Zuno (erstwhile Edelweiss) Health Insurance Gold vs Star Health Medi Classic
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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. Health Insurance Gold is sold by Zuno (erstwhile Edelweiss) and Medi Classic is sold by Star Health. 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. Health Insurance Gold is more comprehensive. It covers a lot more use cases and doesn’t have any egregious conditions. However, Medi Classic is quite basic. It offers little protection and may not be entirely suitable if you are looking for robust protection. So fundamentally, they’re two very different products.
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 Health Insurance Gold. The product comes from Zuno (erstwhile Edelweiss)’s stable:
Zuno (erstwhile Edelweiss) Health Insurance company was founded in 2017 when they were hived off the homegrown Edelweiss Financial Services Limited. The company provides an array of products across multiple categories and they boast a claim settlement ratio of almost 92% with more than 6,200 network hospitals.
The only problem is - They’re still trying to find a firm foothold in the market.
Medi Classic meanwhile 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%.
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Compare Insurances Insurance Parameters Recommended Not Recommended | Health Insurance Gold | Medi Classic |
|---|---|---|
| Network hospitals | 6,200+ | 14,000+ |
| Claim settlement ratio (avg. of last 3 years) | 92% | 83% |
| Co-payment | 20% (if purchased after turning 61) | 10% (if purchased after turning 61) |
| Room rent | Single Private room | Any Room (max ₹5,000) |
| Disease sub-limit | No | Yes |
| Pre existing diseases waiting | 3 years | 3 years |
| Pre/Post hospitalization | 60/90 days | 30/60 days |
| No claim bonus | 50% per year (up to 100%) | 5% per year (up to 25%) |
| Domiciliary | ||
| Ayush treatments | ||
| Restoration benefit | 100% restoration (once for different illness) | 200% restoration (once for different illness) |
| Health check-up | Once every year | Once every 4 years |
| Maternity | Available (up to ₹50,000 after 4 years) | |
| Out Patient Department | ||
| Day care |
Feature Comparison
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, Health Insurance Gold lets you stay in a single private room and Medi Classic only lets you stay in a room whose rent doesn’t exceed 5000. In effect, both policies impose restrictions on the kind of room you can pick.
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, Health Insurance Gold doesn’t impose a disease wise sub-limit whereas Medi Classic imposes disease-wise sub-limits on Cataracts, Modern Treatments.
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. This cooling period is referred to as the Pre-existing-disease waiting period. In this case, Health Insurance Gold imposes a 3 year waiting period on pre-existing diseases and Medi Classic will similarly tell you to wait 3 years before making a claim related to your pre-existing diseases
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, Health Insurance Gold covers expenses incurred 60 days before hospitalization and expenses incurred 90 days post-hospitalization. Meanwhile, Medi Classic covers expenses incurred 30 days before hospitalization and expenses incurred 60 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. In this case, however, Health Insurance Gold offers a no-claim bonus of 50% whereas Medi Classic offers a no-claim bonus of 5%. And the no-claim bonus may be capped at different levels too.
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, Health Insurance Gold offers domiciliary cover whereas Medi Classic doesn’t offer domiciliary protection.
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, Health Insurance Gold covers Ayush procedures and Medi Classic also extends coverage for 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, Health Insurance Gold offers maternity cover whereas Medi Classic doesn’t offer protection for maternity-related hospitalizations.
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, neither Health Insurance Gold extends coverage for outpatient consultations, nor does Medi Classic.
Final Conclusion
After considering all the features on hand, we believe that Health Insurance Gold is a better alternative to Medi Classic for most use cases that we’ve evaluated so far.
Other Zuno (erstwhile Edelweiss) Health Insurance Gold Comparisons
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