ICICI Lombard Health Care Plus Policy

The majority of health insurance takes reasonable care of you, yet occasionally, a single hospital charge can surpass your overall base cover. This is where the ICICI Lombard Health Care Plus Policy comes in.
Health Care Plus is an addition of a safety cushion whether you already have a base plan or not. It comes in when your health costs surge past a particular threshold, known as a deductible. Therefore, after that, this plan takes over the bill instead of you paying the extra out of pocket.

What Is ICICI Lombard Health Care Plus Policy?

ICICI Lombard Health Care Plus is a top-up health insurance scheme, which gives you an additional cover after exceeding a set deductible on your medical bills. You can purchase it without having a base policy making it flexible to individuals who want to avoid costly hospital expenses.
To illustrate, say you have a base policy of two lakh and your hospital bill amounts to six lakh, base plan will pay two lakh, and Health Care Plus will pay the remaining four lakh, assuming you have a deductible so structured.
It is a very good option to those who are self-employed or elderly citizens, or anyone desiring to have their health cover broadened without making their premiums proportionately bigger.

Key Features and Benefits of ICICI Lombard Health Care Plus Policy

• Provides individual cover at fixed sum insured and deductibles combination
• It is renewable after life and can be taken by individuals between the ages of between 5 and 65 years
• Fixed deductibles of two lakh, three lakh and four lakh
• Sum insured of five lakh, eight lakh, and ten lakh
• Single premium at ages
• No sub-limit on room rent or expense on hospital
• No copayment during admissible claims
• Pre-existing diseases are covered after four years
• Coverage begins whenever the hospital bill is more than the selected deductible
• Tax benefits as per the Income Tax Act Section 80 D

Plans available

Note: Premium varies depending on the tenure and plan selected. The policy is available for one or two-year durations.

Wellness Angle and Cost Efficiency

Traditional wellness programs are not mentioned in this plan, but its main strength is cost effectiveness. Your relatively affordable premium can insure you against major hospital bills. It works best with a minimum health insurance scheme or a cover offered by the employer.

Pro Tip: Young career earners who may own a simple corporate health cover solution may combine this plan to receive up to ten lakh of extra cover at a much cheaper premium level than the plain cover policy.

Who Should Buy This Policy?

• Salaried non-electives with group coverage that would like more individual coverage
• Families that want cheap top-up options
• People over the age of 50, where the stand alone policy premiums are extremely high
• Individuals who already had policies with small sum insured
• Parents with young children that desire backup insurance without core premiums

Inclusions

• Hospitalization after the deductible, which is greater than a given limit
• Consultation with doctor, checks, rent of room, operation, nursing
• Pre-existing conditions accepted four years ago
• ICICI Lombard network Hospitals Cashless treatment
• Payments of out-of- network hospital services
• Day one coverage of qualified hospitalization outcomes due to accidents
• Section 80D Income tax benefit
• Single claim or multiple claim choices, subject to a deductible condition

Exclusions

• Any costs spent on treatment that is lower than the deductible amount
• Hypertension, diabetes, and cardiac treatment during the initial 90 days
• Treatment of any sickness within 30 days after start of policy except on accident basis
• Treatments in the dentists unless they are by accident
• Correction of eye up to 7.5 dioptres
• Preventative inoculation or vaccination
• AYUSH treatment such as Ayurveda, Yoga, or Homeopathy
• Domiciliary hospitalisation
• Extradentary treatments
• Non medically necessitated cosmetic surgeries or procedures
• Intentionally inflicted self-injury or adventure sports
• Fertility, maternity or pregnancy treatments

How to Cancel the Policy

ICICI Lombard enables you to surrender the policy by receiving a pro-rata refund, depending on the tenure of the policy. The product offers a free-15 days look to receive full refund in case of unsatisfaction.

Steps:

1. Contact the ICICI Lombard customer care number
2. Disclose policy information and cancellation cause
3. Fill in signed cancellation request, in case necessary
4. Within seven to ten business days, refund is done

Note: Any claims already made or in process will have effects on the refunds.

How to Buy the ICICI Health Care Plus Policy on Fincover?

It is easy, quick, and transparent to purchase a policy under Fincover.

1. Visit Fincover site and select Health Insurance
2. Select top-up insurance or super top-up health insurance
3. Choose ICICI Lombard Health Care Plus in the list
4. Compare plans against deductibles and sum insured
5. Key-in your age, town, and information on family members to be covered
6. Choose the correct plan with your favorable deductible and duration
7. Pay safely and get the e-policy immediately

Real Story
Ajay, age 35, software engineer already had a three lakh corporate health policy. He took Health Care Plus Plan 5 with four lakh deductible, 10lakh sum insured, about six thousand a year. Year later, he had to undergo an operation (which cost 6.5 lakh), and his base plan reimbursed three lakh, and the remaining amount was reimbursed by the top-up plan.

FAQ on ICICI Lombard Health Care Plus

1. In this policy, what is the deductible?

It is the limit you are obliged to pay or cover under an alternative plan before this policy becomes active. To illustrate this, in case your deductible is three lakh, this policy will only cover you when your hospital bill is above three lakh.

2. May I purchase this plan even when I lack other health covers?

It is true. The deductible is still there and you will be required to pay that sum immediately out of pocket in the event of a claim.

3. Do they cover pre-existing diseases.

Yes, they are insured following four years of continuous policy covering ICICI Lombard.

4. Is there any sub limit in room rent or doctor fees

No. The room rent, hospital charges, diagnostic tests, and consultation fee have no sub-limits.

5. Is it possible to claim more than once a year?

Yes, when every claim is more than the deductible amount. When there are more than one claim made, and none of them surpass the deductible, the policy will not pay.