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The beneficiary can avail cashless hospitalisation in network hospitals empanelled under the scheme subject to the terms and conditions/limits of the policy. It is a purely cashless policy. Reimbursement of claims is allowed only in case of pre and post hospitalisation.
The annual Limit (per family) `5,00,000 (sum insured)
It is a purely Cashless Policy. Reimbursement of claims is allowed only in case of Pre & Post Hospitalization
Benefit Plan under the Scheme
Maternity is covered subject to the following conditions:
Claim in respect of delivery for only first two children and or operation associated therewith shall be considered in respect of any one insured person covered under the policy or any renewal thereof.
Expenses incurred in connection with voluntary medical termination of pregnancy during first twelve weeks from the date of conception are not covered.
Pre-natal and post-natal expenses are not covered unless admitted in recognised hospital/nursing home and treatment is taken there.
The following shall not be included in the Scheme:-
The scheme allows reimbursement of medical expenses incurred towards the ailment/disease for the hospitalisation that was necessitated 30 days prior to hospitalisation and upto 60 days after discharge.
Insured will meet cost of pre-post admission investigations and medicines that do not fall during the course of hospitalisation. ICICI Lombard will reimburse the cost of medicines and investigations, only to the extent to which the same is prescribed by the treating doctor and which have direct relation to the diagnosis for which the cashless claim has been approved.
The insured is to submit the following documents within 90 days at the below-mentioned address:
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