ICICI Health Insurance

ICICI Lombard Health Insurance offers a wide range of health insurance plans to suit any customer. Flexible policy term, premium payments, riders, treatment coverage and hospital networks are among the many perks that come with buying a health plan.

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ICICI Lombard General Insurance Co. Ltd. brings to the Indian market the combined expertise of two individual enterprises, making it a formidable force in the general insurance industry. It offers insurance solutions to individuals as well as companies in the form of personal and business financial protection solutions respectively. Some of their retail insurance solutions include auto insurance, travel insurance, personal accident cover and health insurance to name a few. 

Features  

Specifications  

Network Hospitals  

6500+  

Waiting Period for Pre-existing Disease  

2 years  

Renewability  

Lifetime 

Plans Offered by ICICI Health Insurance

  1. Health AdvantEdge  
  2. Health Booster  
  3. Arogya Sanjeevani Policy  
  4. Personal Protect  
  5. Corona Kavach Policy  
  6. Saral Suraksha Bima  
  7. Golden Shield 

What is Covered?

  1. Hospitalisation cover  
  2. Post & pre hospitalisation costs  
  3. Day care treatments cover  
  4. AYUSH treatments at approved hospitals  
  5. Reset benefit  
  6. Additional sum insured  
  7. Emergency ambulance cover  
  8. Free health check-up  
  9. Wellness programme 

Add-on Covers

  1. Hospital daily cash
  2. Maternity benefit
  3. Convalescence benefit
  4. Nursing at home
  5. Newborn baby coverage
  6. Outpatient treatment cover
  7. Air travel allowance for family member as part of compassionate visit
  8. Wellness and preventive health checkups
  9. Donor expenses
  10. Critical illness cover 
  11. Medical evacuation coverage
  12. Personal Accident Cover

ICICI Health Insurance Plans Details

1. ICICI Lombard Complete Health Insurance: 

The ICICI Lombard Complete Health Insurance plan is a total health insurance solution that aims to provide coverage to not just the proposer but also his/her family. Coverage options are also flexible. Customers can choose to make their cover more comprehensive by opting to cover critical illnesses in addition to the basic plan. 

Entry Age  

The minimum entry age is 6 years under individual policy and there is no limit on the maximum entry age. Under the floater plan, children are covered between the ages of 3 months and 5 years. 

Policy Period  

1 or 2 years, as per plans offered 

Renewability  

Lifetime 

Medical Screening  

No health check-up is needed up to the age of 46 years (age as on last birthday) and sum insured up to Rs.10 lakh 

Floater benefit 

  1. The floater cover protects the insured individual, spouse, brothers, sisters, dependent children, and dependent parents under the same plan.  
  2. A single premium is payable for the cover. Children above the age of 3 months can avail coverage as long as the plan covers at least one adult. 

Sum Insured  

  1. The customer can choose sum insured between Rs.3 lakh and Rs.50 lakh, based on his/her specific insurance needs. Additional sum insured: 10% increase in sum assured for every claim-free year; max. 50%; awarded at renewal  
  2. If the customer raises a claim, the accumulated additional sum insured will go down by 10% the next year. 

2.  ICICI Lombard Health Booster: 

The Health Booster plan offered by ICICI Lombard is a super top-up insurance product that extends coverage for illnesses and expenses that are not covered under the base plan. The product is ideal for customers who are looking to protect themselves from surging medical costs and unprecedented medical issues. 

Entry Age 

Minimum entry age is 6 years for individual policy. Children aged 3 months to 5 years can avail insurance under the floater policy. There is no limit on the maximum entry age. 

Renewability 

Lifetime 

Medical Screening 

Medical underwriting is required for an individual who is more than 46 years of age or opting for Sum Insured more than Rs.10 lakh, or both 

Basis 

Individual cover is provided to each member of the family 

Coverage 

Sum insured amount options from Rs.5 lakh to Rs.50 lakh and flexible deductible options (Rs.3 lakh, Rs.4 lakh & Rs.5 lakh) to suit your needs 

3. ICICI Lombard Personal Protect Insurance Policy: 

ICICI Lombard offers the Personal Protect Policy that provides coverage for Accidental Death and Permanent Total Disability (PTD). The ICICI Lombard Personal Protect Insurance Policy offers coverage for terrorism as well. An optional cover is offered for Accidental Hospitalisation Expenses and Accidental Hospital Daily Allowance. 

