Product Booklet
Product Booklet
Product Booklet
8500+ GARAGES *
With our extensive and ever-increasing network of cashless garages we ensure that you are always close to help in case of a break down or accident
1000+ OFFICES *
We are here to help our 4 crores+ customers with our PAN India presence with 250+ branches and 800+ virtual offices.
Health AdvantEDGE
Health Booster
Family Shield
Wide product range to cater to all customer needs
Coverage for entire Wellness program Deductible based Traditional cover of Major critical illnesses
family with Unlimited Emergency services plans, affordable Accidental Death, High severity events
Cashless OPD Permanent total
reset, worldwide premium that can wipe out
program disability
coverage, protection Consultation Takes care of high financial savings
Additional covers
against inflation Diagnostic value claims from broken bones to
Pharmacy Adventure sports
Products offered
• Health Shield and Health Elite have SI options ranging from 3L to 50L
• Health Shield Plus and Health Plus have SI options from 15L to 50L
Complete Health Insurance
Domiciliary Inpatient
Hospitalization Treatment
Additional Daycare
SI upto 50% Procedures
Personal Accident
+
Claim Protector
+
Sum Insured Protector Critical Illness
In – Patient Benefit Up to SI Up to SI
AYUSH Treatment Up to SI Up to SI
Bariatric Surgery$ 50% of SI / Max upto 10 Lacs 50% of SI / Max upto 10 Lacs
Domiciliary Hospitalization Up to SI Up to SI
Waiting Periods
Initial Waiting Period 30 days 30 days
*On continuous hospitalization for 10 days or more; payable over and above the base SI
In-built Coverage
Cover Name Royal Apex
Twice the maternity cover limit per newly born child over and above the
New Born Baby Cover maternity limit
Delhi (NCR), Kolkata, Mumbai including suburbs, Thane, Pune and Hyderabad. Nil
Zone 1
All cities in the state of Gujarat, Haryana and Rajasthan
Co-Payment Clause
Person buying product in zone 3: taking treatment in zone 2 - 12.5%, taking treatment in zone 1 - 15%
Cashless OPD Cashless Health Check ups Exhaustive health Reward for healthy Emergency
services – Physical Pharmacy and lifestyle Assistance
and Virtual from Diagnostics Health Risk management Services
general, specialist services Assessments program with Customers shall be
and super awarded wellness Deals and
specialist doctors Coverage for minor Diet & Nutrition e- services of a points redeemable discounts for
medical / surgical consultations personal health against renewal various products
Cashless procedures done premium and and services
Physiotherapy on OPD basis e-Counselling coach health related
sessions sessions deals & offers
Pharmacy &
- INR 1000 INR 1000 INR 2000 INR 3000 INR 5000
Diagnostics
E-Counselling Available
VAS Available
Ambulance Assistance, Preventive Care, Wellbeing Program, Tele Consultations, Dietician e-Consultation,
Other benefits
Health management Program*
Utilization
INR 7500 INR 9500 INR 18000 INR 23500 INR 32500 INR 70000
Potential
Premium# INR 297 INR 1054 INR 2728 INR 3748 INR 4824 INR 6558
* Health Management Program is Optional at the time of fresh policy issuance. However, In case the customer develops defined adverse health
conditions/life style diseases within policy period, the Insured Person shall be mandatorily shifted to HMP at the time of renewal of the policy.
F Total Value in terms of INR D*E INR 1100 INR 5000 INR 5000 INR 5000 INR 5000
G Maximum discount that can 20% of basic 20% of basic 25% of basic 25% of basic 25% of basic
be availed premium premium premium premium premium
I Renewal Discount - INR 1000 INR 1000 INR 1250 INR 1250
J Renewal premium - INR 4000 INR 4000 INR 3750 INR 3750
K Balance can be availed INR 100 INR 320 INR 400 INR 950 INR 950
against health related deals
& offers on mobile application
Health Management Program
03
Goal Setting
Realistic goal setting,
involvement of family
members, ensure 06
02 adherence to diet &
Customized lifestyle Holistic Health
Education on stress
Program management &
Basis the risk Happiness index.
