Quick Overview

Acko Health Insurance is India's first fully digital general insurer, founded in 2016. It follows a direct-to-consumer model, with no agents, no paperwork, and no commissions. This keeps premiums more affordable than most traditional plans. Its plans come with strong built-in features like zero co-payment and no room rent capping, backed by a claim settlement ratio of 96.50% on average over FY 2022–25. A caveat worth noting is its shorter track record compared to more established insurers.

Acko Health Insurance received its IRDAI license (registration no. 157) in 2017. The company started primarily with motor insurance before entering the retail health insurance space in 2023. The company is backed by investors such as Amazon India, Accel, Multiples Private Equity, and General Atlantic. The company is also preparing for an initial public offering (IPO), targeting a 2026 or 2027 listing.

But do these numbers make Acko the right insurer for you? In this Acko Health Insurance review, we walk you through its performance metrics, top plans, pricing, and our honest take, so you can make an informed decision.

Acko Health Insurance Performance Metrics

Metrics (FY 2022-25)Acko Health InsuranceIndustry Average
Claim Settlement Ratio (CSR)96.50%91.22%
Incurred Claim Ratio (ICR)66.20%81.88%
Complaints received per 10,000 claims 19.2927.06
Gross Written Premium (GWP) Total Health (crores) ₹855₹ 3,969
Network Hospitals 10,000+10,000+ (Recommended)

Note: All the data is sourced from IRDAI Annual reports and insurers’ public disclosures.

Key Insights

    • CSR: The company’s claim settlement ratio is well above the industry average, which is generally a positive sign for claims reliability. Acko is still a relatively new insurer with a smaller customer base, which means lower claim volumes overall.
    • ICR: Its incurred claim ratio falls within the commonly accepted 50–80% range, which suggests a balanced claims experience.
    • Annual Business: Acko’s health business remains much smaller than the industry average, which reflects its relatively short track record. 
    • Complaints: Since this covers all their product lines and not just health, the actual health-specific experience may vary. But the overall number is positive; fewer complaints generally mean fewer hassles at the time of claims. 
    • Network hospitals: Acko offers a network of 10,000+ hospitals across India for cashless treatment. This is a decent number; however, it is always better to check if your preferred hospitals are a part of Acko's network.

Did You Know?

IRDAI has twice rejected Acko's requests to ease its Expense of Management limits and imposed a ₹1 crore penalty on the company in May 2025 for violations related to outsourcing norms and partner commissions. This does not directly affect your existing policy, but it suggests that Acko is still evolving operationally.

CTA

Top Plans Offered by Acko Health Insurance 

Acko Health Insurance offers two flagship plans, Platinum Lite and Platinum, both of which are comprehensive policies.

FeaturesPlatinum LitePlatinum
Sum Insured Options₹10 lakh, ₹25 lakh, ₹50 lakh, ₹1 crore₹1 crore, Unlimited 
Waiting PeriodsInitial: 30 days (accidents are covered from day 1), specific illness: 2 years, re-existing disease: 3 years Initial and specific illness: Not applicable, pre-existing illness (based on health evaluation): 0-3 years
Co-PaymentNot applicable Not applicable 
Disease-Wise Sublimits and Room Rent RestrictionsNoNo
Pre- and Post-Hospitalization Expenses 60-180 days60-180 days
Daycare, Domiciliary, and AYUSH treatments Covered up to Sum Insured Covered up to Sum Insured 
Bonus (Inflation Protect)10% increase up to 100%, irrespective of claims made10% increase up to 100%, irrespective of claims made
ConsumablesCoveredCovered

Drawbacks

    • Neither plan offers a restoration benefit. It has been withdrawn recently by the company. In case of multiple hospitalizations within the same policy year, the exhausted sum insured is not refilled. This is a significant gap for families or individuals with recurring health needs. 
    • There is no maternity coverage available under either plan.

Other Acko Health Insurance Plans

    • Platinum Super Top-up that activates once your base cover is exhausted. It's a cost-effective way to extend your coverage without paying for a higher sum insured upfront. You can choose a sum insured of ₹25 lakhs, ₹50 lakhs, ₹1 crore, or unlimited. The plan comes with zero waiting periods, zero co-pay, no room rent capping, and built-in cover for consumables. 
    • Senior Citizen Health Insurance is available under both the standard and Platinum plans for individuals aged 60 and above. ​​The Platinum variant comes with zero waiting periods for most conditions and zero co-pay, which matters more for seniors who are more likely to have pre-existing conditions. Lifetime renewability is also included. 
    • Group Health Insurance for employers looking to provide health coverage to their employees. Acko's group plans cover hospitalization and related medical expenses managed entirely through their digital platform. Onboarding is quick, and plans are flexible based on your organization's size and needs. Benefits also include OPD cover, mental health support, teleconsultations, and nutrition and fitness guidance, all part of the package.

