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    What is a health insurance policy?

    A health insurance policy covers medical expenses for illnesses or injuries. A reliable health insurance plan protects you from sudden medical expenses. It reimburses your bills or pays the medical care provider directly on your behalf. A comprehensive medical insurance covers the cost of hospitalisation, daycare procedures, medical care at home (domiciliary hospitalisation), ambulance charges, amongst others.

    A health insurance plan helps you stay covered against various diseases. Additionally, it helps you boost tax savings. Under section 80D of the Income Tax Act, 1961, you can claim tax benefits against your health insurance premium.

    What are the benefits of a health insurance policy?

    A comprehensive health insurance plan in India comes with many advantages.

    Covers pre
    and post hospitalisation

    One of the key benefits of a health insurance policy is that it covers your medical expenses incurred just before and after hospitalisation.

    Covers
    pre-existing
    diseases

    A health plan covers you for a pre-existing disease once you have completed the waiting period mentioned in the policy certificate.

    Provides cashless treatment

    You don’t have to worry about arranging cash to pay your hospital bill.Your health insurance company will settle it directly with the hospital.

    Lets you
    claim tax
    benefit

    You can claim a tax benefit on health insurance premium under section 80D of the Income Tax Act, 1961.

    Covers ambulance expenses

    Comprehensive health insurance also pays for your ambulance expenses during a medical emergency.

    Provides additional
    sum insured

    You can enjoy additional sum insured for every claim-free year as per the policy certificate of your health plan.

    What risks does your policy cover?

    It depends where you live, but standard homeowners insurance policies will typically help pay to repair damage caused by certain risks, or perils, including:
    Theft
    Fire and smoke
    Windstorm or hail
    Falling objects
    Frozen plumbing
    Water damage from plumbing, water heater, heating or cooling system or appliance.

    Save money with our money saving offer

    Save money on insurance with MoneySavingExpert’s guides to health insuranc

    Health Insurance premiums have increased

    The average cost of Health Insurance Premiums rose by an average of 2.74% on April 1 this year. Increased premiums mean your current policy may no longer be the best value option for your personal circumstances.

    Health insurance explained, with Canna Campbell.

    Canna Campbell from SugarMamma TV breaks down the essentials of health insurance.

    FAQs related to health insurance plans

    What do you mean by waiting period?
    The duration after which you can make a claim is called a waiting period. Our waiting periods for ICICI Lombard Complete Health Insurance and Health Booster policy are as below:

    No waiting period for accidental hospitalisation.30 days for all claims other than accidental hospitalisation.2 years for pre-existing diseases. These diseases should be declared at the time of proposal and accepted by us for policy with sum insured of ₹3 lakh and above.2 years for standard list of diseases and procedures.
    What do you mean by a pre-existing disease?
    Any condition, ailment or injury or related condition(s), for which you have had signs or symptoms, and/or were diagnosed, and/or received medical advice/treatment, within 48 months prior to the first policy with the insurance company is called a pre-existing disease.
    What does annual sum insured mean?
    Annual (basic) sum insured is the maximum amount that an insurance company will pay you in the event of a claim in a policy year.
    If I increase my sum insured at the time of renewal, does a waiting period apply?
    Yes, a waiting period will apply only to the added sum insured.
    My employer provides me with a health insurance. Do I still need one?
    Numerous employers offer group or individual health plans. However, these are not customised as per your needs and may have certain restrictions and limitations. Also, the coverage is dependent on the continuation of the job. Once you quit, you cannot avail the health plan benefits. Therefore, it is important to insure yourself with a comprehensive cover that lets you customise as per your needs. For example, for a family of 4 members, a sum insured of ₹2 lakh-₹3 lakh provided by your employer may be inadequate.
    From what age can I include my children in the plan?
    You can include your children aged between 90 days to 20 years in your policy. Newborns can be included after 90 days of birth. However, your daughter or son cannot be shown as a ‘dependent’ if they file a joint tax return.
    Will my existing health insurance policy cover hospitalisation expenses for COVID-19?
    Yes, hospitalisation expenses on account of COVID-19 will be covered under the health insurance policy as per the policy terms and conditions.
    How can I intimate my claim after hospitalisation?
    You can intimate the health insurance claim online on IL Health Care or using our mobile app, IL Take Care. Upload the scanned copies or photographs of all claim related documents on the app. Then, furnish or courier hard copies of all required claim documents to the below mentioned address:

    ICICI Lombard Healthcare,

    ICICI Bank Towers,

    Plot No. 12, Financial district,

    Nanakramguda, Gachibowli,

    Hyderabad- 500032
    Are any waiting periods applicable to claims under COVID-19?
    In case of hospitalisation for COVID-19, the hospitalisation expenses incurred will be covered if the illness is contracted after 15 days of starting a fresh policy. The 15 days condition will not apply if you have renewed your health policy without a break or have ported it to ICICI Lombard.
    Will I be allowed to enhance my sum insured?
    Sum insured enhancement will be allowed based on medical assessment in accordance with the underwriting guidelines. However, such sum insured enhancement will be done only at the time of renewal.
    Are the expenses on medicines and diagnostic tests incurred during medically advised home isolation due to COVID-19 covered?
    In case you choose to get treated at home for COVID-19, we will cover the same under the home healthcare facilitated by us through our empaneled service providers.
    Will the policy cover expenses due to quarantine?
    In case the quarantine is in a hospital on the advice of a medical practitioner, then the medical expenses incurred will be covered in accordance with the policy terms and conditions. However, expenses incurred on account of self-quarantine or quarantine at home will not be covered.
    Are the consultations with a medical practitioner and diagnostic tests in relation to COVID-19 covered under my health insurance policy?
    In case your policy has an outpatient treatment cover, then consultations with a medical practitioner and diagnostic tests as advised by a medical practitioner will be covered up to the sum insured. A claim under outpatient treatment cover can be made in accordance with the claims procedure mentioned in the policy wordings.

    Further, in case there is hospitalisation on account of COVID-19 and the same has been accepted under the policy, then all expenses related to COVID-19 incurred due to consultations with a medical practitioner and diagnostic tests as advised by a medical practitioner in the 30 day period, prior to the date of admission and 60 day period after the date of discharge will be covered as per the policy terms and conditions.

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