ICICI Lombard Complete Health Insurance Plan

Brief Overview

One of the most prominent and popular insurance companies, ICICI Lombard General Insurance Ltd. offers insurance coverage in various sectors. In the health insurance segment, the company offers some of the most comprehensive plans in the market. ICICI Lombard enjoys a great reputation and most of the customers consider the company to be the most reliable health insurance company.

ICICI Lombard Complete Health Insurance Plan is one of the most sought-after health insurance plans today. With this plan, you can ensure that your family is secure against all kinds of medical emergencies. A comprehensive yet affordable health plan, it offers a lot of benefits and exclusive features. 

Best Features of ICICI Lombard Complete Health Insurance Plan

1. Wide range of sum insured that goes from INR 3 lakhs to INR 50 lakhs
2. Covers COVID-19 hospitalisation
3. There is no co-payment applicable
4. You have the facility to reset the sum insured by 100%
5. There is no clapping on the room charges
6. In case of a no-claim during the policy year, you can avail additional sum insured
7. In-patient treatment covers AYUSH
8. Avail free health checkups
9. The plan is available on individual and family floater insurance plan basis
10. No pre-policy medical screening required before 46 years
11. Avail income tax benefits on the premium you pay
12. Enjoy add-on benefits by paying a little extra

Benefits of ICICI Lombard Complete Health Insurance Plan

1. Hospitalisation Coverage
   All the expenses that pertain to your hospitalisation, that is more than 24 hours, such as room charges, ICU charges, doctors’ fee, blood, oxygen etc.
2. Multiple Sum Insured Options
   As a policyholder, you have multiple sum insured options to choose from. The sum insured can be from INR 3 lakhs to INR 50 lakhs. Select the option that suits your insurance needs as well as your budget.
3. Reset Benefit
   100% of the sum insured will be reset once during the policy year, in case your sum insured is inadequate due to a previous claim that year.
4. Additional Sum Insured
   10% of the annual sum insured will be provided on the renewal of every claim-free year, to a limit of 50%.
5. Pre and Post-hospitalisation
   In most cases, the treatment expenses are not merely limited to hospitalisation but go much beyond. ICICI Lombard Complete Health Insurance Plan pre and post-hospitalisation expenses for 30 and 60 days respectively, will be covered.
6. Day-care Treatments
   Specified Day Care procedures and treatments that require less than 24 hours of hospitalisation are also covered.
7. AYUSH Benefits
   Expenses on the treatment through Ayurveda, Yoga and Naturopathy, Unani, Siddha and Homeopathy are also covered under this plan.
8. Wellness Programme
   To promote and reward healthy habits, there are various wellness services offered. You can earn wellness points and then redeemed them to enjoy other benefits.
9. Ambulance Charges
   If in an emergency you make use of a domestic road ambulance, you can receive a reimbursement up to INR 1,500 per hospitalisation.
10. Health Check-ups
    Each policy year, you will be entitled to a free-health checkup at designated centres.
11. Medical Screening
    No pre-policy medical tests are required till the age of 46 years and for sum insured up to INR 10 lakhs.
12. Optional Covers
    There are various optional coverages that can be opted for:
    1. Convalescence Benefit
    2. Maternity Health Insurance Benefit
    3. Hospital Daily Cash
    4. Newborn Baby Cover
    5. Nursing at Home
    6. Compassionate Visit
    7. Outpatient Treatment Cover
    8. Wellness and Preventive Healthcare
    9. Critical Illness Cover
    10. Donor Expenses
    11. Personal Accident Cover
    12. Medical Evacuation

Plan Details of ICICI Lombard Complete Health Insurance Plan

• Waiting Period
  1. There is a waiting period of 24 months from inception of the policy, for pre-existing conditions
  2. Listed illnesses are not covered for first 2 consecutive years
  3. Illnesses are not covered for the first 30 days of policy insurance start date
  4. Injury-related hospitalisation is covered from day 1
• Free Look Period
  You have the option to cancel your policy within the first 15 days of policy purchase. You would have to submit a written request mentioning the reason for return. The company will refund the money after deducting the stamp duty charges and proportionate health insurance premium risk.

