Everything About ICICI Lombard Insurance

ICICI Lombard Complete Health Insurance Policy

The ICICI Lombard complete health insurance policy is a comprehensive policy for an individual and for family where the policyholder can opt for complete coverage for the family as per their medical needs.

Key Features:

• No limit on hospital room rent.
• Sum insured ranges from INR 1 lakh to 10 lakh.
• No co-pay and no pre-medical check-up for policyholders till the age of 45.
• Two complimentary health check-up coupons every year for a family floater health insurance policy.
• Covers pre-existing diseases just after two years from the policy start date if one chooses a plan with sum insured INR 3 lakh or above.
• Free-look period of 15 days.
• Add-on features like hospital daily cash allowance and convalescence benefit.
• Includes Befit rider: This rider provides additional coverage of the outpatient department (OPD). requirements on a cashless basis. It covers your costs related to physical and virtual consultation by doctors. It also covers expenses like pharmacy, minor procedures, routine diagnostics and wellness therapies.

ICICI Lombard Complete Health Policy Covers

The ICICI Lombard complete health policy has introduced four optional riders under its plan- iHealth, iHealth plus Health shield and Health elite. Let’s have a look at each one of them and understand what all is covered for the policyholders in each plan. Let’s have a look on the table below to know the features of iHealth plus plan:

iHealth

The ICICI Lombard iHealth is a comprehensive health insurance plan that offers health cover along with additional covers like hospital daily cash, critical illness and donor expenses. This plan also provides a top-up option to enhance sum insured.

Key Features: 

• The sum insured amount ranges from INR 2 lakh to INR 50 lakh.
• Includes the coverage of in-patient treatment benefits which covers hospital expenses for admission longer than one day.
• Coverage of medical expenses incurred up to a 30-day period immediately before and 60 days immediately after an insured admitted to hospital.
• Insured can avail hospital daily cash benefit as per their sum insured amount; ranges from INR 500 to INR 3,000 per day.
• Provides an option to the insured to reset up to 100% of the basic sum insured unlimited times in a policy year. This benefit is applicable to the sum insured amount, starting from INR 3 lakh to INR 50 lakh.
• Coverage of medical costs related to day care procedures which have been undertaken by an insured for a continuous period of less than 24 hours.
• Covers the medical costs related to any organ transplantation, if the organ donated is for insured persons, subject to a maximum of two adults. Not Applicable on sum insured amount up to INR 2 lakh. Coverage up to INR 50,000 on a sum insured amount from INR 3 lakh to INR 50 lakh.
• Critical illness cover offers coverage against critical illness like heart attack, cancer etc. The coverage is subjected to sum insured amount and goes up to coverage of 100% of policy sum insured.

iHealth Plus

The ICICI Lombard iHealth Plus policy offers benefits such as day care procedures, pre- and post-hospitalization costs, no capping on room rent and extensive coverage for doctor’s expenses and medical bills. Let’s have a look on the features of iHealth plus plan:

Key Features: 

• The sum insured amount ranges from INR 2 lakh to INR 10 lakh.
• Includes the benefit of in-patient treatment which covers the hospital expenses for admission longer than one day.
• Coverage of medical expenses incurred up to a 30-day period immediately before and 60 days immediately after an insured admitted to hospital.
• Insured can avail hospital daily cash benefit as per their sum insured amount; ranges from INR 500 to INR 3,000 per day.
• Provides an option to the insured to reset up to 100% of the basic sum insured unlimited times in a policy year. This benefit is applicable to sum insured amount, starting from INR 3 lakh and beyond.
• Coverage of medical costs related to day care procedures which have been undertaken by an insured for a continuous period of less than 24 hours.
• Maternity Benefit Cover:

Health Shield

The Health Shield plan by ICICI Lombard provides coverage options ranging from INR 3 lakh to INR 50 lakh, depending upon the need of the policyholder. This plan has an elaborate list of coverages such as in-patient treatment, donor expenses, maternity benefits, nursing cost and many more. Let’s have a look to understand more in detail about each and every coverage of this plan:

Key Features: 

• The sum insured coverage ranges from INR 3 lakh to INR 50 lakh.
• Includes the benefit of in-patient treatment which covers the hospital expenses for admission longer than one day.
• Coverage of medical expenses incurred up to a 30-day period immediately before and 60 days immediately after an insured admitted to hospital.
• Insured can avail hospital daily cash benefit up to a maximum of 10 consecutive days if this hospitalization is for a minimum of three days.
• Provides an option to the insured to reset up to 100% of the basic sum insured unlimited times in a policy year. This benefit is applicable to the sum insured amount, starting from INR 3 lakh to INR 50 lakh.
• Coverage of medical costs related to day care procedures, which have been undertaken by an insured for a continuous period of less than 24 hours.
• Convalescence Benefit:
• the insured is hospitalized for a minimum of 10 days or more, then this benefit offers INR 10,000 once in a policy year.
• Critical illness cover offers coverage against critical illness like heart attacks, cancer among others. The coverage is subjected to the sum insured amount and goes up to 100% of the policy sum insured.
• Insured gets medical assistance from a qualified nurse up to a maximum of 15 days after hospitalization. For sum insured amount ranging from INR 3 lakh to INR 5 lakh, the insured gets a coverage for INR 2,000 per day per member and if the coverage is beyond INR 5 lakh to INR 50 lakh, the insured gets a coverage for INR 3,000 per day per member.
• Other benefits such as wellness and unlimited reset benefits are also available.

Health Elite

The Health Elite plan offers a coverage of INR 3 lakh to INR 50 lakh along with the benefits like in-patient treatment, pre- and post-hospitalization, day care costs, maternity and newborn cover, donor expenses, among others. Here’s more about the benefits of this plan:

Key Features: 

• Sum Insured Coverage: Ranges from INR 3 lakh to INR 50 lakh.
• Includes the benefit of in-patient treatment which covers the hospital expenses for admission longer than one day.
• Coverage of medical expenses incurred up to a 30-day period immediately before and 60 days immediately after an insured admitted to the hospital.
• Insured can avail hospital daily cash benefit as per their sum insured amount; ranges from INR 500 to INR 3,000 per day.
• Coverage of medical costs related to day care procedures which have been undertaken by an insured for a continuous period of less than 24 hours.
• Other benefits such as wellness and unlimited reset benefits are also available.
• Maternity Benefit Cover:

Eligibility For ICICI Lombard Complete Health Insurance Policy

• If the subscriber is above 18-year old, he or she can buy the complete health insurance policy as an individual policy and also can opt for the family floater plan.
• If a policy is purchased to cover children aged between three months to five year, they should have coverage for a minimum one adult.
• For the health cover, children to be more than 91 days old are eligible.
• If an individual is more than 45-years- old, he or she will mandatorily have to undergo a medical test.

ICICI Lombard Health Booster Policy

As the name suggests, Health Booster is a kind of super top-up health insurance. It covers that extra bill when the standard insurance coverage plan falls short. This plan enables to add a higher sum insured at a comparatively lower premium.

Key Features:

• Provides additional security and allows the insured to cover their own family under a single policy.
• The sum insured amount ranges from INR 5 lakh to INR 50 lakh.
• 10% and 12.5% discount on two year and three year policies respectively.
• No need of undergoing a pre-policy medical tests if the sum insured is up to INR 10 lakh and up to 45 years of age.
• Add-on benefits like hospital daily cash and convalescence benefit.

Eligibility For ICICI Lombard Health Booster Policy

• Health booster insurance policy can be purchased if the consumer is above 18 years of age.
• The policy can be purchased for individual, family members including spouse, children and parents. Also, there is no maximum entry age.
• In case of an individual policy for the child, he or she needs to be more than six years of age.However, the child can be covered in a family floater plan once he or she is more than three-month old.
• If an individual is more than 45 years, he or she will mandatorily have to undergo a medical test.

ICICI Lombard Aarogya Sanjeevani Policy

Aarogya Sanjeevani policy is a standard policy that pays for the medical bills when the insured is hospitalized. It is a general coverage healthcare plan, which is well-suited for securing basic healthcare needs. This policy has an option of both individual and family floater plans.

Key Features:

• In-patient hospitalization expenses are covered up to 2% of sum insured subject to a maximum limit of INR 5,000 per day.
• Medical expenses incurred 30 days prior and 60 days post hospitalization.
• Secures all medical costs for AYUSH treatment.
• The sum insured starts from just INR 1 lakh onwards and one can choose plans up to INR 5 lakh.
• The insured can save up to 12.5% by paying the premium for three years at once.
• Benefits like cashless medical care, day care procedures, lifelong renewability benefit, cumulative bonus of 5% on sum insured, ambulance coverage can be availed.
• Ambulance expenses are covered up to INR 2,000 per hospitalization.

