
Ihealth Icici Lombard Plan
97.16
Claim Settlement Ratio
10601
Network Hospitals
9
Customer Rating
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97.16
Claim Settlement Ratio
10601
Network Hospitals
9
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
Including in-patient hospitalization expenses such as room rent and ICU charges. Notably, there are no sub-limits on room rent or ICU charges.
Co-payment
Does not have a mandatory co-payment for most policyholders. However, for senior citizens or specific policy variants, a co-payment clause may apply, requiring the insured to bear a percentage of the claim amount.
Cashless Healthcare Providers
10,896+ hospitals across india
Waiting Period
Initial Waiting Period: 30 days from policy inception, except for accidental claims.
Pre-existing Diseases (PED): Covered after a waiting period of 36 to 48 months, depending on the plan variant.
Specific Illnesses: Certain listed conditions, like hernia, cataract, and joint replacement, have a waiting period of 24 to 48 months.
Maternity Benefits: If applicable, maternity expenses have a waiting period of 9 to 24 months.
Daycare Treatment
Covered under the policy.
AYUSH Treatment
Covered under this policy
Advanced Treatments
ICICI iHealth covers advanced medical treatments, ensuring access to modern healthcare. It includes robotic surgeries, stem cell therapy (for approved conditions), targeted cancer therapies, and other cutting-edge procedures.
Room Rent
Including in-patient hospitalization expenses such as room rent and ICU charges. Notably, there are no sub-limits on room rent or ICU charges.
Co-payment
Does not have a mandatory co-payment for most policyholders. However, for senior citizens or specific policy variants, a co-payment clause may apply, requiring the insured to bear a percentage of the claim amount.
Cashless Healthcare Providers
10,896+ hospitals across india
Exclusions
Pre-existing diseases are not covered until the completion of the waiting period.
Any illness or treatment arising within the first 30 days of policy commencement, except accidents.
Cosmetic or aesthetic treatments, plastic surgery, or weight control procedures unless medically necessary.
Treatment for alcohol or drug abuse, self-inflicted injuries, or suicide attempts.
Infertility treatments, hormone replacement therapy, and assisted reproductive techniques.
Expenses related to dental or oral treatments unless arising from an accident.
Treatment for congenital diseases, external medical devices, and prosthetics not implanted internally.
Injuries or illnesses arising from hazardous activities, adventure sports, or participation in war.
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