ICICI Lombard Health Advantage Plus
The objective of this policy is to cover the expenses of inpatient and outpatient treatment in a single policy.
It is more suitable for individuals as the maximum coverage allowed is Rs 3 lakh which may not suffice to protect two members.
What does it do?
This policy covers both inpatient and outpatient treatments. The cover for outpatient treatment however, is restricted up to a fixed sum that varies with age and basic sum insured. Procedures which do not require a 24-hour stay in hospital due to technological advancements are also covered.
Apart from these benefits, the policy provides a cover for Swine flu or H1N1 influenza only if it did not exist at time of taking the policy. It can be bought either as an individual policy or as a floater policy for two adults. In case of floater policy, the floater benefit ends at 55 years of age, after which the policy may be continued as an individual cover.
It provides cover against Swine flu/ H1N1 influenza.
This policy can be bought online.
Premium paid towards this policy can be availed as deduction under section 80D of IT Act.
It provides no-claim bonus for each claim-free year
Floater policy benefits can be availed until 55 years of age beyond which the policy continues as an individual cover.
It provides cover of only upto Rs 3 lakh which may not be sufficient for two adults at higher age.
This policy does not cover beyond 70 years of age
Though the policy features a decent coverage at fair premium rates, lower policy renewal age tarnishes the policy. Old age is the stage when a health cover becomes a necessity. Buying a new policy at higher age will be expensive as a 70-year old will not be as healthy as a 30-year old. Even the policy coverage will shrink as compared to a policy bought when young. In addition, the waiting period, no-claim period will start all over again.
|Entry Age (years)|
|Maximum Policy Renewal Age (years)||70|
|Coverage Type||Individual/ floater (2 adults)|
|Sum Insured (Rs)|
|Policy Term (years)||1|
|No Claim Bonus||No claim bonus of 5% on continuous renewal upto 50% of initial sum insured|
|Pre Policy Medical Check Up||Not required upto 45 years of age|
|Policy Termination||Either of the policyholder or insurer can terminate the policy by giving a 15 days notice|
|Address||ICICI Lombard General Insurance Co. Ltd.|
401-402, Interface Bldg; No.11,
Link Road, Malad (West),
Mumbai - 400064.
|Mail to||[email protected]|
|Call to||1800 2666|
Additions to the Plan
|Scope Of Cover|
|Cashless Facility||available at network hospitals|
|Reimbursement facility||available at non-network hospital|
|Pre and post hospitalisation||covered; 30 days prior and 60 days post hospitalisation|
|Day care procedures||covered|
|Swine Flu/ H1N1 influenza||covered if not pre-existing|
|Outpatient Department||covers orthopedic, maternity, dental and general practitioner on a reimbursement basis|
|Exclusions and Waiting Period|
|Pre-existing disease||covered after 2 years of continuous years of coverage with the company|
|No claim period||first 30 days from inception of the policy.|
|Waiting period||certain treatments and conditions such as cataract, hernia, arthritis, sinusitis and dialysis will be covered after 2 years from policy inception|
|General exclusions||non-allopathic treatmenttreatment for HIV/ AIDS or related condition|
|Annual Premium and OPD benefit|
|Sum Insured (in Rs.)||2 lakh||3 lakh|
|Age (in years)||OPD* Cover||Premium||OPD* Cover||Premium|
|*Out Patient Department cover|
|** Age of proposer should be 18 yrs or above|