What Is ICICI Lombard Health Insurance and Its Types

By | September 17, 2022

What Is ICICI Lombard Health Insurance and Its Types

ICICI Lombard offers health insurance with several variants along with certain add-ons and benefits such as hospitalization cover, day care, daily hospital cash, unlimited reset benefit and more. Individual and family plans are available.

Types of ICICI Lombard Health Insurance Plans

ICICI Lombard Complete Health Insurance

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

Key properties:

  • No restrictions on hospital room rental.
  • Sum Assured ranges from INR 1 to 10 million.
  • No deductible and no pre-medical examination for insured persons under 45 years of age.
  • Two free health check coupons each year for family insurance.
  • It covers pre-existing conditions just after two years from the policy inception date if one opts for a plan with a sum assured of INR 3 lakh or more.
  • 15-day free trial period.
  • Additional features such as daily hospital cash allowance and convalescence allowance.
  • Includes Befit Rider: This rider provides additional Outpatient Department (OPD) coverage. requirements on a non-cash basis. It covers your costs associated with physical and virtual consultation with doctors. It also covers expenses such as pharmacy, minor procedures, routine diagnostics and wellness therapy.

1. ICICI Lombard Complete Health Policy

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

1. iHealth

ICICI Lombard iHealth is a comprehensive health insurance plan that offers health cover along with other covers like Hospital Daily Cash, Critical Illness and Donor Expenses. This plan also provides an option to increase the sum assured.

2. iHealth Plus

The ICICI Lombard iHealth Plus policy offers benefits such as day care procedures, pre-hospitalization and post-hospitalization expenses, no limit on room rent and comprehensive coverage of medical expenses and medical bills. Let’s take a look at the iHealth plus plan features:

3 .Health shield

ICICI Lombard’s Health Shield plan provides coverage options ranging from INR 3 lakh to INR 50 lakh, depending on the policyholder’s need. This plan has an elaborate list of coverages like inpatient treatment, donor expenses, maternity benefits, nursing expenses and many more. Let’s take a look to understand each coverage of this plan in more detail:

4. Health Elite

The Health Elite plan offers coverage from INR 3 to 50 million along with benefits such as inpatient, pre- and post-hospitalization, day care expenses, maternity and newborn cover, among other donor expenses. Here are more about the benefits of this plan:

2. ICICI Lombard Health Booster Policy

As the name suggests, Health Booster is a type of super supplementary health insurance. It covers this additional bill when the standard insurance coverage plan is not up to par. This plan allows you to add a higher sum insured for a comparatively lower premium.

3. ICICI Lombard Aarogya Sanjeevani Policy

Aarogya Sanjeevani policy is a standard policy that pays for medical bills when the insured is hospitalized. This is a general health care plan that is suitable for providing basic health needs. This policy has the option of individual and family plans.

4. ICICI Lombard Personal Protection Policy

Personal protection insurance is accident insurance that provides financial support to the insured person in the event of a serious accident. This policy offers financial assistance for expenses incurred as a result of an accident. It also provides coverage in the event of total permanent disability or death of the insured as a result of an accident.

Eligibility for ICICI Lombard Personal Protect Policy

  • An individual can avail this policy for any of his family members, children and parents.
  • Any applicant aged 18-65 can opt for a personal protection policy.
  • ICICI Lombard Saral Suraksha Bima Policy
  • This is a standard accident policy that provides cover for accidental death and permanent or partial disability. The policyholder gets a sum assured up to INR 1 million.

Eligibility for ICICI Lombard Saral Suraksha Bima Policy

  • The minimum age for this policy is 18 years and the maximum age is 70 years.
    One has the option of purchasing separate policies for your family members such as spouses, parents and in-laws and dependent children.

5. ICICI Lombard Corona Kavach Policy

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

What does ICICI Lombard Health Insurance cover?

The following aspects are covered under health insurance benefits.

  • Hospitalization costs due to any illness or injury will be covered by some of the policies.
  • Pre-hospitalization expenses incurred 30 days before hospitalization and post-hospitalization expenses incurred 60 days after hospital discharge.
  • Daily care procedures.
  • AYUSH bed treatment.
  • The policy covers pre- and post-hospitalization costs related to Covid-19.

What does ICICI Lombard Health Insurance Plan not cover?

  • Diagnostic costs such as blood tests, scans.
  • Medical expenses related to a person committing or attempting to commit a crime or violation of law.
  • Medical expenses related to contraception, abortion and infertility.
  • Cosmetic or plastic surgery and dental procedures, if not caused by an accident.

Also Read – Niva Bupa Health Insurance Reviews and How To Apply

How to apply for your ICICI Lombard health insurance plan?

In order for the application to be received on time, the applicant must contact ICICI Lombard through the specified channels in a timely manner. Complaints can be handled either cashless or by complaint.

In the case of a non-cash insurance event, the insured is admitted directly to a hospital in the network, the aforementioned hospital sends the insured’s documents and bills to the insurance company, and the insurance event will then be settled directly with him. To settle cashless claims under ICICI Lombard health insurance plans, follow these steps –

  • Find the nearest network hospital.
  • Verify the identity of the insured by presenting a health card or other proof of identity.
  • Complete and submit the pre-authorization request form.
  • Let your complaints be processed and dealt with.

However, in the case of a request for reimbursement, the insured must wait until the insurance company returns the money. The claim process for ICICI Lombard health insurance plans is as follows:

  • The insured must inform the company two days before the date of admission to the hospital.
  • In case of sudden and urgent hospitalization, the company must be informed within 24 hours of hospitalization.
  • To report an insurance claim, the buyer can call the toll-free number 24×7.
    Buyer can also use ‘IL Take Care’ app which ensures speedy claim settlement by sharing policy details and uploading relevant documents.
  • After applying, the buyer must complete the online application form and upload the relevant documents to start the process.
  • Documents required for claim reimbursement
  • A duly completed claim form with the applicant’s signature.
  • Valid identity proof such as Aadhaar Card, Voter ID Card, Passport, PAN Card and Driving Licence.
  • Prescription by a doctor with a recommendation for hospitalization, examination and medication.
  • Pharmacy bills, case papers and ambulance receipt.
    Insurance with the name, address, illness and other details of the insured.

Methodology

We have rated ICICI Lombard health insurance policies based on the following factors:

  1. Terms and conditions: To purchase an effective health insurance policy, it is necessary to check the terms and conditions of the policy before actually purchasing it.
  2. Policy cost: Knowing about annual premiums, excesses and hidden charges is more important than anything else.
  3. Cashless Network Hospitals: The list of network hospitals is the main criterion for choosing a policy. As per latest information, ICICI Lombard has a network of more than 6500 hospitals where cashless facilities can be availed.
  4. Flexible Sum Assured: The policy can be tailored to specific needs by selecting the required sum insured with flexible options for additional coverage.
  5. Policy Renewability: We have also considered how quick and easy it is to renew a policy once taken from ICICI Lombard.
  6. Extra Benefits: These include extra benefits like free medical check-up, daily hospital cash, flexible sum assured options, day care procedures, cumulative bonus etc.

Also Check – What is The Importance of Health Insurance In Personal Life

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