ICICI Lombard Health Insurance Company was formed when two big ventures, ICICI Bank Liited from India and Fairfax Financial Holdings Limited from Canada came together. You can find a comprehensive list of health insurance plans that can cover the medical expenses incurred due to hospitalization, daycare procedures, ambulance charges, and domiciliary hospitalization. Although, ICICI Lombard Health Insurance plans are one the popular choices among people. You can also get a super top-up plan that can cover you when the base health insurance plan gets exhausted.
What does ICICI Lombard Health Insurance do?
The insurance plans by ICICI Lombard are created to cover the expenses of all your medical expenses. Whether it is teleconsultation with the doctor or heavy tests before any major surgery. With a health insurance policy, you can claim cashless treatments, without worrying about hospital bills. Having 7500+ network hospitals, the company provides coverage against many treatments. Before moving forward let us read some interesting facts about the company.
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Some interesting facts about ICICI Lombard Health Insurance?
One of the leading private general insurance companies in the country that provides several sectors including health, travel, vehicle, home, and much more.
The company has insured over 32.7 million policies while settling 3.6 million claims.
They have a gross written premium of Rs 217.72 billion for the year-end.
All you need to know about ICICI Lombard Health Insurance? Find complete details in one go!
With quite a long time in the market, ICICI Lombard General Insurance has been consistently recognized for its customer-centric approach and innovative solutions at different forums. Here are the awards and achievements they have achieved.
CX Strategy Summit and awards for CX technology implementation and the customer experience team of the year.
Assocham 14th Global INsurance in the 'Highest Growth GI' category.
CSR Times Awards for Niranjali initiatives in the Swachh Bharat category.
Finnoviti Awards 2022 for the face scan feature of the IL Take Care App.
Golden Peacock National Training Awards 2023.
India Customer Excellence Summit and Awards 20222 for best innovation in CX, CX Leader of the Year.
A Quick Outlook
Cashless Claim Settlement
Within 4 hours
Minimum Entry Age
91 days
Maximum Entry Age
No Limit
Sum Insured
Up to 50 lakh
Network Hospital
7500+
Tax Benefits
Claimable
Solvency Ratio (2021-22)
2.5
Claim Settlement Ratio (2021-22)
97.07
Ambulance Expenses
Covered
Coverage for Accidents
Yes
ICICI Lombard Health Insurance Plans
ICICI Lombard Health offers a huge number of medical insurance policies. These products are specifically designed to meet all the healthcare requirements of their customers. To make each policy visible to the customers, we at Policyx have curated a list for you to choose easily.
Family Floater Plan- If you are someone who is looking to secure your family, a family floater plan is for you. By paying a single premium you can secure your parents, wife, and children.
Individual Insurance Plan- If you are young and have no responsibilities, then you should go for an individual insurance plan. In this, you will be covering yourself at a lower premium. Also, when you are you are young, you will be free from any existing diseases as well.
Critical Illness Cover- If you have any family history of critical illness, then you should choose this plan for yourself.
ICICI Lombard Health Insurance Individual & Family Plans
A standard Health plan that offers coverage up to 5 lakhs to the insured & his family. The plan offers you everything you need under a health insurance plan.
Unique Features
Cumulative Bonus
Cataract treatment covered
Modern Procedures covered
Arogya Sanjeevani Policy (Pros)
Intensive Cardiac Care Charges
Ambulance charges up to 2000
Cataract treatment
In-patient hospitalization
Uterine Artery Embolization
Arogya Sanjeevani Policy (Cons)
No Eyesight correction expenses
Fertility expenses not covered
Nursing at home not covered
OPD expenses not covered
No Non-allopathic Treatment
Arogya Sanjeevani Policy (Other Benefits)
Floater benefit
Pre-existing diseases after 4 yrs
In-patient AYUSH treatment
Daycare procedures
Pre and post-hospitalisation
Arogya Sanjeevani Policy (Eligibility Criteria)
Entry Age - 18 Years
Maximum Entry Age - 65 Years
SI - 1 L to 5 L
Waiting Period - 30 Days
Saral Suraksha Plan
ICICI Lombard Saral Suraksha Bima
A plan that offers coverage for accidental death and disablement, temporary total disablement and gives Education Grant.
