ICICI Lombard Claim Process
  • Modes of Reporting Claims
  • Cashless Claims
  • Reimbursement Claims
ICICI Lombard Claim Process
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ICICI Lombard Health Insurance Claim Process

Claims are the requests forwarded by the policyholder to the insurance providers, outlining the details of the medical treatment and seeking compensation for the same. Filing the claim can be a daunting task, but insurance companies have diligently crafted platforms to transform this tedious task into an effortless journey.

When speaking of the claim filing process ICICI Lombard has designed a user-friendly interface, ensuring the policyholder to navigate easily. The claim can be raised through the company’s website and mobile application. Let us see how to claim ICICI Lombard Health Insurance.

Modes To Report The Claim: There are various ways a customer can register the claim. The various modes are designed to provide convenience to the customer:

  • Through Website: The customer can access the official website by going to www.icicilombard.com and reporting a claim on the website.
  • 24*7 Claim Care Number: To register a claim the company has a dedicated phone number. The Claim Care Number is 1800-2666.
  • Email ID: The policyholder can send an email to the company at ihealthcare@icicilombard.com to notify the claim.
  • SMS: The customer can even send an SMS to the service number of the company. They can text ’HEALTHCLAIM’ on the number 575758.
  • Visit The Branch: The policyholder can visit the nearest branch and submit the claim offline along with the necessary documents.
  • Mobile Application: The claims can also be raised through mobile phones. The name of the mobile application of the company is ’TakeCare App’

How To Claim ICICI Lombard Health Insurance

ICICI Health Insurance claim process can be categorized into two parts based on the nature of the claim and how the policyholder is seeking compensation. The types are:

  • Cashless Claims: This claim allows the policyholder to receive medical treatment without paying the expenses upfront, later the company settles the medical bill directly with the network hospital.
  • Reimbursement Claims: ICICI Lombard Health Insurance reimbursement claim process involves the insured person paying the bill from his pocket at the time of discharge, and then later asking for the compensation.

How To Raise ICICI Lombard Health Insurance Cashless Claim:

Cashless claims can be challenging to complete on our own, it is better to contact the TPA or call the company’s customer care number for assistance. Here is how it works:

  • Step 1: Online Claim Intimation
    • Visit the network hospital of the company. Inform the company about the hospitalization, through email, call, or SMS.
    • Please do mention the ’Policy Number or Patient ID Number’, present on the ’Cashless Identification Card’ of the company.
  • Step 2: Documentation

    After the treatment, submit all the documents along with the duly filled ’Pre-Authorization Form’. There are sections in the form which is filled by the doctor who is in charge of the treatment.

  • Step 3: TPA

    You can mail the documents or submit them to the TPA. Now wait for the company for verification.

Points To Be Noted:

  • Contacting the TPA for cashless claims is the best option because they act as a bridge between the insurance company and the hospital.
  • Inform the insurance provider, 72 hours before a planned hospitalization
  • Inform the insurance company within 24 hours in case of emergency hospitalization.
  • You can download the pre-authorization form from the official website of the company.
  • It is best to fill out the pre-authorization form during the treatment, as it requires the involvement of the doctor. This will save you the time and effort of revisiting the hospital for the same procedure.

Documents Required For Cashless Form

TPA will guide you with the documents and will also coordinate with the hospital to complete all the information asked in the form. Here is the list of documents required:

  • Health Card
  • Medical Reports
  • Proposal Form
  • Patient Discharge Summary
  • Investigation Report
  • FIR (If Required)
  • Proof Of Age
  • Pre-Authorization Claim Form

ICICI Lombard Health Insurance Reimbursement Process

This process gives the policyholder the freedom to receive treatment from any hospital, including those outside the network. Here is the process for reimbursement:

  • Step 1: Inform The Company

    The policyholder has to inform the company about the hospitalization. They can call on the toll-free number ’1800-2666’ or SMS ’HEALTHCLAIM’ at ’575758’. They can even submit the claim in written form, by emailing at ’ihealthcare@icicilombard.com’.

