ICICI Bank Health Shield 360 Revamped With Excellent Benefits

Health Shield 360 has been relaunched for ICICI Bank customers it focuses on your health & wellness to prevent hospitalization and incentivizes the customer with rewards to stay healthy. A 360-degree plan that not only insures you against any eventuality but also encourages good health and well-being right from the start.

Health Shield 360 is available to ICICI Bank customer holding savings account. One revolutionary feature in this policy is of uniform premium amount across all age brackets.

Contents

Health Shield 360 has following benefits-

Key Features of ICICI Bank Health Shield 360

Premium Chart

Health Checkup Packages

Eligibility

WAITING PERIOD

Major Permanent Exclusions

FAQ

Health Shield 360 has following benefits-

·         Comprehensive

·         Competitive

·         Convenient

·         Focus on health

 

Key Features of ICICI Bank Health Shield 360

Hospitalisation Expenses with High SI Limit - Covers in-patient hospitalisation expenses, Sum Insured options available from –Rs 10 lakhs to 100 lakhs

Day Care Surgeries/Treatment -All Day Care Treatments & procedures covered up to SI

Pre and Post-Hospitalisation Expenses - Medical expenses incurred, immediately, 60 days before and 90 days after hospitalisation

In Patient AYUSH Hospitalisation - AYUSH treatment taken in AYUSH hospital or AYUSH Day care

Unlimited Reset Benefit - Sum Insured gets reinstated each time it gets exhausted for a next claim which is not related to previous claim

Additional Sum Insured (Cumulative Bonus) - 10% increase in sum insured for every claim free year. Max increase in sum insured -100

Home Health care - Covers Home care treatment on advise by medical practitioner

Claim Protector - Pays claim for non-payable items in claim such as consumables

Health Check-up Cover - Expense incurred towards the cost of Health Check-up will be covered every year. Cover changes basis sum insured

Cumulative Bonus Protector (ASI - For any claims upto ₹50,000, NCB earned is protected

Sum Insured Protector -The Sum Insured increases on cumulative basis at each renewal on the basis of inflation rate in the previous year

360 Wellbeing Program - Incentivises and rewards individuals for healthy behaviour through various health and wellbeing activities - Empowers individuals to manage their lifestyle and be better prepared in preventing adverse health conditions

Air Ambulance Cover - Expenses incurred for Air Ambulance services required for emergency care . SI limit upto Sum Insured

Donor Expense - Covers medical expenses in respect of the donor for organ transplant surgery

Domiciliary Hospitalisation - Covers medical expenses in respect of domiciliary hospitalisation

PED covered after 30 days - Declared and accepted Pre Existing Diseases will be covered after 30 days of initial waiting period

Specific Diseases covered after 30 days - 17 named specific diseases (as mentioned in slide no 15) will be covered in initial waiting period

Premium Chart

Health Checkup Packages

Eligibility

Exclusive offering to ICICI Bank customers that are insured members

Tenure 1 Year

Family definition Self, Spouse, Dependent parents, Dependent siblings and up to 2 dependent children upto 20 years of age

Pre-Policy Medicals Tele underwriting above age 55 years and also incase of declared Pre-existing disease.Compulsory medicals for Sum Insured `75 Lakhs and `100 lakhs irrespective of age

 

Waiting Period

Cooling period 30 days for all diseases except hospitalization due to accident

Specific exclusions Standard list of diseases & procedures (kindly refer to exclusion list) will be covered after 30 days

PED AND CONDITIONAL UNDERWRITING

Pre - Existing Disease (PED):

• All declared and accepted PEDs will be covered after 30 days of initial waiting period

• PED needs to be declared by insured for all insured members in policy

• Any non declaration of PED will lead to rejection of claims and cancellation of policy

Conditional Underwriting On the basis of insured member’s age and declared existing illness, a medical underwriting is done for each proposal. As an outcome of this underwriting the proposal is accepted with loading on premium or is rejected

Specified disease/ procedure waiting period:

• Any Expenses related to the treatment of Hypertension, Diabetes, cardiac conditions within 90 days from the first policy start date

• In case of enhancement of sum insured the exclusion shall apply afresh to the extent of sum insured increase

Major Permanent Exclusions:

• Medical expenses incurred during the first 30 days of inception of the policy, except those arising out of accidents. This exclusion doesn’t apply for subsequent renewals without a break

• Expenses attributable to self-inflicted injury (resulting from suicide, attempted suicide)

• Expenses arising out of or attributable to alcohol or drug use/ misuse/ abuse

• Cost of spectacles/ contact lenses, dental treatment • Medical treatment expenses traceable to childbirth (including complicated deliveries and caesarean sections incurred during Hospitalisation) except ectopic pregnancy

 

FAQ

UNLIMITED RESET BENEFIT Reset will be available unlimited times in a policy year in case the Sum insured including accrued Additional Sum Insured (if any) and Super No Claim Bonus (if any), Sum Insured protector (if any) is insufficient as a result of previous claims in that policy year

ADDITIONAL SUM INSURED (CUMULATIVE BONUS)

10% increase in Sum Insured for every claim free renewal in policy, renewed without any break. Maximum increase in sum insured is 100%

CLAIM PROTECTOR This cover gets the payment for the items which are not payable under the claim as per the List of Excluded items released by IRDAI that is related to the particular claim

CUMULATIVE BONUS PROTECTOR(ASI PROTECTOR)  insured(ASI) accrued will not be reduced at renewal if any one claim or multiple claims admissible in Definition the previous policy year under the policy does not exceed the overall amount of 50,000

SUM INSURED PROTECTOR The Sum Insured protector is designed to protect the Sum Insured against rising inflation by linking the Sum Insured under the base plan to the Consumer Price index (CPI

HEALTH CHECK-UP Cost of Health Check-up will be covered as per specified limit mentioned in policy document

CONDITIONAL UNDERWRITING On the basis of the proposed insured members age and declared existing illness, a medical underwriting is done for each proposal. As an outcome of this underwriting the proposal is accepted with loading on premium or is rejected