You can find the full, up-to-date list of Acko's offerings on its official website.

Premium Comparison for Acko Health Insurance Plans

ProfilesAcko Platinum PlanAcko Platinum Lite Plan
Individual Plan, Age 25₹16,178₹13,075
Family Floater (2A), Ages (31, 32)₹20,667₹16,787
Family Floater (2A 1C), Ages (35, 34, 5)₹27,245₹18,298
Family Floater (2A), Ages (62, 63)₹94,106₹78,083

Note: The premiums above are for a ₹1 crore cover, assuming the insured person lives in Delhi (110010) with no pre-existing diseases. Acko Health Insurance reviews your medical profile before finalizing premiums, so pricing can vary from person to person. A = Adult, C = Child.

It's also worth noting that Acko uses an AI-based engine to personalize premiums and plan variants, so not all buyers will see both variants or the full range of sum insured options. 

Acko: Contact Details and Address

Customer Support Details

Registered Office: ACKO Technology & Services Private Limited#36/5, Hustlehub One East, Somasandrapalya, 27th Main Rd, Sector 2, HSR Layout, Bengaluru, Karnataka 560102.

Top 10 Health Insurance Companies in India

RankInsurerCSRComplaints Volume (Per 10,000 Claims)Annual Business Volume (in crore)
1HDFC ERGO96.71%9.28₹6,118
2Bajaj General96.78%3.07₹6,119
3Aditya Birla95.81%18.67₹3,290
4Care Health93.13%42₹6,775
5Niva Bupa91.62%42.85₹5,481
6SBI General96.14%20.51₹3,329
7Go Digit98.66%16.88₹1,388
8Generali Central 91.78%11.02₹3,989
9ICICI Lombard84.50%10.67₹6,794
10TATA AIG88.72%10.65₹3,165

Note: Acko does not make our list of the top 10 health insurance companies. Our methodology for identifying the best health insurance companies evaluates factors like CSR, GWP, and complaints to provide a balanced view.

Why Choose Ditto for Health Insurance?

At Ditto, we’ve assisted over 8,00,000 customers with choosing the right insurance policy. Why customers like Pallavi below love us:

Acko Health Insurance
    • No-Spam & No Salesmen
    • Rated 4.9/5 on Google Reviews by 20,000+ happy customers
    • Backed by Zerodha
    • Dedicated Claim Support Team
    • 100% Free Consultation

You can book a FREE consultation. Slots are running out, so make sure you book a call now or chat with us on WhatsApp!

Conclusion

Acko Health Insurance looks good on paper, with affordable premiums and a digital experience. The Platinum plan eliminates the waiting periods as well. But good on paper and reliable in practice are two different things.

The reality is that Acko is still a relatively new player with a limited track record in retail health insurance. Claim volumes are still growing, long-term data is limited, and the entire experience from buying, claims, post-sales, to support is managed without any agent or advisor. If something goes wrong at claim time, you are on your own with customer support. 

If you are looking for a health plan that combines strong coverage with a proven track record, we would suggest looking at more established insurers. As a first step, check our complete guide on how to choose health insurance based on your needs. It will help you figure out exactly what to look for before you buy.

Frequently Asked Questions

Does Acko health insurance qualify for a tax deduction under Section 80D?

Yes. Premiums paid towards Acko health insurance plans are eligible for tax deductions under Section 80D (old regime) of the Income Tax Act. You can claim up to ₹25,000 per year for yourself and your family, and up to ₹50,000 for senior citizens. 

What is the grace period for Acko health insurance?

As per IRDAI guidelines, Acko offers a 30-day grace period for annual payment policies and 15 days for monthly payment policies after the renewal date. 

How can I find the network hospitals for Acko?

Acko offers access to a wide network of over 10,000+ cashless hospitals across India. You can easily locate a nearby hospital using the network locator or the mobile app by entering your location, ensuring quicker access to cashless treatment during planned or emergency hospitalizations.

Is a health evaluation mandatory for Acko health insurance?

No mandatory medical check-up is required for most buyers. However, Acko conducts a medical evaluation for applicants with pre-existing diseases, which determines your waiting period in the Platinum variant. 

Can I increase my sum insured later in Acko Health Insurance?

Yes, the sum insured can usually be changed at renewal, subject to underwriting and insurer approval. Any increase will lead to fresh waiting periods on the enhanced portion.

Last updated on: