ICICI Lombard
Health AdvantEdge
ICICI LOMBARD Health Advantage is a plan built for people looking to cover outpatient consultations and expenses. It covers a bunch of OPD treatments, includes a critical illness rider and extends some protection for maternity expenses. If you’re looking for a plan that offers coverage for outpatient consultations, this could be a decent choice. However, ICICI Lombard’s claim settlement ratio is less than desirable and this is something you should keep in mind.
What's good here?
You’ll never have to split the bill
The insurer will bear the entire cost of treatment (up to the sum insured). You won’t have to pay a single penny. Meaning this policy has no co-payment.
The insurer will bear the entire cost of treatment (up to the sum insured). You won’t have to pay a single penny. Meaning this policy has no co-payment.
You can pick any room you like
Shared room, single room, deluxe room or any room that’s available. The insurer won’t nitpick on your choice of room since the policy has no restrictions on room rent.
Short waiting period for Pre Existing Diseases
If you’re already dealing with diabetes, cardiovascular problems or any such illnesses, the insurer will cover all costs arising out of these pre-existing problems after just 2 years. It’s probably the best deal you can get to be honest.
Good Restoration Benefit
Even after you claim part of the cover on one occasion, you will have 100% of the cover restored, so that you can use this benefit in the event you have to endure multiple hospitalizations.
Special Bonus for being healthy and not claiming insurance
Your sum insured increases by 20% each year, so long as you make no claims during this period. But before you get too ahead of yourself, do note that they’ll stop offering you the bonus when your sum insured increases by 100%. But hey, it's still a bonus.
Full coverage even if you are forced to hospitalize at home
The insurer will bear the costs even if you are hospitalized at home due to a condition or the hospital running out of beds. In insurance lingo, they call this a policy with domiciliary cover.
You always have full cover irrespective of the disease
No funny business here. If your insurer hasn’t explicitly stated they won’t cover a certain illness, you can claim the full amount up to the sum insured, irrespective of the disease you’re dealing with. Meaning this policy doesn't impose the dreaded disease wise sub-limits.
Pre & Post hospitalization expenses covered
No worries if the doctor had to run a host of diagnostic tests before or after hospitalizing you. The insurer has your back. They will cover this amount in full for a pretty reasonable duration - 60 days before you are hospitalized and 180 days after discharge. This includes the cost of medication by the way.
Day Care treatments covered
If you’re hospitalized for less than 24 hours in lieu of a minor procedure, then the insurer will cover these costs too. Think dialysis, chemotherapy or minor surgeries.
Free Health Checkups every year
If you’re planning on getting a full body checkup every year just to make sure you’re in fine working condition, the insurer will cover the costs.
Covers Alternative Medicine
Think of getting Ayurvedic, Homeopathic or other alternative treatments to cure an illness? Your insurer will cover you fully, up to the sum insured.
Add-ons
Sum Insured Protector
With this add-on, the insurer will increase your cover in line with inflation every year.
Annual Health Check-ups
With this add-on, you get free health checkups every year subject to certain limits and tests prescribed in the policy document. However you can only claim this on a cashless basis at one of the network hospitals.
Maternity
With this add-on, you get added coverage for maternity expenses i.e. childbirth . However, the coverage is limited to 10% of the base sum insured maximum up to ₹1 Lakh with Maternity Waiting Period of 9 months (if the plan is taken for 3 years in a single shot).
Critical Illness
With this add-on you get a lumpsum payment in the event you are diagnosed with critical illnesses outlined in the policy document.
Claim Protector
With this add-on, you also get extended coverage for generally excluded items like syringes, gloves, PPE kits etc.
BeFit cover
With this add on, you can get coverage for outpatient and e-consultations i.e. doctor visits.
Hospital Cash
With this add-on, the insurer will hand out cash every day you stay at the hospital subject to certain limits. The cash is expected to replace your income during the course of your hospitalization.
Personal Accident cover
With this add-on, the insurance company will payout a lumpsum of 100% your sum insured, in case the proposer of the policy passes away in an accident. The payout will be made subject to a cap of 50 lakh in total.
Frequently Asked Questions
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