ICICI Lombard Special Shield Plan

The importance of well-rounded insurance plans has grown in 2025 better than ever. ICICI Lombard Special Shield Plan stands out to be a popular feature among the market on families and individual customers in need of quality health and personal accident insurance. The article gives a clear description, features, strengths, and weaknesses and answers the frequently asked questions to enable you to determine whether this is the right plan to complement your requirements.

What is special about shield plan ICICI Lombard?

The Special Shield Plan offered by ICICI Lombard is one of the most convenient plans that suit individual needs of individuals who seek a comprehensive insurance cover against health crises and sudden personal accidents. It is a group type insurance policy and as such mostly benefits the organizations, small businesses, housing societies and more extended families who require a single window cover.

The plan’s attractively broad coverage, competitive pricing, and digital claim settlement make it suitable for diverse Indian families in 2025. Such protection has continued to gain significance in the backdrop of the ever-changing health trends and workplace issues.

What Is The Special Shield Plan?

ICICI Lombard Special Shield Plan is a combination of health insurance and the personal accident cover occurring under the same roof. The plan affords the financial security in case of any accidents, hospitalization, or accident disability. It is often provided at a group level, according to which organizations or family units can be included with several members at once.

Eligibility: Patients aged 18 to 70 years are usually eligible with the probability of including dependents like children and spouses. The plan design can accommodate different requirements, be it that of office workers or even the extended families.

Sum Insured Offering: The range varies between Lakh and Lakh per individual with options in surcharges and supplements.

Claim Process: The provider also has a streamlined and digital-first claims process, with an average time to settle a claim standing at less than seven days in 2024 and the first months of 2025.

Did You Know?
As per IRDAI’s annual 2024-25 report, digital claims in group insurance policies rose by 22 percent, reflecting users’ preference for hassle-free settlements.

What Are the Main highlights of ICICI Lombard Special Shield Plan?

The design promises a lot of features that will suit the Indian families and professionals in 2025:

• Broad Coverage: Covers hospitalization, accidental death, permanent or partial disability, day care treatments and even OPD cover in their upgraded variants.
• Cashless Hospitalization: Availability of a network of 7300 plus hospitals across India where pretreatments are available, in cashless mode.
• COVID19 and New Age Diseases: Now as per the latest update, they cover hospitalization due to viral-pneumonia such as COVID19, as well as those cases due to mosquito-borne such as dengue and malaria.
• Wellness Add-ons: Wellness add-ons include gym membership, rebates health check-up and telehealth call options.
• No Claim Bonus: an additional sum insured on renewal when there are no claims within a policy year in order to promote healthy living.
• Personal Accident Cover: Lump sum will be paid to him in case of accidental death or Permanent disability.
• Customisable: Adapt sum insured, premium outgo, and form of benefit on the needs of the groups or children.
• Corporate Tie-ups: Suits medium to large enterprises for employee health initiatives and social groups (such as resident welfare associations).

People also ask:
Is it possible to obtain ICICI Lombard Special Shield Plan on a personal basis?
The plan is normally group based. But Families with many people in them or joint families may think of enrolling together.

Some Important Highlights of The Coverage:

It is important to have the knowledge of what is covered and what is not. This is a plain sight:

Part of the Plan

• Stay in hospital 24 hours or longer
• Pre-existing disease coverage after 12 months (subject to plan terms)
• Injuries to roads and rail accidents
• Daycare procedures (up to 150 listed treatments)
• OPD consultations, in some of its versions
• Add-on due to loss of income in case of temporary total disability

Not Covered

• Suicide or self-injury
• Narcotic or alcohol impact injury treatment
• Cosmetic surgery which is not necessitated by accident
• Adventure sports injuries (except via add-on)
• Standard exclusions in policy application of IRDAI

Expert Insight
As the risks associated with lifestyle mount up, employers want group policies with additions such as wellness covers, which makes Special Shield a 2025 favorite.
— Dr. Supriya Patil, Health Insurance Advisor, Mumbai

What Are The Positive and negative Aspects?

The balanced decision consideration entails comprehending the advantages and the drawbacks of the Special Shield Plan.

Pros

• Good Coverage: Covers all the medical and accident-related crisis in a single policy.
• Reduced Premiums: By member, it is less expensive in groups which are larger.
• Quick Claim Settlement: The chances of faster response on insured events are higher since the process is digital.
• Other Value Additions: The overall well-being is encouraged with OPD, wellness facilities, and annual health check-ups.
• Tax Savings: Premiums paid under group plans are eligible under Section 80D (subject to IT changes).