A comprehensive plan for you and your family covering
Unique Features
Swine Flu Treatment Covered
Pre Existing Disease Covered
Cumulative Bonus upto 50 %
Health AdvantEdge (Pros)
No health check-ups
Domestic Air Ambulance
24x7 Customer Support
Newborn baby and vaccine cover
Health rewards
Health AdvantEdge (Cons)
No Non-allopathic Treatments
Unproven treatment not covered
HIV/AIDS treatments not covered
3-Year Waiting Period
Obesity treatment not covered
Health AdvantEdge (Other Benefits)
Bariatric surgery cover
Maternity Expenses Covered
Orthopaedic Expenses Covered
Chemotherapy Covered
Eye Surgery Covered
Health AdvantEdge (Eligibility Criteria)
Entry Age - 18 Years
Max Entry Age -65 Years
SI - 2 L to 5 L
Waiting Period -30 Days
Why Choose ICICI Lombard Health Insurance?
ICICI Lombard Health Insurance is one of the most famous companies in the health insurance industry. They are known for their vast category of Health Insurance Plans for individuals, families, senior citizens, women, and more. You can read below to understand why ICICI Lombard is the best health insurance partner for you.
Anywhere Cashless
With ICICI Lombard, you don't need to wait for a claim refund if you opt for the on-network hospital. You can avail of cashless hospitalization benefits not just with network hospitals but with non-network hospitals as well.
Covers Complete OPD requirements
You can avail of the OPD expenses. The plans here are tailored and made for the ones who need to cover their major as well as minor health concerns as well.
Pre and post-hospitalization
The policy here covers pre as well as post-hospitalisation expenses. So, your health is covered from diagnosis to treatment.
Covers Pre-existing Diseases
The health plan from ICICI Lombard covers you from any pre-existing diseases after completing the waiting period as per the policy certificate.
Provides Cashless Treatment
You can enjoy an additional sum insured for every renewal year if you haven't applied for the claim
Tax Benefits
As per section 80D, you can claim a tax deduction on health insurance premiums.
No Limit on Hospital Room Rent
ICICI Lombard Health Insurance offers no limit on hospital room rent. You can take any hospital room rent to get recovered while getting the treatment.
No co-pay clause
Co-pay is the fixed amount that the insured has to pay out-of-pocket for the medical services. But with ICICI Lombard, there will be no co-payment. This means you do not have to worry about medical expenses, everything will be taken care of by the company.
Know What is Covered- Inclusions
Illness and Injury Cover
If there is any requirement for hospitalization any illness or injury during the policy year will be covered by the policy.
Daycare Procedure
The health insurance policy by ICICI Lombard will cover daycare medical procedures or treatment along with doctor-recommended procedures or surgeries.
Pre and Post-Hospitalisation Cover
ICICI Lombard health insurance plans give coverage for the pre-hospitalization that can occur 30 days before your hospital admission till 60 days post-hospitalisation discharge.
AYUSH Treatment
ICICI Lombard Health Insurance policies also cover the treatment cost incurred due to in-patient AYUSH treatment undertaken in the government hospital or in any government-recognized institution.
What is not Covered?- Exclusion
Cost of diagnosis, blood tests, scans, or any other similar procedures, unless it is covered under the policy or necessitated by the treatment.
Cosmetic or plastic surgery costs which is done to change appearance.
Treatment cost due to engagement in any adventurous or hazardous activities is not covered.
Repercussions of misuse of drugs, alcohol, or other toxic substances
Medical expenses incurred due to committing or attempting suicide.
Medical expenses happen due to complications of dietary or nutritional supplements and substances purchased without the doctor's prescription.
Medical expenses related to birth control, Abortion, sterility, or infertility.
Dental procedures, unless they arise due to an accident.
Abnormality in birth, any exterior congenital defect, diseases, or anomalies.
Any unproven treatments or costs associated with the unproven treatments, services, or supplies.
