ICICI Lombard Max Protect

ICICI Lombard Max Protect is crafted to ensure that one does not have to worry about a hospital bill ever again. It combines totally unlimited coverage, benefits include infinite reset, incentives, global care and no-hassle visits to any hospital. Have you ever seen health expenses and imagined yourself saying, I just hope my basic coverage is not going to be insufficient? Max Protect was created especially with you in mind.

What is the Max Protect Plan

Max Protect is a high-sum-insured health cover by ICICI Lombard. It has two versions Classic and Premium. They both begin at one crore and extend till unlimited cover. The Premium tier adds global coverages of medically transporting and flying air-ambulance, whereas Classic stays domestic and bony on the features. In any case, the plan gives priority to caps removal, expansion of access, and payment of healthy behaviour.

Key Features and Benefits

• One crore to unlimited sum insured
• Unlimited reset of the same or different illness owned in the course of a policy year
• Loyalty bonus of two hundred percent every year without claims with a maximum of one hundred percent excess cover
• No maximum limit of room rent, except suites; pick any room without penalty
• The pre-hospitalisation cost of sixty days and the post hospitalisation of one hundred and eighty days
• Cover to over nine hundred advanced procedures such as robotic surgery, stem-cell therapy and oral chemotherapy up to one crore
• 24 x 7, unlimited teleconsultation with general practitioners and specialists
• More than seven thousand hospitals with cashless treatment and the possibility of the Anywhere Cashless service is available upon request
• AYUSH-in-patient, bariatric surgery, up to one lakh home-care treatment and domiciliary care
• Claim protector takes insurance of non-payable consumables like gloves and bandages
• Road ambulance below 10 000 rupees per hospitalisation and air ambulance up to the sum insured on Premium
  Second medical opinion critical illness, paid worldwide
• Value-added in terms of the Health Assistance Team of booking beds, ordering medicines or physiotherapy
• Section 80-D Tax benefit on premiums

Pro tip Couples or young families tend to use their employer program on an everyday basis and add on
As a safety net without limits, Max Protect. The overall price remains well short of the price of purchasing an equally large base policy.

Coverage Snapshot

Reset activates every time the cover is exhausted, restoring full amount so you no longer run short of protection throughout the year.

Wellness and Preventive Care

• Max Protect is renowned because of colossal hospital cover, and yet the health care organisation focuses on remaining healthy:
• Unlimited virtual doctor consultations of routine conditions
• Annual health check up up to Rs 10 000 on cashless basis
• Access to discounts on diagnostics, devices, supplements and fitness sessions via the mobile app
• Loyalty bonus where your sum insured increases on a claim-free basis
• Such benefits facilitate the early detection of health concerns and contain daily expenses.

Inclusions

• In-patient care of illness or accident up to the amount insured chosen
• Day-care procedures that take less than twenty four hours hospital care
• AYUSH in-patient treatments
• Pre and post hospital expenses at sixty and one hundred and eighty days respectively
• Home domiciliary hospitalisation on prescription
• Home-care nurse or physiotherapy costs up to Rs 1 lakh
• Medical costs of organ donors
• Road, and in Premium, air ambulance services
• Up to one crore are listed in technological and advanced procedures
• Waiting period followed by bariatric surgery
• Unlimited Reset Benefits and Loyalty Bonus Benefits
• Claim protector consumables
• Worldwide in-patient care and scheduled surgery on Premium two years later
• Second opinion on critical illness

Exclusions

• Pre-existing illnesses within a period of thirty six months unless you purchase the waiver add on that reduces it to twenty four months
• Specific illness e.g. cataract or hernia within the first twenty four months
• The treatment outside India during Classic or within the two years waiting period of Premium
• Cosmetic/plastic surgery unless it is medically necessary
• Infertility, the cost of birth control or pregnancy, except accidents
• Alcohol or drug related treatment
• Harmful sports or criminal activities of any kind
• Supplements and experimental treatment that are not prescribed
• The full list can always be checked by looking at the wording of the policy.

Waiting Periods

• The initial waiting period: thirty days except accidents
• Specific ailments: twenty four months
• Pre-existing diseases: thirty-six months ( This can be reduced to twenty four with add-on )
• The global coverage: two years
• Bariatric surgery: waiting period is applicable with reference to policy wordings

Eligibility and Tenure

Adults aged between 21 years and 65 years, children aged between 91 days and 21 years under a family floater
Relationships included: spouse, children, parents, siblings, in-laws, grandparents and grandchildren
One, two or three year policy term options with ten and fifteen percent multi-year premium discounts

• You have the option of waiving the remaining PED waiting and you ported to another insurer and have already finished part of the period

Cancellation and Refund

You can cancel, with a seven days written notice. In case there is no claim but there is coverage, a specified percentage of the unutilized premium is refunded by ICICI Lombard. Policies with periods exceeding one year are only refunded on complete future years in which risk coverage is not yet in effect. Refunds are made to your account in the course of ten business days.

How to Buy Max Protect through Fincover

Given the health and fitness awareness of Max Protect, purchasing this product via Fincover is a solid investment.

• Go to Fincover.com and select Health Insurance.
• Type in age, city and family information, to see personalised quotes.
• Filter by ICICI Lombard and choose Max Protect classic or premium.
• Choose your own cover, determine any optional extras such as PED waiver or global cover.
• Look at the final premium and think about multi-year discounts, should you want a longer term.
• Make your payment using UPI, card OR net banking.
• Get the e-policy immediately and download the mobile app to monitor teleconsults, loyalty bonus and claims.

Real story Priya is a 40-year-old entrepreneur who had a simple five-lakh corporate plan, which she beefed up with a one-crore cover on Fincover and called it Max Protect Classic. Her premium cost her less than a family dinner a month. Six months later her father required a bypass surgery worth eight lakh. The corporate plan covered five lakh and Max Protect divided the rest of it, one lakh at that, and not a rupee came out of Priya wallet.

FAQ on Max Protect Plan

What is the greatest benefit of Max Protect to a normal policy
It gives you unlimited reset and very high sum insured so that you cannot run out of cover during a policy year, even after a series of costly treatments.

Is Premium usually much more expensive than Classic
The gap reduces with the increase in the sum insured. Premium covers global care and air ambulance, which is useful to individuals who live or travel outside of the country some of the time.

Is it possible to later upgrade to Premium?
Yes, you are able to change variants or increase your sum insured when you renew, but will be subject to underwriting and waiting periods on any new cover such as worldwide cover.

Is there a limit to room rent?
There is no capping of room rent on either variant except that you are not allowed to select a suite room as a default. This implies that you have the freedom to choose the private rooms at no additional charge.

What is the interaction between loyalty bonus and reset?
Loyalty bonus increases your base cover on being claim-free and reset replenishes used cover following a large claim. When claiming a bonus, then you keep the bonus you already got and the reset still recharges the base amount.