
ICICI Lombard Elevate
97.16
Claim Settlement Ratio
10601
Network Hospitals
8.8
Customer Rating
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97.16
Claim Settlement Ratio
10601
Network Hospitals
8.8
Customer Rating
Our Verdict
Expert Review: ICICI Lombard Health Insurance
Final Verdict
About
About ICICI Lombard Health Insurance
Inclusions and Exclusions
Inclusions and Exclusions of ICICI Lombard Insurance Company Limited
Post-Hospitalisation
You get cover for medical bills up to 180 days after discharge, including physiotherapy if your doctor prescribes it.
Maternity Cover
No. However, available as an add-on.
AYUSH Treatment
Covers AYUSH treatment expenses up to your annual sum insured during the policy period
Disease-wise sublimits
No
Co-payment
Available as an option
Coverage Options
Available sum insured options: ₹5L, ₹7.5L, ₹10L, ₹15L, ₹20L, ₹25L, ₹50L, ₹1 Cr, ₹3 Cr and unlimited sum insured
Deductible Option
Not available
PED Waiting Period
3 years
Consumable Cover
No. However, available as an add-on
Outpatient Department Cover (OPD Expense)
OPD expense is not included as part of base cover. However, available as an add-on
Restoration Benefit
Yes, your sum insured restores to 100% each time you make a claim in a policy year, for both related and unrelated illnesses
Annual Health Checkup
Health checkup is not included as part of base cover. However, available as an add-on
Initial Waiting Period
30 days
ICU Charges
No restriction on ICU room rent
Claim Settlement Ratio
97.16%
Pre-Hospitalisation
You get cover for medical tests and doctor visits up to 90 days before hospitalisation, if your main claim is approved
Room Rent
Single private AC room is included as part of base cover. However, you can opt for Room Modifier Add-on to upgrade or downgrade the room category
Specific Waiting Period
2 years
Cumulative Bonus
Your sum insured increases by 20% every year maximum upto 100%. However, you can pay an additional premium to increase sum insured up to 100%, every year.
Modern Treatment
Hospital expenses for listed advanced treatments are covered up to your full sum insured during the policy period
Daycare Treatment
Covers medical expenses for treatments not requiring 24-hour hospitalization, up to annual sum insured
Cashless Healthcare Providers
10300+ Healthcare Providers
Post-Hospitalisation
You get cover for medical bills up to 180 days after discharge, including physiotherapy if your doctor prescribes it.
Maternity Cover
No. However, available as an add-on.
AYUSH Treatment
Covers AYUSH treatment expenses up to your annual sum insured during the policy period
Exclusions
Injuries or diseases resulting from war, invasion, or warlike operations are not covered.
Illnesses due to nuclear, chemical, or biological attacks or weapons are excluded from coverage.
Expenses for prosthetics, corrective devices, and external durable medical equipment (e.g., wheelchairs, crutches) are excluded unless required due to an accident or during surgery.
Procedures related to natural teeth and gums are not covered, except when hospitalization is required due to an accident.
Expenses related to sterility and infertility treatments are excluded from the policy coverage.
Add ons
Add-Ons
Specific Illness Waiting Period Reduction
2 hours Hospitalisation
Jump Start
Worldwide Waiting Period Reduction
Insurance Premium Calculator
Insurance Premium Calculator
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About the company
About the company
FAQs
Frequently Asked Questions
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