Waiting Period in ICICI Lombard Health Insurance
When you buy a policy, your coverage does not start immediately after the issuance. There is a time frame that you need to complete before the coverage of this policy begins. This time period is called the waiting period in ICICI Lombard Health Insurance. At this time you cannot claim the money. The range and time period of the waiting period depend on various factors like policy, coverage, and types of diseases.
Let us check out some of the types of waiting periods:
Initial Waiting PeriodThe time period in the initial waiting period starts immediately after you get the policy. Most of the time it is 30 days from the date you get the policy.
Waiting Period for Pre-Existing Diseases (PED)For pre-existing diseases such as diabetes and hypertension, a longer waiting period of 2 to 4 years is initiated. During this time, you cannot claim your hospitalization or treatment expenditure.
Waiting Period Related to Specific DiseasesYou will find some of the diseases in your policy application, that will not be covered immediately. The waiting period for this illness requires long-term care.
Waiting Period for Health Check-upsThere will be a one-year waiting period for free health check-ups.
Factors to Consider While Buying ICICI Lombard Health Insurance
Choosing the best health plan involves proper planning. You need to consider various factors before investing in the right medical coverage. Study the scheme for the following advantages to understand and compare the best medical insurance in India.
Verify Eligibility-Health Policies come up with the different entry age restrictions. In ICICI Lombard Health, the entry age is 91 days on a floater basis.
Ensure the Maximum Coverage-Check out the coverage your health insurance is providing. Like ICICI Lombard Health provides pre and post-hospitalization expenses, diagnosis expenses, and annual health checkups.
Look for Affordable Premiums-Keep a note of the premiums that you need to pay. ICICI Lombard Health provides a digital portal where you can calculate the premiums.
Check for the Exclusions-You need to check for the exclusion list before choosing the health care policy. There are certain conditions under which you cannot make the claim.
Understand the Co-Payment Clause- It is advised to check the co-payment clause before you invest in the insurance.
Select Wide Cashless Network Hospital-Check for the network hospitals the insurance providers are offering. Ensure the number of reputated cashless hospitals they have on the list.
Bid for Higher Claim Settlement Ratio-The claim settle ratio is the company's face value. The higher the claim settlement ratio, the higher the company's value. ICICI Lombard Health Insurance promises the highest claim settlement ratio of 100%.
Why Choose the Online Procedure to Buy ICICI Lombard Health Insurance Policy?
Choosing an online platform is the easiest way to save time and effort in this digitally-equipped world. Following are the reasons why you should choose the online procedure-
Convenient Policy Selection-You can schedule unlimited appointments with the experts to understand the policy details. You can study, compare, choose, and make payments for your insurance anywhere on the online portal.
Chat Options for Queries-The team of ICICI Lombard General Insurance and PolicyX is always available for all your queries concerning the terms and conditions of the policies. With the live chat options, you can discuss any policy-related matter at your convenience.
Instant Premium Quote Calculations-You will get the digital premium calculator to help you elevate your premiums and opt for customized healthcare insurance for you and your family members.
Secure Payment Modes-The policy portal of ICICI Lombard Health Insurance offers various digitally secure payment modes, such as credit/debit cards or net banking. You will receive authentic policy documents immediately after completing the payment. This way you can get an instant mediclaim policy in less than an hour.
Transparent Policy Evaluation-ICICI Lombard promises a transparent policy evaluation process. All the terms and conditions are ready for your reference.
Readily Available Value Added Services-You can check out other add-on benefits while browsing mediclaim policies. These include OPD care, a co-payment waiver, and a reduced wait time for pre-existing diseases, among others, to cover all the needs.
Benefits of Purchasing at an Early Age
Although, there are no specific age criteria for buying health insurance plans. But buying insurance at an early age is highly beneficial. Read below to get to know why buying health insurance at an early age is beneficial.
Your premiums will be less at an early age.
At an early age, a continuous cover with renewals will help you to go out with the waiting period.
No medical test is required if you purchase health insurance at an early age.
You can avail a no-claim bonus for every claim-free year.
You do not need to share your medical bills as the co-payment is not applicable in this case.
How to Renew Health Insurance Policy?
