Platinum (ACKO Health III) in one table
Claim settlement and complaint figures are IRDAI-published and held centrally by nyvo, not taken from the insurer's marketing.
What Platinum (ACKO Health III) covers
These are the terms that decide what you are actually paid when you claim. Room rent, co-pay and restoration do more to shape a settlement than the sum insured does, and they are read from ACKO's own policy wording.
Swipe the table sideways to see every column.
| Feature | This plan | What good looks like |
|---|---|---|
| Co-payment | None. The Platinum wording has no co-payment clause | No Co-payment |
| Room Rent Limit | No cap: actual room rent and ICU charges are paid, within the base sum insured | No room rent capping |
| Disease sub-limit | None in the wording: hospital benefits are paid within the base sum insured, with no illness-wise cap. Underwriting can add a sub-limit on a condition you declare, printed on your schedule | No sub-limit |
| No Claim Bonus | None. The Platinum wording has no bonus section. Its definition of total sum insured names an Inflation Protect Sum Insured, so check your schedule for one | 50% each year (Minimum upto 100%) |
| Restoration Benefit | None. The Platinum wording has no restore benefit, and cover for a person ends for the year once the sum insured is used up | 100% restoration once in a year |
| Pre-Hospitalization | 60 days, within the base sum insured | At least 60 days |
| Post-Hospitalization | 180 days, within the base sum insured | At least 120 days |
| Consumables | Paid. Consumables are listed among in-patient expenses, and the built-in Waiver of Non-payable Medical Expenses pays the items on ACKO's non-payable list when they are medically necessary and the claim is admitted | Consumables covered |
| Day-Care Procedures | Covered within the base sum insured, AYUSH day care included. ACKO publishes its day care procedure list on its website | Covered up to the sum insured |
| Road Ambulance | Up to the sum insured, for medically necessary emergency transport by ambulance or public transport, when the in-patient or day care claim is admitted | Included |
| Domestic Emergency Evacuation | Up to the sum insured, within India, when a doctor certifies it in writing and ACKO pre-authorises it. Transport can include an air ambulance | Included |
| AYUSH Treatment | In-patient AYUSH treatment at an AYUSH hospital, within the base sum insured | Included |
| Domiciliary Hospitalisation | Within the base sum insured when treatment at home runs at least 3 consecutive days. Reimbursement only | Included |
| Modern Treatments | The listed procedures, including robotic surgery, oral chemotherapy, immunotherapy and stereotactic radiosurgery, within the base sum insured | Covered |
| Organ Donor | The donor's in-patient costs for harvesting the organ, within your sum insured. Donor screening, organ acquisition and the donor's pre and post costs are not paid | Covered |
| Preventive Health Check-up | A set panel of tests for insured persons above 18, at ACKO's network or empanelled providers, outside the sum insured | Included |
| Doctor on Call | Unlimited consultations in a policy year, outside the sum insured | Included |
| Entry age | From 91 days, with no maximum entry age and no maximum cover-ceasing age | No maximum entry age |
Platinum (ACKO Health III) waiting periods: when each part of the cover starts
Waiting periods run from the day cover began, not from the day you fall ill, and they run in parallel rather than one after another.
| Initial Waiting Period | None: waived under the Initial 30 Days Waiting Period Waiver |
|---|---|
| Specific Illness | None, except cataract and arthropathies (excluding infectious causes) for anyone insured above 50, who wait the months printed on the schedule |
| Pre-Existing Disease | Set at underwriting and printed on your policy schedule |
| Named Ailment | Any named-ailment wait or exclusion on your schedule overrides the standard waits |
The named illnesses that wait only for anyone insured above 50
Platinum waives the specified-illness waits for everyone, except these two for insured persons above 50, who wait the number of months printed on the schedule. The rest of the specified list, from hernia to kidney stones, carries no wait on Platinum unless the condition is pre-existing. An accident is not held to this wait.
Platinum (ACKO Health III) exclusions: what the plan will not pay for
Every policy carries exclusions, and they are the clauses people read for the first time at claim stage. These are the ones worth knowing before you buy.
Where Platinum (ACKO Health III) falls short
No plan is right for everyone, and a page that only lists strengths is not much use to you. These are the gaps we would raise on a call before recommending it.
Platinum (ACKO Health III) questions, answered
Is ACKO Platinum a separate health insurance policy?
No. Platinum is a plan inside ACKO's filed health product, not a product with its own UIN. ACKO's downloads page carries the Platinum wording as "ACKO Health III (Platinum)", printed with ACKO Health III's UIN, ACKHLIP27040V012627. ACKO's disclaimer page names ACKO Health II instead, so read the product name and UIN printed on your own schedule.
What happened to the Acko Personal Health Policy?
ACKO's disclaimer page says ACKO has replaced the Acko Personal Health Policy (UIN ACKHLIP25035V022425) with a new retail health product, ACKO Health II, and ACKO's downloads page now carries the Platinum wording under ACKO Health III. This page therefore reviews Platinum from that wording. If you already hold a Personal Health Policy, your own schedule and the wording filed under its UIN still set your cover.
Does ACKO Platinum have a room rent limit or a co-payment?
Neither. The Platinum wording says ACKO covers actual room rent and ICU charges without any capping, and it has no co-payment clause. Underwriting can still add a sub-limit or an exclusion for a condition you declare, and it would be printed on your schedule, so read the schedule before you rely on the defaults.
What are ACKO Platinum's waiting periods?
The 30-day initial wait is waived. The specified-illness waits are waived too, except cataract and arthropathies (excluding infectious causes) for anyone insured above 50, who wait the months on the schedule. The pre-existing disease wait is set at underwriting and printed on your schedule, and any named-ailment wait on the schedule overrides the standard ones. Ask for those numbers in writing before you buy.
Are consumables covered?
Yes. Consumables are listed among the in-patient expenses, and the Waiver of Non-payable Medical Expenses is built into the Platinum wording. Items on ACKO's non-payable list are paid when they are medically necessary and the in-patient, day care or domiciliary claim is admitted, within the base sum insured.
Does ACKO Platinum have restoration or a no-claim bonus?
Neither appears in the Platinum wording. Once a year's claims use up the sum insured, cover for that person ends until renewal. The wording's definition of total sum insured names an Inflation Protect Sum Insured without setting the benefit out, so check your schedule for an amount; without one, the cover does not grow from year to year.
Is there a deductible on ACKO Platinum?
Check your schedule. The Platinum wording includes an individual deductible clause: where a deductible applies, ACKO pays only the part of each member's admissible claims in a policy year above it, and the deductible does not reduce the sum insured. The wording does not fix an amount, so ask ACKO to confirm in writing whether your quote carries one.
Does ACKO Platinum cover maternity?
No. The wording excludes childbirth, including complicated delivery and C-section, miscarriage other than after an accident, and medical termination of pregnancy. Ectopic pregnancy is the one exception. No benefit listed in the ACKO Health III prospectus adds maternity cover.
Can I buy ACKO Platinum for my parents?
Possibly. The ACKO Health III prospectus allows parents and parents-in-law, from 91 days of age with no maximum entry age and no cover-ceasing age. It also says not every plan is available at all times, so confirm that Platinum is offered for your parents on the quote. For anyone insured above 50, cataract and non-infectious arthropathies still carry a wait.
Read it from the insurer
We summarise. The policy wording is the contract, and it is the only document that settles a dispute. These links go to the insurer's own pages.
Understand the terms before you commit
A plan page tells you what this policy does. These explain why each term matters and what it costs you when it is missing.