  • Step 2: Documents

    After receiving the treatment from the hospital and paying the bills. Place all the documents in sequence starting from the original bill, X-ray reports, medical expenses, discharge summary, and other hospital bills.

  • Step 3: Fill and Submit the Claim Form

    Next, download the claim from the official website of the company. Fill in all the details in the A, B, C, and D sections of the claim form. The doctor who administered the treatment has to fill and sign Section B of the form. After completing all the sections post the form along with the required documents. Your contribution to the work is completed here.

Post Address: ICICI Lombard Health Care, ICICI Bank Tower, Plot No 12, Financial District, Nanakramguda, Gachibowli, Hyderabad,500032.

Points to Be Noted:

  • Submit the documents along with the claim form, within 15 days of discharge from the hospital.
  • Do keep all the documents signed and handy for smooth claim filling.
  • Download the claim form from the official website of the company.

Documents Required For Reimbursement Claims:

Keep all the documents aligned before filing the claim. List of the documents is as follows:

  • Duly Filled Claim Form
  • Original Discharge Bill
  • Original Final Hospital Bill
  • Original Payment Receipt
  • Original Investigation Report
  • Original Pharmacy Bills
  • Original Implant Invoice
  • Photocopy of the Consultation
  • Photocopy of Age Proof
  • Photocopy of Indoor Case paper
  • EFT (Cancelled Check/Self-Attested ID Proof)
  • KYC

ICICI Lombard Health Insurance Policy Online Renewal Process

Below are the steps that will help you renew your health insurance policy online with ICICI Lombard General Insurance:

  • Visit the official website of ICICI Lombard General Insurance and click on the ’Renewal’ from the top bar menu.
  • Select the ’Health Policy’ tab and on the next page fill in all the required details such as policy number and date of birth.
  • Click on ’Proceed’. Next, if you want to make any modifications such as changing the sum insured amount, opting for an add-on, etc., you can do that while reviewing your policy details.
  • Make the payment online for the renewal fee from the available modes of payment.
  • Once the payment has been made, the policyholder will receive the policy details on their registered email address.

Explore other ICICI Lombard Health Insurance

To cater to the different medical needs of an individual & their family, ICICI Lombard Health Insurance offers several Health Plans ranging from senior citizen plans to specialized plans for autistic children, to health insurance for cardiac patients, and many more.Take a look below to ICICI Lombard Health Insurance plans explore more:

Individual and Family Health Insurance

ICICI Lombard Health AdvantEdge plan is a comprehensive health insurance plan designed to cater to all your health care needs. A family health insuran...

Unique Features

  • Global Cover
  • SI Upto 3 Cr
  • Air Ambulance Cover

AdvantEdge Plan (Pros)

AdvantEdge Plan
  • Restoration Benefit
  • Cumulative Bonus
  • Health Rewards
  • Domestic Air Ambulance

AdvantEdge Plan (Cons)

AdvantEdge Plan
  • OPD Cover
  • Second medical opinion
  • Modern treatment
  • IVF treatment cover

AdvantEdge Plan (Other Benefits)

AdvantEdge Plan
  • New Born Cover
  • Vaccine Cover
  • Maternity Cover
  • PED Cover
  • Personal Accident Cover

AdvantEdge Plan (Eligibility Criteria)

AdvantEdge Plan
  • Entry Age: 18 - 65 years
  • SI: 5 L to 3 Cr
  • Initial waiting period: 30 days

Accident Health Insurance

ICICI Lombard Personal Protect Policy is a comprehensive health insurance policy that offers an array of benefits and extensions to safeguard the insu...

Unique Features

  • Accidental Death Benefit
  • Acts Of Terrorism Cover
  • Life Long Renewal

ICICI Personal Protect Policy (Pros)

ICICI Personal Protect Policy
  • Accidental Death
  • Permanent Total Disablement Benefit
  • Hospital Daily Allowance

ICICI Personal Protect Policy (Cons)

ICICI Personal Protect Policy
  • Illegal activities
  • Adventure sports
  • Obesity

ICICI Personal Protect Policy (Other Benefits)

ICICI Personal Protect Policy
  • Operational Coverage
  • Accidental Hospitalization
  • Hospital Daily Allowance

ICICI Personal Protect Policy (Eligibility Criteria)

ICICI Personal Protect Policy
  • Min entry age: 18 Years
  • Max entry age: 80 Years
  • Initial Waiting Period: 30 Days
  • Sum Insured: Up to 25 L

Senior Citizen Health Insurance

Golden Shield Plan by ICICI Lombard is designed especially for senior citizens and to cater to all their health care needs. With growing age, the huma...