As the term policy ends, you need to renew it in order to continue the uninterrupted healthcare coverage and added advantages. You can renew your health insurance with just one click. Follow the steps-
Step 1
Click on "Renew my policy", which will redirect you to the renewal page of ICICI Lombard.
Step 2
Enter your policy number and other details as asked.
Step 3
Click to "Proceed".
Step 4
Follow the instructions for your health insurance renewal online.
For a quick and smooth buying process, you can opt for 2 ways, either buy directly from the company's website or from PolicyX.com. let's have a look at both the buying process:
Buy from the Company
Visit the official website and click on 'Health Insurance'
Fill in the required details and choose the sum insured.
The next page will show the premium amount.
Pay the premium online
Once the payment is done, the company will send all the policy details to your registered email address.
Fill in the necessary details to get the list of quotes.
Choose your ideal ICICI Lombard plan and pay the premium.
After the payment, the policy will be shared on your registered email address.
How to Claim?
The claim settlement procedure of ICICI Lombard is super simple and convenient. You can follow these steps to claim your health insurance.
Inform the company about the unforeseen event within 48 hours. You can call on their toll-free number or you can send an SMS to 575758.
Submit the required documents instructed by the customer care officer.
In order to proceed with the claim process, download the claim application form from the website or you can get it from the nearest branch office.
Submit all the required documents along with the ICICI Lombard health insurance claim form to the respective branch.
The reimbursement claims are settled within 30 days from the date the claim has been made.
Claim Process
Once you submit the claim intimation, the company will start their work of verification. They might assign a field doctor if required for this process. After completing the verification process, you will get the claim immediately.
Documents Required
A duly filled application form
Original bills, discharge papers, and receipts related to the hospitalization
Medical bills of chemists along with a valid prescription
All the copies of medical examination reports
How to Calculate the Premiums?
ICICI Lombard Mediclaim allows its customers to calculate their premiums online with the help of the ICICI Lombard Health Insurance Premium Calculator. This calculator helps the policyholder to get an understanding of how much they need to pay annually.
ICICI Lombard Health Insurance Premium Calculator calculates the annual premium on the below-mentioned factors:
Age of the Policyholder
Sum Insured Choose
Type of plan (Individual/ Family Floater)
Policy Tenure
You can calculate your health insurance premiums online at Policyx. This ICICI Lombard Health premium calculator is a tool that is designed to enable some potential buyers to estimate the premiums that they need to pay.
ICICI Lombard Complete Health Insurance
SI options (Rs.)
Variants Available
iHealth
Health Shield
Health Elite
10L
7,191
7,665
13,866
20L
8,684
12,246
26,380
50L
11,896
16,580
30,697
ICICI Lombard Health Booster
SI Options
5L
10L
20L
25L
50L
Sample Annual Premium - 1A
3,554
4,641
5,117
5,226
5,291
Sample Annual Premium - 2A
6,027
7,658
8,371
8,536
8,633
Sample Annual Premium - 2A+1C
6,954
9,269
10,235
10,458
10,621
ICICI Lombard Personal Accident
SI Options
5L
15L
20L
Sample Annual Premium - for Policy Term of 1 year
1,521
3,228
3,981
Sample Annual Premium - for Policy Term of 3 years
4,397
9,166
11,291
ICICI Lombard General Insurance Top-Up Plans
If you think, your current health insurance coverage is not sufficient to meet your healthcare needs, then you can opt for an ICICI Lombard Health Insurance Super Top-Up plan to provide supplement your coverage.
There are two top-up plans offered by the company-
Why Buy ICICI Lombard Health Insurance Plan from PolicyX.com?
Choosing PolicyX.com to buy your ICICI Lombard Health Insurance Plans can be a good choice. Read the below section to find out why choose PolicyX.com.
IRDAI Approved: The Insurance Regulatory Development Authority of India (IRDAI) is a regulatory body created to protect the policyholder's interest. PolicyX.com follows all the guidelines and protocols approved by the IRDAI.
Free Comparison Service: With PolicyX.com, you can easily compare the best Health Plans in India without paying the extra amount.
Compare 15 Companies in 30 Seconds: With us, you can compare up to 15 companies in just a few seconds.
