Home arrow Health Insurance arrow Health Insurance plans arrow ICICI Lombard Health AdvantEdge
ICICI Lombard Health AdvantEdge logo

ICICI Lombard Health AdvantEdge

Introduction to ICICI Lombard Health AdvantEdge

ICICI Lombard Health AdvantEdge is a health insurance policy offered by ICICI Lombard Health Insurance Company Limited. A health insurance plan promises to pay for hospitalization-related expenses. It acts as a protective shield for savings and healthcare, so you and your family can live a happy, fulfilling life. ICICI Lombard's Health AdvantEdge Plan is a robust, comprehensive, and affordable health insurance plan that provides highly flexible coverage and a variety of features, benefits, and add-ons to meet your and your family’s unique medical needs. 

Verdict: ICICI Lombard Health AdvantEdge

This plan is a good option for those seeking cost-effective yet comprehensive health insurance coverage. It combines affordability with an array of features and benefits, making it an ideal choice. Not only is it much cheaper than similar products in the market, but it also offers coverage for numerous expenses such as consumables, bariatric surgery, maternity expenses, OPD expenses along with hospitalization-related expenses. The fact that you cannot choose to pay the premiums on a monthly basis is one of the drawbacks of the product. Further, based on our research, you are likely to have a pleasant experience with the insurer as they have received fewer claim settlement as well as policy purchase complaints.

Pros & Cons: ICICI Lombard Health AdvantEdge

  • arrow Much cheaper than other products in the market
  • arrow No restrictions on the type of hospital room you choose
  • arrow Covers expenses associated with pregnancy
  • arrow Covers outpatient department costs, such as medications, tests, consultations, etc.
  • arrow Covers non-medical expenses or the cost of consumables such as gloves, oxygen masks, nebulization kits, etc.
  • arrow Covers Bariatric surgery for weight loss
  • arrow Option to automatically increase the cover amount based on previous year's inflation
  • arrow Received fewer complaints during policy purchase compared to other insurers
  • arrow Received fewer complaints on claim settlement compared to other insurers
  • arrow Our study observed their responses on Twitter to be relatively quicker than other insurers
  • arrow Monthly premium payment mode not available

Specific Exclusions: ICICI Lombard Health AdvantEdge

01 Injury or disease due to war, invasion, act of foreign enemy, and warlike operations
02 Injury or illness due to nuclear, chemical or biological attack or weapons

Special Conditions: ICICI Lombard Health AdvantEdge

01 Under Domiciliary Treatment Cover, the costs of qualified nurses hired on the attending medical practitioner's recommendation are covered
02 Under Organ Donor Cover, expenses for treating complications in a donor's surgery are covered
03 Under Organ Donor Cover, screening expenses of the organ donor are covered

About ICICI Lombard General Insurance Company Limited

ICICI Lombard General Insurance Company Limited logo

ICICI Lombard General Insurance Company Limited is a joint venture between ICICI Bank Limited and Fairfax Financial Holdings Limited. This private general insurance company offers a well-diversified range of insurance products such as motor insurance, health insurance, personal accident insurance, crop insurance, fire insurance, marine insurance, etc. It was founded in 2001 and is headquartered in Mumbai, Maharashtra. Mr. Bhargav Dasgupta is the company's CEO and MD.

Founded in
2001
JV Partners
ICICI Bank Ltd and Fairfax Financial Holdings Ltd
Turnover (GWP)
3222.5 Crores
Number of Policies
2,93,10,084
Number of Claims
23,26,531

Detailed Product Specs: ICICI Lombard Health AdvantEdge

Claims Experience advisor
Customer Service advisor
Product Benefits(10L Sum Insured) advisor
Limits and Exclusions advisor
% of claims settled in less than 30 days
Reflects on the speed of settling valid claims
97.65%
% of Complaints received on overall claims
% customers unhappy with claims experience
0.09%
Claims Incurred Ratio
101.63%
Claim Settlement Ratio (No. of claims)
What % of the claims received were paid?
80.43%
No. of Cashless Hospitals
6,700+

Notes
  1. The health insurance data was last updated in January 2023. All data has been sourced from product brochures, policy wordings, prospectus, public disclosures (FY 2021-2022), insurer websites, and the IRDAI website.
  2. Only plans that are currently available for purchase online have been considered.
  3. For now, we have considered the most comprehensive plans from leading insurance companies. We will keep updating the Decoder Pages with new plans in the coming days.
  4. The affordability of the plans is assessed using premiums for a family of two adults and one child. And, the premiums are as of 31st December 2022.
  5. The product benefits section is based on a sum insured of ₹10 Lakhs and only highlights the top benefits and features of the plans. We will keep updating the Decoder Pages with new benefits and features periodically.
  6. Only those hidden and special conditions that apply to the benefits and features we have considered are included in the Decoder Pages. 
  7. The Decoder Pages only include the most significant specific exclusions under each plan.
  8. The Decoder Pages do not include any generic terms, conditions, or exclusions (those that are the same and apply to all health insurance plans).
  9. The response time on Twitter (Beta) was calculated using a sample set of tweets from April, May, and June 2022 (analyzed in August, September, and October 2022). 
  10. The claims experience data has been sourced from insurance company websites and public disclosures as of March 31, 2022.
Legal Disclaimer

Your use of the website shall be governed by the Terms and Conditions and Privacy Policy of our website.

Discover the best tips for insurance every week!

Beshak is not regulated by the Insurance Regulatory and Development Authority of India (IRDAI) and does not have any alliance or association with any Insurance business.
© Copyright 2023 Beshak Solutions Pvt. Ltd. All Rights Reserved.

Disclaimer: The content on the website is purely for information purposes for the public at large, and does not constitute personal financial advice for a specific individual reader.
If you are reading this, it means you love reading the fine print. Why not get paid for what you love doing - Join us by writing to info@beshak.org now 🙂