Network hospitals
7500+
Incurred claim ratio
77.33%
Sum insured
Up to 1 CR
No. of Plans
8
Solvency Ratio
2.5
Pan India Presence
300+
Network hospitals
7500+
Incurred claim ratio
77.33%
Sum insured
Up to 1 CR
No. of Plans
8
Solvency Ratio
2.5
Pan India Presence
300+
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 human body is prone to illnesses and diseases which is why it is essential to provide the best medical care needed. Keeping senior citizens in mind, ICICI Lombard Golden Shield Plan was designed for individuals aged 56 years and above. Like all healthcare plans, Golden Shield by ICICI Lombard covers unpredicted medical emergencies and hospitalization expenses. The plan offers a high sum insured with various features included in the policy:
ICICI Lombard Golden Shield also provides insured individuals with optional coverage features like a claim protector, modification of base co-payment, and voluntary deductibles. To understand more about the plan read the article thoroughly.
ICICI Lombard Health Insurance Review
ICICI Lombard Health Insurance
The eligibility criteria for the senior citizen plan by ICICI Lombard are provided in the table mentioned below:
Minimum: 56 Years
Maximum: No Limit
5 to 50 Lakhs
Individual/ Family Floater
1/2/3 Years
30 Days
When purchasing the Golden Shield by ICICI Lombard insured individuals are entitled to a plethora of benefits as mentioned in the policy schedule. We are listing down a few for a better understanding:
When purchasing the Golden Shield Plan by ICICI Lombard insured individuals can opt between a variety of sum-insured options available that are mentioned below:
Coverage for SI: 5 L - 50 L
Room Rent
Covered
ICU Charges
Covered
Pre-Hospitalization
Covered for up to 60 Days
Post-Hospitalization
Covered for up to 180 Days
Domiciliary Hospitalization
Covered
Daycare Treatment
Covered
OPD Charges
Covered
COVID-19 Treatment
Covered
Cataract
Covered
No Claim Bonus
Applicable, 10% up to a max of 100% of SI
Automatic Restoration
Applicable, 100% of SI
Daily Hospital Cash
Not Covered
Organ Donor
Covered
Maternity Cover
Not Covered
New Born Baby Cover
Not Covered
AYUSH Treatment
Covered up to SI
IVF Treatment
Not Covered
Modern Treatment
Covered Up to SI
Ambulance
Covered up to 1% of SI
Air Ambulance
Covered
Compassionate Travel
Not Covered
Global Coverage
Not Covered
E-Consultation
Covered
Health Check-Up
Covered
Second Medical Opinion
Covered
Vaccination
Not Covered
Co-payment
Applicable, 50% co-pay on each claim
Sub-limits
Not Applicable
Room rent limit is the maximum amount of bed charge that you can claim if you are hospitalized.
Common Room categories covered under room rent are:
Coverage status under ICICI Lombard Golden Shield Plan?
Under the ICICI Lombard Golden Shield Plan, the room rent is covered up to a Twin sharing room (for an Annual Sum Insured below 10 Lacs and a Single private AC room for an annual sum insured of 10L and above).
It is a special department in the hospitals where patients with serious medical conditions are treated.
Coverage status under ICICI Lombard Golden Shield Plan?
Under the ICICI Lombard Golden Shield Plan, ICU charges are covered.
Medical expenses incurred before the hospitalization of the policyholder.
Coverage status under ICICI Lombard Golden Shield Plan?
Under the ICICI Lombard Golden Shield Plan, pre-hospitalization is covered for up to 60 days.
Medical expenses incurred after the discharge of the policyholder from the hospital.
Coverage status under ICICI Lombard Golden Shield Plan?
ICICI Lombard Golden Shield Plan covers medical expenses incurred during post-hospitalization for 180 Days.
Home hospitalization arrangement for the insured person due to unavailability of medical amenities in hospitals. The treatment should last equal to or more than 72 hrs to get the financial coverage.
Coverage status under ICICI Lombard Golden Shield Plan?
ICICI Lombard Golden Shield Plan covers domiciliary hospitalizations.
Treatments that can be treated in less than 24 hours of hospitalization like blood dialysis, cataract, etc.
Coverage status under ICICI Lombard Golden Shield Plan?
ICICI Lombard Golden Shield Plan covers the expenses of all daycare procedures.
