Objective

This policy aims at providing an incremental protection to policyholders. It is useful to increase the existing health insurance cover.

What does it do?

In case of a claim, initial expenses upto deductible limit have to be borne by existing policy (if any) or by the policyholder. Insurance company pays the amount exceeding deductible limit upto the sum insured. It is important to understand that this policy gets triggered only if claim amount exceeds the deductible during a single claim.

Pros

This policy can be bought online.
This policy pays for health check-up of any one insured person at time of policy renewal.
There are no sub-limits.
Premiums paid under this plan qualifies for deduction under Section 80D of Income Tax Act.

Cons

Deductible limit applies afresh to each hospitalisation.

Our View

This policy is beneficial as it is designed to cover higher claims, that are beyond the reach of your existing policy, at reasonable premium rates. The premiums reduce further as you move to higher deductible and a higher sum insured. The only constraint is that deductible applies to every single treatment undertaken as an inpatient in a hospital. People with adverse family history may consider this policy in addition to their basic health cover.

Suited for

Anyone who wishes to increase the existing insurance cover may buy this policy. It is also suitable for employees who feel the health cover from employer is inadequate.

Eligibility

Entry Age (years)

Minimum

5

Maximum

56

Maximum Policy Renewal Age (years)

70

Coverage Type

Individual

Policy Term (years)

1 or 2

Sum Insured (Rs)

Maximum

10 lakh

Minimum

5 lakh

Pre Policy Medical Check Up

Not required upto 45 years of entry age

Policy Termination

Either of the policyholder or insurer can terminate the policy by giving a notice of 15 days.

Customer Service

Address

ICICI Lombard General Insurance Co. Ltd.
401-402, Interface Bldg; No.11,
Link Road, Malad (West),
Mumbai - 400064.

Mail to

customersupport@icicilombard.com

Call to

1800 2666

Network Hospitals

Https://www.icicilombard.com/Content/ilom-en/Hospital_list/search.asp

Scope Of Cover

Cashless facility

Available at empanelled hospitals in India

Re-imbursement facility

if treatment taken in non-empanelled hospital

In-patient Treatment

Covered

Health check-up

free ckeck up at time of renewal

Exclusions and Waiting Period

Pre-existing disease

covered after 4 years of continuous coverage

No claim period

Any disease contracted during the first 30 days of commencement of the policy

Waiting Period

24 months for treatment of specific illnesses like Cataract, hernia etc.

General Exclusions

Non-allopathic treatmenttreatment of AIDS or related condition