Buy Insurance within 5 mins: With PolicyX.com, you can buy your policy online without any hassles. We offer an easy 4-step online buying process that allows you to buy your policy without any troubles.
24*7 Customer Service: The experts of PolicyX.com are always available to resolve any of your insurance-related queries.
Free Future Claim Assistance: Our team will assist you at every step of your claim process. Be it claim intimation, documentation, or any other process, we are always there to help.
Contact Details
ICICI Lombard Health is a dedicated insurance company that works 24*7 for customer case support. They make sure to resolve all the customer queries, no matter what time. For a branch-wise contact detail, you can read more about ICICI Lombard Health Insurance Customer Care.
ICICI Health Insurance: Frequently Asked Questions
1. What all are covered in ICICI Lombard health insurance?
All kinds of in-patient, daycare, donor expenses, pre, post hospitalisation as well as AYUSH treatment expenses are covered in ICICI Lombard Health Insurance.
2. Do I need to go for a Medical checkup before buying an ICICI Lombard Health Policy?
No, the medical tests are not necessary if you are below 56 years old.
3. Can I change My DOB in the policy documents?
Yes, it's better to get the correct date of birth recorded in your health insurance policy as it will help you at the time of claim settlement. As per the correct date of birth, the premium will also be revised.
4. Does ICICI Lombard cover hospitalization in foreign countries?
No. The policy does not cover hospitalization outside India. However, few plans such as ICICI Complete Health offer some optional riders through which one can avail of worldwide coverage.
5. Can I cancel my ICICI Lombard Health Policy?
The policy can easily be canceled during the free look period which is usually 15 days. Fill out the form with all the required details and visit any nearest branch. Once the request is processed, the premium is refunded after the applicable deductions within the stipulated period.
6. Can I add my family members to the policy in between the terms?
No, the company does not have a provision of mid-term inclusion. The policyholder is not allowed to add family members during the policy tenure. It can be done only at the time of renewal.
7. What is the mandatory coverage in ICICI Lombard Health Insurance policy?
Mandatory coverage is the original coverage offered by the health insurance policy. This coverage cannot be altered or removed.
8. How can I check the claim status of my ICICI Lombard Health Insurance policy?
You can check your claim status online through the following steps:
Visit the official website of ICICI Lombard Health Insurance
Enter your Claim Number or AL Number
Click on the 'Search' option to be redirected to another page where you can view your current claim status
For a better insight into the company, do not forget to go through the ICICI Lombard Health Insurance Reviews.
Anita Sandhu
Goa
March 18, 2024
A user-friendly platform with a lot of useful information with a helpful approach. The team of PolicyX went the extra mile to answer my questions related to ICICI Lombard Health Insurance Polic...
Khushpreet Singh
Bhopal
March 18, 2024
I bought my ICICI Lombard health insurance plan 4 years ago, and every year the team at PolicyX helps me to renew the plan. Thank you PolicyX for taking care like family.
Arjun Palta
Delhi
February 28, 2024
I connected to the team member of PolicyX when I was looking for the best health insurance policy. They helped me buying ICICI Lombard health insurance plan for my family. They made it easier f...
Vayu Sharma
Gandhinagar
February 26, 2024
The insurance team at PolicyX was so helpful while purchasing my health insurance from ICICI Lombard Health Insurance.
Nipun Singh
Indore
February 26, 2024
I needed to apply for a claim settlement for my ICICI Lombard Health Insurance Policy. PolicyX helped me to get the reimbursement very soon.
aditya
Nagpur
February 17, 2022
I have family insurance plan and my mother and sister hospitalised for covid together. hospital gave me big amount. I used insurance plan to pay the bills.
Kalpana Pushkar
Raipur
February 9, 2022
ICICI Lombard s individual health insurance plan is an excellent one that provided me with complete coverage at affordable rates.
Jubin Katyal
Agra
September 8, 2021
Very Good company ICICI. I am impressed with their services. I will recommend this compnay from my side
An explorer and a curious person, Simran has worked in the field of insurance for more than 3 years. Travelling and writing are her only passion and hobby. Her main agenda is to transform insurance information into a piece that is easy to understand and seamlessly solves the reader’s query.
