ICICI Lombard General Insurance Company Limited
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ICICI Lombard General Insurance Company Limited
Health Advantage Plus
A comprehensive Health Insurance policy that not only goes beyond covering just your hospitalisation expenses, but also offers coverage for Out Patient Treatment expenses (OPD) and Tax Benefits.

Know more about the Tax Benefit with an example for your age group

Policy Details


Key Benefits
  • Covers Outpatient Department (OPD) expenses, such as diagnostics tests, dental
    treatment, medical bills, ambulance charges, etc.
  • Cashless claims facility at over 4,000+ network hospitals across India
  • No sub-limits on room rent, doctor fees, and hospital charges or for
    any disease (except Cataract where 20,000 per eye is applicable).
  • No co-payments for any disease or any Hospitalisation expenses

Key Benefits
  • Covers Outpatient Department (OPD) expenses, such as diagnostics tests, dental
    treatment, medical bills, ambulance charges, etc.
  • Avail Cashless Claim facility at over 4,000+ network hospitals across India
  • No sub-limits on room rent, doctor fees, and hospital charges or for any disease
  • No co-payments for any disease or any Hospitalisation expenses
  • Now get an Additional Sum Insured for every claim free year
  • Pre-existing illness covered after two years, subject to continuous renewal of the
    policy with the Company
  • Avail Tax Benefit under Section 80 D of the Indian Income Tax Act, 1961**. Calculate
    your exact tax gain through our online Tax Calculator
  • Maternity expenses can be covered under OPD expenses of this plan up to the
    OPD sum insured
  • Insurance against Terrorist activities
  • A maximum of 2 adults can be covered under a single policy
  • Buy Online and pay in EMIs without any extra charges***

* Except Cataract ( 20,000 per eye applicable)
** Tax benefits are subject to changes in tax laws
*** EMI facility available only for ICICI Bank, Citibank and HDFC Bank (up to 6 months) credit card customers at the sole discretion of the Banks.

Note: EMI option subject to minimum annual premium of 10,000. Click here to know more.



What is covered

Hospitalisation Cover
  • Medical expenses incurred as an inpatient during hospitalisation for more than 24
    hours, including room charges, doctor’s / surgeon’s fee, medicines, diagnostic tests,
    etc.
  • Medical expenses incurred 30 days prior and 60 days post hospitalisation

What is covered

Hospitalisation Cover
  • Medical expenses incurred as an inpatient during hospitalisation for more than 24
    hours, including room charges, doctor’s / surgeon’s fee, medicines, diagnostic
    tests, etc.
  • Medical expenses incurred 30 days prior and 60 days post hospitalisation
  • Pre-existing diseases can be covered after two continuous years of coverage with
    the Company*
  • Covers against hospitalisation# in case of Swine Flu / H1N1 influenza

* Conditions Apply
# If it's not a pre-existing illness

The following technologically advanced treatments that do not need 24-hour hospitalisation but are covered under this policy are:

Cataract (limited to 20,000 per eye)
Lithotripsy (Kidney Stone Removal)
Tonsillectomy
Eye Surgery
Dialysis
Dilatation & Curettage
Chemotherapy
Radiotherapy
Coronary Angiography
Cardiac Catheterisation

Outpatient Department (OPD) Cover

Room, Boarding Expenses as charged by the Hospital
Nursing Expenses
Expenses related to Dental Treatment
Surgeon, Anaesthetist, Medical Practitioner, Consultants, Specialist Fees
Anaesthesia, Blood, Oxygen, Operation Theatre Charges, Surgical Consumables, Medicines and Drugs, Diagnostic Materials and X-ray, Dialysis, Chemotherapy, Radiotherapy, Cost of Pacemaker, Cost of Artificial Limbs External Medical Aids, Dental treatment charges, Ambulance charges

Note: The OPD claims can be made only on a reimbursement basis. You can lodge a claim only once during the Period of Insurance, i.e. 90 days after commencement of policy and 30 days after expiry of the Period of Insurance.

Terms of Renewability
Health Advantage Plus Plan can be renewed instantly. Click here to know more

For more details, kindly refer to the Policy Wordings.



What is not covered

Exclusions for Hospitalisation Benefit Cover

Exclusions valid for the first 30 Days:

Any illness contracted within 30 days of the inception date of the policy, except those that are incurred as a result of an accident. This clause is not applicable on the subsequent renewals of this policy.


What is not covered
Exclusions for Hospitalisation Benefit Cover

Exclusions valid for the first 30 Days:

Any illness contracted within 30 days of the inception date of the policy, except those that are incurred as a result of an accident. This clause is not applicable on the subsequent renewals of this policy.

Exclusions valid for the first 2 Years:

Treatment of the following diseases:
  • Cataract (limited to 20,000 per eye)
  • Benign Prostatic Hypertrophy
  • Myomectomy, Hysterectomy unless because of malignancy
  • Hernia, Hydrocele
  • Fistula in Anus, Piles
  • Arthritis, Gout, Rheumatism
  • Joint replacement, unless due to accident
  • Sinusitis and related disorders
  • Stone in the urinary and biliary systems
  • Dilatation & Curettage
  • Skin and all internal tumors / cysts / nodules / polyps of any kind, including breast
    lumps, unless malignant / adenoids and hemorrhoids
  • Dialysis required for chronic renal failure
  • Surgery on tonsils and sinuses
  • Gastric and duodenal ulcers
  • Deviated Nasal Septum

Note: If the policy is renewed with us for two consecutive years, the above diseases / illness / ailments will be covered from the third year. If these are pre-existing diseases at the time of inception of the policy, the same will be covered from the second consecutive renewal.

