Family Floater Health Insurance

Icici Lombard General Insurance

ICICI Lombard is a joint venture between ICICI Bank Limited, which is India’s second largest bank and Fairfax Financial Holdings Limited, a Canada based diversified financial services company.
One policy that they have come up with is the Family Floater Health Insurance Plan.

The FEATURES of this plan are as under:

· Medical expenses incurred as in inpatient during hospitalization for more than 24 hours including room charges, doctor’s/surgeon’s fee, medicine bills, etc

· Medical expenses incurred 30 days prior and 60 days post hospitalization

· Day care expenses incurred on advanced technological surgeries and procedures requiring less than 24 hours of hospitalization (including dialysis, chemotherapy and radiotherapy)

· Pre-existing diseases are covered after 4 continuous years of renewal with ICICI Lombard

· This policy also covers hospitalization in case of Swine Flu/H1N1 influenza

· A maximum of 2 adults and 2 children can be covered under one policy

· This policy gives the option of one or two year covers for which the premium amounts are different

The EXCLUSIONS to this policy are:

Exclusions for the first 30 days:

· Any illness contracted within 30 days from the inception of the policy, except those that are incurred as a result of an accident

Exclusions valid for the first 2 years:

Treatments of the diseases/ailments/illnesses mentioned below:

· Cataract

· Benign prostatic hypertrophy

· Myomectomy, hysterectomy unless due to malignancy

· Hernia, hydrocele

· Fistula in anus, piles

· Arthritis, gout, rheumatism

· Joint replacement unless due to accident

· Sinusitis and related disorders

· Stone in the urinary and biliary systems

· Dilatation and curretage

· Skin and all internal tumors/nodules/cysts of any kind including breast lumps unless malignant, adenoids/hemorrhoids

· Dialysis required for chronical renal failure

· Surgery on tonsils, adenoids, sinusitis

· Gastric and duodenal ulcers

Permanent exclusions:

· Any illness/disease/injury/pre-existing disease before the inception of the policy

· Non-allopathic treatment, pregnancy and childbirth related complications, cosmetic aesthetic and obesity related treatment

· Expenses arising from HIV or AIDS and related diseases, use or misuse of liquor, intoxicating substances or drugs as well as intentional self injury

· War, riots, strike, nuclear weapon, induced treatment

ELIGIBILITY:

· People between the age of 5 and 60 years can be covered under this policy

· The proposer should be above the age of 18 years

· At least one adult must be covered under the same policy to be able to cover children between 91 days and 5 years of age

· Children below 91 days cannot be covered under this policy

· The policy can be renewed up to a maximum age of 70 years

PREMIUMS:

The premiums for this Family Floater Health Insurance Plan are:

PREMIUMS FOR 1-YEAR PLAN:

Plan	Individual	Individual	2A	2A	2A	2A+1C	2A+1C	2A+1C
	2 L	3L	2L	3L	4L	2L	3L	4L
5-18 yrs	1956/-	2250/-	–	–	–	–	–	–
19-35 yrs	2644/-	3046/-	3965/-	4570/-	6854/-	5139/-	5920/-	8896/-
36-45 yrs	3312/-	3679/-	4968/-	5519/-	7702/-	6141/-	6869/-	9746/-
46-55 yrs	5896/-	6552/-	9434/-	10483/-	14675/-	10607/-	11833/-	16719/-
56-60 yrs		8026/-	11557/-	12841/-	17977/-	12731/-	14192/-	20021/-

Plan	2A+2C	2A+2C	2A+2C	1A+1C	1A+1C	1A+1C
	2L	3L	4L	2L	3L	4L
5-18 yrs	–	–	–	–	–	–
19-35 yrs	6312/-	7170/-	10943/-	3472/-	3999/-	6019/-
36-45 yrs	7314/-	8219/-	11791/-	4023/-	4521/-	6485/-
46-55 yrs	11781/-	13183/-	18763/-	6479/-	7251/-	10320/-
56-60 yrs	13904/-	15542/-	22065/-	7647/-	8548/-	12136/-

Plan	1A+2C	1A+2C	1A+2C
	2L	3L	4L
5-18 yrs	–	–	–
19-35 yrs	4329/-	4985/-	7516/-
36-45 yrs	4831/-	5460/-	7940/-
46-55 yrs	7064/-	7942/-	11426/-
56-60 yrs	8125/-	9121/-	13077/-

PREMIUMS FOR 2-YEARS AUTO RENEWAL PLANS:

Plan	Individual	Individual	2A	2A	2A	2A+1C	2A+1C	2A+1C
	2 L	3L	2L	3L	4L	2L	3L	4L
5-18 yrs	3520/-	4051/-	–	–	–	–	–	–
19-35 yrs	4758/-	5484/-	7137/-	8225/-	12338/-	9250/-	10656/-	16018/-
36-45 yrs	5961/-	6623/-	8942/-	9934/-	13864/-	11054/-	12365/-	17543/-
46-55 yrs	11203/-	12448/-	17925/-	19917/-	27882/-	20154/-	22483/-	31766/-
56-60 yrs	–	16052/-	23113/-	25683/-	35953/-	25460/-	28383/-	40042/-

Plan	2A+2C	2A+2C	2A+2C	1A+1C	1A+1C	1A+1C
	2L	3L	4L	2L	3L	4L
5-18 yrs	–	–	–	–	–	–
19-35 yrs	11362/-	13086/-	19697/-	6249/-	7197/-	10834/-
36-45 yrs	13166/-	14795/-	21223/-	7241/-	8137/-	11673/-
46-55 yrs	22384/-	25048/-	35650/-	12311/-	13777/-	19608/-
56-60 yrs	27807/-	31084/-	44130/-	15294/-	17096/-	24272/-

Plan	1A+2C	1A+2C	1A+2C
	2L	3L	4L
5-18 yrs	–	–	–
19-35 yrs	7793/-	8974/-	13528/-
36-45 yrs	8695/-	9828/-	14291/-
46-55 yrs	13421/-	15090/-	21709/-
56-60 yrs	16251/-	18242/-	26154/-

A service tax of 10.3% will be levied on all the premium amounts given in the table above.

The premiums paid towards these health insurance plans are tax exempted under section 80D of the Income Tax Act.

ICICI Lombard health insurances can also be bought online from www.icicilombard.com or they can be contacted on their toll free number 1800-209-8888

The POSITIVES of buying an insurance policy from ICICI Lombard are many, some of them being:

· Cashless claim facility

· Treatment can be taken from 3500+ network hospitals

· Arrangements for in-house health claim processing

· In-house wellness team

· No sub-limits on room rent, doctor fees, hospital charges or any disease, except cataract where Rs.20000 per eye is allowable

· No co-payments for any disease or any hospitalization expenses

· No health check up till the age of 55 years

· Free health check up coupon for any one insured family member for the policy period

· Buy the policies online and pay the premium in EMIs without any extra charge subject to a minimum annual premium of Rs.1500

· Expenses for hospitalization also covered for terrorist activities

· A cumulative bonus of 5% is added to the sum insured for every claim free year subject to a maximum of 50%