Acko is one of the newer general insurance companies in the market, which has positioned itself as a digital-first insurer. Founded in 2016, Acko initially made a name for itself in the motor insurance sector. However, it formally entered the health insurance space in 2020, introducing plans designed to be more accessible and convenient for everyone.
Unlike traditional insurers that operate through intermediaries, Acko follows a direct-to-customer (D2C) business model, taking care of the end-to-end insurance process — from purchasing the plan to handling claims.
Acko’s health insurance vertical is relatively new compared to established players, but they have quickly gained popularity due to their affordable pricing, and feature-rich plans. However, as with any insurance company, the customer experience varies, with some praising its efficiency and others citing issues with claim approvals and documentation requirements.
In this review, we’ll take a closer look at Acko’s features, popular plans, customer feedback, and the pros and cons to help you decide if it’s the right insurer for you.
| Pros of Acko Insurance | Cons of Acko Insurance |
|---|---|
| A good claim settlement ratio and network of hospitals | Relatively new insurer |
| Offers unlimited cover in its flagship plan | Lower business volume |
| Affordable premiums because Acko has no commissions payable to agents | No agents – which means no one to handhold during a claim, and you need to contact Acko directly for everything |
| There is no initial 30-day waiting period or specific illness waiting period. However, pre-existing disease waiting period depends on the underwriting policy and medical tests. | |
| Relatively low complaint volume |
Heads Up: It takes an average person up to 5 hours to read & analyze a policy and 10 hours or more to compare different plans and decide. This is why we propose a better alternative - taking a FREE consultation with Ditto’s certified advisors. We have a spam-free guarantee, and we’ll never push you to buy a plan. Don’t delay this - we have limited slots daily, so book a quick call here before they run out.
Acko Insurance Customer Reviews
Metrics of Acko Insurance in 2025
Over the years, Acko started to offer a number of insurance policies across various sectors. But in this article, let’s focus on Acko’s health insurance offerings. While they do not have a robust track record, they offer comprehensive health insurance policies at a reasonable premium. Currently, they have only two policies – Platinum Health & Standard Health. While they may have good policies, determining their reputation and sustainability depends on a few metrics.
| Customer Service | 8.8 |
|---|---|
| Policy Benefits | 9.5 |
| Policy Coverage | 9.3 |
| Premium | 9.2 |
| Final Score | 9.2 |
| Score (Out of 5) | 4.6 |
Please note: We have considered 3-year data across the following metrics. This helps you gauge the insurer's consistency.
Claim Settlement Ratio of Acko Insurance
Claim Settlement Ratio, or CSR, is one of the primary metrics used to determine the insurer's credibility. It is calculated by -
(Total number of claims settled by an insurer in a year/Total number of claims raised to the insurer in the year) * 100
In calculating the annual total of settled claims, outstanding claims from the previous year are combined with those resolved in the current year, while unresolved claims are disregarded.
- If the CSR is less than 80 - Steer clear of this insurer. With such a low CSR, the insurer most likely doesn’t settle claims adequately. As potential policyholders, this exposes you to high risks of rejecting valid claims.
- If the CSR is more than 90 but less than 100 - This is the ideal range in CSR. You have made a solid pick if your insurer lies in this range.
- If the CSR is more than 100 - While this CSR score is more than perfect, this is not a good sign. During CSR calculation, outstanding claims of the last year are considered. Hence, any insurer with a CSR above 100 has delayed claim settlements. And as a health insurance policyholder, delayed claim settlement is the last thing you want.
| Years | Acko CSR | Industry Average |
|---|---|---|
| 2021 - 2022 | 95.53 | 85.85 |
| 2022 - 2023 | 97.45 | 91.19 |
| 2023 - 2024 | 96.31 | 92.25 |
| Average (2021 - 2024) | 96.43 | 89.76 |
Insight: Acko has one of the highest CSRs in the industry, and its numbers have been consistently above the industry average over the years. This is an excellent sign for potential policyholders. However, you must remember that this figure also includes Acko’s other verticals, such as travel, life, car insurance, etc.