What is not Covered in ICICI Lombard Complete Health Insurance Plan?

Given below are some of the permanent exclusions, for a detailed list, refer to the policy document.

Expenses due to the following are not covered:

1. Self-inflicted injuries that may result from suicide or an attempted suicide
2. Use/ misuse/ abuse of alcohol or any other intoxicant
3. Dental treatments
4. Spectacles and contact lenses
5. AIDS/ sexually transmitted disease

Renewal Process of ICICI Lombard Complete Health Insurance Plan

The renewal of your ICICI Lombard Complete Health Insurance Plan is a simple procedure and can be carried out online.

• Step 1
  Visit the company website and go to “Renewal”
• Step 2
  Select Health Insurance and enter your policy number, registered mobile number and date of birth
• Step 3
  Your policy details will be displayed, check the details and if everything is correct, proceed to make the payment. The payment can be made through any online mediums

The policy may also be renewed offline by visiting a branch office. You can also get in touch with an insurance agent. There are various insurance aggregator websites, you can renew the policy through them too.

Claim Process of ICICI Lombard Complete Health Insurance Plan

ICICI Lombard has its own in-house claim processing centre which promises timely settlement of the claim. In case you have to raise a claim make sure that all procedures are followed correctly so that the claim can be settled easily and quickly. 

To intimate the claim you can:

1. SMS 'HEALTHCLAIM' to 575758
2. Call on the toll-free number 1800 2666
3. Send an email to ihealthcare@icicilombard.com

• Cashless Claim
  In case you want to seek a cashless health insurance claim, you need to get admitted to a network hospital. You need to get your pre-authorisation request approved and submit the form 3-4 days prior to a planned hospitalisation. In case of emergency hospitalisation, the same should be done within 24 hours. Once the request is approved, the hospitalisation bill would be settled by ICICI Lombard directly.
• Reimbursement Claim
  At a non-network hospital, you would have to bear the hospitalisation charges yourself. Post the treatment, but within 7 days of discharge, you need to submit all the documents. Once the paperwork is authenticated, your claim would be settled and you will receive the amount in your registered bank account.
• Required Documents
  You would have to submit the following documents in case of a claim:
  • Company Claim Form-filled and signed
  • Summary of the Discharge
  • Medical and diagnostic reports
  • Medical prescriptions
  • Treatment-related bills
  • FIR in case of accidental injury, if reported

ICICI Lombard Health Insurance - Network Hospitals

A network hospital is a hospital or a healthcare centre that has a collaboration with ICICI Lombard. The hospitals offer cashless treatment to policyholders and the bills are settled directly by the company. 

With a strong network of over 6,500 hospitals, ICICI Lombard offers you cashless treatment all across the country. Cashless treatment not only spares you from the struggle of managing funds but also helps you in a smooth and speedier claim settlement.

Review of ICICI Lombard Complete Health Insurance Plan

ICICI Lombard is one of the leading insurance companies in the country. The company has made a name for itself in the health insurance sector too. When you invest in a health plan by ICICI, you get the sense of security that even if you face a medical emergency, you would not have to face a financial setback. A Complete Health Insurance Plan helps in taking care of all-possible expenses that you may have to incur if you or a family member gets hospitalised.

 The plan comes with a lot of options as the sum insured and allows you to pick a plan that would be suitable for your pocket too. ICICI Lombard Complete Health Insurance Plan is a comprehensive plan that offers wide coverage and includes hospitalisation, daycare treatments, AYUSH treatments, ambulance cover, etc. The reset benefit offered under the plan is also an exclusive feature.

If you or anyone you know is looking for an affordable yet comprehensive health insurance plan, ICICI Lombard Complete Health Insurance Plan is surely worth considering. 

ICICI Lombard Complete Health Insurance - Customer Care Details