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ICICI Lombard Healthcare Plus Health Insurance

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ICICI Lombard Health Insurance
Healthcare Plus Policy
Cashless Approval TAT2 hr Cashless Claim Processing
Claim Settlement Ratio99.70%
Network Hospitals7,500+
Pre-existing Disease Waiting Period2 year
Special BenefitsAnywhere Cashless
Starting Premium for Rs. 5 lakh SIRs. 581/month

About ICICI Lombard Healthcare Plus Health Insurance

Healthcare Plus Policy offered by ICICI Lombard Health Insurance is a comprehensive top-up policy that covers you and your family in case the hospital bills exceed the existing cover. Even if you do not own a base health insurance plan, you can still opt for Healthcare Plus Policy and seek cover for up to the sum insured. The policy comes with flexible sum insured and deductible options of Rs. 5 Lakh, Rs. 8 lakh, and Rs. 10 Lakh, and Rs. 2 Lakh, Rs. 3 Lakh, and Rs. 4 Lakh respectively, that you can choose as per your requirement. You can seek cover under Healthcare Plus Policy if you are aged between 5 years and 65 years. However, you can renew the policy until 70 years. The policy can cover up to 4 members including 2 adults, that may be legally wedded spouse, dependent children, and dependent parents, on an individual sum insured basis.

Healthcare Plus Policy does not come with any co-payment clause. Another highlight of the policy is that it does not require you to undergo any medical tests at the insurance company’s diagnostic centers, if you are aged above 56 years. Other benefits that the policy offer you include cover for hospitalisation expenses including medical and surgical expenses, diagnostic tests, doctor’s surgeon’s fees, hospital room rent, tax benefits on the premium paid for this policy, under Section 80D of the Income Tax Act, 1961, single premium across age groups, etc. Depending on your budget and other requirements, you can choose to buy the policy for either 1 year or 2 years.

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Key Inclusions and Exclusions of the Plan

What's Included

  • Room rent expenses
  • Hospitalisation expenses
  • Medical and surgical expenses
  • Expenses arising due to diagnostic tests/doctor’s fee, etc
  • Pre-existing ailments are covered after the waiting period of 48 months

What's Not Included

  • All dental treatment unless required as a result of accident
  • Any kind of vaccination and inoculation
  • Treatment for correction of eyesight
  • Treatment availed outside the geographical boundaries of India
  • Treatment taken under AYUSH

4280 ICICI Lombard Cashless Network Hospitals in India

Claim Process at ICICI Lombard Health Insurance

  • Network Hospital
  • Non-Network Hospital
  • 1

    Claim Assistance

    For any assistance or query, call InsuranceDekho at the toll-free number 755 1196 989.
  • 2

    Claim Intimation

    Emergency hospitalisation needs intimation within 24 hours and for planned hospitalisation intimate within 1-2 days prior to admission.
  • 3

    Claim Processing

    Fill in the pre-authorisation form and hand it over to hospital's insurance/TPA desk to initiate claim request.
  • 4

    Claim Settlement

    Once your request is approved, claim is settled. If not approved, claim for reimbursement after discharge.
  • 1

    Claim Assistance

    For any assistance or query, call InsuranceDekho at the toll-free number 755 1196 989.
  • 2

    Claim Intimation

    Emergency hospitalisation needs intimation within 24 hours and for planned hospitalisation intimate within 1-2 days prior to admission.
  • 3

    Claim Processing

    Submit claim form with original documents such as doctor’s reports, hospital bills, diagnostic tests, etc.
  • 4

    Claim Settlement

    Once your request for reimbursement of expenses is approved, the claim will be settled.

FAQs on Healthcare Plus Policy Health Insurance Plan

  • What is the eligibility for Healthcare Plus Policy?

    The enrolment age for the members proposed for Healthcare Plus Policy is 5 years to 65 years. The proposer must be aged at least 18 years to be able to buy the policy. Also, note that there is no requirement for the proposer to undergo a medical test at ICICI Lombard designated diagnostic center if he/she is aged 56 years or above. 

  • What are the sum insured and deductible options available under Healthcare Plus Policy?

    Healthcare Plus Policy comes with sum insured options of Rs. 5 Lakh, Rs.  8 Lakh, and Rs. 10 Lakh, and deductible options of Rs. 2 Lakh, Rs. 3 Lakh, and Rs. 4 Lakh respectively. 

  • What are the waiting periods under Healthcare Plus Policy?

    Healthcare Plus Policy comes with the following waiting periods:

    • Pre-existing diseases are covered after a waiting period of 48 months of continuous coverage
    • Treatment of hypertension, diabetes, and cardiac conditions are covered are covered after a waiting period of 90 days from the date of commencement of the policy
    • Treatment of any illness except the claims arising due to an accident, will be covered after 30 days from the date of commencement of the policy. 
  • What are the documents required for claim under Healthcare Plus Policy?

    You will require the following documents at the time of claim under Healthcare Plus Policy:

    • Duly filled claim form that is signed by the insured and doctor
    • Original discharge card or summary and final bill
    • All original investigation reports 
    • All medicines/lab/hospital bills in original
    • Any other required document depending upon the case 
    • All original payment receipts 
  • Can I avail tax benefits on the premium paid for Healthcare Plus Policy?

    Yes. You can avail tax benefits on the premium paid for Healthcare Plus Policy, under Section 80D of the Income Tax Act, 1961. 

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