Pre-existing Disease Exclusion:

Any illness / disease / injury pre-existing disease before the inception of the policy. However, this exclusion ceases to apply if the policy is renewed with the Company for 2 consecutive years.

Permanent Exclusions:
  • Non-allopathic treatment, pregnancy and childbirth related diseases, cosmetic,
    aesthetic and obesity related treatment.
  • Expenses arising from HIV or AIDS and related diseases, use or misuse of liquor,
    intoxicating substances or drugs as well as intentional self injury.
  • War, riots, strike, nuclear weapon induced treatment.

Exclusions for OPD (Outpatient Department Expenses):
  • Suicide or self-inflicted injury
  • Alcohol or drug abuse
  • War, riots, nuclear related hospitalisation
  • Non-allopathic treatment, experimental and unproven treatment
  • Expenses arising from treatment of HIV/ AIDS or related disease, use or misuse
    of alcohol and other intoxicating substances and intentional self-injury.

For more details, kindly refer to the Policy Wordings.



Eligibility
  • The enrolment age (of senior most member) can be between 5 to 65 years of age.
  • Maximum two adults can be covered under a single policy.
  • The Proposer needs to be aged above 18 years
  • No health check-up up to the age of 55 years (age as on last birthday).

Eligibility
  • The enrolment age (of senior most member) can be between 5 to 65 years of age.
  • Maximum two adults can be covered under a single policy.
  • The Proposer needs to be aged above 18 years
  • No health check-up up to the age of 55 years (age as on last birthday).
  • Individual(s) proposed for Insurance whose age is 56 years & above have to
    undergo medical tests at ICICI Lombard GIC Ltd designated diagnostic centers
  • The policy is renewable till the age of 70 years
  • Income Tax benefit u/s Section 80D of the Income Tax Act, 1961 can only be availed
    for policies bought for self, spouse, dependent children or parents.
Click here to view our Policy Exclusions.

Click here to view our Terms of renewalability.



Claims



General Insurance for Family

We all have family that we care for, those who are close and special to us. They are the one who makes the world a better place to live in and makes life a lovable journey. You want to bestow all that you can to ensure their happiness and security. At the same time, you are busy and sometimes unable to manage all that is necessary. Addressing this concern, todays financial institutions and insurance providers, both public and private are striving hard to provide services that shares your responsibility towards your family.

Continue reading

ICICI Lombard General Insurance, number 1 private general insurer in India, specializes in products that can ensure you peace of mind. Whether you want the best health package, a home insurance plan, or comprehensive travel insurance for your family, we are there to help you….at every step.

With ICICI Lombard you can avail a range of innovative products. With our Family Floater Plan you can provide necessary health coverage to all family members. Entire family protection can be availed under this one policy for just one premium. The sum insured extends to each member of the family. You do not have to maintain different policies for different member. That means your maintenance hurdle is largely reduced and you spend your money wisely.

We also provide other health products tailor-made to your needs and situations. Critical Care, Health Advantage Plus and Personal Accident Insurance meets the requirements your financial decisions and security needs demand.

With countless warm memories, your home is certainly your most valuable asset. And you would want to have the best security for it. Hence, buying a home insurance policy is an important step. This is one place you would not like to compromise on. ICICI Lombard’s Home Insurance is designed keeping this in mind.

Our Home Insurance plan protects the structure and contents of your home against various forms of common losses like fire, earthquake, explosion, damage due to impact by vehicles, etc. Besides, you can also avail 15% discount on a 3 years home insurance policy and 25% discount on 5 years policy.

Going for a holiday trip is one of the greatest pleasures you can give to your family. Your plan of a dream trip abroad is now resulting into a reality and obviously you dot want anything to ruin your holiday. Get Overseas Travel Insurance from ICICI Lombard that provides you the care you and your family needs while traveling. Right from covering trip cancellation to baggage loss, our plan covers financial emergency assistance and medical evacuation.

We understand that different people have different needs and hence offer you a choice of various products to suit your needs. We also understand the value of your hard earned money and thus charge on a pay per day basis, rather than the usual slab rate, so that you pay exactly for the number of days you travel and not more.

We at ICICI Lombard, understand the importance of time and know that all of us have a busy schedule. To share this concern, we have Buy Online facility whereby you can get policy whenever you want. The Internet will route you to us within few seconds and you can get quotes, compare plans and buy instantly in just 10 minutes. what's more? the digitally signed policy generated is a legal document and you can access it online and take out prints anytime, anywhere. Log on to www.icicilombard.com to avail this.

Since our inception, we have kept our promise of offering better deals to the customers because we prioritize our customer’s emotions with their family and their hard-earned money. Build a relationship with us and we assure you enjoy life and minimize your worry between your insurance needs





Health Advantage Plus Product Code: Misc 63



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Testimonials
Mr. Ajit Deshpande,
Pune - Maharashtra
“I am quite amazed to buy a policy from ICICI Lombard. There was no paperwork, no health check-up, no cheque payments, no reminder calls etc."
Read more
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