Unique Features

  • Care Management Program
  • 50 L SI Available
  • Co-Pay Modification

Golden Shield Plan (Pros)

Golden Shield Plan
  • Reset Benefit
  • Coverage for Ambulance
  • Cashless Hospitalization

Golden Shield Plan (Cons)

Golden Shield Plan
  • Maternity cover
  • New born cover
  • Daily hospital cash

Golden Shield Plan (Other Benefits)

Golden Shield Plan
  • Care Management Program
  • AYUSH Treatments
  • Claim Protector

Golden Shield Plan (Eligibility Criteria)

Golden Shield Plan
  • Entry age: 56 years to no maximum limit
  • Sum insured: 5 to 50 Lakhs
  • Initial waiting period: 30 days

Individual and Family Health Insurance

ICICI Lombard Arogya Sanjeevani is a versatile plan that pays for your medical bills in case of hospitalization. If you are looking for a health plan ...

Unique Features

  • COVID-19 Cover
  • Ambulance Cover
  • Affordable Plan

Arogya Sanjeevani Policy (Pros)

Arogya Sanjeevani Policy
  • Cumulative bonus
  • Cataract treatment covered
  • Modern procedures covered
  • Intensive cardiac care charges

Arogya Sanjeevani Policy (Cons)

Arogya Sanjeevani Policy
  • No eyesight correction expenses
  • Fertility expenses not covered
  • Nursing expenses not covered
  • Nursing at home not covered
  • OPD expenses not covered

Arogya Sanjeevani Policy (Other Benefits)

Arogya Sanjeevani Policy
  • Floater benefit
  • Pre-existing diseases after 4 years
  • In-patient AYUSH treatment
  • Day care procedures

Arogya Sanjeevani Policy (Eligibility Criteria)

Arogya Sanjeevani Policy
  • Entry age- 18 years
  • Max entry age- 65 years
  • SI- 1 L to 5 L
  • Waiting period- 30 days

Top Up and Super Top Up

ICICI Lombard Health Booster is a comprehensive super top-up health insurance plan designed to enhance your existing coverage. The policy acts as a s...

Unique Features

  • Reset Benefit
  • Top-up Plan
  • Lifetime Renewability

Health Booster (Pros)

Health Booster
  • In-patient treatment covered
  • High range of coverage
  • Flexible coverage

Health Booster (Cons)

Health Booster
  • Injury due to war
  • Cosmetic surgery
  • Aesthetics treatment

Health Booster (Other Benefits)

Health Booster
  • Reset benefit
  • Domestic road emergency
  • Pre and post-hospitalisation
  • Donor expenses

Health Booster (Eligibility Criteria)

Health Booster
  • Min entry age: 6 Years
  • Max entry age: 65 Years
  • Initial Waiting Period: 30 Days
  • Sum Insured: Up to 50 L

Individual and Family Health Insurance

ICICI Lombard MaxProtect health insurance plan is a multiple-benefit provider plan that comes with affordable premiums. It has two variants ie, Classi...

