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Acko Standard Health Insurance

Introduction to Acko Standard Health Insurance

Acko Standard Health Insurance is a health insurance policy offered by Acko General Insurance Company Limited. A health insurance plan promises to pay for hospitalization expenses as well as expenses incurred before and after a hospitalization. It acts as a protective shield for savings and healthcare, so you and your family can live a happy, fulfilling life. With Acko Standard Health Insurance Plan, you can have access to a wide range of benefits and features that cater to your healthcare needs, ensuring that you can prioritize your well-being without the worry of exorbitant expenses.

Verdict: Acko Standard Health Insurance

This plan is a good option for those seeking cost-effective yet comprehensive health insurance coverage. Besides hospitalization and related expenses, it also covers OPD expenses, cost of consumables like gloves, oxygen masks, etc. Moreover, the plan provides the option to automatically increase the sum insured based on the previous year's inflation. It also provides option to make premium payment on monthly basis. However, as per our research, the insurer has received a higher number of claim settlement and policy purchase complaints. This indicates that they have a poor track record with respect to both purchase and claims service.

Pros & Cons: Acko Standard Health Insurance

  • arrow Fairly priced in comparison to other products in the market
  • arrow No restrictions on the type of hospital room you choose
  • arrow Monthly premium payment option is available
  • arrow Sum insured increases automatically every year by a specific percentage
  • arrow Covers outpatient department costs, such as medications, tests, consultations, etc.
  • arrow Received higher number of complaints during policy purchase compared to other insurers
  • arrow Received higher number of complaints on claim settlement compared to other insurers
  • arrow Our study observed their responses on Twitter to be relatively slower than other insurers

Specific Exclusions: Acko Standard Health Insurance

01 Treatment related to intentional self inflicted Injury or attempted suicide by any means
02 Treatment related to HIV and AIDS, whether or not sexually transmitted
03 Screening, prevention and treatment for sexually related infection or disease (other than HIV / AIDS)
04 Use of radio frequency unless approved in advance in writing
+ Show 11 more

About Acko General Insurance Company Limited

Acko General Insurance Company Limited logo

Acko General Insurance Company Limited, established as a digital-first insurance company in India, offers a wide array of insurance products to cater to the diverse needs of its customers. The company’s offerings include health insurance, car insurance, bike insurance, travel insurance, among others. It was founded in 2016 and is headquartered in Bengaluru. Mr. Sanjeev Srinivasan is the company's CEO and MD.

Founded in
2016
JV Partners
-
Turnover (GWP)
236.76 Crores
Number of Policies
5,52,661
Number of Claims
84,153

Detailed Product Specs: Acko Standard Health Insurance

Claims Experience advisor
Customer Service advisor
Product Benefits (10L Sum Insured) advisor
Limits and Exclusions advisor
% of claims settled in less than 30 days
Reflects on the speed of settling valid claims
95.87%
% of Complaints received on overall claims
% customers unhappy with claims experience
0.25%
Claims Incurred Ratio
62.39%
Claim Settlement Ratio (No. of claims)
What % of the claims received were paid?
77.84%
No. of Cashless Hospitals
7100+

Notes

1- The health insurance data was last updated in September 2023. All data has been sourced from product brochures, policy wordings, prospectus, public disclosures (Q1, FY 2023-2024), insurer websites, and the IRDAI website. 

2- The Claims Settlement Ratio data is taken from NL-37, insurer public disclosures (Q1, FY 2023-2024). It is calculated by dividing the number of claims settled by the sum of claims outstanding at the beginning of the year and claims reported during the year.

3- The data related to claim complaints and policy purchase complaints is taken from NL-45, insurer public disclosures (Q1, FY 2023-2024).

4- The Solvency Ratio data is taken from NL-26, insurer public disclosures (Q1, FY 2023-2024).

5- The data related to claims settled within 30 days is taken from NL-39, insurer public disclosures (Q1, FY 2023-2024).

6- The Claims Incurred Ratio data is taken from NL-4 and NL-5, insurer public disclosures (Q1, FY 2023-2024). It is calculated by dividing the Net Claims Incurred by the Net Earned Premium.

7- For now, we have considered the most comprehensive plans from leading insurance companies. We will keep updating the product pages with new plans in the coming days.

8- We have rated only those plans that can be serviced by individual advisors. This is because of our strong belief that health insurance customers need professional assistance from individual advisors before and after purchase. We do not recommend and hence do not rate direct-to-customer health insurance plans or plans where there aren't enough advisors available to service. 

9- Affordability assessment of plans: 

  ・The affordability of comprehensive plans is assessed using premiums for a family of two adults (30 years old) and one child (1 year old) residing in Zone 1 opting for a cover of ₹10 Lakhs. And, the premiums are as of 30th September 2023.

  ・The affordability of Care Freedom Plan is assessed using premiums for a 30-year-old male residing in Zone 1 opting for a cover of ₹5 Lakhs. And, the premiums are as of 30th September 2023.

10- The product benefits section is based on a sum insured of ₹10 Lakhs and only highlights the top benefits and features of health insurance plans. 

11- Only those hidden and special conditions that apply to the benefits and features we have considered are included on the product pages. 

12- The product pages only include the most significant specific exclusions under each plan.

13- The product pages do not include any generic terms, conditions, or exclusions (those that are the same and apply to all health insurance plans).

14- If the policy wording, brochure, or prospectus states that a benefit/feature is available with a specific plan but it is not available online when generating the premium quote, we have not considered that benefit/feature to be available with the plan.

15- The response time on Twitter (Beta) was calculated using a sample set of tweets from February 2023 to August 2023 (analyzed in September 2023).

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