Eligibility For ICICI Lombard Aarogya Sanjeevani Policy

• Individuals, spouses, parents and parents-in-law should be in the age group of 18 to 65 years.
• Dependent children should be in the age bracket of three months to 25 years.
• If the child is above18 years of age and is financially independent, they will be ineligible for coverage in the renewals.

ICICI Lombard Personal Protect Policy

The personal protect policy is an accident insurance policy, which provides monetary support to the insured person in case of a critical accident. This policy offers financial aid for expenses incurred because of an accident. It also provides coverage in case of total permanent disability or death of the insured due to an accident.

Key Features:

• No prerequisite medical check-ups.
• The policy be purchased on an individual and family floater basis.
• Flexible and customized sum insured options ranging from INR 3 lakh up to INR 25 lakh.
• Cover add-on expenses arising from accidental injuries and hospitalization.
• In case of death of the policyholder, the nominee of the health insurance policy is given the sum insured amount.

Eligibility For ICICI Lombard Personal Protect Policy

• This policy can be availed by an individual for any of his family members, children and parents.
• Any applicant between 18- 65 years of age can opt for a personal protect policy.

ICICI Lombard Saral Suraksha Bima Policy

This is a standard personal accident policy, which gives a coverage for accidental death and permanent or partial disablement. The policyholder gets a sum insured coverage up to INR 1 crore.

Key Features:

• Saral Suraksha policy pays the lump-sum i.e. 100% of the sum insured, if there is any case of accidental death or permanent disablement of the insured person.
• In the case of permanent partial disablement, the company will pay a specific amount of the total sum insured.
• Insured gets coverage of hospitalization expenses such as room rent, ICU or diagnostic costs, surgeon fees, etc. The coverage is limited to 10% of the base sum insured.
• One-time educational support of 10% of the base sum insured is given, if the insured suffers permanent total disablement or death. This grant also applies to the dependent children of the insured.

Eligibility For ICICI Lombard Saral Suraksha Bima Policy

• The minimum age for this policy is 18 years and the maximum is 70 years.
• This policy does not have a floater option.
• One has the option to buy separate policies for your family members like spouse, parents and parents-in-law, and dependent children.

ICICI Lombard Corona Kavach Policy

This policy is a Covid-19 specific policy and caters to the basic health insurance needs arising out of the hospitalization of the insured suffering from Covid-19.The corona kavach policy covers hospitalization expenses for Covid-19 treatment, including hospital room rent, nursing expenses, surgery costs, specialist fees etc. The sum insured for this policy ranges from INR 50,000 to INR 5 lakh.

Key Features:

• Coverage of in-patient hospitalization expenses for a minimum 24 hours on a diagnosis of Covid-19 in a government based diagnostic center.
• The coverage includes room rent, nursing costs, blood, oxygen, ventilator charges, medicines and pharmacy bills, costs related to diagnostics PPE Kit, gloves and mask.
• Cost towards Intensive Care Unit (ICU) or Intensive Cardiac Care Unit (ICCU) expenses
• On the positive diagnosis of Covid-19, the hospitalization expenses under AYUSH treatment are covered up to the sum insured.
• Covers medical costs such as diagnostic costs incurred during 15 days before hospitalization or home care treatment.
• Home care treatment and treatment for comorbid conditions are covered.
• Coverage of ambulance expenses, up to INR 2000 per hospitalization.

The following aspects are included under health insurance benefits.

• Hospitalization expenses arising out of any illness or injury will be covered in some of the policies.
• Pre-hospitalization expenses incurred 30 days prior to the hospitalization and post-hospitalization expenses incurred 60 days after the discharge from the hospital.
• Day care procedures.
• In-patient AYUSH treatment.
• Policy covers pre- and post-hospitalization expenses related to Covid-19.

• Diagnostic costs such as blood tests, scans.
• Medical costs related to a person committing or attempting to commit a criminal act or breach the law.
• Medical costs related to birth control, abortion and infertility.
• Cosmetic or plastic surgery and dental procedures unless they arise due to an accident.

