ICICI Lombard Health Advantage Plus Review
Plan Name: Health Advantage Plus
Insurer: ICICI Lombard General Insurance Company Limited
Category: Health Insurance
Objective: Ensure good healthcare services of your preference.
Major USP of Health Advantage Plus:
- Covers out-patient benefits
- Pre-existing diseases are covered after two years
- No medical tests till age of 45
What are the features of ICICI Lombard Health Advantage Plus?
For In-patient: The hospitalization expenses including pre & post hospitalization expenses, day care procedures, are covered.
For Out-patient: Health Advantage Plus covers out-patient department (OPD) expenses such as diagnostic tests, medical bills etc. Maternity expenses can are also covered under out-patient benefits.
Cumulative Bonus: If no claim is made, then the Sum Assured will be increased by 5% to maximum of 50% every year. If claim is made, then 10% of basic Sum Assured will be deducted from accumulated bonus.
Sum Insured Enhancement: There is the option to increase the Sum Assured upon renewal in Health Advantage Plus.
Extra Coverage: If the insured is hospitalized due to terrorist activities, Family Health Floater will cover the expenses.
Tax benefits: You can avail tax benefits under Section 80D to maximum amount of Rs 15,000. For senior citizens, the maximum amount is Rs 20,000.
What is not covered in ICICI Lombard Health Advantage Plus?
Health Advantage Plus, a comprehensive health plan does have some exclusions which are:
Waiting Period
- Any illness diagnosed within 30 days of inception of policy is not covered, however accidental injuries will be covered
- There is 2 year waiting period for particular diseases like cataract, hernia, joint replacement, hydrocele etc
- The pre existing diseases will be covered after continuous 2 years coverage
Permanent Exclusions
- Treatment for HIV, genetic disorders and related diseases
- Treatment for internal and external congenital diseases
- Non allopathic treatments
- Cosmetic treatments or plastic surgery
- Abuse of intoxicant things like alcohol or drugs
- Self inflicted injuries
- Mental Disorders
- Act of war, nuclear war or radiation
There are few more exclusion’s which can be verified from the policy document.
Who can buy ICICI Lombard Health Advantage Plus?
Health Advantage Plus can be bought by anyone aged from 5 years to 65 years. Health Advantage Plus can be renewed till age of 70 years. Maximum of two adults can be covered under single policy.
The Sum Assured for Health Advantage Plus is Rs 2 and Rs 3 lacs.
How much premium for ICICI Lombard Health Advantage Plus?
Mr. Bhaskar aged 30 buys Health Advantage Plus with Sum Assured of Rs 3 lacs. The annual premium he has to pay is Rs 15,000. The OPD cover for the same is Rs 8800. The premium is inclusive of service tax and applicable cess.
Policybazaar view on ICICI Lombard Health Advantage Plus:
Health Advantage Plus is a comprehensive health insurance plan which provides both in-patient and out-patient benefits. Another major advantage of Health Advantage Plus is that pre existing diseases are covered just after two years of continuous coverage.
ICICI Lombard Health Advantage Plus can be purchased online.
