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Our Verdict
Expert Review: ICICI Lombard Health Insurance
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Final Verdict
About
About ICICI Lombard Health Insurance
Inclusions and Exclusions
Inclusions and Exclusions of ICICI Lombard Insurance Company Limited
ICU Charges
No restriction on ICU room rent
Disease-wise sublimits
No
Restoration Benefit
Not available
Cumulative Bonus
Not available
Room Rent
Single Private Room is included as part of base cover. However, you can opt for Room Modifier Add-on to upgrade or downgrade the room category
Co-payment
Not available
Consumable Cover
Yes
Initial Waiting Period
30 days
Specific Waiting Period
2 years
PED Waiting Period
3 years
Modern Treatment
Hospital expenses for listed advanced treatments are covered up to your annual sum insured during the policy period
Annual Health Checkup
Not available
Daycare Treatment
Covers medical expenses for treatments not requiring 24-hour hospitalization, up to your annual sum insured
AYUSH Treatment
Covers AYUSH treatment expenses up to your annual sum insured during the policy period
Pre-Hospitalisation
You get cover for medical tests and doctor visits up to 90 days before hospitalisation, if your main claim is approved
Post-Hospitalisation
You get cover for medical bills up to 180 days after discharge, including physiotherapy if your doctor prescribes it
Outpatient Department Cover (OPD Expense)
OPD expense is not included as part of base cover. However, you can opt for an add-on to avail this coverage
Deductible Option
Available
Cashless Healthcare Providers
10,300+ Healthcare Providers
Coverage Options
Available coverage options: ₹10L, 15L, 20L, 25L, 45L, 50L, 85L, 90L, 95L, 1Cr, 3Cr
Maternity Cover
Not available
Claim Settlement Ratio
97.16%
ICU Charges
No restriction on ICU room rent
Disease-wise sublimits
No
Restoration Benefit
Not available
Exclusions
Expenses related to diagnostic and evaluation admissions.
Costs for bed rest, custodial care, or terminal illness services.
Obesity-related surgeries unless meeting strict medical criteria.
Treatments for gender transition or cosmetic procedures unless medically necessary.
Expenses incurred due to hazardous or adventure sports injuries.
Treatment for alcohol, drug, or substance abuse.
Non-medically necessary infertility and maternity-related expenses.
Experimental or unproven treatments lacking clinical validation.
Add ons
Add-Ons
Cibil Discount
Domestic Air Ambulance Cover
Claim Protector
Teleconsultation
Insurance Premium Calculator
Insurance Premium Calculator
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About the company
About the company
FAQs
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