Which is better: HDFC ERGO or ICICI Lombard Health Insurance?
HDFC ERGO edges out ICICI Lombard in key performance metrics with a higher claim settlement ratio (97% vs 85%) and a larger hospital network (13,000+ vs 10,200+). It’s ideal for those prioritising reliability, a smooth claims process, and wide coverage.
ICICI Lombard, however, stands out for its innovative, customisable plans with features such as maternity, newborn coverage, and OPD benefits, which make it better suited for younger customers or families seeking flexibility and preventive care.
Have you ever found yourself staring at multiple health insurance options, unsure which one truly fits your needs? You’re not alone. Choosing the right health insurance provider can be tricky, as many options offer different features.
Among the top contenders are HDFC ERGO and ICICI Lombard: two well-established names in the health insurance space. But which one stands out as the better choice?
Let’s break down their offerings and key differences to help you make an informed decision.
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HDFC Ergo vs ICICI Lombard Health Insurance Overview
About HDFC Ergo Health Insurance
HDFC ERGO is a general insurance company, founded in 2002, that offers a wide array of products, including health, motor, travel, and home insurance. It's a joint venture between HDFC Bank Ltd. and ERGO International AG, a member of the global Munich Re Group.
Key Development: In 2020, HDFC ERGO merged with Apollo Munich Health Insurance, enhancing its health insurance offerings and extending its customer base.
What this means for you: With an extensive, diversified portfolio, HDFC ERGO brings financial stability and operational maturity. Backed by two global giants, it promises reliable claim handling, excellent customer service, and a solid reputation, all of which are crucial during emergencies. However, the premiums are on the higher side so you need to be prepared to pay slightly more.
If you’d like to learn more, you can check out our HDFC Ergo Health Insurance Review or HDFC Ergo’s public disclosures.
About ICICI Lombard Health Insurance
ICICI Lombard is one of India’s leading general insurance providers, founded in 2001, offering a broad range of health and non-health insurance products. They focus on delivering innovative health coverage options with strong customer support.
What this means for you: ICICI Lombard’s strong market presence and customer-first approach give it an edge in offering customized plans and strong post-sales support. ICICI Lombard is known for its innovative plans and customer-centric policies, offering comprehensive health insurance for individuals and families.
If you’d like to learn more, you can check out ICICI Health Insurance Review or ICICI’s public disclosures.
HDFC Ergo vs ICICI Lombard Health Insurance: Key Differences
Claim Settlement Ratio: HDFC Ergo vs ICICI Lombard Health Insurance
HDFC ERGO outperforms ICICI Lombard, with a significantly higher claim settlement ratio of 97% compared to 85%. This means HDFC ERGO settles a larger percentage of its claims, which can offer more confidence and reliability when filing a claim.
Incurred Claim Ratio: HDFC Ergo vs ICICI Lombard Health Insurance
Both insurers show good performance, but HDFC ERGO edges out ICICI Lombard in this category as well, with an incurred claim ratio of 86% compared to 83%. This means that both insurers pay a significant amount of the premiums they collect towards their claims.
Complaint Volume: HDFC Ergo vs ICICI Lombard Health Insurance
HDFC ERGO also leads in this regard, with an average of only 9 complaints (2022-2025), compared to 11 for ICICI Lombard. Fewer complaints usually indicate better customer service or fewer issues with policyholders.
Did You Know?
Both insurers use in-house claim settlement teams as compared to TPAs for retail/individual policy claims, which is a green flag. If you’d like to learn more, check out our guide about The Role of TPAs in Health Insurance.
HDFC Ergo vs ICICI Lombard Health Insurance: Plan Comparison
HDFC ERGO Plans:
Note: You have to pay premiums for 3 years at a time when you’re buying the policy.
ICICI Lombard Health Insurance:
Click on the plan names to check out what each plan offers and read expert reviews by our IRDAI-certified advisors.
HDFC Ergo vs ICICI Lombard Health Insurance: Premium Comparison
For a premium comparison of their flagship plans, let us take profiles of non-smokers with no PED living in a Tier 1 city like Delhi.
For this premium calculation, we’ve added the following add-ons:
- For ICICI: Power Booster, Claim Protector, Sum Insured Protect, Room Modifier (Twin-sharing), Annual Health Checkup
- For HDFC: Unlimited Restore Add-on
Who Should Choose HDFC Ergo vs ICICI Lombard Health Insurance Plan?
Choose HDFC Ergo
if you prioritise a higher claim settlement ratio (97%), a larger hospital network (13,000+ hospitals), and strong financial stability backed by global institutions. It’s ideal for those seeking long-term reliability, smooth claim experiences, and robust customer support during medical emergencies.
Choose ICICI Lombard
if you prefer a wellness-driven and tech-enabled plan with features like teleconsultations, health rewards, and OPD coverage. It’s a great fit for younger policyholders or families who value flexibility, preventive care, and a digital-first approach to managing their health.
Which is Better: HDFC Ergo vs ICICI Lombard Health- Ditto’s Take
- HDFC Ergo is generally a better pick for younger individuals without a significant medical history. ICICI Lombard, on the other hand, tends to suit cost-conscious buyers, especially those looking for maternity coverage or hoping to reduce waiting periods for pre-existing diseases (PED) and specific illnesses.
- In terms of financial health, both are strong: ICICI Lombard has a solvency ratio of 2.7x, while HDFC Ergo has a solvency ratio of 2x. The IRDAI mandates a minimum of 1.5x, so both insurers are comfortably in the safe zone.
- Both HDFC Ergo and ICICI Lombard are Ditto partner insurers. However, due to ICICI Lombard’s relatively lower claim settlement ratio (CSR), we currently do not actively recommend their products, though they hold up very well feature-wise.
If you’d like to understand more about our recommendation process, you can check out Ditto’s Cut.
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 Varun below love us:
✅No-Spam & No Salesmen
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Conclusion
Both HDFC ERGO and ICICI Lombard offer solid, well-rounded health insurance products. HDFC ERGO wins in terms of claim performance and reach, while ICICI Lombard stands out for innovation and wellness integration. Ultimately, your ideal choice depends on whether you value stability and reputation (HDFC ERGO) or flexibility and digital benefits (ICICI Lombard).
Frequently Asked Questions
Which is better for family floater policies, HDFC Ergo vs ICICI Lombard Health Insurance
Both are strong options for family floaters, but the choice depends on priorities: HDFC ERGO offers a larger hospital network and higher no-claim bonuses, making it ideal for hospitalisation-heavy families, while ICICI Lombard provides better OPD coverage, wellness benefits, and flexible add-ons, suiting families who expect frequent outpatient visits or want extra perks.
Does HDFC Ergo Insurance offer better maternity benefits than ICICI Lombard Health?
No, ICICI Lombard generally offers maternity coverage either by default or as an add-on, whereas HDFC ERGO often excludes maternity benefits or requires a separate rider. If maternity coverage is essential, ICICI Lombard is the preferred choice for its comprehensive, cost-effective coverage.
Which company is best in health insurance?
There is no absolute “best”; HDFC ERGO is slightly stronger for hospitalisation-focused plans due to its network and potential no-claim bonus, while ICICI Lombard excels in flexibility, OPD, and wellness features. The optimal choice depends on your family’s needs, ages, pre-existing conditions, and local hospital access.
Which is better, Care Health Insurance or HDFC ERGO?
Care Health Insurance specializes in health plans and may offer more competitive or tailored options for certain families, whereas HDFC ERGO provides broader general-insurer support with a larger network. The better choice depends on priorities such as senior citizen coverage, premium cost, and the hospital network in your area.
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