Eligibility 

The customer should be between 18 and 65 years of age to be able to buy the policy. You can also purchase the policy for your spouse, children, or parents. 

Basis 

Individual 

Medical screening 

Not required 

Coverage 

  1. The policyholder has the flexibility to choose the sum insured between Rs.3 lakh, Rs.5 lakh, Rs.10 lakh, Rs.15 lakh, Rs.20 lakh, and Rs.25 lakh. 
  2. The plan offers worldwide coverage. 
  3. The claim process is easy with limited documentation. 
  4. The customer can buy the policy online and benefit from premium payment in installments. 

4. Arogya Sanjeevani Policy:  

Under the policy, in case you are hospitalised, the medical bills are paid by the insurer. Basic healthcare needs are covered under the Arogya Sanjeevani Policy. Cover is provided on a floater basis. 

Eligibility  

Individuals between the ages of 18 years and 65 years can opt for the policy. Dependent children between the ages of 3 months and 25 years.  

Renewability  

Lifetime  

Basis  

Floater  

Cover  

  1. In-patient hospitalisation  
  2. Dental treatment  
  3. Plastic Surgery  
  4. Cataract treatment  
  5. Day care procedures  
  6. Pre and post hospitalisation 

Free Look Period   

Within 15 days from the date you have received the policy. 

5. Corona Kavach Policy: 

A Covid specific policy that provides cover during the global pandemic is the Corona Kavach policy. Under the policy, hospitalisation expenses are provided for Covid-19 treatment.   

Age Limit  

Individuals between the ages of 18 years and 65 years can opt for the policy.  

Sum Insured  

Rs.50,000 to Rs.5 lakh  

Renewability  

Not Applicable  

Inclusions  

  1. Inpatient hospitalisation  
  2. ICU costs  
  3. Home care treatment  
  4. Floater benefit  
  5. Post-hospitilsation  
  6. Ambulance expenses  
  7. Pre-hospitalisation  
  8. Hospital daily cash cover  

Exclusions  

  1. OPD expenses  
  2. Any treatment expenses abroad  
  3. Diagnostic expenses  
  4. For medicines that have not been prescribed 

Avail Tax Benefits with ICICI Lombard Health Insurance Policies

policyholders are liable to save tax under Section 80D of the Income Tax Act, 1961. Listed below are the tax deductions benefits of all ICICI Lombard health insurance plans. 

Tax Deductions under Section 80D of the Income Tax Act, 1961. 

  1. Deductions up to Rs.25,000 per individual can be availed on the medical insurance premiums paid for spouse, children, and self. 
  2. Parents can get tax deduction up to Rs.25,000, and senior citizens can receive deductions up to Rs.30,000. 

Value-Added Benefits Under ICICI Lombard Health Insurance Plans

  1. Free value-added services offered by ICICI Lombard Health Insurance are: 
  2. Free health check-up which includes medical examination, fasting blood sugar, urine routine, blood grouping and Rh, CBC, ECG, Hb%, PPBS – Post Prandial, and Total Cholesterol. 
  3. Online chat with ICICI Lombard-appointed doctor. 
  4. To help customers stay fit and healthy, benefit from the insurer’s value-added service - dietician and nutritionist consultation. 
  5. Specialist consultation with one follow-up session. 
  6. The in-house wellness and claim processing platform, ICICI Lombard Health Care, delivers multiple wellness initiatives and easy claim processing services. 
  7. The Health Advisor facility is an online platform that enables customers to share their experiences about medical facilities and record reviews. 