The cost of doctor consultation and prescribed medical tests that may not require hospitalization.
Coverage status under ICICI Lombard Golden Shield Plan?
OPD charges are covered under the ICICI Lombard Golden Shield Plan as a part of the optional Care Management Plus program.
Covers the cost of treatment for COVID-19 with a confirmative diagnosis from Govt. approved Centre.
Coverage status under ICICI Lombard Golden Shield Plan?
Covid-19 Covered.
A common eye condition in which your vision gets blurred.
Coverage status under ICICI Lombard Golden Shield Plan?
ICICI Lombard Golden Shield Plan covers Cataract Treatment
This plan offers a 50% increment in the sum insured at the time of renewal after a claim-free year. In case of a claim, the bonus amount added to your SI will be decreased by 50%.
Coverage status under ICICI Lombard Golden Shield Plan?
ICICI Lombard Golden Shield Plan offers a no-claim bonus of 10% of the sum insured for each claim-free year up to a maximum of 100% of SI.
Automatic restoration equal to 100% of your selected SI amount is provided under this plan if the basic sum insured and the multiplier benefit get exhausted.
Coverage status under ICICI Lombard Golden Shield Plan?
ICICI Lombard Golden Shield Plan offers automatic restoration up to 100% of SI.
It is a cash amount that you will get each day during the time of hospitalization.
Coverage status under ICICI Lombard Golden Shield Plan?
The Daily hospital cash is not available under the ICICI Lombard Golden Shield Plan.
Your health plan will cover the cost of the procedure for removing the damaged or malfunctioning organs from the body.
Coverage status under ICICI Lombard Golden Shield Plan?
Under ICICI Lombard Golden Shield Plan the organ donor expenses are covered up to INR 10,00,000.
It refers to the cover that includes expenses for normal and c-section procedures deliveries.
Coverage status under ICICI Lombard Golden Shield Plan?
Under the ICICI Lombard Golden Shield Plan, Maternity Cover is not available.
It takes care of the medical expenses that arise due to the hospitalization of the newborn baby in case of unforeseen circumstances. Some of the common treatments that are covered under the new borncover and these common treatments can vary from plan to plan:
Coverage status under ICICI Lombard Golden Shield Plan?
Under the ICICI Lombard Golden Shield Plan, the newborn baby cover is not available.
Refers to the cost of medicines and procedures used under AYUSH (Ayurveda, Yoga & Naturopathy, Unani, Siddha, and Homeopathy) treatment.
Coverage status under ICICI Lombard Golden Shield Plan?
Under the ICICI Lombard Golden Shield Plan, AYUSH treatment is covered up to SI.
In Vitro Fertilization (IVF) is a method of assisted reproductive technology. The common expenses incurred under IVF and infertility treatments are for:
Coverage status under ICICI Lombard Golden Shield Plan?
Under the ICICI Lombard Golden Shield Plan, IVF is not available.
Medical treatments that demand the use of modern technology such as robotic surgeries, stem cell therapy, etc.
Coverage status under ICICI Lombard Golden Shield Plan?
Under the ICICI Lombard Golden Shield Plan, modern treatments are covered up to SI.
An ambulance is used to move the patient from home to hospital, transfer to another hospital, and take them for different tests outside the hospitals.
Coverage status under ICICI Lombard Golden Shield Plan?
Under the ICICI Lombard Golden Shield Plan, ambulance cover is available up to 1% of SI up to a maximum of Rs 10,000/-
Air ambulances are specially prepared planes that transfer the patient from one place to another in case of a health emergency.
Coverage status under ICICI Lombard Golden Shield Plan?
Under the ICICI Lombard Golden Shield Plan, the air ambulance is covered.
Refers to the traveling expenses of a family member of the insured person in case the policyholders get admitted to a hospital outside his/her residential city.
Coverage status under ICICI Lombard Golden Shield Plan?
Under the ICICI Lombard Golden Shield Plan, compassionate travel is not covered.
Any kind of medical/health emergency when you are outside of India.
Coverage status under ICICI Lombard Golden Shield Plan?
Under the ICICI Lombard Golden Shield Plan, global coverage is not covered.
If a policy offers E-consultation it allows policyholders to connect with a doctor for medical consultation through video chat, audio call, or chatbot.
Coverage status under ICICI Lombard Golden Shield Plan?
