ICICI Lombard Group Health Insurance Plans & Benefits | PolicyX
ICICI Lombard Health Insurance ICICI Lombard Health Insurance ★ 4.4

ICICI Lombard Group Health Insurance

ICICI Lombard Group Health Insurance offers uniform coverage for vario ...Read More

Up to 3 Crores
Sum insured
1
No. of plans
320+
Pan India presence
97.16%
Claim settlement ratio
🛡️ IRDAI Approved
4.4/5 · 2,714 reviews
🏥 10,600+ hospitals
📊 2.69 solvency ratio
97.16% claim settlement
Written by Simran saxena
Reviewed by Raj Kumar
Published: 18 Nov 2024
Updated: 27 Jul 2026
Expert Verified
IRDAI Licensed

Overview of ICICI Lombard Group Insurance

ICICI Lombard Group Insurance is a type of insurance plan that covers multiple individuals within the same group, such as employees of a company, bank customers, or members of an office or society. These plans provide the same extent of insurance coverage to all members of a group, irrespective of their age, gender, occupation, or socio-economic status. Companies often provide group health insurance coverage to their employees and their dependents, offering monetary security.

The ICICI Lombard Group Health Insurance plan provides health insurance coverage to a group of people with common features or attributes. ICICI Lombard is one of the top health insurance companies in India. With over 6,700+ network hospitals and a claim settlement ratio of 97.07%, it is considered a trustworthy company. Their group health insurance plan is an all-inclusive plan with many additional benefits. Let's look at the plan specifications.

ICICI Lombard Group Health Insurance Benefits

ICICI Lombard Group Health Insurance offers multiple advantages that policyholders can avail:

  • Tax Benefits

    The amount paid towards the premium of this plan is eligible for tax relief under Section 80D of the Income Tax Act, 1961.

  • Less Waiting Period

    With ICICI Lombard Group Health Insurance, policyholders get a waiting period of 30 days. If diseases or illnesses are pre-existing at the time of proposal, they will not be covered during subsequent policy renewals.

  • Hospitalisation Coverage

    Policyholders receive coverage for hospitalisation and related services such as OPD charges, oxygen, blood, anesthesia, doctor's fees, surgeon's fees, intensive care unit charges, boarding, and nursing expenses incurred during hospitalisation for a minimum period of 24 hours.

  • Wide Range of Coverage

    Policyholders get a wide range of Sum Insured options, from ₹1,00,000 to ₹10,00,000.

  • Cashless Benefit

    Policyholders can avail cashless treatment at over 6,700+ network hospitals.

  • Day Care Treatment

    ICICI Lombard covers medical expenses incurred by the insured or network provider for daycare treatment. This includes medical and/or surgical procedures that would otherwise require hospitalisation for more than 24 hours.

  • Floater Benefit

    The insured can avail a floater cover, extending coverage to immediate family members for the same Sum Insured under a single policy by paying one premium amount.

  • Multiple Coverage Options

    Policyholders get multiple coverage options, including Individual & Family Floater, covering you, your legal spouse, and two legal & dependent children.

Exclusions

  • Pre-Existing Diseases
  • Illnesses diagnosed within the first 30 days of the policy.
  • Expenses for treatment of specific diseases and illnesses such as cataracts, benign prostatic hypertrophy, hysterectomy for menorrhagia or fibromyoma, hernia, hydrocele, congenital internal diseases, fistula in the anus, piles, sinusitis, and related disorders during the first year of the policy.
  • Gender reassignment treatment expenses, including surgical management, to change physical characteristics to those of the opposite sex.
  • Injuries from hazardous or adventure sports.
  • Treatment expenses arising from or consequent upon any insured person committing or attempting to commit a breach of law with criminal intent.
  • Cosmetic or plastic surgery for aesthetic purposes.

Plan at a glance

Eligibility, sum insured options and policy mechanics — pulled straight from the policy wording.

Entry age
Min- 180 days, Max- 95 years
Plan type
Group Health Insurance
Sum insured options
₹1 L, ₹2 L, ₹5 L, ₹8 L, ₹10 L
Waiting period
30 days
Renewability
Lifelong
Policy term
1 Year

*Initial Waiting Period is the time period between the issuance of the policy and the time it starts actively. During this period, a policyholder has to wait to avail of the benefits offered under a health insurance plan.

Pros & cons

A quick honest summary — the strengths and the trade-offs.

Pros

  • Tax benefit
  • Less waiting period
  • Hospital coverage
  • Wide range coverage

Cons

  • Pre-existing diseases
  • Hazardous or adventure sports

What's covered

A quick look at what this plan covers — and what it doesn't.

Hospitalization

  • Room rent Covered
  • ICU charges Covered
  • Pre-hospitalization Covered
  • Post-hospitalization Covered
  • Domiciliary hospitalization Covered
  • Day-care treatment Covered
  • OPD charges Covered
  • Covid-19 treatment Covered
  • Cataract Covered

Bonuses & restoration

  • No-claim bonus Covered
  • Automatic restoration of SI Covered
  • Daily hospital cash Covered

Family & special care

  • Maternity cover Covered
  • New-born baby cover Covered
  • IVF treatment Not covered
  • AYUSH treatment Covered
  • Organ donor expenses Covered

Modern & preventive care

  • Modern treatment Covered
  • Road ambulance Covered
  • Air ambulance Covered
  • E-consultation Covered
  • Health check-up Covered
  • Second medical opinion Covered
  • Vaccination Covered

Conditions & global

  • Co-payment Applicable
  • Sub-limits Applicable
  • Compassionate travel Not covered
  • Global coverage Not covered

Video reviews

Walkthroughs from the PolicyX team — pros, cons, real claim experiences and who should buy.

ICICI Lombard Health Insurance

ICICI Lombard Health Insurance

ICICI Lombard Health Insurance Review

ICICI Lombard Health Insurance Review

Who can buy this plan

Eligibility criteria pulled straight from the policy wording.

  • Min entry age: 18 years
  • Max entry age: 65 years
  • Initial Waiting Period: 30 days
  • Sum Insured: Up to ₹50 Lakhs

Frequently Asked Questions

The 5 most-asked questions about ICICI Lombard Group Health Insurance, answered.

No, ICICI Lombard Group Health Insurance does cover maternity charges. It covers medical treatment expenses traceable to childbirth including complicated deliveries and cesarean sections incurred during hospitalization, except ectopic pregnancy. Expenses towards miscarriage are also included.
No, ICICI Lombard Group Health Insurance does not cover Air Ambulance charges.
Yes, ICICI Lombard Group Health Insurance does not cover ICU charges.
No, policyholders are not covered for COVID-19 under ICICI Lombard Group Health Insurance.
ICICI Lombard Group Health Insurance policyholders get a waiting period of 30 days.

Conclusion

A flexible group health plan designed for companies and employees, offering comprehensive coverage a

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