ICICI Lombard Complete Health Insurance - iHealth Plan

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ICICI Lombard Complete Health Insurance- iHealth Plan

	Objective			An online health insurance policy that endows its policyholders with a customized protection by making available different add-ons that can be attached to the plan as per their own desire.
Suited for			This policy can be taken on an individual or family floater basis including spouse and children under a single policy.
What does it do?			It provides for inpatient hospitalisation, pre and post hospitalisation, day care procedures that do not require an overnight stay in hospital, regular free health check-up and emergency ambulance. This plan can be extended to include any one or both the add-ons by paying extra premium. First add-on allows hospital daily cash to meet subsequent expenses and convalescence benefit for recovery. Second add-on can cover critical illness and donor expenses. A policyholder can select any one or both of these options to modify the policy to suit their needs. Certain complementary services such as free health check-up, e-consultations with specialists and free coupons for purchase from certain outlets are also provided. Policyholder can also opt for sub-limits or/ and voluntary deductible where the agreed initial portion of expenses have to be borne by policyholder before the insurer pays for the bills. This will reduce the premium payable as insurers offer discount on opting for these benefits.
Pros			This policy allows a lifetime renewability. There is no sub-limit. This policy can be bought online. Premium paid under this policy qualifies for deduction under section 80D of Income Tax Act.
Cons			Option II covering critical illness and organ donor expenses is over priced.
Our View			A policy that provides a wide coverage for hospitalisation expenses. It is a good policy but not a complete health solution, as its name suggests because it misses out Out patient treatment and maternity expenses. Above all, the Critical Illness benefit is a bit expensive as compared to standalone policies. It is recommended for those who are familiar with insurance concepts and are wise enough to customize the policy to suit their requirements after understanding the benefit of each add-on. Others who have reliable advisors to explain consequences of each customization may also consider it.
Eligibility
Entry Age (years)
Minimum		18; 6 in case of individual policy and 3 months in case of floater plan
Maximum		No limit
Maximum Policy Renewal Age (years)		No Limit
Coverage Type		Individual/ family floater
Policy Term (years)		1 or 2
Sum Insured (Rs)
Maximum		10 lakh
Minimum		3 lakh for individual; 2 lakh for family floater
Tax Benefit		Premium paid is eligible for tax benefit under section 80D of the Income Tax Act
Discount		Available if opted for Voluntary Deductible Discount on premium if opted for sub-limits
No Claim Bonus		10% of sum insured for each claim free year, upto maximum of 50%. In case of claim, the sum would be reduced by 20% on next renewal
Pre Policy Medical Check Up		Not required below 46 years of age
Free look Period		15 days
Grace Period for Policy Renewal		15 days
Policy Termination		Either of the insurer or policyholder are allowed to terminate by giving a 15 days notice period. Insurance company shall refund a pre fixed percentage of premium.
Customer Service
Address		ICICI Lombard General Insurance Company Limited ICICI Bank Towers Bandra Kurla Complex Mumbai 400 051 or ICICI Lombard General Insurance Company Limited ICICI Lombard House 414, Veer Savarkar Marg, Near Siddhi Vinayak Temple, Prabhadevi, Mumbai 400025
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		available if treatment taken in non-empanelled hospital
Pre-post hospitalisation		Relevant medical expenses covered from 30 days prior and 60 days post hospitalisation
In-patient Treatment		Covered
Day-Care Procedures		covered
Emergency Ambulance		reimbursement of expense upto Rs 1500 per hospitalisation
Value Added Services
Health Check-up		available free of cost at every policy year subject to maximum 2 coupons per year for floater policies
Online chat with doctors		available
Discount on wellness services		discount vouchers on certain services from specific outlets
Optional Add-Ons (require payment of extra premium)
Option I
Hospital Daily Cash		paid once during the policy period for each completed day of hospitalisation subject to maximum of 10 consecutive days with 3 days deductible. It pays Rs 500 per day for sum insured of Rs 1 lakh/ 2 lakh; Rs 1000 per day for sum assured of Rs 3/4/5 lakh; Rs 2000 per day for sum assured of Rs 7/10 lakh
Convalescence Benefit		Rs 10000 payable once during policy period in case of hospitalisation for a period of 10 or more consecutive days
Option II
Critical Illness(for sum insured Rs 3/4/5 lakh)		It will cover illnesses like Cancer, Coronary Artery By-pass Graft Surgery, Myocardial Infarction (Heart Attack), End Stage Renal Failure (Kidney Failure), Major Organ Transplant, Stroke, Paralysis, Heart Valve Replacement Surgery and End Stage Liver Failure
Donor expenses		reimbursement of upto Rs 50000

 

	Exclusions and Waiting Period
Pre-existing disease		covered after 2 years or 4 years(forRs 1 / 2 lakh sum insured) 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, arthritis, sinusitos etc.
General Exclusions		Non-allopathic treatmenttreatment of AIDS or related condition

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