Care Health Insurance
Care Supreme
Sum insured options: 5L, 10L, 20L, 50L, 6Cr
Feature DNA
Coverage Basics
Room Rent Limit
No sub-limit on any variant
Co-Payment
Nil (up to age 60); 10-20% above 61
Co-pay for 61-65 age group is 10% and increases to 20% above 65. This is mandatory and non-negotiable.
Network Hospitals
9,800+
Daycare Procedures
587+ listed procedures
Waiting Periods
Pre-Existing Waiting
48 months (reducible to 24 months with add-on)
The PED reduction add-on costs 15-25% extra on premium. Without it, the standard 48-month waiting is among the longest in the market.
Maternity Cover
Available as add-on with 36-month waiting, 50,000 limit
Maternity add-on has a 36-month waiting period and a 50,000 cap. Most metro deliveries cost 1.5-3L, making this limit largely symbolic.
Wellness Benefits
Mental Health
Covered per Mental Healthcare Act
AYUSH Coverage
Covered up to SI
Annual Health Checkup
Included annually
Domiciliary Treatment
Covered up to SI
Claims Features
No Claim Bonus
Up to 100% (50% per claim-free year)
Restoration Benefit
Unlimited automatic restoration
Restoration is unlimited in number of times but each restoration equals the original SI. Very strong benefit, but verify the specific variant.
Ambulance Cover
Up to 5,000 per hospitalisation
Organ Donor
Covered up to SI
Score Breakdown
Premium Estimates
Indicative annual premiums for a 5 lakh sum insured individual policy. Actual premiums vary by age, location, and health status.
| Age Group | Estimated Premium (5L SI) |
|---|---|
| Age 30 | ₹6,100/yr |
| Age 45 | ₹13,400/yr |
| Age 60 | ₹27,800/yr |
Key Exclusions
Gotcha Alerts (4)
Co-Payment
Co-pay for 61-65 age group is 10% and increases to 20% above 65. This is mandatory and non-negotiable.
Source: Care Supreme Policy Wording
Pre-Existing Waiting
The PED reduction add-on costs 15-25% extra on premium. Without it, the standard 48-month waiting is among the longest in the market.
Source: Care Supreme Policy Wording
Maternity Cover
Maternity add-on has a 36-month waiting period and a 50,000 cap. Most metro deliveries cost 1.5-3L, making this limit largely symbolic.
Source: Care Supreme Policy Wording
Restoration Benefit
Restoration is unlimited in number of times but each restoration equals the original SI. Very strong benefit, but verify the specific variant.
Source: Care Supreme Policy Wording
Compare With Another Plan
Oquilia Analysis: Care Supreme
Care Supreme from Care Health Insurance is a individual health insurance plan that has earned an Oquilia Score of 7.9/10, placing it in the “Good” category. This score is derived from our analysis of 14 critical coverage parameters, cross-referenced against industry benchmarks and the actual policy wording filed with the Insurance Regulatory and Development Authority of India (IRDAI).
Starting with the coverage fundamentals, this plan offers no room rent sub-limits, which is a significant advantage. Room rent is one of the most consequential features in a health insurance policy because exceeding the limit does not just result in paying the room rent difference — it triggers proportionate deductions across the entire hospital bill, including surgery charges, doctor fees, and medication costs. For co-payment, this plan offers nil (up to age 60); 10-20% above 61, which means the policyholder will need to bear a portion of every claim from their own funds.
The pre-existing disease waiting period stands at 48 months (reducible to 24 months with add-on), which is in line with industry standards. Buyers with existing health conditions should factor this waiting period into their purchase decision, as any claim related to a pre-existing condition during this period will be outright rejected.
On the wellness and benefits front, the plan includes coverage for AYUSH treatments (Covered up to SI), mental health (Covered per Mental Healthcare Act), and domiciliary treatment (Covered up to SI). The no-claim bonus structure offers Up to 100% (50% per claim-free year), which is among the most generous in the market and rewards healthy policyholders significantly. Restoration benefit is a strong suit of this plan, providing unlimited automatic restoration.
We flagged 4 gotcha alerts for this plan. These are fine-print conditions that most buyers overlook during purchase but discover painfully at claim time. Each gotcha is sourced directly from the policy wording and represents a material condition that could affect claim outcomes. We recommend reading each gotcha carefully and factoring them into your purchase decision.
In terms of value for money, the estimated premium for a 30-year-old at 5 lakh sum insured is ₹6,100 per year. When evaluated against the feature depth delivered at this price point, Care Supreme offers reasonable value for its price segment, though buyers should weigh the gotcha alerts carefully. We recommend comparing this plan side-by-side with at least one alternative using the Oquilia comparison tool to ensure it aligns with your specific health profile and financial needs.
Frequently Asked Questions
What is the Oquilia Score for Care Supreme?+
What are the key gotcha alerts for Care Supreme?+
What is the estimated premium for Care Supreme?+
Who should buy Care Supreme?+
Does Care Supreme cover pre-existing diseases?+
Not sure if Care Supreme is right for you?
Compare it side-by-side with another plan to see which one wins feature-by-feature.