Cons

• Not Person Centered: Not ideal in individual cases unless under a group or family tutorial as a whole.
• Lack of Customization: Add-ons are grouped; not every one can be customized particularly to an individual.
• Waiting Periods: Other than day one coverage of pre-existing diseases as with other policies.
• Renewal of Plans: Total coverage is based on whether the group covers its policy again and not by personal choice.

People also ask:
What about me leaving the group in the middle of the year?
Normally, it covers till next renewal or as specified in the master policy; portability to the individual plans should be looked into with ICICI Lombard.

What Are the Differences between The Special Shield Plan and Regular Health Policies?

One can get a glimpse of the comparison as to why such plan is preferred between the organizations and families in the year 2025.

Why is the Special Shield Plan applicable in 2025?

Such a plan meets two needs taking into consideration the uncertainty that exists in healthcare expenses and in the nature of working conditions:

• On the job security: Companies in metro cities and smaller urban areas are securing their employment units through insurance cover against productivity and retention.
• Family safety net: Single-policy management gets to the benefit of the joint families.
• Digital India compatibility: Tracking and settlement of claims on the internet in real-time.

Did You Know?
A survey conducted in January, 2025 by PolicyBazaar revealed that more than 74 percent of employers were willing to introduce accident covers got group health insurance owing to the increasing case of incidents at workplace.

Who is To Be Candidated Into The Special Shield Plan?

• Employee-oriented businesses and small and medium enterprises
• Resident group cover under housing societies searching
• Family units who are large/ joint and would wish an administration free protection
• Associations and clubs that take care of their member groups

People also ask:
Is the plan extended to dependent parents and children?
Yes, it is possible to cover spouse, children and dependent parents as the policy of the plan allows.

How to Buy ICICI Lombard Special Shield Plan Steps in 2025

In 2025 digitizing the buying process has allowed:

1. Enquiry: ICICI Lombard through the site or agent to provide proposal and quote.
2. Customisation: Choose the size of the group, the sum, and select a range of add-ons.
3. Underwriting: Health declarations or check ups may be needed on large groups.
4. E-policy Issuance and Payment: Online payment and within 48 hours the e-policy will be sent.
5. Membership: Send nomination of family/employee details to start any coverage.

People also ask:
Is the amount of cover insured extendable after purchase?
Variation in sum insured generally occurs during renewal or alteration of master policy of the group.

CSP and Support:

The process of claims abides by the following steps with the continuous technology upgrade:

• Personal Claim: via app, web or call.
• Let Medical documents: medical bills, police accident report, member information
• Cashless Authorization: To be hospitalized in the network hospital.
• Reimbursement Option: Non-network bills payments are made up in an average of five to seven days.
• Support: the 24x7 helplines are available.

Quick sum up or TLDR:

ICICI Lombard Special Shield Plan 2025 can be considered a flexible, composite policy, which is group oriented and combines the features of health and personal accident insurance cover. It is convenient to organizations, societies, and extended families as it offers all-in-one protection, cashless treatment, and appealing digital claims experience. The advantages are that it is cheaper, covers a broad area, settles claims quickly, and offers wellness advantages. There is a need to carefully consider the use of individuals or small families because of the group nature of it.

People Also Ask (FAQs)

Q1: ICICI Lombard Special Shield Plan What is the duration of waiting period on pre-existing diseases?
A: The current rules normally allow pre-existing illnesses after 12 months, but it could be different.

Q2: Are all of the group members on the same premium?
A: It can vary with the age, the sum insured you select and the add-ons you select per member.

Q3: Are employers allowed to cover the premium on behalf of the employees?
A: Yes, it can be paid annually through employer as a welfare benefit paid as per most companies policy.

Q4: Where can I verify my claim?
A: The real-time updates can be obtained using the ICICI Lombard MyRA app, and the website dashboard or 24x7 helpline.

Q5: Does it include accident and illness hospitalization?
A: Yes, the policy includes all the accident injury as well as routine morbid treatment hospitalization up to the sum insured.

Q6: Is it possible to add or remove members in the period of policy?
A: Regarding group policies, the membership may change at the time of annual renewal, or when an event happening in a group meets particular conditions.

Sources:

Official ICICI Lombard Special Shield Plan