What is ICICI Lombard MaxProtect?
ICICI Lombard MaxProtect is a high-sum insured (1 crore and more) comprehensive health insurance policy that covers various medical expenses and offers additional features and benefits when you
fall sick or get injured.
Why should I get the MaxProtect 1 crore health insurance policy?
Health insurance provides financial protection and ensures you can afford medical treatment when needed. By opting for a sum insured amount of 1 crore, you can rest assured that all your emergency
medical expenses will be covered. This will enable you to focus on your recovery and get access to the best medical facilities for your or your family's treatment.
What are the benefits of ICICI Lombard MaxProtect?
MaxProtect offers extensive hospitalisation, treatments, additional services, and more coverage, with a high insurance sum of up to 1 crore that enables you to access the best doctors and
hospitals for your treatment in your time of need.
What is the age limit for buying this policy?
The minimum age limit for taking this policy is 21 years, and the maximum is 65 years.
Can I buy the MaxProtect policy for my whole family?
Yes, you can purchase MaxProtect for your entire family, including your spouse, children, and parents, providing them with substantial insurance coverage.
How do I contact ICICI Lombard for more information?
Read through the ICICI Lombard MaxProtect web page for more information on covers & exclusions or contact customer service for more details about the MaxProtect policy and its benefits.
What does the MaxProtect policy cover?
The MaxProtect policy covers hospitalisation expenses, treatments, pre and post-hospitalisation expenses, modern treatments, emergency medical services, international coverage (Premium plan only),
and more. Please refer to the policy document for detailed coverage information.
Can I avail treatment outside India under this policy?
Yes, the MaxProtect premium plan covers medical expenses outside India post a waiting period.
Will the health insurance cover hospitalisation expenses for COVID-19?
Yes. Covid-19 related hospitalisation is covered in the policy.
Does the MaxProtect policy cover surgeries?
Yes, MaxProtect covers the costs of surgeries, including the expenses incurred pre & post your surgery, up to the generous coverage limit of 1 crore.
Will my doctor's fees be covered under this policy?
Yes, the policy covers doctor's fees incurred during hospitalisation and medical expenses before and after hospitalisation for follow-up checkups.
Are all the major corporate hospitals on the network?
With ICICI Lombard's Anywhere Cashless service, you can get hospitalised in any hospital near you by informing us 24 hours beforehand. You can claim reimbursement if you need emergency
hospitalisation and cannot tell us ahead.
What treatments are covered under additional treatment coverage?
Additional coverage includes day care treatments, modern treatments, AYUSH treatments, and bariatric surgery.
Does the policy cover emergency medical services like ambulance expenses?
Yes, MaxProtect covers expenses for road ambulance and air ambulance services in critical emergencies.
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 are the premiums calculated for the MaxProtect policy?
The premiums for the MaxProtect policy are based on factors such as age, sum insured, policy duration, and any optional add-ons chosen.
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.
What is the grace period for making a premium payment?
A grace period for payment of premium of 30 days applies for premium payments. If the premium is not paid within the grace period, the policy shall lapse and cover shall cease.
Are there any discounts available on the premiums?
Yes, ICICI Lombard offers a 10% discount on premiums if purchased online via the website, 10% & 15% discounts for 2 & 3-year multi-year policy purchases & 10% employee discounts.
What factors can affect the premium amount?
Age, sum insured, add-ons, and pre-existing conditions can affect the premium amount.
How can I calculate the premium for this product?
Please refer the rate chart for checking premium for this policy
How can I raise my health insurance claim post-hospitalisation?
In case of planned hospitalisation, you can pick any hospital of your choice to avail of the Anywhere Cashless hospitalisation feature, by informing us 24 hours before. 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.
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.
How can I file a claim for MaxProtect health insurance policy?
We have a 3-step claims process:
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Step 1: Claim Reporting - You can report your claims online, at our branches, central office, via SMS, email or through our call centre as per your convenience. Once you have uploaded
all the documents required to process your claim, we take 14 days to respond with an acceptance, rejection or queries.
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Step 2: Claim Processing - Our dedicated ClaimCare team will assess your claim and inform you if any more documents need to be submitted. Post receiving all the necessary documents, we
will process your claim request.
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Step 3: Claim Settlement - Once your claim is intimated and we receive all the relevant documents, we will settle your claim.
How long does it take to settle a claim?
ICICI Lombard aims to settle reimbursement claims within 14 days of submitting all claim documents. For cashless claims, we respond within 2 hours for pre-authorisation approval for cashless
payments.
Am I allowed to change the policy term for MaxProtect insurance cover once I have bought the policy?
No, the policy term cannot be changed once the policy is issued.
Can I return the policy if I am not satisfied with it?
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.
Do I need a pre-medical check-up before buying the MaxProtect policy?
You will be informed if you need to get a medical check-up done based on the health details submitted by you. Generally, if you're above 45 years of age, then a pre-medical check-up will be
required.
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, including continuity benefits required to cover pre-existing diseases. You
will have to apply for a fresh policy post the grace period.
How do I purchase the MaxProtect policy?
You can purchase the MaxProtect policy online through the ICICI Lombard website or by contacting our customer service helpline.
Can I add my family members to the MaxProtect policy?
Yes, you can add your spouse, children, and parents to the MaxProtect policy under the family floater option.
Can I customise the coverage as per my needs?
The MaxProtect policy offers a range of coverage options that can be customised to suit your requirements, including selecting the desired insurance coverage of 50 lakhs, 1 crore & more.