OUR METHODOLOGY

How We Select the Best Plans for You

PerfectPickAI uses a transparent, data-driven scoring system to rank insurance policies. Our AI first understands your specific needs, then scores every policy on 14+ criteria and shows you only the top matches. Here is exactly how we evaluate each type of insurance.

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Health Insurance Scoring

We evaluate health plans on 14 criteria across 3 categories, following IRDAI best practices and industry standards.

1Pick the Insurer โ€” Is the Company Reliable?

Track Record8 points

We check how many years the insurer has been operating. โ‰ฅ10 years = Good, โ‰ฅ5 years = Decent, <5 years = Caution. A 3-year average is used to ensure consistency.

Claim Settlement Ratio (CSR)15 points

The percentage of claims the insurer actually pays. โ‰ฅ90% = Good, 80-90% = Decent, <80% = Avoid. We use 3-year averages from IRDAI annual reports.

Network Hospitals7 points

More hospitals = easier cashless treatment anywhere in India. >8,000 = Good, 5,000-8,000 = Decent, <5,000 = Avoid.

Incurred Claim Ratio (ICR)5 points

Measures how much of collected premiums the insurer pays as claims. 50-80% is ideal โ€” it means the insurer is paying claims generously while staying financially healthy.

Complaint Volume3 points

From IRDAI grievance data. Lower complaint ratios mean better customer service and fewer disputes. High complaint insurers are penalized.

2Must-Have Features โ€” Non-Negotiable Protections

No Co-payment8 points

A co-pay clause means you pay a portion of every bill out of pocket. Plans with no co-pay score highest โ€” the insurer covers 100% of eligible expenses.

No Room Rent Restriction8 points

If you exceed the room rent cap, you pay extra on ALL related costs (surgeon fees, medicines). Plans with 'No limit' room rent are strongly preferred.

No Disease Sub-limits6 points

Some policies cap payouts for specific diseases (e.g., cataract โ‚น40K when actual cost is โ‚น1L). Plans without sub-limits give you full coverage for every condition.

Pre & Post Hospitalization6 points

Medical expenses don't stop at discharge โ€” tests before and medicines after hospital stay should be covered. 60 days pre + 180 days post is the best coverage.

Low PED Waiting Period8 points

Pre-existing conditions like diabetes or BP aren't covered immediately. 1-year waiting = Best, 2-year = Good, 3-4 year = Long wait. Critical for anyone with existing conditions.

Restoration Benefit6 points

If a claim exhausts your family's sum insured, restoration refills it so other members stay protected. Essential for family floater plans.

3Good-to-Have Features โ€” Extra Value

No Claim Bonus (NCB)

Cover increases each claim-free year at no extra cost. Higher cumulative NCB (100-200%) is a major long-term advantage.

Free Annual Health Checkup

Yearly preventive checkups to detect issues early โ€” adds ongoing value beyond just claim coverage.

Consumables Cover

Covers gloves, syringes, PPE, and similar items that hospitals charge separately. Can save โ‚น5,000-15,000 per hospitalization.

Domiciliary Treatment

Covers treatment at home when hospitalization isn't possible or medically recommended. Increasingly important.

AYUSH Coverage

Covers recognized alternative treatments โ€” Ayurveda, Yoga, Unani, Siddha, Homeopathy.

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Term Life Insurance Scoring

Term insurance is pure protection โ€” the claim ratio is the single most important factor because your family depends on it when it matters most.

Claim Settlement Ratio30 pts

Most critical โ€” โ‰ฅ98% means nearly all claims are paid

Budget Fit20 pts

Premium should fit your budget comfortably

Coverage Adequacy15 pts

Sum assured should be 10-15x annual income

Rider Options10 pts

Critical Illness, Accidental Death, Waiver of Premium

Settlement Speed5 pts

Faster settlement means less stress for your family

Max Maturity Age5 pts

Cover till 80-85 protects through retirement

Age Eligibility5 pts

Plan should accept your current age

Tax Benefits3 pts

Section 80C deduction up to โ‚น1.5L

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Vehicle Insurance Scoring

Vehicle insurance scoring prioritizes claim speed and garage network โ€” when your vehicle is damaged, you need fast, hassle-free service.

Vehicle Type Match15 pts

Plan must match your vehicle โ€” car vs two-wheeler

Budget Fit15 pts

Premium within your budget

Claim Settlement Ratio15 pts

Higher ratio = more claims approved

Comprehensive Cover10 pts

Own damage + third party is better than TP only

Cashless Garages10 pts

More garages = easier repairs anywhere

Claim Speed5 pts

โ‰ค7 day settlement is excellent

Roadside Assistance5 pts

24x7 help for breakdowns and towing

NCB Discount5 pts

20-50% discount for claim-free years

๐Ÿค– How AI Personalization Works

When you describe your needs, our AI (Claude Haiku) extracts key factors in under 2 seconds:

โ†’Your age โ†’ adjusts eligibility and senior criteria
โ†’Budget โ†’ filters and rewards plans within range
โ†’Family size โ†’ boosts family floater plans
โ†’Pre-existing conditions โ†’ prioritizes lower PED waiting
โ†’Vehicle type โ†’ matches car vs bike plans
โ†’Stated priorities โ†’ weights the criteria you care about

Result: Each policy gets a personalized match score out of 100+. We show you only the top 6 best matches with clear reasons why each scored well for YOUR specific situation.

โš–๏ธ Our Commitment to Transparency

We earn affiliate commissions when you purchase a policy through our links. However, commissions do NOT affect our rankings. Plans are scored purely on the criteria listed above.

Our data sources include IRDAI annual reports, insurer websites, policy documents, and public financial disclosures. We use 3-year averages where possible to ensure consistency.

We update regularly โ€” policy data is refreshed to reflect the latest premiums, features, and claim ratios. If you find any inaccuracy, please let us know.