Incurred Claim Ratio of Acko Insurance
While CSR reveals the number of claims settled by an insurer across a year, you need deeper insights. You need to know how much of the claim is being settled by the insurer if the insurer is paying claims partially or wholly. The Incurred Claim Ratio of an insurer, which is given by -
(The amount of claim settled by an insurer in a year / The total amount collected by the insurer via premiums in the year) * 100
-helps reveal the total amount settled via claims.
- If the ICR is less than 50 - The insurer is most likely focused on its business interests, ignoring the complete settlement of claims. This is not a good sign for policyholders, who might face rejection of their valid claims or partial settlement of claims.
- If the ICR is between 55 and 80 - This is considered the ideal range for health insurance providers. Insurers within this range of ICR (may go a bit higher) reveal that the health insurance provider pays equal attention to settling claims from policyholders and ensuring its business stability.
- If the ICR is more than 100 - Such insurers are paying off excess claims to their policyholders. While this might be a good sign for policyholders, initially, in the long run, this isn’t promising. Paying off many claims indicates that the insurer may soon face a financial crunch and develop sustainability issues for the brand.
| Years | Acko ICR | Industry Average |
|---|---|---|
| 2021 - 2022 | 103.75 | 90.51 |
| 2022 - 2023 | 83.88 | 79.94 |
| 2023 - 2024 | 56.91 | 81.32 |
| Average (2021 - 2024) | 81.51 | 83.93 |
Insight: While the ICR for Acko may not be in the ideal range, the trend is a positive sign for policyholders. This indicates that while the insurers may pay higher claims, they prioritize client requirements over their business profits.
Complaint Volume of Acko Insurance
Ideally, this is one of the most critical metrics that determine the credibility of a health insurance provider. Complaint volume is a data point that showcases clients' satisfaction regarding claim settlements. The numbers are much lower if the experience and process have been good.
However, in the case of Acko General Insurance, the complaint numbers may be misleading since the company offers various insurance products besides health insurance. Such products include motor insurance, which significantly reduces the average complaint volume.
| Years | Acko Complaint Volume | Industry Average |
|---|---|---|
| 2021 - 2022 | 8.89 | 18.7 |
| 2022 - 2023 | 14.97 | 19.51 |
| 2023 - 2024 | 27.33 | 29.76 |
| Average (2021 - 2024) | 17.06 | 22.66 |
Insight: Acko General Insurance's complaint volume may not be among the lowest in the industry, but it is undoubtedly lower than that of multiple health insurance providers. However, as stated before, these numbers may be misleading, considering that this is a general insurer rather than a standalone health insurance provider.
Top Health Insurance Plans Offered by Acko Insurance
They have two plans under its health insurance portfolio – Standard Health and Platinum Health. Let’s take a brief look at them now:
- Standard Health: The Acko Standard Health Plan is perhaps one of the most affordable plans on the market. It has very few restrictions and covers most bases. However, if you’re willing to spend some extra money, you can buy the Platinum Health Plan, which is a much better overall choice.
- Platinum Health: Acko’s Platinum Health Insurance Plan stands out for its comprehensive features — no room rent restrictions, no disease-wise sub-limits, unlimited restoration benefits, and coverage for consumables. The plan even waives off the initial 30-day waiting period and the waiting period for specific illnesses, meaning you can avail of coverage for ailments such as cataracts or kidney stones without delay. However, if you have pre-existing conditions, you will still face a waiting period of one to three years and may be directed towards Acko’s Standard plan instead of Platinum. Despite this, the Acko Platinum plan remains an attractive option on paper because it addresses many common deal-breakers in health insurance — like copayments, sub-limits, and deductibles — by eliminating or minimizing them.
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Conclusion
If you are looking for a unique health insurance plan with several perks, such as unlimited coverage, consumables coverage, etc., and don’t mind the volume of complaints, Acko is a good choice. However, if claim processing and customer service responsiveness are important to you, exploring other more established insurers may be beneficial.
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