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ICICI Lombard Arogya Sanjeevani Health Insurance Wordings

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Highlights
Cashless Approval TATWithin 2 hours
Claim Settlement Ratio99.80%
Network Hospitals9,500+
Pre-existing Disease Waiting Period2 year
Special BenefitsAnywhere Cashless
Starting Premium for Rs. 5 lakh SIRs. 581/month

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ICICI Lombard Arogya Sanjeevani Policy Brochure

  • 102.47 KB
  • PDF Document
  • Jun 18, 2020

ICICI Lombard Health Insurance Plan List

  • Critical Illness (1)
  • Family (2)
  • Maternity (1)
  • Parents (1)
  • Senior Citizen (2)
  • Woman (1)
  • Individual (2)
  • Kids (1)
Name of PlanSum Insured
Arogya Sanjeevani PolicyMin: 3 months; Max: 65 years1 Lakh - 5 Lakh Check Premium
Health AdvantEDGE Check Premium
Complete Health InsuranceMin: 3 Months; Max: No Limit5 Lakh Check Premium
Health BoosterMin: 3 Months; Max: No Limit5 Lakh Check Premium
Corona Kavach PolicyMin:1 Day; Max: 65 Years50,000 - 5 lakh Check Premium
Corona Rakshak PolicyMin: 18 Years; Max: 65 Years50,000 - 2.5 lakh Check Premium
Personal ProtectMin: 18 years; Max: 65 years3 Lakh - 25 Lakh Check Premium

ICICI Lombard Health Insurance Top Up List

  • Family (1)
  • Individual (1)
  • Kids (1)
Name of PlanSum Insured
Health BoosterMin: 3 Months; Max: No Limit5 Lakh Check Premium
Healthcare Plus PolicyMin: 5 years; Max: 65 years3 Lakh - 10 Lakh Check Premium

4280 ICICI Lombard Cashless Network Hospitals in India

FAQs on Arogya Sanjeevani Policy Health Insurance Plan

  • What are the sum insured options under ICICI Lombard Arogya Sanjeevani Policy?

    Sum insured denotes the maximum amount of cover available for a policy year of ICICI Lombard Arogya Sanjeevani Policy is available for sum insured options of Rs. 1 Lakh, Rs. 1.5 Lakh, Rs. 2 Lakh, Rs. 2.5 Lakh, Rs. 3 Lakh, Rs. 3.5 Lakh, Rs. 4 Lakh, Rs. 4.5 Lakh, and Rs. 5 Lakh.  

     

  • What is the entry age for ICICI Lombard Arogya Sanjeevani Policy?

    ICICI Lombard Arogya Sanjeevani policy can be purchased by people aged between 18 years and 65 years. People aged more than that can buy the policy for family, without covering themselves.

     

  • Can children be also included under ICICI Lombard Arogya Sanjeevani Policy?

    Yes. Children can also be included under ICICI Lombard Arogya Sanjeevani Policy if they are aged between 3 months to 25 years. If the child aged above 18 years is financially independent, then he/she will be ineligible for coverage in the subsequent renewals.   

     

  • Is pre-policy medical check-up required under ICICI Lombard Arogya Sanjeevani Policy?

    Pre-policy medical tests are not required under ICICI Lombard Arogya Sanjeevani Policy if purchased below 45 years of age. However, if you are aged 45 years or above, then you will have to undergo medical tests at any network hospital or diagnostic center. If the company accepts your proposal, then it will reimburse 100% of the cost incurred in these tests. 

     

  • What is the policy term for ICICI Lombard Arogya Sanjeevani Policy?

    The policy term for ICICI Lombard Arogya Sanjeevani Policy is one year. The policy needs to be renewed every year. 

     

  • Is there any sub-limit under ICICI Lombard Arogya Sanjeevani Policy?

    Yes. The policy comes with the following sub-limits:

    • Room rent, boarding and nursing expenses: Up to 2% of sum insured up to a maximum of Rs. 5,000 per day
    • Intensive Care Unit/Intensive Cardiac Care Unit charges: Up to 5% of the sum insured up to a maximum of Rs. 10,000 per day
    • Expenses related to cataract treatment: Up to 25% of sum insured or Rs. 40,000, whichever is lower
    • Modern treatments and advances in technology: Up to 50% of the sum insured limit.
  • What are the waiting periods under ICICI Lombard Arogya Sanjeevani Policy?

    ICICI Lombard Arogya Sanjeevani Policy covers specific expenses after the following waiting periods: 

    • Pre existing diseases are covered after 48 months of continuous coverage
    • Waiting period of first 30 days for treatment of any illness
    • Waiting period of 24 months for specific treatments
    • Waiting period of 48 months for certain treatments.
  • How is the payment of claims made under this policy?

    All the claims under ICICI Lombard Arogya Sanjeevani Policy are payable in Indian currency only.

  • Can I enjoy tax benefits on premium paid for ICICI Lombard Arogya Sanjeevani Policy?

    Yes. You can enjoy tax benefits on the premium paid for ICICI Lombard Arogya Sanjeevani Policy under Section 80D of the Income Tax Act, 1961.

  • What is the free look period offered under this policy?

    Under ICICI Lombard Arogya Sanjeevani Policy, you get a free look period of 15 days from the date of receipt of policy. This period is provided so that you can review the terms and conditions of the policy. If you disagree with any condition mentioned under the policy, then you can return the policy within this period and you will get the refund for the premium paid after specific deductions.

     

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Claim Process at ICICI Lombard Health Insurance

  • Network Hospital
  • Non-Network Hospital
  • 1

    Claim Assistance

    For any assistance or query, call InsuranceDekho at the toll-free number 755 1196 989.
  • 2

    Claim Intimation

    Emergency hospitalisation needs intimation within 24 hours and for planned hospitalisation intimate within 1-2 days prior to admission.
  • 3

    Claim Processing

    Fill in the pre-authorisation form and hand it over to hospital's insurance/TPA desk to initiate claim request.
  • 4

    Claim Settlement

    Once your request is approved, claim is settled. If not approved, claim for reimbursement after discharge.
  • 1

    Claim Assistance

    For any assistance or query, call InsuranceDekho at the toll-free number 755 1196 989.
  • 2

    Claim Intimation

    Emergency hospitalisation needs intimation within 24 hours and for planned hospitalisation intimate within 1-2 days prior to admission.
  • 3

    Claim Processing

    Submit claim form with original documents such as doctor’s reports, hospital bills, diagnostic tests, etc.
  • 4

    Claim Settlement

    Once your request for reimbursement of expenses is approved, the claim will be settled.

ICICI Lombard Health Insurance Contact Details

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