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Health Insurance

Health insurance is like your best friend. It’s the calm voice that reminds you of your health coverage when your late-night symptom searches make you restless. And when things actually go wrong, it helps you cover your medical expenses so that you get the care you deserve. A health insurance policy, also commonly known as medical insurance, covers a wide range of medical expenses like in-patient treatment, pre-and post-hospitalisation, surgeries, etc. That’s not all. You can also personalise it to get coverage for outpatient (OPD) treatment, critical illnesses, pregnancy, etc.

What Is Health Insurance?

Health insurance or medical insurance protects you against rising medical costs. It is a legal contract wherein an insurer agrees to cover a range of medical expenses, including hospitalisations, daycare procedures and surgeries, for a certain amount (premium). And the best thing about this contract is the tenure– you get options ranging from one year to five years.

The best health insurance plans don’t just help you deal with rising healthcare costs, they provide coverage that goes beyond hospitalisation. For example, some policies also cover OPD treatments, preventive check-ups, ambulance charges, maternity expenses and more as per the policy's terms and conditions.

At ICICI Lombard, our policies start at just ₹11/dayA and come with benefits so that you can focus on what truly matters: staying healthy. You can also opt for add-ons such as 2-hour hospitalisation, Jumpstart, OPD+ rider, etc to customise your coverage and help you feel prepared for any health emergency.

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Health insurance
Quick summary

Quick Summary

  • You can customise your medical insurance by opting for add-ons like OPD+ rider, Jumpstart, Worldwide Cover, etc.

  • Health insurance helps you deal with rising medical bills by providing coverage for pre-and post-hospitalisation expenses, critical illnesses and surgeries.

  • Choose the best health insurance policy based on your healthcare and lifestyle needs – compare different policies, benefits, waiting periods and terms and conditions.

  • Health insurance premium depends on factors like age, location, medical history, type of coverage selected, add-on opted and discounts applied.

  • You can avail cashless hospitalisation at any hospital of your choice across India.

How does Health Insurance Work?

Health insurance is your safety net during medical emergencies. You just need to pay a premium to keep your policy active. In exchange, the insurance company promises to cover your medical expenses as per the policy’s terms and conditions. Just note that medical insurance has certain waiting periods and coverage limits – it is advisable to understand them thoroughly to make the most of your policy.

Let’s understand how it works with an example:

1

You want a health insurance policy with a high sum insured to secure yourself.

2

You choose a ₹1 crore health insurance plan and pay the required premium for it.

3

Later, you fall sick and need hospitalisation.

4

You visit a network hospital and opt for cashless treatment.

5

The total hospital bill comes to ₹15 lakhs.

6

Your insurer directly settles the admissible bill with the hospital, and you pay only for what’s not covered by your policy.

7

You still have an unused sum insured of ₹85 lakhs left.

Don’t wait for a hospital bill to realise the importance of health insurance.

Types of Health Insurance Plans

While there are multiple types of health insurance plans, each type caters to a particular need or purpose. Knowing the difference between them can help you choose the right health insurance!

Importance of Buying Health Insurance

Medical inflation

Medical Inflation

Healthcare costs are increasing every year. Medical tests, hospital stays and treatments cost much more than they did earlier. Health insurance helps protect your savings from rising medical expenses.

Lifestyle-related diseases

Lifestyle-Related Diseases

Busy schedules, stress, and food habits are leading to more cases of diabetes, blood pressure and heart problems. These conditions often need regular treatment and monitoring, which health insurance helps manage.

Environmental factors

Environmental Factors

Poor air quality and rising pollution levels are causing breathing issues, allergies, and heart-related complications. Medical insurance ensures you can seek medical care without delaying treatment due to cost concerns.

Critical illnesses

Critical Illnesses

Conditions like cancer and heart disease are no longer rare or age-specific. Treatment often starts immediately and continues for months. Health insurance helps you focus on care, not expenses.

Medical emergencies

Medical Emergencies

Accidents, sudden illnesses and unexpected hospital visits can happen anytime. Health insurance helps you stay financially prepared when life takes an unexpected turn.

0% GST on Health InsuranceAO

Yes, you read that correctly! The Goods and Services Tax (GST) on health insurance premiums has been reduced to 0% by the GST Council. This exemption means you pay 18% less while enjoying the same comprehensive cover. The change makes health insurance more affordable and accessible than ever for you and your family.