Under the ICICI Lombard Golden Shield Plan, E-consultation is covered.
A facility where the policyholder can avail of free health check-ups after fulfilling the company's policies.
Coverage status under ICICI Lombard Golden Shield Plan?
Under the ICICI Lombard Golden Shield Plan, a health check-up is available.
If the policyholder wants, they may opt for a second medical opinion wherein the policyholder can consult another doctor within the company's network of medical practitioners.
Coverage status under ICICI Lombard Golden Shield Plan?
ICICI Lombard Golden Shield Plan covers the expenses for a second medical opinion.
Coverage against the expenses incurred on vaccinations is provided by the insurance companies.
Coverage status under ICICI Lombard Golden Shield Plan?
ICICI Lombard Golden Shield Plan does not cover vaccination expenses.
In the co-payment clause, policyholders have to pay a portion of the hospitalization expense on their own and the insurer will pay the rest of the amount.
Status under ICICI Lombard Golden Shield Plan?
On additional premium payment, insured individuals can reduce the base co-pay from 50% to 10, 20, 30, and 40 % co-pay applicable on all claims under the ICICI Lombard Golden Shield Plan.
Sub-limits are the specific limits set in an insurance policy for its various features. For example, there are usually sub-limits set on room rent, OPD, doctor’s fees, ambulance charges, family visits, etc. Small amounts of the total sum insured are allotted to different features that the policy comes with and exceeding these amounts leads to out-of-pocket expenses from the policyholder.
Status under ICICI Lombard Golden Shield Plan?
Sub-limits are not applicable.
Permanent diseases or health conditions that are not included under the ICICI Lombard Golden Shield policy are mentioned below:
Obesity and weight management surgeries
Change of gender treatments
Cosmetic or plastic surgeries
Treatments due to substance abuse
Sterility and Infertility- related treatments
Certain diseases and treatments are covered under this plan after a certain time period. Read the details given below in order to understand the same:
Pre-Existing Diseases 48 Months
Listed Ailments 48 Months
In your senior years, it is imperative that you take better care of your health and wellness in order to live a long, fulfilling life. However, emergency medical expenses and complications sometimes arise without a warning. Golden Shield Plan by ICICI Lombard offers multiple health care features making sure that insured individuals have access to efficient medical care. With features like a care management program, air ambulance, a high sum insured ranging up to INR 50 Lakhs, and a co-pay reduction option the plan is an ideal plan for senior citizens.
ICICI Lombard Insurance company offers several tailored health plans that are designed to serve you in the best way possible. Take a look:
Standard Health Insurance
A standard Health plan that offers coverage up to 5 lakhs to the insured & his family. The plan offers you everything you need under a health insurance plan.
Unique Features
Saral Suraksha Plan
A plan that offers coverage for accidental death and disablement, temporary total disablement and gives Education Grant.
Unique Features
Top-up
A Top-up plan that offers extra coverage to you and your family with a comparatively lower premium with a policy deductible principle.
Unique Features
Personal Accident
The plan offers personal accident coverage on an individual and family floater basis, with coverage up to 25Lakhs.
Unique Features
Covid specific Plan
A plan mandated by IRDAI that offers covers the hospitalization expenses if the insured is tested positive for Covid-19.
Unique Features
Senior Citizen Plan
A comprehensive plan for you and your family covering
Unique Features
Senior Citizen Plan
A versatile health insurance plan with vital features like outpatient treatment coverage, Maternity Benefits, Newborn Baby Cover, and more.
Unique Features
The plan is available to insured individuals over the age of 56 years without any upper limit to the entry age.
The sum insured options available under the ICICI Golden Shield Plan range between INR 5 lakhs and 50 Lakhs.
The ICICI Lombard Golden Shield Plan can cover you and your spouse under a single cover.
The modification of co-payment is a feature that allows insured individuals to reduce the base co-pay from 50% 40 or 30, or 20%.
Yes, ICICI Lombard Golden Shield Plan is eligible for tax benefits as per the Income Tax Laws of India. All the premiums paid towards the insurance plan are eligible for tax benefits.
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Simran is an insurance expert with more than 3 years of experience in the industry. She may have all the answers to your insurance queries. With a background in Banking, she proactively helps her readers to stay on par with all the latest Insurance industry developments.
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