What is ICICI Lombard Elevate policy?
ICICI Lombard's Elevate policy is here to support you throughout your health
journey with a policy designed to cater to your needs at all stages. The
policy offers flexibility in terms of sum insured and a wide range of add-on
covers to choose from. Enjoy value-added services including reward points
for healthy habits, video/tele consultation(s), pharmacy and diagnostic
services, online chat with doctors, second opinions, and more. Additional
benefits include pre-existing disease cover flexibility, domestic and air
ambulance, and convalescence benefits.
How does a family floater policy under ICICI Lombard Elevate work?
The total sum insured in a family floater policy is available for each
policy member. So, if the total sum insured is ₹10 lakhs, and one member
claims ₹3 lakhs, ₹7 lakhs will be the available sum insured amount for all
the members in the policy for that given policy year.
What is the age limit for taking this policy?
Individuals aged 6 (proposer must be at least 18 years old) to 125 years can
take this policy. Children aged 91 days to 5 years are eligible only under a
floater policy.
How can I switch my current insurance to ICICI Lombard?
If you wish to switch your existing health insurance to any ICICI Lombard
plan, please provide your application, including a duly filled portability
form and your previous policy documents. Kindly share these at least 45 days
before the renewal date of your existing health policy.
What is the difference between base coverage and add-ons?
The base coverage is in-built into the policy. The add-ons are optional; you
can add them to the policy by paying a additional premium to enhance the
coverage based on your individual needs and & budgets.
How much premium qualifies for tax benefits?
With Income Tax benefits under Sec 80D, you can claim tax deductions up to a
maximum of ₹25,000 when you purchase a policy for yourself, or spouse, or
your children. For dependant parents above 60, you can claim a tax deduction
up to a maximum of ₹50,000.
Are all the major corporate hospitals on the network?
There are 9500+ network hospitals where you can avail of cashless
facilities. You can claim reimbursement if your treating hospital is not a
network hospital.
Is overseas treatment for an illness covered?
Any form of treatment taken outside India will not be covered. However, if
you opt for worldwide coverage, it is included.
Will ICICI Lombard Elevate Insurance pay for maternity expenses?
Maternity care expenses cover the following for expectant mothers and their
newborns :
- This covers pre and post natal expenses upto the SI amount
- The waiting period of 24 months from the time this cover is opted
- Applicable to all or any female Insured person between age 18 to 50 years
as selected by proposer.
- Available for your spouse provided both are covered under the same family
floater Policy.
What are the different modes of payment on icicilombard.com?
You can choose between any of these payment options to pay your premium
online:
-
Credit Card – Make secure premium payment with your VISA,
Master, AMEX, RuPay or Diners Club card.
-
Net banking - Transfer the premium amount online through
ICICI Bank or any of the other 50+ banks.
-
Debit Card – Just enter your bank's debit card details to
pay your insurance premium directly.
-
UPI and e-wallets - Pay through UPI apps such as Google Pay,
BHIM UPI & PhonePe, or an online wallet.
-
EMI - Use the credit/debit card EMI facility to pay your
premium in instalments
How much premium qualifies for tax benefits?
Under section 80D of the Income Tax Act, you can avail of tax benefits for
premiums paid towards your health insurance policy. The following table
explains total tax deduction for only assess, spouse, dependant children and
parents (whether dependant or not)
Will my premium be the same when I renew my policy?
Your premium depends on your age and the benefit amount/coverage period you
have opted for in your policy. If you move to a higher age band at the time
of renewal, the premium will change as per the new age band.
If you upgrade your product to a higher sum insured at the time of renewal,
add covers or make changes to the coverage period, your premium will
change.
How can I calculate the premium for this product?
Please refer the
rate chart
for checking premium for this policy
How do I avail cashless claim settlement for my Elevate health insurance
policy?
Cashless treatment is available at all our network providers/hospitals
To avail cashless claim settlement:
Step 1: Get treated at any of our network hospitals. Submit a copy of your
health card and photo ID proof at the Hospital TPA (Third Party
Administration) desk during admission.
Step 2: The hospital will send us a cashless approval request along with
necessary documents (pre-authorisation form, investigation reports, past
consultation papers (if applicable), a copy of your health card, photo ID
proof, etc.).
Step 3: We will process your claim request as per policy terms and
conditions.
Step 4: If you have paid any deposit, don’t forget to collect it from the
hospital.
Step 5: Once your treatment is complete, we will settle the claim payment
directly with the hospital.
Step 6: Track your claim status anytime on our IL TakeCare App or WhatsApp
at 7738282666.
If you submit a cashless pre-authorisation request through a network
hospital with all required documents, we will process it within 1 hour of
receiving it. The final approval will be given within 3 hours of receiving
the hospital’s discharge request. Please notify us 48 hours before a planned
admission or within 24 hours in emergencies to avail cashless services.
Non-medical and non-payable expenses will need to be covered by you.
When should I request pre-authorisation?
In case of planned hospitalisation, request pre-authorisation at least 48
hours in advance. And in case of an emergency, request within 24 hours of
hospitalisation.
How long does it take to process a pre-authorisation request?
If a request is made through one of our empaneled network provider/hospital
with complete documentation, then we will respond within an hour. Final
authorisation, however, will be granted within 3 hours of receiving the
discharge request from the hospital.
How can I raise my ICICI Lombard Elevate insurance claim
post-hospitalisation?
In case of planned hospitalisation, pick a hospital within our network to
avail of cashless claims, so you won't have to pay the hospital bills out of
your pocket. You can claim reimbursement for hospitalisation expenses in an
emergency where you must pick a non-network hospital for immediate care. To
raise a reimbursement claim, contact us by using any of the following ways:
Who do I call at the time of emergency hospitalisation?
You can contact us on our toll-free number, 1800 2666 or SMS ""HEALTHCLAIM""
to 575758 for a callback. Use the health card at any network hospital to
avail of our cashless service. Contact us within 24 hours of hospitalisation
for cashless emergency hospitalisation.
For cashless emergency hospitalisation, we need to be contacted within 24
hours of hospitalisation.
What do I do if my claim is rejected?
A claim can be rejected for several reasons, such as an incomplete waiting
period, incorrect information provided, delay in making a claim &
others. If your claim is denied, you can ask the reason for such rejection.
If you're not convinced, you can contest the decision.
I wish to add my spouse to an individual health insurance policy. Is it
possible?
You can change your policy to a family floater health insurance policy at
renewal and easily add your spouse.
What is the tenure for ICICI Lombard Elevate Policy?
You can choose a policy tenure of one, two, three, four, or five years from
the date of purchase.
What is a ‘Free Look’ period in Elevate health insurance policy?
The Free Look period is a 30-day period, starting from the date you receive
your policy document (electronic copy or physical). During this period, if
you review the terms and conditions of the policy and decide to cancel your
policy, you (the insured) will get a refund of the premium paid. The refund
amount will be exclusive of the proportionate risk premium for the coverage
period, any medical examination cost and stamp duty charges.
What happens if I don't renew my policy on time?
If you don't renew your policy on time then a grace period is provided for
renewal—15 days if you pay premiums monthly, and 30 days in all other cases.
If the premium is not paid within the applicable grace period, you will lose
renewal benefits, including continuity for pre-existing disease coverage,
and will need to apply for a fresh policy. Claims occurring during the grace
period are not covered unless the premium is paid in instalments during the
policy period.