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ICICI Lombard Health Advantage

What are the features of ICICI Lombard Health Advantage

  • 3 Cr Coverage
  • Cover your pre exisitng with tele medicals
  • New born baby and vaccine cover
  • No Room rent capping
  • 24x7 video/telephone consultation

Who should buy a health insurance and when

Infographic - Increase in lifestyle disceases at certain age bands and medical cost. Buy early to manage Waiting period

OR

Gif showing life cycle and insurance needs at each milestone

How much cover do I need

Calculate cover basis avaialble information / ask for input

Get a 5 Lac health cover for

<<7433>>

What is the difference between Individual plan and family floater. What the benefits ?

Individual plan covers only 1 person whereas in a family floater plan you can cover Yourself + Spouse + Parents + Children

Benefits : One policy for family / cost benefit of buying one policy instead of multiple individual policies

Whom can I cover in this policy

  • Parent max age at the time of buying policy not more than 65 yrs
  • Child minimum age 91 days and maximum age 25 yrs

Checklist when buying a health insurance policy

Pointers to be considered when buying a health insurance policy

Claim settlement ratio is the ratio of claims paid out of the total number of claims received by an insurance company during a financial year. It is one of the most reliable factors that indicate if an insurance company handles the claims of the customers well or not.

  • a 90% claim ratio means that the company is setlling 90 claims out of 100 claims registered Industry claim ratio is XX% and ICICI Lomabard claim ratio is 99.7%

Exclusions are the conditions for which the insurance company does not provide coverage. Some exclusions are permenant and some have a waiting period. When buying you should read the exclusions carefully

  • War, civil war or breach of law is a permemnant exclusion
  • For the first 2 years, some diseases like cataract, hernia, stone in the urinary system and others will not be covered.

Room rent capping is the limit of hospital room cost that is borne by the insurance company. This capping can either be a whole figure that states how much room rent expenses are paid by the insurer or as a specific percentage of the sum assured.

This product does not have any rent room capping

These are the hospitals at which you can avail cashless health insurance service in case you get treatment which is subject to the terms and conditions associated with the policy. It is critical for cashless claims. ICICI has 11400+ network hospitals. Click here for full list.

The portion of the medical expense that a policyholder needs to pay when he receives medical services. Co-payment is fixed amount or percentage which is preset for various treatment and services.

In this policy the applicant can choose from 0%, 10%, 20%. In case of multiple policies co payment option helps reduce premium.

Can I cover my ayurveda treatment in this policy

Yes you can cover Ayurveda, Yoga, Unani, Siddha and Homoeopathy. This can be claimed as reimbursement and on 24 hr hospitalization

Does this policy give me free health check up

Yes, on completion of 1 year of policy. Health check up limit 0.5% of SI

What is no claim bonus and how do I get it?

No claim bonus or NCB in health insurance is bonus money added in the sum insured for every claim free year. It is like a reward that policyholder receives for claim free year.

20% of SI maximum upto 100%; Once accrued shall remain guaranteed for the life and shall not get reduced in case of a claim/ Maximum value of GCB that can be accrued is 100%.

Day care procedures can be covered

Restoration of Sum Insured

Restoration benefit is a benefit wherein the insurance company restores the original sum insured after it gets fully exhausted for the treatment of the illnesses.

100% of the base SI shall be made available even in case of partial utilization of SI for hospitalization due to any illness for same person (Applicable from second claims onwards upto the limit of SI + GCB + Restore - 1 st Claim)
<< explain with example>>

Vaccination Cover

Animal Bite (Vaccination) Upto Rs.10,000 & For new born baby in the first year 1% of base SI per newly born child, max upto Rs.10,000

Waiting Period

Intital: 30 days

Specific diseaseas: 2 years

PED: 3 years

Maternity Benefit

waiting period : XX

10% of base SI subject to maximum of 10 lacs in case the maternity benefit is not claimed, next 3 years maternity premium is waived off

Coverage for New born : Twice the maternity cover limit per newly born child over and above the maternity limit