ICICI Lombard Health Advantage Plus

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ICICI Lombard Health Advantage Plus

	Objective			The objective of this policy is to cover the expenses of inpatient and outpatient treatment in a single policy.
Suited for			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.
Pros			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
Cons			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
Our View			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.
Eligibility
Entry Age (years)
Minimum		5
Maximum		65
Maximum Policy Renewal Age (years)		70
Coverage Type		Individual/ floater (2 adults)
Policy Term (years)		1
Sum Insured (Rs)
Maximum		3 lakh
Minimum		2 lakh
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
Customer Service
Address		ICICI Lombard General Insurance Co. Ltd. 401-402, Interface Bldg; No.11, Link Road, Malad (West), Mumbai - 400064.
Mail to		customersupport@icicilombard.com
Call to		1800 2666
Network Hospitals		Https://www.icicilombard.com/Content/ilom-en/Hospital_list/search.asp

 

	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
Inpatient Hospitalisation		covered
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

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