ICICI Lombard Health AdvantEdge Health Insurance
ICICI Lombard Health AdvantEdge Plan Resources
Policy Brochure
Exclusions of ICICI Lombard Health AdvantEdge Health Insurance Policy
ICICI Lombard Health AdvantEdge plan does not cover the following:
Co-pay
Daily cash allowance
Maternity expenses
New born treatment
Opd expenses
Recovery allowance
Other Plans From ICICI Lombard
ICICI Lombard health insurance offers 1 health insurance plan. The sum insured ranges from Rs. 3 Lakh - 50 Lakh. Details of the comprehensive coverage provided by the following 1 ICICI Lombard health insurance plan is listed below:
ICICI Lombard Claim Process
ICICI Lombard supports both cashless claims and reimbursement claims. This section covers the information on how to check ICICI Lombard health insurance claim status, fill ICICI Lombard health insurance claim form, and the claim settlement process.
Step 1: Choose a Network Hospital
In times of medical emergencies, go to the nearest network hospital of ICICI Lombard Health Insurance. You may need to get admitted for treatment at the hospital.
Step 2: Contact the Hospital Insurance Desk
Once admitted, a family member or any other contact of the insured must get in touch with the insurance desk at the network hospital. It would provide complete details on the claim-settlement procedure followed at the hospital.
Step 3: Contact the TPA
Third-Party Administrator or TPA is present at the insurance desk of every hospital. Request for a claim form from the TPA to duly fill in for filing a claim request.
Step 4: Submit the Form
After filling out all the required details on the form, submit it to the TPA desk along with the pre-authorisation letter or TPA declaration.
Step 5: Receipt of Email
You will receive an email confirming insurance coverage and the maximum amount sanctioned under the ICICI Lombard Health Insurance Plan.
Step 6: Settlement of Bill
Upon completion of your treatment, you can be dischargd from the hospital without having to pay any money to the hospital desk. If the final bill is within the limit of your sanctioned amount by ICICI Lombard Health Insurance, it will be settled directly with the hospital by the insurer.
Step 1: Inform the Insurer
You must inform ICICI Lombard Health Insurance regarding your hospitalisation before making a reimbursement claim.
Step 2: Make Sure your Documents are in Order
After completing your treatment at the hospital, you would be required to pay the final bill at the time of discharge, unlike cashless hospitalisation. Once you have made the payment, you can file for a reimbursement claim with the insurer. Make sure that all your documents for hospitalisation are in order before making the claim. These include original prescription by the doctor, pharmacy and other medical expenses, diagnostic test expenses, hospital bills, and medical reports.
Step 3: Fill Out and Submit the Claim Form
Download the claim form from the official website of ICICI Lombard Health Insurance. Fill out the required details on the form and get it certified by your treating doctor at the hospital. Mail the form along with the complete set of documents to the insurer.
Step 4: Claim Request Processing
After submission of all the documents, ICICI Lombard Health Insurance will go through your claim request and may approve or reject it based on your policy coverage. In case approved, your claim amount will be transferred to your bank account.
ICICI Lombard Health Insurance Renewal Process
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