Network hospitals
10800+
Incurred claim ratio
98.53%
Sum insured
Up to 2 Crores
No. of Plans
1
Solvency Ratio
2.5
Pan India Presence
312+
Customize your ICICI Lombard Complete Health Plan with 4 available variants
ICICI Lombard Complete Health Insurance is a comprehensive health insurance plan that caters to almost every healthcare need of an individual & their family. The plan looks after the healthcare needs of its customers by providing complimentary health check-up coupons. Complete Health Insurance by ICICI Lombard comes in 4 variants that allow customers to customize their plan as per their requirements.
In addition to the basic plan, ICICI Lombard Complete Health Insurance allows the policyholder to enhance their coverage by offering several optional covers.
To understand Complete Health Insurance Insurance in detail, take a look at the below table:
3 months
Individual and Family Health Insurance
2 L | 3 L | 4 L | 5 L | 7 L | 10 L | 15 L | 20 L | 25 L | 30 L | 50 L
30 Days
Lifelong
1, 2 years
*Initial Waiting Period is the time period between the issuance of the policy and the time it starts actively. During this period, a policyholder has to wait to avail of the benefits offered under a health insurance plan.
Read more specifications in the brochure.
With wide coverage options available, Complete Health Insurance Insurance Plan allows you to choose your ideal coverage as per your family’s health requirements. Take a look at the coverage under every SI option available and choose your ideal coverage:
Room Rent
Covered
ICU Charges
Covered
Pre-Hospitalization
Covered
Post-Hospitalization
Covered
Domiciliary Hospitalization
Not Covered
Daycare Treatment
Covered
OPD Charges
Not Covered
COVID-19 Treatment
Covered
Cataract
Covered
No Claim Bonus
Covered
Automatic Restoration
Covered
Daily Hospital Cash
Covered
Organ Donor
Covered
Maternity Cover
Not Covered
New Born Baby Cover
Not Covered
AYUSH Treatment
Covered
IVF Treatment
Not Covered
Modern Treatment
Not Covered
Ambulance
Covered
Air Ambulance
Not Covered
Compassionate Travel
Not Covered
Global Coverage
Not Covered
E-Consultation
Covered
Health Check-Up
Covered
Second Medical Opinion
Covered
Vaccination
Not Covered
Co-payment
Not Covered
Sub-limits
Covered
The room rent limit is the maximum bed charge you can claim if you are hospitalised. Common Room categories covered under room rent are all kinds of rooms including single, private and AC rooms (except suite).
It is a special hospital department where patients with serious medical conditions are treated.
Medical expenses incurred before hospitalisation of the policyholder.
Medical expenses incurred after the discharge of the policyholder from the hospital.
Domiciliary hospitalization or home care treatments are the arrangements for an insured individual due to the unavailability of medical amenities in hospitals, or in a case where an insured member can not be admitted to the hospital due to an inability. The treatment should last equal to or more than 72 hours to get financial coverage.
Treatments that can be completed within 24 hours of hospitalization like blood dialysis, cataracts, etc.
Covers the cost of doctor consultations and prescribed medical tests that may not require hospitalization. .
It includes the treatment cost for COVID-19 with a confirmative diagnosis from a government-approved centre.
A common eye condition in which your vision gets blurred due to cloudy formation in your eyes.
For every claim-free year, insurance companies reward policyholders with an increase in the sum insured amount as a no-claim bonus or cumulative bonus on policy renewal. However, in the case of a claim, this bonus amount either lapses or is reduced by a certain percentage varying from one plan to the other.
It is a benefit in which an insurance company restores the amount of sum insured completely or up to a certain percentage after it gets fully exhausted in treatments. This restoration amount may vary from one plan to the other.
Daily hospital cash or Hospicash is a cash amount that you receive each day during the time of hospitalization to cover your non-medical expenses.
It is a cover that includes the cost of the procedure for removing the damaged or malfunctioning organs from the body. In most of the cases, the insurer pays for the hospitalization and transplant expenses for both the parties i.e. the donor and the receiver.