Unique Features

  • Up to 1 Crore SI
  • International coverage
  • Modern treatment

ICICI Lombard MaxProtect Plan (Pros)

ICICI Lombard MaxProtect Plan
  • Worldwide coverage
  • Modern-day treatment procedures
  • Reset benefits

ICICI Lombard MaxProtect Plan (Cons)

ICICI Lombard MaxProtect Plan
  • Maternity cover
  • OPD not covered
  • Daily hospital cash

ICICI Lombard MaxProtect Plan (Other Benefits)

ICICI Lombard MaxProtect Plan
  • Multi-yearPolicy discounts
  • Automatic restoration
  • Domiciliary hospitalization

ICICI Lombard MaxProtect Plan (Eligibility Criteria)

ICICI Lombard MaxProtect Plan
  • Entry age: 21 to 65 years
  • Sum Insured: Upto 1 Cr
  • Initial Waiting Period: 30 Days

Individual and Family Health Insurance

Worried about your medical expenses? Boost your healthcare experience with the ICICI Lombard Health Shield 360 insurance policy. Healthcare is one of ...

Unique Features

  • 360° wellbeing programs
  • High SI options
  • Home healthcare

Health Shield 360 (Pros)

Health Shield 360
  • Worldwide cashless facility
  • Unlimited reset cover
  • Daycare procedures

Health Shield 360 (Cons)

Health Shield 360
  • Illegal activites
  • Adventure sports
  • Drug abuse

Health Shield 360 (Other Benefits)

Health Shield 360
  • Air ambulance
  • OPD Cover
  • Additional Sum Insured

Health Shield 360 (Eligibility Criteria)

Health Shield 360
  • Min entry age: 21 Years
  • Max entry age: 75 Years
  • Initial Waiting Period: 30 Days
  • Sum Insured: Up to 1 Cr

Individual and Family Health Insurance

Customize your ICICI Lombard Complete Health Plan with 4 available variants ICICI Lombard Complete Health Insurance is a comprehensive health insuranc...

Unique Features

  • Wellness Program
  • Maternity & Newborn Cover
  • Riders Available

Complete Health Insurance (Pros)

Complete Health Insurance
  • Critical Illness cover
  • AYUSH treatment covered
  • Ambulance coverage
  • E-consultation

Complete Health Insurance (Cons)

Complete Health Insurance
  • Vaccination not covered
  • IVF Treatment
  • Modern treatment
  • Air ambulance

Complete Health Insurance (Other Benefits)

Complete Health Insurance
  • Cataract
  • Daily hospital cash
  • Organ donor

Complete Health Insurance (Eligibility Criteria)

Complete Health Insurance
  • Min entry age: 3 months
  • Max entry age: 65 Years
  • Initial Waiting Period: 30 Days
  • Sum Insured: Up to 50 L

Group Health Insurance

ICICI Lombard Group insurance is a type of insurance plan that covers many people in the same proximity, for example, employee-employer, bank customer...

Unique Features

  • Large Sum Insured
  • Daycare Treatment
  • Floater Benefit

Group Health Insurance (Pros)

Group Health Insurance
  • Tax benefit
  • Less waiting period
  • Hospital coverage
  • Wide range coverage

Group Health Insurance (Cons)

Group Health Insurance
  • Pre-existing diseases
  • Hazardous or adventure sports

Group Health Insurance (Other Benefits)

Group Health Insurance
  • Cashless benefit
  • Day care treatment
  • Floater benefit

Group Health Insurance (Eligibility Criteria)

Group Health Insurance
  • Min entry age: 18 Years
  • Max entry age: 65 Years
  • Initial Waiting Period: 30 Days
  • Sum Insured: Up to 50 L

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ICICI Lombard Claim Process: FAQs

1. Does the claim registered over the phone qualify as a formal claim?

No, this mode is considered as verbal intimation and an informal mode of reporting a claim.

2. Which mode is considered to be the best way to register a formal intimation?

The claims will be formally registered only through the written request.

3. How can we get the pre-authorization from?

You can download the pre-authorization form from the official website of the company. Visit the website of ICICI Lombard Health Insurance, then click on the ’Downloads’ section.

4. How can we get the claim form?

Claim forms can be downloaded from the ’Downloads’ section on official website of ICICI Lombard Health Insurance.

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Bindiya Sinha

Written By: Bindiya Sinha

Bindiya is a seasoned content writer specializing in keeping readers acquainted with the insurance industry, term insurance developments, and life insurance sector shifts. With an experience of 3 years in insurance, Bindiya ensures that her readers stay well informed with the insurance developments and factually correct information.