About ICICI Lombard Health AdvantEdge Plan
ICICI Lombard Health AdvantEdge is a comprehensive plan that offers uninterrupted medical coverage by restoring the sum insured unlimited times in a policy year. It comes with no hospital room rent limit for a sum insured of ₹5 lakh & above and provides preventive health check-up benefits. The plan also offers in-patient hospitalization coverage for surrogate mothers and oocyte donors.

ICICI Lombard Health AdvantEdge Plan: Key Highlights
Categories | Specifications |
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Sum Insured | ₹3 lakh to 3 crore |
Pre-policy Medical Check-up | No required for people below 45 years with a sum insured of ₹10 lakh |
Pre-existing Diseases Waiting Period | 2 years |
Discount | Up to 15% tenure discount Up to 15% zone-based discount 2.5% pneumococcal disease vaccination discount |
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Key Benefits of ICICI Lombard Health AdvantEdge Plan




ICICI Lombard Health AdvantEdge Plan Inclusions, Exclusions & Optional Cover
Inclusion of ICICI Lombard Health AdvantEdge Plan may differ from one plan to another. Some of the inclusions that are common under all the policies are given below:
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In-patient TreatmentIt covers the cost of in-patient hospitalization of at least 24 hours, including hospital room rent charges and doctor’s fees.
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Day Care ProceduresIt pays for day care procedures or treatments that require less than 24 hours of hospitalization.
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Modern TreatmentsIt covers the cost of 12 modern treatments, such as robotic surgeries, oral chemotherapy, stem cell therapy, etc.
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Pre-Hospitalization Medical ExpensesIt pays for the medical expenses incurred up to 60 days before hospitalization.
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Post-Hospitalization Medical ExpensesIt covers the medical expenses incurred for up to 180 days after hospital discharge.
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In-patient AYUSH HospitalizationIt pays for in-patient treatments availed at an Ayurveda, Unani, Homeopathy, Siddha, Yoga and Naturopathy hospital or day care centre.
Exclusion of ICICI Lombard Health AdvantEdge Plan may differ from one plan to another. Some of the inclusions that are common under all the policies are given below:
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OPD treatment
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Treatment for alcohol or drug addiction
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Sterility and infertility
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Cosmetic or plastic surgery
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Injuries due to participation in hazardous or adventure sports
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Intentional self-injury
Optional Cover of ICICI Lombard Health AdvantEdge Plan may differ from one plan to another. Some of the inclusions that are common under all the policies are given below:
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Maternity BenefitIt covers the medical expenses incurred due to pregnancy, including delivery of the baby, pre-natal expenses, post-natal expenses and medically recommended lawful termination of pregnancy.
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Newborn Baby CoverIt pays for the in-patient treatment of the newborn baby until it turns 90 days old.
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First-year Vaccinations of the Newborn BabyIt covers the vaccination expenses of the newborn baby until it turns 1 year old.
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Critical Illness CoverIt pays a lump sum amount to the policyholder on the first diagnosis of any of the 20 listed critical illnesses.
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Personal Accident CoverIt provides compensation in case an accident of the insured leads to accidental death or permanent partial/total disability.
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Nursing at HomeIt ensures that policyholders above 60 years do not have to pay any co-payment while raising a claim.
In case of emergency we are just a call away. Take care of your family, we will do the rest. Our claim specialists will reach your location & complete the formalties from filing the claim to documentation to coordinating with insurer, TPA & hospital. Available in New Delhi and 114+ cities View cities list ›Policybazaar Claim Process
ICICI Lombard Health AdvantEdge Plan: FAQs
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Q: What are ICICI Lombard Health AdvantEdge benefits?
Ans: Yes. The ICICI Lombard Health AdvantEdge plan offers a range of benefits, including reset benefit, convalescence benefit, preventive health check-up benefit and wellness programs, apart from covering hospitalization expenses, home care treatment, donor expenses, ambulance charges, etc. You can also opt for optional benefits like claim protector, befit benefit, sum insured benefit, etc., to enhance the overall policy coverage.
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Q: Is full body check-up covered by ICICI Lombard Health AdvantEdge?
Ans: Yes. The ICICI Lombard Health AdvantEdge plan offers preventive health check-up benefits to all policyholders.
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Q: Is pregnancy covered in ICICI Lombard Health AdvantEdge?
Ans: Yes. The ICICI Lombard Health AdvantEdge plan covers pregnancy-related expenses under the maternity benefit. However, the maternity benefit is optional and available after a maximum waiting period of 2 years.
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Q. What is the advantage of selecting a policy with a duration of more than 1 year?
Ans: If one buys Aditya Birla Health Insurance for more than a year, one can save 7.5 % and 10% on the 2 and 3 years premium, respectively.
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Q. How is an Individual cover different from a Floater cover?
Ans: In an Individual cover, coverage is offered to each individual in the family separately. In a Family Floater health insurance plan, each family member is covered based on a floater sum insured.
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Q. How is an Individual cover different from a Floater cover?
Ans: In an Individual cover, coverage is offered to each individual in the family separately. In a Family Floater health insurance plan, each family member is covered based on a floater sum insured.
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Q. What is a waiver of a mandatory co-pay cover?
Ans: This benefit is covered on payment of an additional premium. Therefore, any mandatory co-payment that is applicable under the Aditya Birla Activ Health Essential Plan will be waived off.
ICICI Lombard offers two types of claim settlements – cashless and reimbursement. Follow the steps to raise a claim:
- Find the nearest network hospital of ICICI Lombard
- Get admitted to the hospital
- Notify the insurance company about the hospitalization
- In case of pre-planned hospitalization, intimate the insurer before hospital admission.
- Fill up the pre-authorization form and submit it to the hospital staff
- The pre-authorization form will be sent to ICICI Lombard for approval.
- Once approved, obtain medical treatment.
- At the time of discharge, sign all the medical documents.
- Pay for the items/services not covered under the ICICI Lombard policy
- The network hospital will send the hospital bill to ICICI Lombard.
- After review, the insurance company will pay the bill amount directly to the network hospital.
- Inform the insurance company about the hospitalization
- In case of planned hospitalization, notify the insurer before hospital admission.
- Receive medical treatment
- At the time of discharge, pay the entire hospital bill in full.
- Collect all the medical documents, bills and payment receipts
Our Claim specialists in below cities will reach your hospital or home in 30 minutes to support your health insurance claim