It refers to the cover that includes expenses for normal and c-section deliveries.
It takes care of the medical expenses that arise due to the hospitalisation of the newborn baby in case of any childbirth complications, medical challenges, and so on. Some of the common treatments that are covered under the newborn cover and these common treatments can vary from plan to plan:
Refers to the cost of medicines and procedures used under AYUSH (Ayurveda, Yoga & Naturopathy, Unani, Siddha, and Homeopathy) treatment.
In Vitro Fertilization (IVF) is a method of assisted reproductive technology. The common expenses incurred under IVF and infertility treatments are settled or reimbursed for:
Medical treatments that demand the use of modern technology and advanced machinery such as robotic surgeries, stem cell therapy, etc.
An ambulance is used to move the patient from home to the hospital, transfer them to another hospital, and take them for different tests outside the hospital.
Air ambulances are specially prepared planes that transfer the patient from one place to another in case of a health emergency.
Refers to the travelling expenses of a family member who’s visiting the hospital to look after the patient when the policyholder gets admitted to a hospital outside his/her residential city.
Any kind of medical/health emergency when you are outside of India is covered for hospitalization expenses, modern and specific treatments, etc.
If a policy offers e-consultation it allows policyholders to connect with a doctor for medical consultation through video chat, audio call, or chatbot.
A facility where the policyholder can avail of free health check-ups after fulfilling the company's eligibility criteria. In most cases, the insured member/s gets an annual health check-up cover.
If the policyholder wants, they may opt for a second medical opinion wherein the policyholder can consult another doctor within the company’s network of medical practitioners.
Coverage against the expenses incurred on vaccinations of either the newborn baby, for an animal bite, etc is provided by the insurance companies.
In the co-payment clause, policyholders have to pay a preset amount (either compulsorily or voluntarily) of the hospitalisation expense on their own and the insurer will pay the rest of the medical bill amount.
Sub limit is a condition in which the insurer will have to pay the medical expense up to a certain percentage and the remaining amount will have to be paid by the policyholder. For instance, if your policy covers room rent for upto 20% of the sum insured, but the expense of the same is more than 25%, you will have to pay the rest amount, i.e. 5%, for your room rent.
Complete Health by Insurance ICICI Lombard comes with myriads of optional riders to cover your specific requirements. Take a look:
ICICI Lombard Health Insurance Review
ICICI Lombard Health Insurance
Let's see how the premium varies across different types and sum insured for an individual at the age of 30 and for a policy term of 1 year.
SI Options (Rs.) | 5L | 10L | 20 L | 30L | 50L |
Premium Payable ( Rs.) | 6,033 | 7,191 | 8,684 | 9,968 | 11,896 |
SI Options (Rs.) | 5L | 10L | 20 L | 25L | 50L |
Premium Payable ( Rs.) | 6,477 | 7,665 | 12,246 | 13,188 | 16,580 |
SI Options (Rs.) | 5L | 10L | 20 L | 25 L | 50L |
Premium Payable ( Rs.) | 9,644 | 13,866 | 26,380 | 27,411 | 30,697 |
Permanent diseases or health conditions that are not included under ICICI Lombard Complete Health are:
Cosmetic surgery
Intentional destruction of property or goods
Suicidal death claims
Any kind of loss or damage to the property because of war or war-like situations
Any injury occurred within the 15 days of the policy commencement
Any injury occurred under the influence of alcohol abuse or substance
Natural wear and tear of the property of the policyholder
Certain diseases and treatments are covered under the ICICI Lombard Complete Health Insurance plan after a certain period. Read the details below:
Listed ailments after 2 years
Pre-existing diseases after 2 years for SI 3 L & above, 4 years for SI 2 L
To cater to the different medical needs of an individual & their family, ICICI Lombard Health Insurance offers several Health Plans ranging from senior citizen plans to specialized plans for autistic children, to health insurance for cardiac patients, and many more.Take a look below to ICICI Lombard Health Insurance plans explore more:
Individual and Family Health Insurance
ICICI Lombard Health AdvantEdge plan is a comprehensive health insurance plan designed to cater to all your health care needs. A family health insuran...
