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

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
Close
Back
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.

    FAQs

    Health insurance articles

    Recent Articles
    Popular Articles
    Should You Buy a Super Top-up Health Insurance Policy?

    18 Jan 2023

    India is abuzz with a variety of health insurance plans to cater
    Read more
    6 Reasons Why Your Cashless Health Claims Can Get Denied

    18 Jan 2023

    Cashless claims are one of the most lucrative benefits of buying a
    Read more
    Check Out the Mandatory KYC Documents for Health Insurance

    30 Dec 2022

    The Insurance Regulatory & Development Authority of India
    Read more
    What to Look for in a Health Insurance for Cancer Plan?

    20 Dec 2022

    Cancer is one of the biggest demons that the world faces today
    Read more
    What are the Factors Affecting Health Insurance Premium?

    20 Dec 2022

    Demand for insurance products in India, especially health
    Read more
    What are the Normal Thyroid Stimulating Hormone (TSH) Levels as Per Age?
    The thyroid gland is an important gland responsible to produce the right amount of hormones for normal body
    Read more
    How to Apply for Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (PM-JAY)?
    Ayushman Bharat Yojana is a flagship health insurance scheme launched by the Government of India to offer universal
    Read more
    Income Tax Slab for Women: Guide to Exemptions and Rebates
    In India, every person who earns beyond a certain limit is liable to pay income tax to the government. The tax
    Read more
    Best Health Insurance Plans for Senior Citizens in 2023
    Senior citizens are the most prone to diseases. Considering the medical inflation in India, buying health insurance
    Read more
    10 Major Benefits of Ayushman Bharat Yojana
    Pradhan Mantri Jan Arogya Yojana (PM-JAY) is the second component under Ayushman Bharat Scheme. PM Narendra Modi
    Read more

     
    top
    Close
    Download the Policybazaar app
    to manage all your insurance needs.
    INSTALL