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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. Care Classic is sold by Care and National Mediclaim Plus policy is sold by National Insurance. 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. Care Classic is specifically designed for Reproductive Procedures. However, National Mediclaim Plus policy is quite basic. It offers little protection and it’s a generic policy that anybody could pick off the shelf. 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 Care Classic. The product comes from Care’s stable:

Care Health Insurance (formerly Religare Health Insurance) was founded in 2012. And in that time, they’ve managed to corner a large part of the Indian Insurance market.

What’s more impressive?

Care Health Insurance has a remarkable claim settlement ratio of 90% and a network of more than 16,000+ hospitals.


National Mediclaim Plus policy meanwhile comes from National Insurance’s stable:

National Insurance is the country's oldest general insurance firm and is wholly owned by the Government of India. That means, despite a claim settlement ratio of 93% and over 3,200 network hospitals it can be a bit difficult to reach the insurer when you need them the most. Perhaps due to the fact that they are still a public sector enterprise.

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Insurance Parameters

Recommended
Not Recommended
Network hospitals
16,000+
3,200+
Claim settlement ratio

(avg. of last 3 years)

90%
93%
Co-payment

20%

(if purchased after turning 61)

20%

Room rent

Single Private room

Any Room

(up to 1% of sum insured)

Disease sub-limit

Yes

No

Pre existing diseases waiting

4 years

3 years

Pre/Post hospitalization

60/90 days

30/60 days

No claim bonus

25% per year

(up to 150%)

5% per year

(up to 50%)

Domiciliary
Ayush treatments
Restoration benefit

100% restoration

(unlimited no. of times

for any illness)

Health check-up
Once every year
Maternity

Available

(Assisted Reproductive treatments covered after 3 years)

Available

(up to ₹50,000 after 2 years)

Out Patient Department
Day care

Feature Comparison

coPay

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, Care Classic imposes a co-payment clause of 20% if you purchase after turning 61 whereas National Mediclaim Plus policy imposes a co-payment clause of 20% if you’re hospitalized in a non-network medical facility.

roomRent

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, Care Classic lets you stay in a single private room and National Mediclaim Plus policy only lets you stay in a room whose rent doesn’t exceed 1% of the sum insured. In effect, both policies impose restrictions on the kind of room you can pick.

diseaseSublimit

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, Care Classic imposes disease-wise sub-limits on Cataract, Modern treatments whereas National Mediclaim Plus policy doesn’t impose a disease wise sub-limit.

ped

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, Care Classic imposes a waiting period of 4 years on pre-existing diseases while National Mediclaim Plus policy extends a waiting period of 3 years on existing conditions.

prePost

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, Care Classic covers expenses incurred 60 days before hospitalization and expenses incurred 90 days post-hospitalization. Meanwhile, National Mediclaim Plus policy covers expenses incurred 30 days before hospitalization and expenses incurred 60 after hospitalization, although there may be different sub-limits

ncb

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, Care Classic offers a no-claim bonus of 25% whereas National Mediclaim Plus policy offers a no-claim bonus of 5%. And the no-claim bonus may be capped at different levels too.

domiciliary

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, Care Classic offers domiciliary cover whereas National Mediclaim Plus policy doesn’t offer domiciliary protection.

ayush

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, Care Classic covers Ayush procedures and National Mediclaim Plus policy also extends coverage for Ayush treatments.

maternity

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, Care Classic offers maternity cover and National Mediclaim Plus policy offers maternity cover too, although the sub-limits for normal delivery and C-section procedures may be different, including the waiting period.

opd

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 Care Classic extends coverage for outpatient consultations, nor does National Mediclaim Plus policy.

Final Conclusion

Since this isn’t a fair comparison, to begin with, we will only tell you this much. If you want something that’s affordable, you could go for National Mediclaim Plus policy. However, if you are specifically looking to buy a policy for Reproductive Procedures, then it’s a no brainer, Care Classic is your go-to option.

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