Unique Features
Accident Health Insurance
ICICI Lombard Personal Protect Policy is a comprehensive health insurance policy that offers an array of benefits and extensions to safeguard the insu...
Unique Features
Senior Citizen Health Insurance
Golden Shield Plan by ICICI Lombard is designed especially for senior citizens and to cater to all their health care needs. With growing age, the huma...
Unique Features
Individual and Family Health Insurance
ICICI Lombard Arogya Sanjeevani is a versatile plan that pays for your medical bills in case of hospitalization. If you are looking for a health plan ...
Unique Features
Top Up and Super Top Up
ICICI Lombard Health Booster is a comprehensive super top-up health insurance plan designed to enhance your existing coverage. The policy acts as a s...
Unique Features
Individual and Family Health Insurance
ICICI Lombard MaxProtect health insurance plan is a multiple-benefit provider plan that comes with affordable premiums. It has two variants ie, Classi...
Unique Features
Individual and Family Health Insurance
Worried about your medical expenses? Boost your healthcare experience with the ICICI Lombard Health Shield 360 insurance policy. Healthcare is one of ...
Unique Features
Individual and Family Health Insurance
Customize your ICICI Lombard Complete Health Plan with 4 available variants ICICI Lombard Complete Health Insurance is a comprehensive health insuranc...
Unique Features
Group Health Insurance
ICICI Lombard Group insurance is a type of insurance plan that covers many people in the same proximity, for example, employee-employer, bank customer...
Unique Features
The plan covers the below-mentioned Critical Illnesses: Cancer of specified severity Open chest CABG First heart attack Major organ/bone marrow transplant Permanent paralysis of limbs Kidney failure requiring regular dialysis End-stage liver disease
The plan offers Life-long renewability without any age restriction. However, the premium payable may change with the growing age.
Yes, the plan offers 10% on your health insurance premium if you buy this policy for 2 years’ tenure.
The plan offers Free health check-up coupons to each insured for every Policy Year, subject to a maximum of 2 coupons per year for floater policies.
Yes, under the plan, one can earn 100 wellness points for each of the following activities: Self-declaration of Quit smoking Sharing your fitness success story On winning any Health quiz organized by the company
Some of the diseases/procedures are: Cataract Benign Prostatic Hypertrophy Myomectomy, Hysterectomy unless because of maligna All types of Hernia Fissures in anus/ hemorrhoids/piles Arthritis, gout, rheumatism Joint replacement unless due to accident Sinusitis and related disorders Stones in the urinary and biliary systems Internal congenital anomaly Varicose ulcers Surgery on tonsils and sinuses Dialysis required for renewal failure
Yes, one can avail of Tax Benefits under Section 80D of the Income Tax Act 1961.
The other Value-added services offered by the plan are: Diet & nutrition e-consultation Online Chat with Medical Practitioners Providing information on offers related to healthcare services like consultation, diagnostics, medical equipment, and pharmacy.
Yes, the plan offers Ambulance Assistance, wherein the company will arrange ground medical transportation by a Service provider to transport the Insured Person to the nearest Hospital.Another Emergency offered by the plan is Teleconsultation, wherein the company will arrange consultations and recommendations for routine health issues by a qualified Medical Practitioner or healthcare professional.
No, the plan does not require any pre-medical check-up up to 45 years
Yes, you or your nominee needs to furnish the following documents during the claim submission:
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Naval Goel is the Founder and CEO of PolicyX.com (IRDA- Approved Insurance Comparison Website). He is a CFA charter holder (USA) and FRM (GARP). He holds an MBA from IIFT, Delhi, and is also an Associate from the Insurance Institute of India. Naval is an avid investor and entrepreneur who has a deep understanding of the Indian equity market and insurance sector. He has been investing for more than 10 years now and is a CFA charter holder.
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February 5, 2023
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