ICICI Lombard Health Insurance Customer Care

ICICI Prudential Life Insurance Company Ltd. is one of India’s largest and most trusted insurance provider which was established in 2001 after a partnership between Prudential Corporation Holdings Limited, and ICICI Bank Ltd. Since its inception, the company has grown by leaps and bounds, and is now counted among the very best, in terms of its product offerings and quality of service, in the Indian general insurance space. Under its health insurance arm, ICICI offers a number of policies which are designed to meet varying customer needs. 

 You can Call at 1800-103-2292 or write to on customersupport@icicilombard.com

In addition to offering stellar products, ICICI also lays emphasis on providing its customers with friendly and dedicated round-the-clock support for resolution of queries, complaints and grievances. Customers can get in touch with the support representative not only via phone but also via email. They can call on the insurer’s toll-free helpline number which is accessible round the clock. Customers can also email their queries and grievances to the customer support team at the provided email address to receive a response shortly. Customers can also get in touch with the support staff by reaching out on their fax line numbers, or by mailing them at their registered office address as well. 

How to File a Health Insurance Claim with ICICI Lombard Insurance?

There are 2 types of claims a policyholder can make with ICICI Lombard Health Insurance: 

1. Cashless Claim: Visit a network hospital of ICICI Lombard Health Insurance and show the health card at the desk. The hospital will submit a pre-authorisation request form to the insurer. After verification, the insurer will approve or reject the request. Upon approval, the network hospital will proceed with the cashless treatment for the insured member and the insurer will settle the bills directly with the hospital. Upon rejection, the insured member can seek treatment and pay for the bills out of his or her pocket, then file a reimbursement claim after discharge. 

2. Reimbursement Claim: At the time of discharge, collect all the original medical documents from the hospital and submit it along with a duly-filled claim form to the insurer for a reimbursement claim of your medical expenses. The insurer shall settle the claim amount with the insured member within 15 days of receipt of all the relevant documents. The claim shall be approved or rejected as per the policy terms and conditions.

FAQs on ICICI Health Insurance

  • What is optional coverage? Does ICICI Lombard provide it?

    Optional coverage means the add-on benefits in the insurance plan. Yes, ICICI customers can include several add-ons in their policy. 

  • What is mandatory coverage?

    Mandatory coverage is the original cover that comes with the policy. You cannot remove it from the policy.

  • Whom should I contact to make a claim?

    In order to make a claim, you can either approach ICICI Lombard claim management team or the customer service department.

  • What are the expenses included under the sub limit amount at ICICI Lombard?

    The expenses spent in pre-hospitalization, room rent, and other expenses related to the treatment process are covered in amount stated in the sub limit bracket.

  • How does a higher health insurance coverage with ICICI Lombard help me?

    A higher health insurance coverage with ICICI Lombard helps you to get advanced and high quality treatment at its network hospitals.

  • What is ICICI Lombard Health Insurance No-Claim Bonus?

    At the time of policy renewal, the insurer will provide an additional 10-50% sum insured for every claim-free year; this is called the No-Claim Bonus.

  • What is ICICI Lombard Health Insurance contact number?

    For any policy-related queries, call toll free number 1800-103-2292  or write to us on customersupport@icicilombard.com

News on ICICI Health Insurance

ICICI Lombard unveils a comprehensive health insurance product –MaxProtect

ICICI Lombard has introduced MaxProtect, a new addition to its product lineup, catering to the evolving needs of customers. The insurance product aims to provide extensive coverage at a competitive price, addressing the healthcare requirements of individuals and families. MaxProtect offers two customer-centric plans – the MaxProtect Classic plan, which provides comprehensive coverage for various medical services, and the MaxProtect Premium plan, which offers global coverage, air ambulance services, and a claim protector feature. The product provides coverage ranging from Rs.1 crore to Rs.10 crore, with an unlimited option, and annual premiums starting at Rs.9,367. MaxProtect also preserves the no-claim bonus, ensuring ongoing peace of mind for customers. The launch is driven by consumer insights, adapting to the increased preference for higher coverage amounts and value-oriented decisions in the Indian health insurance market. Policyholders can benefit from cashless hospitalization across India through the IL Take Care app. 

12 December 2023
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