
ICICI Health Protect Plus Plan
97.16
Claim Settlement Ratio
10601
Network Hospitals
0
Customer Rating
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Get a Quote
97.16
Claim Settlement Ratio
10601
Network Hospitals
0
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
Room Rent
ICICI Health Protect Plus offers coverage for room rent, including both normal and ICU hospitalization, without any sub-limits.
Advanced Treatments
Covers advanced treatments, including robotic surgeries, stem cell therapy (if medically necessary), oral chemotherapy, and modern procedures like targeted therapy.
Co-payment
Does not have a mandatory co-payment for most treatments. However, co-payment may apply for senior citizens or specific medical conditions as per policy terms.
Waiting Period
Initial Waiting Period – 30 days from policy inception, except for accidental injuries.
Pre-Existing Diseases (PED) – Covered after 2 years of continuous policy coverage.
Specified Illnesses & Treatments – A waiting period of 2 years applies to certain listed conditions and procedures.
Cashless Healthcare Providers
10,896+ hospitals across india
Daycare Treatment
Covered under the policy.
AYUSH Treatment
Covered under this policy
Room Rent
ICICI Health Protect Plus offers coverage for room rent, including both normal and ICU hospitalization, without any sub-limits.
Advanced Treatments
Covers advanced treatments, including robotic surgeries, stem cell therapy (if medically necessary), oral chemotherapy, and modern procedures like targeted therapy.
Co-payment
Does not have a mandatory co-payment for most treatments. However, co-payment may apply for senior citizens or specific medical conditions as per policy terms.
Exclusions
Any illness, disease, or injury that existed before policy inception is excluded until 48 months of continuous coverage have elapsed.
Medical expenses incurred within the first 30 days from the policy start date are not covered, except those arising from accidents.
Treatment for certain conditions, such as cataract, hernia, hydrocele, and sinusitis, is excluded during the first two years of coverage.
Expenses related to self-inflicted injuries, including suicide attempts, are not covered.
Medical issues arising from the use or abuse of alcohol, drugs, or other intoxicants are excluded.
Expenses for cosmetic or plastic surgery, unless necessitated by an accident or medically required, are not covered.
Routine dental treatments, eye examinations, and the cost of spectacles or contact lenses are excluded.
Treatment for congenital diseases, defects, or anomalies is not covered.
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