Overview
ICICI Lombard GIC Ltd. is one of the leading private sector general insurance companies in India with a Gross Written Premium (GWP) of Rs135.92 billion for the year ended March 31, 2020. The company issued over 26.2 million policies and settled over 1.86 million claims as on March 31, 2020
Highlights For
ICICI Elevate
Compassionate Benefit
Durable medical equipment cover
Vaccinations for the new born baby in the first year
Dependent Accomodation Benefit
Features
Sub-limits
No sub-limits
Pre-Hospitalisation : 90 DAYS
The amount of expenses incurred during this period prior to hospitalisation such as diagnostic tests, doctor fees, medicines, etc. for investigiation purpose are also payable by the insurer
Post Hospitalisation : 180 DAYS
The amount of expenses incurred during this period after discharge from hospitalisation for the purpose of recovery such as follow-up tests, doctor fees, medicines, etc. are also payable by the insurer
Pre existing Disease cover : AFTER 36 MONTHS
Coverage for all Pre-Existing Diseases covered after a certain specified waiting period with continuous renewal.
Waiting Period- Initial : 30 DAYS
No claims are accepted within this period except due to accidents/ injury.
Waiting Period- Specific : 24 MONTHS
Listed specific illness
Waiting Period- PED : 36 MONTHS
No pre-existing ailment related claims are accepted within this period.
Room Rent : UPTO SI
Room rent for in-patient hospitalisation
ICU Charges : UPTO SI
Charges for ICU hospitalisation
Co pay : Optional
% of the claim that the policyholder needs to pay out-of-pocket
Restore Benefit/ Recharge/ Refill : 1
If the sum insured is exhausted due to hospitalisation expenses of one or more members, there is an automatic restoration of the sum insured for related or unrelated ailments.
Health Check up : UPTO 0.5% OF SI MAX OF RS.5000: ON CASHLESS BASIS
Free annual health check-up for all insured members according to the list of tests specfied in the policy document.
No Claim Bonus : UNLIMITED
% of the sum insured that rises every claim free year.
Video/telephone consultation : UNLIMITED CONSULTATIONS
E-consultation with expert doctors empanelled with the insurer for a second opinion.
Domiciliary hospitalization : UPTO SI
Home care treatment where there are no beds in the hospital or paitient is not in a condition to be moved to the hospital, This treatment is provided under the supervision of a registered medical practitioner.
Ambulance : DOMESTIC UPTO SI
Transportation of the patient to the hospital and back home
Convalescence benefit : YES, (ONE TIME ALLOWANCE OF RS. 20000 PER POLICY YEAR
A specific fixed amount of money paid as a recovery benefit for extended hospitalisation.
Organ Donor : UPTO SI
The costs for a surgical procedure of removal or damaged organ from the patient's body which could otherwise be fatal.
Bariatric cover : UPTO SI
Expenses related to obesity-related conditions such as high BP, sleep apnea, arthiritis asthma, etc.
Daycare : UPTO SI
Covers in-patient hospitalisation expenses where the stay is <24 hours under a specified list of treatments
AYUSH : UPTO SI
Alternative treatment coverage such as ayurvedic, unani, sidha and homeopathy which leads to hospitalisation.
Congenital Coverage : No
Covers medical expenses related to diagnosis and treatment of heriditary and internal congenital ailments/ conditions/ traits that exist from birth.
Modern Treatments : SPECIFIC UPTO SI
All advanced treatment with upgrade in technology.
Health Management/ Wellness : CAN AVAIL UPTO 30% DISCOUNT ON THE RENEWAL PREMIUM FOR THE SUBSEQUENT YEAR THROUGH THE WELLNESS PROGRAM
Benefits provided for staying fit and managing health
Maternity Benefit : YES
All expenses related to childbirth or legal medical termination of pregnancy, usually upto a specified limit.