01 assessment, health 05 Focus on Mind and 08
coach develops a Body integration
Risk personalized Health
Mid year Healthy
Assessment Management Plan Assessment Lifestyle
Health assessment Assessment by the Guidance on
by a personal health coach, re-calibration 07 maintaining the healthy
coach and program 04 of the program lifestyle for long term
induction Final benefits
Engagement Assessment
Notification for Impact assessment o
personalized blogs, n final outcome of the
videos, actionable health management
articles, health prints program
ICICI Lombard
Health Booster
HEALTH BOOSTER
BASIC PRODUCT FEATURES
Ambulance Domiciliary
Cover Hospitalization
Donor Expenses Pre & Post
(Up to SI) Hospitalization
Reset Benefit
Wellness Program
USP OF
HEALTH
BOOSTER
Claim Service
Guarantee
Deductible
Sum Insured
3
Plans
7 10 15
4
6 10 15 20 25
5
5 10 15 20 25 50
For further details please refer to the policy Boucher/Wordings
HEALTH BOOSTER
Plans 50 ( Lakh )
25 ( Lakh ) 25 ( Lakh )
20 ( Lakh ) 20 ( Lakh )
3
Deductible
4
Deductible
5
Deductible
( Lakh ) ( Lakh ) ( Lakh )
Major CIs 4 10 14 24 3
Minor CIs 1 11 12 8 5
Features • Severity based payout: • Multi Pay - Each cohort having Individual SI
o 100% for Major Cis • 1 major 1 Minor CI claim payable from each cohort*
o 25% for Minor Cis
• No Waiting Period(WP) between any claim of major and minor
• Accelerated payouts
• Coverage for 10
• Comprehensive major and 11 minor
• Unique plan to • Comprehensive
coverage for major heart related
protect against coverage against
and minor cancers critical illness
cardiac and caner cancer, cardiac,
Feature Details
• Takayasu Arteritis • Pulmonary Artery Graft Surgery*
In Built 10 major and 11 minor
• Refractory Heart Failure • Cardiac Arrhythmia with surgical
Coverage Critical Illness intervention*
Major Surgical • Eisenmenger's Syndrome
Procedures • Other Serious Coronary Artery
Add Ons • Myocardial Infarction (First Heart Diseases
PA Death + PTD + PPD Attack - Of Specified Severity
• Teleconsultation • Cardiomyopathy of specified severity • Insertion of a Permanent Cardiac
• Health and Wellness Defibrillator*
Offers • Open Chest CABG*
Value Added
• E Opinion(Second • Complete Heart Block or Third Degree
Services • Open Heart Replacement Or Repair Heart Block with pacemaker*
opinion) Of Heart Valves*
• Health • Pericardectomy*
Assistance(HAT) • Surgery Of Aorta*
• Balloon Valvotomy or Valvuloplasty*
Initial Waiting
90 days • Primary (Idiopathic) Pulmonary
Period Hypertension • Angioplasty*
Survival Period 0 days • Infective Endocarditis • Minimally Invasive Surgery to Aorta*
• Pulmonary embolism
* Surgical procedures • Moderately Severe Cardiomyopathy
Cancer + Cardiac Shield
Plan Features List of Major CIs List of Minor CI
Feature Details
In Built
55 major and 37 minor Critical Illness
Coverage
• Teleconsultation
Value Added • Health and Wellness Offers
Services • E Opinion(Second opinion)
• Health Assistance(HAT)
Initial Waiting
90 days
Period
Survival Period 0 days
List of Critical illness - Major
Major Critical Illnesses (100% SI Payout) Minor Critical Illnesses (25% SI Payout)
Cancer and blood disorders (4/1)
Cancer of Specified severity (Major Cancer) Cancer of Specified severity (Major Cancer)
Bone Marrow Transplant
Aplastic Anaemia
Primary Myelofibrosis
Other Illness
Third Degree Burns Elephantiasis
Necrotising Fasciitis Adrenalectomy for Adrenocortical Adenoma
Pheochromocytoma Wilson's Disease
Optic Neuropathy
Facial Reconstructive Surgery due to accident
ICICI Lombard
Family Shield
Family Shield
Covers segregated in 3 Sections (All Sections available individually or in combination)
Section A
Section B Each section to have base benefits and
Infectious Disease Benefits
Hospital Daily Cash Benefit
Coverage against specific Vector respective extension benefits
Fixed daily benefit in case of
Borne Diseases, Rabies &
Hospitalization due to
Tetanus; GI, Viral & Nervous
Accident or Illness
Infections
Customer can opt for one or more of the sections
by opting for at least one base cover defined under
each section