Critical Illnesses Covered Under ICICI Pru Term Insurance

ICICI Pru CI Rider — Key Highlights

The critical illness benefit under ICICI Prudential term insurance is designed to provide financial support when you are diagnosed with specified major illnesses. Key highlights include:

• Coverage against multiple critical illnesses: The ICICI Prudential critical illness list includes several serious medical conditions such as specified cancers, heart-related conditions, organ failure, and neurological disorders as per the selected plan.

• Lump sum benefit on diagnosis: Once a covered critical illness is diagnosed and all policy conditions are met, the insurer pays a fixed lump sum amount that can be used for treatment, lifestyle expenses, loan repayments, or any other financial needs.

• Freedom to use the claim amount: Unlike regular health insurance, the payout is not linked to hospital bills. You can utilise the benefit amount based on your personal and financial requirements.

• Additional protection with term insurance: The critical illness benefit can be added to your term plan, helping you build broader protection against both life uncertainties and major health conditions.

• Coverage subject to policy terms: The illnesses covered, waiting period, survival period, and claim conditions depend on the selected ICICI Prudential term insurance plan.

Note: It is suggested to calculate the term plan premium on the term insurance calculator online tool by Policybazaar before buying the plan.

Full List of Critical Illnesses Covered Under ICICI Term Insurance

The exact list of critical illness in ICICI term plans depends on the selected product and term insurance rider option. The ICICI Prudential critical illness list generally includes conditions such as:

• Cancer of specified severity

• First heart attack of specified severity

• Open chest coronary artery bypass surgery

• Stroke resulting in permanent symptoms

• Kidney failure requiring regular dialysis

• Major organ or bone marrow transplant

• Multiple sclerosis with persisting symptoms

• Permanent paralysis of limbs

• Aorta graft surgery

• Benign brain tumour

• Coma of specified severity

• Motor neurone disease with permanent symptoms

• End-stage liver failure

• End-stage lung disease

• Deafness

• Loss of speech

• Loss of limbs

• Major head trauma

• Alzheimer's disease

• Parkinson's disease

The list of critical illness in ICICI term plans may vary based on the policy version and chosen coverage option. Customers should always refer to the policy document for the exact definitions and conditions applicable to each illness.

*Note: Terminal illness meaning is that it is a fatal disease that cannot be cured and is likely to lead to death of the patient.

ICICI CI Rider — Payout Structure

The payout structure of the ICICI critical illness policy depends on the term insurance variant selected.

• Accelerated critical illness benefit: Under some plans, the critical illness claim amount is adjusted against the base life cover. This means the available death benefit may reduce after the critical illness payout.

• Additional critical illness benefit: Certain term insurance plans may offer the critical illness cover as an additional benefit over and above the base life insurance sum assured.

It is important to check the policy benefit illustration to understand how the critical illness payout impacts your overall life cover.

Note: Know what is term insurance first and then buy a term plan for your loved ones.

ICICI CI Rider Premium — Indicative Rates by Age & Sum Assured

The premium for an ICICI Pru critical illness rider depends on multiple factors, including your:

• Age at entry

• Critical illness sum assured

• Policy term

• Health condition and medical history

• Lifestyle factors such as smoking status

• Selected ICICI Prudential term insurance plan

The insurer may provide the exact premium amount through the term insurance quotation or benefit illustration at the time of purchase.

ICICI CI Rider Tenure Limit

The critical illness rider tenure is linked to the terms of the selected ICICI Prudential term insurance plan. The available rider term, maximum coverage age, and continuation conditions depend on the product chosen.

In most cases, the critical illness benefit remains active only during the rider term and expires once the rider tenure ends, even if the base life cover continues beyond that period.

Note: Check all the best term insurance plan in India.

What is NOT Covered?

The critical illness benefit may not be payable in certain situations, including:

• Diagnosis of an illness that is not included in the covered critical illness list.

• Conditions that do not meet the severity or medical definitions specified in the policy.

• Claims made during the applicable waiting period.

• Failure to satisfy the required survival period, wherever applicable.

• Pre-existing conditions or exclusions mentioned under the policy terms.

• Any circumstances specifically excluded by ICICI Prudential in the policy document.

The exact exclusions vary based on the selected ICICI Prudential term insurance plan and rider terms.

Note: You should also check the benefits of term life insurance if you are planning to purchase the term insurance plan.

How to Add CI Rider to ICICI Pru Term Plan

Adding a critical illness benefit to your ICICI Prudential term insurance plan is a simple process:

Step 1: Choose an eligible term insurance plan

Select an ICICI Prudential term insurance plan that offers a critical illness benefit option.

Step 2: Select the critical illness coverage amount

Choose the critical illness sum assured based on your medical costs, income, liabilities, and financial responsibilities.

Step 3: Complete the health assessment

Provide your medical details and undergo any required medical examination as requested by the insurer.

Step 4: Pay the additional rider premium

The critical illness benefit is activated after payment of the additional premium and successful policy issuance.

ICICI CI Rider Claim Process

To claim the ICICI critical illness benefit, follow these steps:

Step 1: Inform ICICI Prudential

Notify the insurer after receiving a diagnosis of a covered critical illness.

Step 2: Submit the claim form

Complete the critical illness claim form with accurate policy and medical information.

Step 3: Provide required documents

Common documents include:

• Policy documents

• Identity proof

• Medical reports confirming the diagnosis

• Hospital records and investigation reports

• Treating doctor's certificates

• Any additional documents requested by the insurer

Step 4: Claim assessment and payout

ICICI Prudential verifies the claim based on the policy terms. Once approved, the eligible lump sum critical illness benefit is paid.

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