ICICI Lombard Health AdvantEdge policy

 What is ICICI Lombard Health AdvantEdge policy?

No one plans to fall sick but most people will need medical care at some point in their life. Right from the first doctor’s visit, to the lab tests, and pharmacy bills, the mounting expenses pertaining to full treatment can be burdensome. To help you in your illness and wellness journey, ICICI Lombard's Health AdvantEdge is a holistic policy designed to cater to your healthcare needs at all stages.

This policy is one of the few healthcare products that offers all-round wellness and preventive care benefits. Some of the value-added services under the Wellness program include reward points for inculcating healthy habits. Under this cover, the policyholder can also avail services such as video/tele consultation, pharmacy and diagnostic services, online chat with doctors, second opinion, and more.

The policy also has benefits such as pre-existing disease cover flexibility, domestic and air ambulance and convalescence benefit. It provides an additional cover against 20 critical illnesses including cancer. These add-ons also include maternity insurance for both mother and the newborn baby for SI above 5 Lakhs.

Top reason to buy ICICI Lombard Health AdvantEdge policy :

Restore benefit for sum insured	Guaranteed cumulative Bonus
24x7 video/telephone consultation	Convalescence benefit
Health rewards	Pre-existing disease coverO
Domiciliary hospitalization	Domestic Air Ambulance
Personal accident	Maternity cover
New born baby and vaccine cover	Bariatric surgery cover

Why should you buy a health insurance policy for yourself and your family?

Medical costs are skyrocketing:

They are high today and will be higher in the near future. A family floater health insurance is a smart way to safeguard your savings during a medical emergency.

Employer provided health policy is not enough :

A health cover provided by your corporate firm or employer ceases to cover you once you switch the job. Furthermore, you cannot choose coverage or benefits as per your needs. Besides, the sum insured of corporate health plan may not be adequate to cover you and your dependants in case of a medical emergency. Hence, it is recommended to invest in one of the leading family health insurance plans in India that covers your family adequately.

Lifestyle diseases are on the rise :

An unhealthy way of life and work stress have made even the younger generation prone to lifestyle diseases. Thus, the need to have a family health insurance is undisputable even if you are young. The onset of a chronic condition like diabetes may make it difficult for you to buy a comprehensive medical insurance. You may be required to undergo screening and medical check-up. Hence, it is recommended to invest in a family health insurance policy as early as possible. Not only is it affordable but also ensures optimum coverage when you need it most.   

You can save some on family health insurance premium :

By sharing your sum insured, you can smartly insure your entire family under one health plan. This will help in bringing down your health insurance premium significantly. You also do away with the hassle of managing multiple policies and their renewals.

You get tax benefit on health insurance premium :

As per Section 80D of the Income Tax Act, you can avail tax benefit on the health insurance premium. Thus, a health policy not only saves you from breaking the bank during a medical emergency but also helps you to save in taxes. 

What is covered in ICICI Lombard Health AdvantEdge policy?

Inclusions :

• Hospitalisation : Medical expenses incurred during hospitalization for more than 24 hours, including room charges, doctor/surgeon’s fee, medicine bills, etc.
• Health check-up : Available annually, starts from 1st year, up to 0.5% of sum insured, to a max of ₹.10,000.
• Pre and post hospitalization : Medical expenses incurred 60 days prior and 180 days post (provided we have accepted the in-patient claim).
• Domiciliary hospitalization : This should either be because of the unavailability of beds at a hospital or the inability to move the insured to a hospital. This will also cover expenses on Qualified Nurses engaged on recommendation of attending medical Practitioner.
• Day care treatments : The expenses for advanced, technological medical surgeries and procedures requiring less than 24 hours of hospitalization (including dialysis, radiotherapy and chemotherapy).
• Domestic Air ambulance : Air ambulance expenses to transfer you to the nearest hospital for emergency care. Available up to sum insured.
• AYUSH treatment : Expenses for in-patient treatment under Ayurveda, Unani, Siddha and Homeopathy (AYUSH) treatment only when it has been undergone in a government hospital or any institute recognized by the government and/or accredited by the Quality Council of India/National Accreditation Board on Health.
• Organ Donor : Reimbursement of medical expenses for organ donor up to sum insured. This benefit is provided only if the hospitalization claim for organ donation surgery is accepted.
• Wellness program : Redemption of wellness points earned due to healthy behavior through various wellness and fitness activities. You can redeem the wellness points on OPD bills for doctor’s consultation, medicine and drugs, diagnostic expenses, dental expenses, etc.
• Emergency services : Road ambulance expenses for emergency care, telephonic or virtual consultations with a medical practitioner for routine health issues. You can receive the consultation via audio, video, online portal, chat or mobile app. This service is available 24 hours a day, 365 days a year.

Exclusions :

• Any illness contracted within 30 days from the start date of your policy, except those incurred due to an accident. This clause does not apply to the subsequent renewals.
• For the first 2 years, some diseases like cataract, hernia, stone in the urinary system and others will not be covered.
• Any illness or disease or injury or a pre-existing disease before the start of the policy. However, these pre-existing diseases start to get covered if the policy is renewed with us for two consecutive year.

Permanent exclusions : 

• War, civil war or breach of law.
• Naturopathy treatment, acupressure, acupuncture, magnetic and other such therapies.
• Treatment taken outside the country.
• Any expenses arising out of domiciliary treatment.