Types of Motor Policies:

1. Car Insurance
2. Bike Insurance
3. Motor Floater Policy

 Key Features of ICICI Lombard Motor Policies:

• No-claim bonus of up to 50%.
• More than 12,000 cashless garages.
• Covered against legal liabilities arising out of an accident.
• Coverage available, if your car causes accidental injuries to a third party or damages surrounding property.
• Coverage for accidental damages to your car, which could be due to natural disasters such as earthquake, flood, cyclone, and landslide. Or due to manmade disasters like theft, burglary, riot or strike.
• Easy renewals and quick claim settlement process.
• Nine optional add-ons to choose from such as engine protect, roadside assistance, zero depreciation, garage cash and many such coverage.
• Personal accident cover worth up to INR 15 lakh.
• Instant claim settlement via digital service “InstaSpect”.

Types of Travel Insurance Policies:

Single trip

Key Features:

Coverage available for:

• Total Loss of Checked-In Baggage
• Daily Hospitalization Allowance
•  Compassionate Visit
• Loss of Passport
• Emergency Cash Advance
• Missed Flight Connection
• Personal Accident
• Delay of Checked-In Baggage
• Trip Cancellation & Interruption
• Cashless Hospitalization Cover
• Home Insurance Cover

Multi trip

Key Features:

Coverage available for:

• Total Loss of Checked-In Baggage
• Trip Cancellation & Interruption
• Delay of Checked-In Baggage
• Emergency Cash Advance
• Missed Flight Connection
• Personal Accident
• Loss of Passport
• Cashless Hospitalisation Cover

Student Travel

Key Features:

Coverage available for:

• Total loss of checked in baggage
• Loss of passport
• Dental protection
• Study interruption cover
• Personal accident cover
• Cashless hospitalization worldwide
• Health cover
• Sports injuries
• Cancer screening
• Treatment for mental and nervous disorders.

To receive the claim on time, ICICI Lombard has to be contacted well in time via specified channels by the applicant. The claim can be settled either by cashless or by reimbursement claim.

Incase of a cashless claim, the insured is directly admitted to a network hospital, the listed hospital will send the insured’s documents and bills to the insurance company, and then the claim will be settled with them directly. For settlement of cashless claims under ICICI Lombard health insurance plans, follow these steps –

• Find the nearest networked hospital.
• Verify the insured’s identity by submitting the health card or any other ID proof.
• Fill up and submit the pre-authorization claim form.
• Get your claims processed and settled.

However, incase of a reimbursement claim, the insured have to wait till their money gets reimbursed from the insurance company. The reimbursement claim process of ICICI Lombard health insurance plans is as follows:

• The insured needs to notify the company two days prior to the date of admission to the hospital.
• In case of sudden and emergency hospitalization, the company needs to be informed within 24 hours of the hospitalization.
• For intimating the health insurance claim, the buyer may call at the 24×7 toll-free number.
• The buyer can also use the ‘IL Take Care’ app that ensures speedy claim settlement by sharing policy details and uploading relevant documents.
• The buyer can also contact the head office along with the relevant documents.
• Post intimating the claim, the buyer needs to fill the online claim form and upload the relevant documents to start the process.

• Duly filled claim form with signature of the applicant.
• Valid identity proof such as Aadhaar card, Voter ID, passport, PAN Card, and driving license.
• Prescription by a medical practitioner recommending hospitalization, tests and medicines.
• Pharmacy bills, case papers and ambulance receipt.
• Insurance policy stating the name, address, illness and other details of the insured.

• Policy Terms and Conditions: For buying an effective health policy, it becomes necessary to check the terms and conditions of the policy before actually purchasing it.
• Cost of the Policy: Knowing about the annual premium, add-on charges and hidden charges is more important than anything else.
• Cashless Network Hospitals: Network hospital list is a major benchmark while choosing a policy. As per latest, ICICI Lombard has a network of more than 6500 hospitals where cashless facility can be availed.
• Flexible Sum Insured: Policy can be customized as per specific needs by choosing the desired sum insured with flexible add-on coverage options.
• Renewability of Policy: This is also an important point which should be taken into consideration that how quick and easy it is to renew the policy once taken from ICICI Lombard.
• Extra Benefits: These include extra benefits such as free health checkup, daily hospital cash, flexible sum insured options, day care procedures, cumulative bonus etc.

As we have already mentioned the online process of buying a policy, you can also buy or renew your policy by directly connecting with the company. Following are the details of their respective customer care: