What is a family floater insurance plan under ICICI Lombard Health AdvantEdge policy?
Family floater insurance is a single health insurance policy that will cover one or more members of your family. They can be your legally wedded spouse, dependent parents and parents-in-law, and dependent children in the age group of 3 months to 25 years. It doesn’t cover children above 18 years of age who are financially independent.
What is ICICI Lombard Health AdvantEdge product?
This product covers basic healthcare benefits like hospitalization, day care, domiciliary hospitalization, critical illness cover, and more. It also has value-added services. With a plan of sum insured Rs.5 lakh or above, the policy also provides maternity insurance and newborn baby insurance.
How does a family floater plan under ICICI Lombard Health AdvantEdge work?
The total sum insured in a family floater plan is available for each member in the policy. So, if the total sum insured is Rs.10 lakh, and member 1 makes a claim of Rs.3 lakh, Rs.7 lakh will be the available sum insured amount for the remaining members in the plan.
What is the age limit for taking this policy?
The minimum age for taking this policy is 18 years, and the maximum is 65 years.
How can I switch my current insurance to ICICI Lombard?
If you wish to switch your existing insurance to any ICICI Lombard plan, please provide your application and a duly filled portability form along with your previous policy documents. Kindly share these at least 45 days before the renewal date of your existing policy.
What is the difference between base coverage and add-ons?
The base coverage is in-built in the policy. The add-ons are optional; you can add them to the policy by paying a small additional premium to enhance the coverage.
How much premium qualifies for tax benefits?
With Income Tax benefits under Sec 80D, you can claim tax deduction up to a maximum of Rs.25,000 when you purchase policy for self, or spouse, or children. For dependent parents aged above 60, you can claim a tax deduction up to a maximum of Rs.50,000.
Are all the major corporate hospitals on the network?
There are 6700+ network hospitals where you can avail cashless facilities.
If your treating hospital is not a network hospital, you can claim reimbursement.
Is overseas treatment for an illness covered?
Any form of treatment taken outside India will not be covered. If you opt for worldwide coverage, it is included
Will ICICI Lombard Health AdvantEdge Insurance pay for maternity expenses?
With Royal or Apex plan in Health AdvantEdge product, you can avail maternity benefit and newborn coverage.
Will ICICI Lombard Health AdvantEdge Insurance cover hospitalization expenses for COVID-19?
Yes. Covid-19 related hospitalization is covered in the 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:
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Credit Card – Make secure premium payment with your VISA, Master, AMEX, RuPay or Diners Club card.
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Net banking - Transfer the premium amount online through ICICI Bank or any of the other 50+ banks.
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Debit Card – Just enter your bank’s debit card details to pay your insurance premium directly.
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UPI and e-wallets - Pay through UPI apps such as Google Pay, BHIM UPI & PhonePe, or an online wallet.
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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 assesse,
spouse, dependent children and parents (whether dependent 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.
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If you move to a higher age band at the time of renewal, the premium will change as per the new age band.
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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 intimate my claim for ICICI Lombard Health AdvantEdge Insurance after hospitalization?
During hospitalization, you need to intimate us. Post hospitalization, you can claim reimbursement
of the expense. To intimate or claim, you can choose any of the following ways:
Whom do I call at the time of emergency hospitalization?
You can contact us on our toll-free number 1800 2666 or SMS "HEALTHCLAIM" to 575758 to receive a call back. To avail cashless service,
use the health card at any network hospital.
For cashless emergency hospitalization, we need to be contacted within 24 hours of hospitalization.
Do I have to pay any amount while claiming ICICI Lombard Health AdvantEdge Insurance?
This plan offers 0% copay. You can choose to opt for 10% and 20%.
What do I do if my claim is rejected?
If your claim is rejected, you can ask the reason for such rejection.
If you’re not convinced, you can contest the decision.
A claim can be rejected for several reasons like an incomplete waiting period,
incorrect information provided and delay in making a claim.
Lombard Health AdvantEdge Insurance?
Health AdvantEdge has 3 plans:
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Prime: 3/4 Lacs
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Royal: 5/7.5/10/15/20/25/30/40/50 Lacs
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Apex: 75/100/150/200/300 Lacs
I have an individual health insurance policy where I wish to add my spouse. Is it possible?
You can change your policy to a family floater health insurance policy at the time of
renewal and easily add your spouse to it.
You can add family members to your existing health insurance policy for the family at the time of renewal.
You can initiate this process by visiting the ICICI Lombard website.
However, keep in mind that except for a newborn, you cannot add dependants in
the middle of your insurance plan.
What is the tenure for ICICI Lombard Health AdvantEdge policy?
Each policy period is 1 calendar year from the date of purchase.
Do I need to undergo a pre-medical check-up while buying ICICI Lombard Health AdvantEdge policy?
No, you don’t have to go for a pre-policy medical check-up if your age is below 45 years.
However, a pre-policy medical check-up is compulsory if your age is 45 years or above.
Your medical examination will be done at our designated diagnostic centers.
We will return the cost incurred for the test in case your proposal for Arogya Sanjeevani Policy,
ICICI Lombard, is accepted.
What happens if I don’t renew my policy on time?
We provide a grace period of 30 days from the expiry of the policy. Beyond this period, you lose your renewal benefits.
You will have to apply for a fresh policy post the grace period.
Can I cancel my ICICI Lombard Health AdvantEdge policy?
We provide a 15-day free look period. You may cancel this policy in the free look period by
giving us written notice, and then we shall refund the premium.