Health Insurance 351 views May 20, 2021

ICICI Lombard Hospifund Insurance Plan protects you against medical expenses. And claims shall be made under this policy in respect of any of the base benefits or extensions as chosen by you. The policy base benefits are –

  1. Hospitalization Cash Benefit
  2. Accidental Hospitalization Cash Benefit

Check out the list of benefits and extensions available under ICICI Lombard Hospifund Insurance Plan and also know the terms and conditions of this policy on this page below.

Health Insurance

Please fill the details below and our policy experts will call you to help figure out the correct health insurance policy for your needs

+91

ICICI Lombard Hospifund Insurance Plan Base Benefits

You can get one or both the base benefits under this plan. And if you choose both the benefits, the payout will be made in addition to both the base benefits.

Hospitalization Cash Benefit

If you get sick or injured (due to an accident) during the policy period, the insurer will pay a daily amount as specified in the policy schedule against this base benefit. The daily cash benefit shall be payable for each continuous and completed day of hospitalization. This base benefit is subject to the following conditions:

  1. Hospitalization should continue for at least 24 hours and must have taken place based on the written advice of the treating medical practitioner.
  2. The daily amount shall be payable up to the maximum number of days as specified in the policy schedule
  3. The insurer’s liability under this base benefit is based upon the deductible or franchise stated in the policy schedule.
  4. If you opt for a franchise of two days and are admitted to a hospital for one day, nothing shall be payable under this benefit. However, if you are hospitalized for more than two days, you’ll be entitled to the daily cash benefit.
  5. If you choose a deductible of two days, the benefit shall be payable to you after the first two days of continuous hospitalization
  6. The insurer shall not cover the hospitalization before the commencement of the policy period or within the waiting period unless it is caused due to an accident.

Accidental Hospitalization Cash Benefit

If you suffer an injury due to an accident during the policy period, you’ll receive a daily cash amount for each continuous and completed day of hospitalization. This base benefit is subject to the following conditions –

  1. Hospitalization should be advised by the treating Medical Practitioner.
  2. The daily amount shall be payable up to the maximum number of days as specified in the policy schedule
  3. The insurer’s liability shall be based upon the deductible or franchise as stated in the policy schedule
  4. Nothing shall be payable under this benefit if a claim arises before the commencement of the policy or during the waiting period

ICICI Lombard Hospifund Insurance Plan Extensions

The following extensions can be added by paying an additional premium –

  1. Intensive Care Cash Benefit: If you are hospitalized in an Intensive Care Unit (ICU) for the treatment of an illness or injury, the insurer will pay the daily amount for each continuous and completed day of confinement in ICU.
  2. Cancer Hospitalization Cash Benefit: Unfortunately, if you suffer from ‘Cancer of Specified Severity’ during the policy period, the insurer will pay the daily amount to you as specified in the policy schedule for each continuous and completed day of hospitalization.
  3. Brain & Stroke Hospitalization Cash Benefit: If you have Brain Ailment or Stroke such as benign brain tumor, stroke resulting in permanent symptoms, permanent paralysis of limbs, motor neuron disease with permanent symptoms, Multiple Sclerosis with persisting symptoms, major head trauma, you will get a daily amount for each continuous and completed day of hospitalization for the treatment of the illness that has been diagnosed to you during the policy period.
  4. Organ Transplant Hospitalization Cash Benefit: In case you undergo an Organ Transplant during the policy period, the insurer will pay the daily amount to you against this extension for each continuous and completed day of hospitalization.
  5. Heart Ailment Hospitalization Cash Benefit: If you suffer or undergo any of the heart ailments such as Open Chest CABG, open heart replacement or repair of heart valves, the first occurrence of heart attack or myocardial infarction, angioplasty, Primary (Idiopathic) Pulmonary Hypertension during the policy period, you will get a daily cash amount against this extension for each continuous and completed day of hospitalization.
  6. Fracture & Burns Cash Benefit: If you suffer a Fracture and Second or Third Degree Burns during the policy period, you will be entitled to a daily amount against this extension for each continuous and completed day of hospitalization.
  7. Day Care Treatment Cash Benefit: If you are sick or injured due to an accident and undergo a Day Care Treatment during the policy period, the insurer will pay an amount as specified in the policy schedule.
  8. Convalescence Benefit: If you are hospitalized for a continuous period of at least 10 consecutive days due to an illness or injury, the insurer will pay an amount against this extension towards convalescence.
  9. Ambulance Cover Benefit: This extension covers ambulance services for the transportation of the insured person from the site of the accident/illness to the nearest hospital or from one hospital to another.
  10. Child Care Cash Benefit: The insurer will pay a daily amount for providing care to the insured person’s children if he/she is hospitalized due to an illness or injury during the policy term.
  11. Hospital Attendant Cash Benefit: A daily amount, as specified in the policy schedule, shall be paid against this extension in respect of each continuous and completed day of hospitalization where you require a Hospital Attendant due to your condition.
  12. Compassionate Visit Cash Benefit: If you are hospitalized due to an illness or injury for at least 3 continuous days outside your city of residence, the insurer will pay an amount that will cover the expenses of the travel of your immediate family member.

Free Look Period

The insurance company provides you a free look period of 15 or 30 days (if purchased via distance marketing) from the date of receipt of the policy document to review the terms and conditions. If you have any objections to the terms and conditions of the policy, you can return the same stating the reasons for cancellation. On such cancellation, you will get the paid premium back after the deduction of medical check-up expenses, stamp duty charges and proportionate risk premium.

People Also Read