Terminology in Health Insurance

  • 1

    Sum Insured: It is the total coverage amount available for your medical expenses. It is like your personal health insurance wallet.

  • 2

    Deductible: It is a specified amount you need to pay before your insurer starts covering hospitalisation expenses.

  • 3

    Co-payment: It is a cost-sharing feature wherein you pay a certain part of your medical bill and insurance company covers the rest.

  • 4

    Waiting Period: It is the time you need to wait becoming eligible for certain health insurance benefits/coverages. It typically range from 12 to 36 months.

  • 5

    Sub-limits: These are the limitations or caps set on the maximum amount you can claim for certain treatments or hospital room categories.

  • 6

    Pre-existing Diseases: It refers to any medical conditions you had before your policy start date. Examples include diabetes, hypertension, etc.

  • 7

    Add-ons/Riders: These are optional covers you can add to your base health insurance policy to enhance your overall coverage. Examples include Jumpstart, OPD+ Rider, etc.

  • 8

    Reset BenefitS: Your entire sum insured gets restored unlimited times for any illness, disease or injury so you never run out of coverage.

  • 9

    Exclusions: These refer to situations or expenses not covered by your health insurance policy. Examples include self-inflicted injuries, illegal activities, etc.

  • 10

    Cashless Treatment: You receive treatment without making any upfront payment as the insurer directly settles the hospital bill as per the policy T&C.

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How to Choose the Best Health Insurance Policy?

ICICI Lombard Health Insurance Policies at a Glance

What are the Top Reasons to Buy
ICICI Lombard Health Insurance Policy?

We offer health insurance policies that combine wide coverage with flexibility. You get access to a large network of hospitals, quick cashless claim settlements and round-the-clock support. Our policies also offer preventive care and wellness benefits. Here’s why millions of customers choose our health insurance products

  • Affordable Premium

    You can get extensive health coverage at a price that fits your budget. For example, you can buy our health insurance online with premiums starting at only ₹11/dayA.

  • Flexible Coverage

    We offer flexible coverage options that let you choose the right sum insured and optional covers to customise your health insurance based on your lifestyle, age and family needs.

  • Unlimited Reset Benefit

    All of our health insurance policies offer unlimited Reset BenefitS. This ensures you never run out of cover even in case of multiple hospitalisations during the policy tenure.

  • Amazing add-ons

    You can choose optional covers for outpatient care, reducing waiting period, critical illness medical expenses, and more. These can help you to customise and enhance your coverage.

  • Network Hospitals

    We have a vast network of hospitals, ensuring that you have easy access to top-notch healthcare services whenever needed. With us, you get access to 10,700+ network hospitalsC for hassle-free service.

  • Wellness Programmes

    Our health insurance policies reward you for undertaking wellness activities and leading a healthy lifestyle. You get reward points that you can use to get discounts.

  • Hassle-free Claim Settlement

    We offer hassle-free claim settlement with our in-house team, which is available 24/7. You can contact our team anytime with your claims or queries, and our team will address everything promptly.

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Cashless Everywhere with ICICI Lombard Health Insurance

With our health insurance plans, you can enjoy the convenience of cashless hospitalisation across India, at a hospital of your choice. You don't have to worry about arranging money upfront during a medical emergency. Simply visit any hospital - network or non-network - to avail cashless hospitalisation. We will settle the bill on your behalf and send it directly to the hospital. Our cashless facility allows you to focus on what truly matters and ensures you receive quality care on time. Be it a planned hospitalisation or an emergency, our cashless feature has you covered.

Cashless Everywhere

What is Covered and Not Covered Under Health Insurance?

We offer health insurance policies that combine wide coverage with flexibility. You get access to a large network of hospitals, quick cashless claim settlements and round-the-clock support. Our policies also offer preventive care and wellness benefits. Here’s why millions of customers choose our health insurance products

  • What’s Covered
  • What’s Not Covered
  • Hospitalisation Expenses

    Covers medical expenses incurred during your hospitalisation as per your health insurance policy.

  • AYUSH Treatment

    Covers expenses for Ayurveda, Yoga, Unani, Siddha and Homeopathy (AYUSH) treatments.

  • Pre and Post Hospitalisation Expenses

    Covers medical expenses incurred for a specified period before hospitalisation and after discharge.

  • Domiciliary hospitalisation

    Covers the cost of getting treated at home as per your health insurance policy’s terms and conditions.

  • Day Care Treatment

    Covers minor treatments requiring less than 24 hours of hospitalisation.

  • Donor Expenses

    Covers the organ donor’s hospitalisation expenses.

  • Emergency ambulance

    Covers expenses incurred for availing domestic ambulance services during emergencies.

  • Reset Benefit

    Enjoy unlimited restoration of your sum insured for any disease or injury.

  • Wellness Program

    Get rewarded with discounts and other deals for having an active lifestyle.

  • Loyalty Bonus

    Get 20% increase in annual sum insured on renewing your health insurance policy.

  • Bariatric Surgery

    Covers medical expenses incurred for bariatric surgery or procedure.

  • Pre-existing diseases

    Does not cover treatment of pre-existing conditions during waiting period.

  • Specific Waiting period

    Treatment of certain specified and listed diseases during waiting period is not covered.

  • Self-inflicted Injuries

    Health insurance does not cover treatment for intentional self-injury.

  • Investigational Expenses

    Hospitalisation for diagnostics and evaluation purposes is not covered.

  • Change-of-gender treatments

    Does not cover treatment or surgery expenses incurred to change the one’s gender.

  • Cosmetic/Plastic Surgery

    Our health insurance policies do not cover cosmetic or plastic surgery unless it is medically necessary.

Note: This is not an exhaustive list. Please go through the policy wording for detailed list of inclusions and exclusions.

What are Optional Add-Ons in Health Insurance?

Optional covers or add-ons give you extra benefits over and above your base policy for an additional premium. You can choose from a range of add-ons offered by our health insurance policies:

Infinite Care

Infinite CareAH

This add-on offers one-time, no-limit coverage for one claim during the lifetime of your health insurance policy (subject to terms and conditions).

Jumpstart

JumpstartAG

Get coverage for pre-existing diseases like Asthma, Diabetes, Hypertension, etc. from just 30 days after policy inception (subject to policy terms and conditions).

Befit

BefitAI

Get covered for expenses like doctor consultation, diagnostic tests, physiotherapy. It’s like a big safety net for those smaller medical needs.

Critical illness

Critical Illness Cover

This add-on offers lump sum payout (based on terms and conditions) if you’re diagnosed with any of the listed critical ailment for the first time in your life during the policy period.

Room Modifier

Room ModifierAU

Enjoy the freedom to upgrade or downgrade your hospital room category and focus on recovery, not bills.

Personal Accident

Personal AccidentAW

Offers a fixed percentage of sum insured (as per policy T&C) to your nominee in the unfortunate event of your accidental death or disability.

Power Booster

Power Booster AX

Offers a 100% loyalty bonus on your annual sum insured without any premium increase as a reward for renewing with ICICI Lombard.

Voluntary Co-payment

Voluntary Co-payment

Get a discount on your health insurance premium for opting to pay a certain percentage of the admissible claim amount.

Voluntary Deductible

Voluntary Deductible

Agree to pay deductible amount for hospitalisation expenses as specified in your policy schedule and enjoy a discount on your premium.

OPD

OPD+ RiderAT

Offers coverage for outpatient medical expenses like dental expenses, vision care, pharmacy bills, dermatological procedures, etc.

Network Advantage

Network AdvantageAV

Enjoy a 10% discount on your health insurance renewal premium for availing treatment at our network hospitals.

Worldwide Cover

Worldwide Cover T

Avail cashless hospitalisation abroad with a health insurance coverage of up to ₹3 crores.

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Note: Please read the policy wordings for detailed information about optional covers/add-ons.

Healthy habits start with one smart decision today

Compare ICICI Lombard Health Insurance Online

The first step to choosing the best health insurance for yourself and family is knowing your options. Here is a quick look at different features offered by health insurance policies offered by ICICI Lombard.

Parameters Elevate Activate Booster (Combo*) Activate Booster MaxProtect Health AdvantEdge
Coverage Area India + Worldwide
(via add-ons)
India + Worldwide
(via add-ons)
India India + Worldwide
(via add-ons)
India + Worldwide
Sum Insured ₹7.5 lakhs to Unlimited Up to ₹1 crore ₹10 lakhs to ₹3 crore Up to ₹1 crore ₹7.5 lakhs to ₹3 crore
Hospitalisation Expenses green-tick green-tick green-tick green-tick green-tick
Pre and Post Hospitalisation Expenses green-tick green-tick green-tick green-tick green-tick
AYUSH Treatment green-tick green-tick green-tick green-tick green-tick
Day Care Treatment green-tick green-tick green-tick green-tick green-tick
Domiciliary hospitalisation green-tick green-tick green-tick green-tick green-tick
Emergency Ambulance green-tick green-tick green-tick green-tick green-tick
Donor Expenses green-tick green-tick green-tick green-tick green-tick
Reset Benefit green-tick green-tick green-tick green-tick green-tick
Teleconsultation green-tick green-tick green-tick green-tick green-tick
Maternity Cover
green-tick  (via optional cover)
green-tick  (via optional cover)
cross cross
green-tick  (via optional cover)
OPD Expenses
green-tick  (via optional cover)
green-tick  (via optional cover)
cross cross cross
Cashless Hospitalisation green-tick green-tick green-tick green-tick green-tick
Cashless Hospitalisation Optional cover available to reduce waiting period Optional cover available to reduce waiting period Optional cover available to reduce waiting period Optional cover available to reduce waiting period Post completion of waiting period
  Buy Now Buy Now Buy Now Buy Now Buy Now

What is Pre-existing Disease in Health Insurance?

A pre-existing disease refers to any medical condition, illness or injury that you may have before purchasing a health insurance. Specifically, it is a health condition that you were diagnosed with or received treatment for within 36-48 months prior to your policy start date. Some common examples of pre-existing diseases (PED) include asthma, diabetes, hypertension and heart conditions. Here are a few important things to know about pre-existing diseases in health insurance:

  • You need to declare your medical history to avoid claim rejection or policy cancellation.

  • Health insurance policies usually have a waiting period of up to 36 months for PEDs.

  • You don’t get coverage for your pre-existing conditions during the waiting period.

  • ICICI Lombard offers optional covers/add-ons to reduce the PED waiting period to 24 months, 12 months and 30 days.

  • You can raise a claim for PED-related expenses after completion of the waiting period.

Pre-existing Disease

What is the Difference Between Mediclaim
and Health Insurance?

The terms ‘mediclaim’ and ‘health insurance’ are often used interchangeably but they have different meanings. A mediclaim policy covers only hospitalisation expenses. However, health insurance offers extensive coverage that goes beyond basic hospitalisation. It covers pre and post hospitalisation expenses, AYUSH treatments, ambulance expenses, preventive check-ups, and more.

Here’s a quick snapshot of mediclaim vs health insurance:

Feature Mediclaim policy Health insurance
Coverage Scope Limited to medical expenses like hospitalisation and room rent. Offers wider coverage, including pre and post hospitalisation, modern treatments, domiciliary hospitalisation, donor expenses, etc.
Sum Insured Lower than health insurance. Higher sum insured, with Elevate health insurance offering unlimited sum insured.
Add-on covers Not available Option to enhance coverage with add-ons (subject to payment of additional premium).
Flexibility Limited scope compared to health insurance. Insured members can customise their coverage based on their medical needs.

What are the Eligibility Criteria to Buy
Health insurance in India?

Your health insurance eligibility depends on multiple factors related to your health and risk profile. Some of these include your age, pre-existing diseases, lifestyle, etc. Our health insurance policies have the following eligibility criteria:

Eligibility Criteria Specifications
Age Adults aged 18 years and above
Age Dependent children aged 91 days to 30 years
Nationality Indian residents and NRIs
Policy Type Individual and family floater
Waiting Period Initial waiting period of 30 days; Specified Disease waiting period of 2 years; and Pre-existing disease waiting period of 3 years
  • Age criteria: Anyone aged 18 years and above can buy health insurance online. You can also add your dependent children (aged 91 days to 30 years) and parents to your policy.

  • Nationality: You need to be an Indian citizen to secure yourself with a medical insurance in India. Many insurers are now also offering health insurance coverage to NRIs.

  • Pre-existing Diseases: Having an existing health condition can influence your health insurance policy eligibility. You need to serve a waiting period before getting coverage for them.

How to Buy Health
Insurance Online?

Buying health insurance online is quite straightforward. Just follow the below steps:

How to Buy Health Insurance Online
1

Visit our website and click on ‘Health Insurance’.

2

Choose a health insurance policy, select the number of people you want to insure, provide contact details and click on ‘Get quote’.

3

Pick the desired sum insured, health insurance plan and add-on covers as per your needs.

4

Check coverage details/policy documents and click on ‘Buy Now’.

5

Choose the policy tenure (ranging from one to five years). Pro tip: Choose a long-term policy to save on premium.

6

Review the premium break-up and complete your KYC.

7

Pay the required premium. You’ll receive the digital policy copy on your email and WhatsApp number.

Buy Now

What are the Documents Required
to Buy Health Insurance?

You generally need the following documents to buy health insurance online:

  • Identity and Address Proof: Aadhaar card/PAN card/Voter ID/Driving Licence/Passport

  • Medical Details: Previous medical reports and prescriptions (if required)

  • Existing Policy Documents (for porting): Current health insurance policy, renewal notice, portability form

Documents Required

Buying health insurance is now easier than booking a movie ticket

How to Calculate Health Insurance Premiums?

Your health insurance premium is calculated based on factors like your age, type of coverage, sum insured and add-ons selected, location, applicable discounts, etc. Knowing how premiums are calculated can help you plan better and choose a health insurance policy that fits both your budget and medical needs. Here’s a quick dive into different factors needed to calculate your health insurance premium online:

  • Age: It plays a huge role in determining your premium. The lower the age, the lower the amount you need to pay as insurers generally consider young individuals less likely to need frequent medical care.
  • Number of People Covered: Your health insurance premium also depends on whether you want to insure just yourself or your loved ones as well. Insuring multiple members can increase your overall health insurance premium amount.
  • Type of Coverage: This is another factor that affects your premium. Different policy types, like individual health insurance, family floater health insurance, mediclaim policy or critical illness insurance, have different coverage scope and premium structures.
  • Coverage Amount: Your premium is directly linked to the sum insured you choose. A health insurance policy with a higher sum insured will help to cover higher medical expenses but also increase the premium amount.
  • Add-ons: Opting for optional covers like Jumpstart, OPD+ Rider, Worldwide Cover, Infinite Care, etc helps to enhance your coverage and provides well-round protection. But these add-ons also increase your premium amount.
  • Location: Medical costs vary across cities and zones, and insurance companies factor this in while calculating premiums. As a result, premiums may be higher in metro cities compared to smaller towns.

You can also use a health insurance calculator to get a fair idea about your payable medical insurance premium.

Calculate Premium Now

Which Factors Affect Health Insurance Premiums?

Age

Since older individuals are more prone to health issues, their health insurance premiums tend to be higher. That’s why it is advisable to buy a health policy when you’re young.

Lifestyle

Your lifestyle choices influence your premium. How? Insurers consider people with high-risk habits (like smoking or drinking) to have a higher medical dependency in the future.

Policy type

Your premium is also affected by the type of policy you choose. A health insurance policy with extensive coverage will naturally have a different premium than a basic policy.

Place of Residence

The location where you stay can also influence your premium. Why? Because treatment costs in metro cities are typically higher than in non-metro areas.

Medical History

Your current health condition and family’s medical history can significantly influence your health insurance premium as it indicates higher health risks in the future.

Policy Duration

The policy tenure you select also affects your health insurance premiums. Policies with one-year duration may have higher premiums compared to long-term policies.

How to Reduce Your Health Insurance Premiums?

While it is important to understand which factors affect your medical insurance premium, you can consider the following tips to reduce it:

What are the Common Mistakes Made While
Buying Health Insurance?

  • Focusing Only on Premium

    This is one of the most common mistakes people do while buying insurance policy. Remember, the best health insurance policy for you is the one that provides comprehensive coverage at a reasonable price.

  • Not Comparing Policies Online

    Never buying a health insurance policy without comparing multiple options available in the market. Different policies have different benefits, coverages and exclusions. Compare health insurance policies online and choose the one that meet all your healthcare requirements.

  • Choosing Insufficient Sum Insured

    Some people underestimate future medical costs while others opt for a lower sum insured to save on premium. Always choose a sum insured by taking your healthcare and lifestyle needs into consideration.

  • Buying Health Insurance Too Late

    Don’t wait for a medical emergency to realise the need for health insurance. Delaying the purchase can result in higher premiums or longer waiting periods. Buying early you to save on premiums and complete waiting periods sooner.

  • Not Declaring Pre-existing Diseases

    Keeping your pre-existing health condition a secret can lead to claim rejection or policy cancellation later. You should always disclose your pre-existing diseases, be it asthma or diabetes, at the time of policy purchase.

  • Overlooking Waiting Periods

    Many people don’t check the waiting periods applicable in their health insurance policies. Always review the waiting period for pre-existing diseases, maternity coverage or specific treatments to avoid surprises during claims.

  • Ignoring Co-payments/Sub-limits

    While purchasing a medical insurance, many people overlook room rent limits, co-payment clauses and treatment-specific sub-limits. Ignoring these can significantly increase your out-of-pocket expenses during claims.

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What is the Role of IRDAI in Health Insurance?

  • Policy Regulation

    It regulates how health insurance policies are designed, priced and offered. It controls policy terms, benefits, exclusions and premium structures.

  • Licencing

    The IRDAI has the authority to grant, renew, modify, suspend or cancel the licence of insurance companies and intermediaries.

  • Policyholder Protection

    It protects customer in matters related to policy terms and conditions, nominations, claim settlement, surrender value, etc.

  • Grievance Redressal

    The IRDAI has a formal escalation mechanism to help policyholders. You can escalate unresolved complaints through its grievance redressal systems.

What are the Common Health Insurance Myths in India?

How to Make a Claim for Your Health Insurance?

You can easily file a health insurance claim with ICICI Lombard. Choose a cashless claim if you get treated at a network hospital or opt for a reimbursement claim if you receive treatment at a non-network hospital.

For detailed information about ICICI Lombard’s claim process, please click here.

What are the Documents Required for Health Insurance Claims?

The documents you need to submit for a health insurance claim depend on whether you opted for cashless treatment or a reimbursement claim. You don’t need to submit anything besides a pre-authorisation form and your policy/insured member details for a cashless hospitalisation. However, you need to submit the following documents if you opted for a health insurance reimbursement claim:

  • Duly filled claim form – You can download the claim form from here (Select ‘Health Insurance’ > Select ‘Claims’ > Download Claim Form)
  • Government-issued ID proof of the insured member
  • KYC form
  • NEFT details or cancelled cheque copy
  • Discharge summary (with details of complaint & treatment availed)
  • Final hospital bill (with detailed break-up), along with interim bills & payment receipts
  • All investigation reports and pharmacy bills supported by doctor's prescription
  • Any other documents required by the insurer

For more details, click here.

What are the Documents Required for Health Insurance Claims

How to Download Health Insurance Policy Document Online?

You can quickly download your ICICI Lombard health insurance policy document online by following these steps:

1

Log in

Log into our website or IL TakeCare App using your registered mobile number and complete the OTP verification.

2

Policy Dashboard

After you log in, you’ll be able to see all the policies linked to your number in the ‘My Policies’ or Policy Dashboard section.

3

Download Policy Document

Select the relevant health insurance policy and tap on ‘Download Policy Document’ to get the PDF instantly.

You can check out the brochures and policy wordings of our health insurance policies here (Select ‘Health Insurance’ > Select ‘Brochure’ or ‘Policy Wordings’).

How to Renew Health Insurance Online?

Renewing your ICICI Lombard health insurance policy is quite hassle-free. Just follow these steps to renew your health insurance online:

1

Visit our website

2

Under the Renewals tab, click on ‘Health Policy Renewal’

3

Choose how you want to proceed: Policy Number/Registered Mobile Number/Loan Account Number

4

Enter the required details and click on “Proceed”

5

Review your health insurance policy. You can also increase your sum insured and/or opt for add-ons.

6

Pay the applicable renewal premium to stay protected with ICICI Lombard.

Note: Remember to renew your health insurance policy before the expiry date mentioned in your policy document.

How to Renew Health Insurance Online

What is Portability in Health Insurance?

Portability gives you the option to switch your existing health insurance from one insurer to another whilst retaining your accrued benefits. These benefits can include your waiting period credits for pre-existing diseases, maternity and more. Health insurance portability gives you the option to opt for better sum insured, features and services from a trusted health insurance provider.

Porting to an ICICI Lombard health insurance policy is quite simple. You need to raise a portability request about 45-60 days prior to your current policy’s renewal date. We will review your portability and proposal forms, check your medical and claims history, and then decide whether to issue a health insurance policy based on our underwriting rules.

Port Existing Policy
    

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Frequently Asked Questions on Health Insurance

  • General
  • Coverage
  • Premium
  • Claims
  • Renewal

What is sum insured in health insurance?

Sum insured is the maximum amount that an insurance company will pay in the event of a claim in a policy year. Suppose you have an annual sum insured of ₹10 lakhs and your hospitalisation bill amounts to ₹12 lakhs. In this case, your insurer will pay up to ₹10 lakhs as per the policy’s terms and conditions.

What do you mean by a pre-existing disease?

A pre-existing disease refers to any health condition or illness diagnosed about 36-48 months prior to buying a health insurance policy. You need to complete the applicable waiting period before your policy starts covering the disclosed pre-existing disease.

What do you mean by waiting period?

Waiting period is the specified period of time you need to wait before you can enjoy coverage for certain illnesses, treatments or pre-existing diseases.

If I increase my sum insured at the time of renewal, does a waiting period apply?

Yes. The increased sum insured will attract a waiting period.

My employer provides me with a health insurance. Do I still need one?

Yes. While having a corporate health insurance is helpful, the coverage ends when you switch jobs. Therefore, it is important to insure yourself with a comprehensive health insurance to ensure continuous, customisable coverage.

From what age can I include my children in the plan?

You can include your children aged 90 days to 30 years in your family floater health insurance policy.

Which is the best health insurance policy for me?

It depends on your needs. For example, you can opt for a family floater health insurance if you want to cover multiple family members under a single policy. However, you can also opt for an individual health insurance policy for wider coverage.

What is the advantage of buying health insurance?

Health insurance not only protects you from rising medical costs but also provides cashless hospitalisation, day care treatments, wellness programmes, health check-ups, etc. Apart from this, you can also get tax benefits on your health insurance policy under the old tax regime.

Can a person have more than one health insurance policy?

Yes. You can buy multiple health insurance policies to cover your medical costs. If one insurer rejects your claim, there is still a chance that others may accept as per their terms and conditions.

How does lifestyle (smoking/alcohol consumption) affect health insurance premium?

Smoking or drinking regularly may increase the chances of health issues in the future and health insurance companies factor it into their underwriting and pricing structure.

What is the right age to buy a health insurance policy?

Health insurance premiums are generally lower when you are young and healthy. This helps you save money. Additionally, buying early helps you complete waiting periods for specific illnesses before you might actually need them.

What is the difference between sum insured and sum assured?

Sum insured is the maximum amount you can get when you file a health insurance claim whereas sum assured is the fixed payout paid under a life insurance policy on death or maturity.

Is health insurance mandatory in India?

No, but it is strongly recommended as health insurance policy protects you against rising healthcare costs.

Can NRIs or foreigners living in India buy health insurance?

Yes, NRIs can buy medical insurance for themselves and their families (spouse, children and parents) residing in India, subject to underwriting norms.

Can minors buy health insurance independently?

No. Minors cannot buy a health insurance policy. Parents can cover their children aged 90 days to 30 years under their family floater health insurance.

Does health insurance cover OPD expenses?

Yes, OPD expenses are covered only if you have opted for the OPD+ rider or BeFit add-on with your ICICI Lombard health insurance policy.

Is health insurance valid outside India?

Most health insurance policies offer usually domestic coverage. However, you can opt for Worldwide Cover add-on to get international coverage.

Can I change the nominee during the policy term?

Yes. You can change or update your nominee by submitting an endorsement request via your insurer’s website or mobile app.

Are daycare procedures covered under health insurance?

Yes. Day care procedures/treatment are one of the basic covers offered by ICICI Lombard health insurance policies.

Does health insurance cover modern treatments like robotic surgery?

Yes. Elevate health insurance covers robotic surgeries under its Technological Advancements and Treatments cover.

Are diagnostic tests like MRI, CT scan and PET scan covered?

Yes, health insurance policies cover diagnostic tests when they are part of hospitalisation and medically necessary.

Is home treatment or domiciliary hospitalisation covered?

Yes, if treatment is taken at home due to medical necessity and subject to policy conditions.

Are alternative treatments like AYUSH covered?

Yes, ICICI Lombard health insurance covers AYUSH treatments.

Does health insurance cover maternity expenses?

You can get coverage for maternity expenses by opting the Maternity Benefit (add-on) available under our Elevate health insurance.

Are ambulance charges covered in health insurance?

Yes. ICICI Lombard health insurance covers road ambulance expenses.

Which diseases are permanently excluded from health insurance?

Depends on your health insurance policy. You can go through the exclusions listed in your policy document for detailed information.

What to do if I am admitted to a non-network hospital?

When you get treatment at a non-network hospital, you need to pay for the medical costs out of your pocket first and later raise the bills with your insurer for reimbursement. You can also check with your insurer to avail cashless treatment through the ‘Cashless Everywhere’ Initiative.

How does the GST waiver affect my health insurance premium?

With the 18% GST waiver, you now pay only the premium amount for your health insurance and no additional taxes. All this without compromising on coverage!

Will my existing health insurance policy also receive the GST benefit?

Yes. All existing health policies that are due for renewal will be GST-free.

How much GST do I have to pay on health insurance?

Effective 22nd September 2025, GST on health insurance has been reduced to 0%. This means your health insurance is GST-free.

Does premium increase every year with age?

Yes. Premiums typically increase with age as the risk of health issues increases over time.

Is it cheaper to buy health insurance at a younger age?

Yes. Buying health insurance early helps to lock in coverage at a comparatively lower premium.

Does choosing a higher deductible reduce premium?

Yes, opting for a higher voluntary deductible amount can lower your health insurance premium.

Are discounts available for buying multi-year health insurance plans?

Yes. ICICI Lombard offers a 10% discount on 2-year policies and a 15% discount on 3-, 4-, or 5-year health insurance (Elevate).

How many years do we need to pay for health insurance?

You need to pay health insurance premium for as long as you want continuous coverage and uninterrupted benefits.

Can I buy health insurance in EMIs?

Yes. You can pay health insurance premium in monthly, quarterly or half-yearly instalments.

How long does health insurance claim settlement take?

It differs from insurer to insurer. ICICI Lombard generally settles both cashless and reimbursement claims within the timelines prescribed by the IRDAI, subject to document submission.

How to avail a cashless treatment?

It’s simple to file a cashless claim with ICICI Lombard. Just follow these steps:

  • Get admitted to a network hospital
  • Inform ICICI Lombard through the hospital’s insurance desk or our website/IL TakeCare App, and submit the pre-authorisation form.
  • Once approved, we will settle the hospital bills as per policy terms.
  • For detailed info, please click here.

What are the documents needed to file a reimbursement claim?

You need to submit a duly filled claims form, ID proof, bank details, discharge summary, final hospital and pharmacy bills, investigation reports, and any other documents requested by your insurer.

Can I track my health insurance claim status online?

Yes, you can easily track the status of your health insurance claim on our website and IL TakeCare App.

What is the maximum number of claims allowed in a year?

You can file multiple claims under a health insurance policy as long as they fall within the sum insured and adhere to policy terms.

Can I increase my sum insured at the time of renewal?

Yes. You can increase your sum insured to your health insurance policy during renewal (subject to payment of additional premium for the enhanced sum insured).

Do waiting periods reset after renewal?

No, waiting periods do not reset as long as you renew your health insurance policy on time.

Is medical test required again at the time of renewal?

Generally, medical tests are not required at the time of policy renewal. Check with your insurer for more information.

What happens if I miss my health insurance renewal date?

Missing your renewal date can lead to your health insurance policy lapse and loss of benefits.

Is there a grace period for health insurance renewal?

Yes, ICICI Lombard offers a grace period of 30 days. You need to renew your health insurance policy during this period to retain your policy coverage and benefits.

Can I port my health insurance policy at renewal without losing benefits?

Yes, you can easily port your health insurance policy without losing your accrued waiting period and benefits.

Why should I port to ICICI Lombard health insurance?

  • High health claim settlement record
  • Option of Anywhere Cashless hospitalisation

How can I port?

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