ICICI Lombard Health Insurance Claim Settlement Ratio

ICICI Lombard General Insurance Company provides convenient and timely settlement of claims for their health insurance plans. The health claim settlement ratio of 78.32% seems satisfactory. The claim ratio determines the insurer’s ability to settle claims against the claim requests received. The plans are designed to keep you and your family healthy and happy, with an in-house claim processing and wellness center for smooth claim settlement without third-party intervention. Read more to know more about the ICICI Lombard claim procedure for cashless treatment and reimbursement of healthcare expenses during the policy term.

Read More

Get insured from the comfort of your home No medicals required

Tell us about you

ICICI Lombard Health Insurance Claim Settlement Ratio

Get insured from the comfort of your home No medicals required
I am a

My name is

My number is

By clicking on 'View Plans' you, agreed to our Privacy Policy and Terms of use
I am a

My name is

My number is

Select Age

City Living in

    Popular Cities

    Do you have an existing illness or medical history?

    This helps us find plans that cover your condition and avoid claim rejection

    Get updates on WhatsApp

    What is your existing illness?

    Select all that apply

    When did you recover from Covid-19?

    Some plans are available only after a certain time

    Claim Process of ICICI Lombard Health Insurance

    ICICI Lombard has an in-house claim settlement team and wellness center. This saves your time in running from pillar to post. So, you can file a claim in two ways and the procedure for both of them is described below-

    Claim Procedure for Cashless Hospitalization 

    • Visit one of the registered hospitals for treatment and go to the health desk and display the ICICI health card
    • A pre-authorization request form will be submitted to ICICI Lombard General Insurance on your behalf
    • ICICI Lombard General Insurance will approve your claim based on the verification
    • Once approval is received, cashless treatment will begin at the network hospital 
    • ICICI Lombard will pay-off the medical bills on your behalf
    • If the claim is rejected, you can continue the treatment but you will have to pay the bills and lodge a claim for reimbursement post-discharge

    Claim Procedure for Reimbursement of Hospitalization Expenses

    • When getting discharged from the hospital, you have to collect the original copies of all the documents. Submit the claim and all the documents to ICICI Lombard General Insurance to recompense your medical bills
    • Your claim will be settled within fifteen days of submitting all the required documents
    • ICICI Lombard medical insurance claim will be rejected or approved based on the policy wordings

    Documents Required for ICICI Lombard Health Insurance

    Submit the following documents when filing a claim with ICICI Lombard-

    • Sign the claim form and get it signed from the treating doctor as well
    • Payment ​receipts from the hospital
    • Hospital discharge summary (along with the details of the treatment)
    • Consultation papers from the doctor
    • Detailed ​hospital ​bill (final & interim both)
    • Chemist bills with doctor's prescription
    • All the original investigation reports (X-ray reports, blood reports, MRI scan reports, etc.)
    • Detailed bills are required to ascertain the miscellaneous charges 
    • Implant invoice/sticker (in case of cataract surgeries lens details are required, in case of cataract stent details are required)
    • FIR report/ Medico ​legal ​certificate (MLC)  ( applicable to accidental cases only)
    • Copy of ​ICICI Lombard health insurance card
    • Other documents ( as per the case)

    *Submit the original copies of all the documents.


    Health insurance articles

    Recent Articles
    Popular Articles
    Health Insurance for Autoimmune Diseases in India

    16 Sep 2021

    Every human body comes with an immune system to fight against...
    Does Health Insurance Cover Multiple Sclerosis In India

    15 Sep 2021

    Due to a hectic lifestyle leading to unnecessary stress and...
    Critical Illness Insurance Policy For Stroke Patients In India

    14 Sep 2021

    Medical emergencies are unpredictable and it brings a lot of...
    Which Health Insurance to Buy for People below Poverty Line?

    09 Sep 2021

    Although the penetration of health insurance in India is quite...
    List of Diseases Covered by Star Health Insurance

    07 Sep 2021

    Getting diagnosed with a major illness is not only stressful but...
    Best Health Insurance Plans in India 2021
    Finding the best health insurance plan from so many different health insurance companies can get confusing for many...
    Top Maternity Insurance Plans
    Maternity or pregnancy is an important phase of life, and one needs to prepare in advance to embrace parenthood...
    Top Family Health Insurance Policies in India 2021
    From the air we breathe to the food we eat; everything is intentionally or unintentionally subjected to...
    Health Insurance Claims Ratio- Things You Should Look Before Buying Health Insurance
    There has always been a doubt in customers mind about whether the private company will keep its side of the bargain...
    Best Health Insurance Plans for Senior Citizens in 2021
    Considering the increasing percentage of medical inflation in India, it has become an absolute necessity to buy...
    Download the Policybazaar app
    to manage all your insurance needs.