a disease wise sub-limit.
Waiting periods for pre-existing diseases
If you’re suffering from a lifestyle condition or if you’ve had surgery in the past, or if you’re dealing with an acute or chronic illness at the time of buying the policy, then the insurer may classify this as a pre-existing disease. And they may tell you that they will only cover these illnesses after some time. In this case, Cardiac Care Platinum imposes a waiting period of 4 years on pre-existing diseases while Health Care Supreme Ultimo extends a waiting period of 2 years on existing conditions.
Pre and post Hospitalization expenses
Most people aren’t hospitalized right off the bat. Instead, they’ll have to go through a whole series of diagnostic tests before hospitalization and take medication post-discharge. These costs are outlined as pre-hospitalization expenses and post-hospitalization expenses respectively. In this case, Cardiac Care Platinum covers expenses incurred 30 days before hospitalization and expenses incurred 60 days post-hospitalization. Meanwhile, Health Care Supreme Ultimo covers expenses incurred 60 days before hospitalization and expenses incurred 90 after hospitalization, although there may be different sub-limits
No claim bonus
Some policies will tell you that they will incentivize you for not making a claim in any given year. And they offer such incentives by offering extra cover on top of the existing sum insured. This extra cover is categorized as a no-claim bonus. And in this case, Cardiac Care Platinum offers a no-claim bonus of 10% and Health Care Supreme Ultimo similarly extends a 10% no-claim bonus.
Domiciliary
Imagine you are forced to treat yourself at home because you don’t find a hospital bed, or you have a chronic condition that prevents you from visiting one, then, insurers may choose to cover your treatment even if you’re hospitalized at home. And such costs are collectively categorized as domiciliary treatment costs. In this case, however, neither Cardiac Care Platinum offers domiciliary cover nor does Health Care Supreme Ultimo
Ayush treatments
Most policies only cover treatments administered in a registered medical facility. However, on some occasions, you may want to pursue alternative treatments including homoeopathy, Ayurveda, Unani and Siddha. These treatments are collectively categorized as Ayush treatments. And in this case Cardiac Care Platinum doesn’t extend coverage for Ayush treatments whereas Health Care Supreme Ultimo covers Ayush treatments.
Maternity benefits
If you’re hospitalized during childbirth, then you may have to incur significant costs during delivery of your newborn, child care and other related matters during the course of the hospitalization. These costs are collectively termed maternity costs. And in this case, however, Cardiac Care Platinum doesn’t offer protection for maternity-related hospitalizations whereas Health Care Supreme Ultimo offers maternity cover.
Out Patient Department (OPD)
Doctor visits and regular consultations aren’t usually covered by health insurance policies. They are categorized as Outpatient consultations (or OPD treatments) and patients have to bear the cost on their own. In this case, however, Cardiac Care Platinum offers OPD coverage, and Health Care Supreme Ultimo also offers OPD coverage, although the sub-limits may be different.
Final Conclusion
It should be obvious by now. Health Care Supreme Ultimo is packed with features, while Cardiac Care Platinum is specifically meant for people suffering from heart ailments. But considering Star Health has a claim settlement ratio that can only be considered sub-par at best, we would still recommend going with anything that Bajaj Allianz has to offer, if the policy is made available to you.
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