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ICICI Lombard

ICICI Lombard

Health Shield 360

ICICI Lombard Health Shield 360 is a group plan for bank account holders and customers. And like most group plans, you get comprehensive coverage, practically no waiting periods (except a 30-day pre-existing disease waiting period), and other add-ons like OPD and maternity at extremely affordable prices. The only downside is that it is a group plan. And with group plans, you are always at the mercy of the master policyholder i.e. the bank who can forego the arrangement with the insurance company at any point.

What's good here?

coPay

You’ll never have to split the bill

The insurer will bear the entire cost of treatment (up to the sum insured). You won’t have to pay a single penny. Meaning this policy has no co-payment.

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roomRent

You can pick any room you like

Shared room, single room, deluxe room or any room that’s available. The insurer won’t nitpick on your choice of room since the policy has no restrictions on room rent.

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ped

Reasonable waiting period for pre-existing diseases

If you’re already dealing with diabetes, cardiovascular problems or any such illnesses, the insurer will cover all costs arising out of these pre-existing problems after you wait for 30 days.

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restoration

Good Restoration Benefit

You will have 100% of the cover restored any number of times, so that you can use this benefit in the event you have to endure multiple hospitalizations in a bid to treat a different complication In the same year, by the way.

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healthCheckup

Free Health Checkups every year

If you’re planning on getting a full body checkup every year just to make sure you’re in fine working condition, the insurer will cover the costs.

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ayush

Covers Alternative Medicine

Think of getting Ayurvedic, Homeopathic or other alternative treatments to cure an illness? Your insurer will cover you fully, up to the sum insured.

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diseaseSublimit

You always have full cover irrespective of the disease

No funny business here. If your insurer hasn’t explicitly stated they won’t cover a certain illness, you can claim the full amount up to the sum insured, irrespective of the disease you’re dealing with. Meaning this policy doesn't impose the dreaded disease wise sub-limits.

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prePost

Pre & Post hospitalization expenses covered

No worries if the doctor had to run a host of diagnostic tests before or after hospitalizing you. The insurer has your back. They will cover this amount in full for a pretty reasonable duration - 60 days before you are hospitalized and 90 days after discharge. This includes the cost of medication by the way.

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dayCare

Day Care treatments covered

If you’re hospitalized for less than 24 hours in lieu of a minor procedure, then the insurer will cover these costs too. Think dialysis, chemotherapy or minor surgeries.

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domiciliary

Full coverage even if you are forced to hospitalize at home

The insurer will bear the costs even if you are hospitalized at home due to a condition or the hospital running out of beds. In insurance lingo, they call this a policy with domiciliary cover.

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What's okay here?

ncb

Special Bonus for being healthy and not claiming insurance

Your sum insured increases by 10% each year, so long as you make no claims during this period. But before you get too ahead of yourself, do note that they’ll stop offering you the bonus when your sum insured increases by 100%. Also, the bonus amount will reduce at same rate each time you make a claim. But hey, it's still a bonus.

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Add-ons

NCB Super

With this add-on, you get an additional bonus of 50% for every claim free year upto 100% of the base sum insured

Maternity

With this add-on, you get added coverage for maternity expenses i.e. childbirth and newborn expenses. However, the coverage is limited to specified amounts based on the cover amount taken.

OPD

With this add on, you can get coverage for outpatient consultations i.e. doctor visits. However, the coverage is limited to specified amounts based on the cover amount taken.

Frequently Asked Questions

Yes. Health Shield 360 imposes 3 kinds of waiting periods -
  • 30-Day Waiting Period: Hospitalizations won’t be covered for the first 30 days of the policy unless it’s an accident.
  • Specific Illness Waiting Period: There’s a 1-year waiting period for a list of diseases which is a mandate before you can start claiming.
  • Pre-Existing Disease Waiting Period: There's a 30-day waiting period for any pre-existing disease you may have while buying the policy.
  • 90-Day Waiting Period: There's a 90-day waiting period for conditions arising out of Hypertension, Diabetes, cardiac unless declared as a PED.
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