What do you mean by a pre-existing disease?
Any condition, ailment or injury or related condition(s), for which you have had signs or symptoms, and/or were diagnosed, and/or received medical advice/treatment, within 36 months prior to the first
policy with the insurance company is called a pre-existing disease.
What do you mean by waiting period?
The duration after which you can make a claim is called a waiting period. Our waiting periods for ICICI Lombard Health AdvantEdge and Health Booster policy are as below:
- No waiting period for accidental hospitalisation.
- 30 days for all claims other than accidental hospitalisation.
- 2 years for pre-existing diseases. These diseases should be declared at the time of proposal and accepted by us for policy with sum insured of ₹3 lakh and above.
- 2 years for standard list of diseases and procedures.
What does annual sum insured mean?
Annual (basic) sum insured is the maximum amount that an insurance company will pay you in the event of a claim in a policy year.
If I increase my sum insured at the time of renewal, does a waiting period apply?
Yes, a waiting period will apply only to the added sum insured.
My employer provides me with a health insurance. Do I still need one?
Numerous employers offer group or individual health plans. However, these are not customised as per your needs and may have certain restrictions and limitations. Also, the coverage is dependent on the
continuation of the job. Once you quit, you cannot avail the health plan benefits. Therefore, it is important to insure yourself with a comprehensive cover that lets you customise as per your needs. For
example, for a family of 4 members, a sum insured of ₹2 lakh-₹3 lakh provided by your employer may be inadequate.
From what age can I include my children in the plan?
You can include your children aged between 90 days to 20 years in your policy. Newborns can be included after 90 days of birth. However, your daughter or son cannot be shown as a ‘dependent’ if they file
a joint tax return.
Which health insurance policy is ideal?
If you have a family, you should choose a family floater health insurance over an individual health plan. It not only protects your entire family but also helps you save a lot on premiums.
What is the advantage of health insurance?
Health insurance plans provide cover for unexpected medical expenses. It covers an array of costs incurred on daycare procedures, hospitalisation, ambulance and domiciliary hospitalisation. Apart from
this, you can also get tax benefits on your health insurance policy.
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 its terms and conditions.
What is the right age to buy a health insurance policy?
It is recommended that you obtain a health insurance policy as soon as possible. Purchasing insurance at a young age allows you to earn an additional sum insured for every claim-free year under your
policy. And as you get older, you will be able to accumulate higher and better coverage.
What to do if I am admitted to a non-network hospital?
If you get admitted to a non-network hospital, you have to pay for the medical treatment costs out of your pocket. Post-discharge, you can submit all the relevant documents such as medical bills and
ambulance receipts for the reimbursement claim. Post verification, the claim amount will be transferred to your bank account.