Icici Lombard Group Plan vs Personal Accident Plan Health Insurance Plan 2026 | PolicyX

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ICICI Lombard Group insurance is a type of insurance plan that covers many people in the same proximity, for example, employee-employer, bank customers, and office or society members. Irrespective of their age, gender, occupation or socio-economic status, these plans provide the same extent of insurance coverage to all members of a group. 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.

PLAN DETAILS

Icici Lombard Group Plan

Personal Accident Plan

Product Type Group Health Insurance Individual and Family Health Insurance
Key Features
(Key features of the plan)
  • Large Sum Insured
  • Daycare Treatment
  • Floater Benefit
  • Child Education
  • Funeral Expenses Cover
  • TTD/PTD Cover
OPD Details
(In some policies, OPD (Out patient department) expenses are also covered.)
Covered Not Covered
Room Rent
(A limit of room rent cover during hospitalization if any)
Covered Not Covered
Domicillary Hospitalization
(It is the expenses incurred on treatment of the patient at home)
Covered Not Covered
Pre-hospitalization
(Expenses before the insured is hospitalized)
Covered Not Covered
Post-hospitalization
(Expenses after discharge from the hospital)
Covered Not Covered
Day Care Treatment Covered
(Day care treatments refers to the treatments that do not necessarily require 24hrs of hospitalization like MRI.)
Covered Not Covered
Hospital_network
(Number of Hospital Network in city)
10600 10000
Organ Donor Expenses
(Expenses incurred on organ donor in case of organ transplants)
Covered Not Covered
Hospital Daily Allowance
(Some plans offer daily allowance to take care of expenses like food, etc)
Covered Not Covered
Ambulance Charges
(Expenses incurred on ambulance charges)
Covered Covered
Maternity Benefits
(All Hospitalization cost covered at the time of pregnancy.)
Covered Not Covered
New Born Baby Covered
(Newborn babies can be covered under the insurance plan after a certain period)
Covered Not Covered
Health Checkup
(An added benefit of one time full health checkup of policy holder.)
Covered Not Covered
Sub Limit
(Sub-limit is a monetary capping that applies on specific diseases like cataract)
Applicable Not Covered
Co-pay
(Mentioned %, if any is to be borne by Insured and rest will be borne by insurer)
Applicable Not Covered
Plan Entry Age Min- 180 days, Max- 95 years Adult Entry Age: Minimum: 18 years, Maximum: 65 years. For Dependent Children (Maximum 2): Minimum:
Plan Premium Entry Age and S/A 1300 -
Plan Waiting Period 30 No Waiting Period
Plan Coverage Hospitalization expenses, pre and post hospitalization, daycare treatments, maternity add-on, diagnostic and surgical costs -
Plan Sample Premium 1300 -
Plan Brochure Brochure URL Brochure URL
Policy Term 1 Year 1/2/3 Years
ICU Charges Covered Not Covered
Covid-19 Treatment Covered Not Covered
Cataract Covered Not Covered
Automatic Restoration Covered Not Covered
Ayush Treatment Covered Not Covered
Modern Treatment Covered Not Covered
E Consultation Covered Not Covered
Air Ambulance Covered Not Covered
Global Coverage Not Covered Not Covered
Claim Ratio 97.16 94.4
Solvency Ratio 2.69 3.03
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