• This card is not transferable and is valid at network hospitals only

• Use of this card is governed by the policy terms and conditions

• Cashless access to the network hospitals can be obtained when accompanied with an authorisation letter issued by
ICICI Lombard Health Care
• Please provide this card along with Government issued any valid photo ID proof to prove identity (incase of non
photo cards)
• Valid up to policy expiry date or cancellation date whichever is earlier
ICICI Lombard Health Care Pays: Hospitalisation bills for admissible claim, subject to prior approval. In case of emergency,
approval can be taken within 24 hours of hospitalisation.
Insured Pays: All non-medical hospitalisation bills and expenses not covered under the policy amount in excess of limit
specified in authorisation. Entire bill, if condition is not covered by policy and if authorisation is not obtained / given.
Mailing Address: ICICI Lombard Health Care, ICICI Bank Tower, Plot Number 12, Financial District, Nanakram Guda
Gachibowli, Hyderabad- 500 032.
Registered Address: ICICI Lombard General Insurance Compant Limited, ICICI Lombard house, 414, Veer Savarkar Marg,
Near Siddhi Vinayak Temple, Prabhadevi, Mumbai- 400 025.
Fax Number: (040) 6698 9160/61. Toll Free Number: 1800 2666
Email: ihealthcare@icicilombard.com Visit us to: www.icicilombard.com

lnsuranceisthesubjectmatterofsolicitation.lRDA Reg. No. 115.

• This card is not transferable and is valid at network hospitals only

• Use of this card is governed by the policy terms and conditions
• Cashless access to the network hospitals can be obtained when accompanied with an authorisation letter issued by
ICICI Lombard Health Care
• Please provide this card along with Government issued any valid photo ID proof to prove identity (incase of non
photo cards)
• V8'id up to policy expiry date or cancellation date whichever is earlier
ICICI Lombard Health Care Pays: Hospitalisation bills for admissible claim, subject to prior approval. In case of emergency,
approval can be taken within 24 hours of hospitalisation.
Insured Paya: All non-medical hospitalisation bills and expenses not covered under the policy amount in excess of hmit
specified in authorisation. Entire bill, if condition is not covered by policy and if authorisation is not obtained / given.
Mailing Addreas: ICICI Lombard Health Care, ICICI Bank Tower, Plot Number 12, Financial District, Nanakram Guda
Gachtbowli, Hyderabad · 500 032.
Registered Addreu: ICICI Lombard General Insurance Cornpant Limited, ICICI Lombard house, 414, Veer Savarllar Marg,
Near Siddhi Vmayak Ternpla, Prabh1divi, Mumbai -400 025 .
fax N.....,: (04016698 9160 / 61 . Toll frH Number: 1800 2666
&Mil: 1heatthcare@1c1c1lombard.com Viait ua to: www.1c1c1lombard.com

lnturance11thuub1ectm1m,rof1olictt1ttion. lRDA Reg. No. 115.

 om ard
Name Hea/t~
: MINI KUMARI
Policy No : 4128i/HSM/142582353/01 /000
Card No : 108047760

Gender : Female Age : 31 DOB : 14-05-1987

I

VMd Upto : 11 -Jan-2020 i·

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so - 8 - 212 ..

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Toll Free N,.,,,.-

bi -•l BDO 2666
 ~~~ ~
/CIC/ Lombard
Health':::::;
: AMANDEEP SINGH
.. -:y No : 4 128i/HSM/142582353/01 /000
cam No : 108047759
Cendec : Male Age : 30 DOB : 10-05-1988

Valid Upto : 11 -Jan-202 0 so -a t12

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