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KEY INFORMATION SHEET

S.No. Title Description Refer to Policy Wordings

1 Product Name Health Elite (ICICI Lombard Complete Health Insurance)

Benefit as per Sum Insured Opted:

Sum Insured (Rs.) 3lacs/ 4lacs/ 5lacs 7lacs/ 10lacs 15lacs/ 20lacs/
25lacs/50lacs

In Patient treatment Covers Hospital expenses for admission longer than 24 hours

Pre & Post Medical Expenses incurred due to Illness up to 30 days period immediately d. Benefits covered
2 What is Covered
Hospitalisation before and 60 days immediately after an Insured Person's admission to a under the policy
under the policy
expenses Hospital

In Patient AYUSH Reimbursement of expenses for AYUSH treatment

Hospitalization

Day Care Procedure Medical expenses for day care procedures where such procedures are
undertaken by an Insured Person as an In-patient in a Hospital for continuous
period of less than 24 hours
Additional Sum An additional sum insured of 10% of annual sum insured for each completed
Insured (Cumulative and continuous claim free Policy Year subject to a maximum of 50%
bonus)
Reset benefit Not applicable
Donor Expenses Medical Expenses incurred in respect of the donor expenses up to annual Extension 9
Sum insured for any of the organ transplant surgery, provided the organ
donated is for Insured persons, subject to a limit of Rs.10 Lakhs. The limit for
this cover is over and above annual sum insured

Domiciliary We will cover the Medical Expenses incurred in respect of the Domiciliary Extension 20
hospitalisation Hospitalization of the Insured Person during the Policy Period up to annual
Sum Insured. The limit for this cover is over and above annual sum
insured

Air Ambulance Cover We will cover expenses incurred on air ambulance services in respect of an Extension 21
Insured Person which are offered by a healthcare or an air ambulance service
provider up to annual sum insured. The limit for this cover is over and above
annual Sum insured

Emergency Services • Domestic Road Ambulance expenses incurred to transfer the Insured Extension 24
Person following an emergency to the nearest Hospital. Maximum
amount payable is 1% of the Sum insured maximum up to Rs.10,000 per
event of emergency hospitalization.
• Ambulance Assistance: we will arrange ground medical transportation by
a Service provider to transport the Insured Person to the nearest Hospital
• Tele consultation: We will arrange consultations and recommendations for
routine health issues by a qualified Medical Practitioner or health care
professional

Hospital Daily Cash A daily cash amount for each and every completed day of Hospitalization up to Extension 1
a maximum of 10 consecutive days, if such Hospitalization is at least for a
minimum of 3 consecutive days
Rs.1,000 per day Rs.2,000 per day Rs.3,000 per day
Convalescence Rs. 10,000 provided once for each Policy year during Policy Period, in case of Extension 2
Benefit Hospitalisation of minimum 10 consecutive days or more

Maternity Benefit Medical expenses for the delivery of a child, where Insured Person and Extension 12
spouse, both are covered, after a waiting period of 3 years, subject to the
following sub-limits:
Normal Delivery of Normal Delivery of Normal Delivery of
Rs.15,000/ Caesarian Rs.25,000/ Caesarian Rs.25,000/ Caesarian
delivery of Rs.25,000/ delivery of Rs.50,000/ delivery of Rs.50,000/
Pre-Post Natal Rs.2,000 Pre-Post Natal Rs.2,000 Pre-Post Natal Rs.2,000
each each each

UIN: ICIHLIP22096V062122 -1- CIN : L67200MH20000PLC129408