ICICI Lombard Health AdvantEdge Plan: Benefits, Coverage and Premium
ICICI Lombard Health Insurance ICICI Lombard Health Insurance ★ 4.4

AdvantEdge Plan

ICICI Lombard Health AdvantEdge covers 20 critical illnesses including ...Read More

Up to 3 Crores
Sum insured
1
No. of plans
320+
Pan India presence
97.16%
Claim settlement ratio
🛡️ IRDAI Approved
4.4/5 · 2,704 reviews
🏥 10,600+ hospitals
📊 2.69 solvency ratio
97.16% claim settlement

About AdvantEdge Plan

A quick read on what this ICICI Lombard Health Insurance plan covers and why it might be a fit for you.

ICICI Lombard Health AdvantEdge plan is a comprehensive health insurance plan designed to cater to all your health care needs. A family health insurance that secures your loved ones with a multitude of features including:

  • Restoration Benefit
  • Cumulative Bonus
  • Health Rewards
  • Domestic Air Ambulance
  • New Born and Vaccine Cover
  • Maternity Cover
  • PED Cover
  • Personal Accident Cover and more

The policy provides a wide range of sum insured options and provides an additional cover against 20 critical illnesses including cancer. These add-ons also include maternity insurance for both the mother and the newborn baby is available for individuals who opt for a Sum Insured above 5 Lakhs. The policy offers all-around health care with value-added services like wellness programs through which policyholders can benefit by adapting to healthy habits.

Plan at a glance

Eligibility, sum insured options and policy mechanics — pulled straight from the policy wording.

Entry age
18 - 65 years
Plan type
Individual and Family Health Insurance
Sum insured options
₹5 L, ₹10 L, ₹20 L, ₹40 L, ₹75 L, ₹1 L, ₹2 L, ₹3 L
Waiting period
30 days
Renewability
Lifelong
Policy term
1/2/3 Years

*Initial Waiting Period is the time period between the issuance of the policy and the time it starts actively. During this period, a policyholder has to wait to avail of the benefits offered under a health insurance plan.

Pros & cons

A quick honest summary — the strengths and the trade-offs.

Pros

  • Restoration Benefit
  • Cumulative Bonus
  • Health Rewards
  • Domestic Air Ambulance

Cons

  • OPD Cover
  • Second medical opinion
  • Modern treatment
  • IVF treatment cover

What's covered

Every CMS-driven coverage flag from the plan wording — only items with a published value render below.

Hospitalization

  • Room rent Covered
  • ICU charges Covered
  • Pre-hospitalization Covered
  • Post-hospitalization Covered
  • Domiciliary hospitalization Covered
  • Day-care treatment Covered
  • OPD charges Not covered
  • Covid-19 treatment Covered
  • Cataract Covered

Bonuses & restoration

  • No-claim bonus Covered
  • Automatic restoration of SI Covered
  • Daily hospital cash Covered

Family & special care

  • Maternity cover Covered
  • New-born baby cover Covered
  • IVF treatment Not covered
  • AYUSH treatment Covered
  • Organ donor expenses Covered

Modern & preventive care

  • Modern treatment Not covered
  • Road ambulance Covered
  • Air ambulance Covered
  • E-consultation Covered
  • Health check-up Covered
  • Second medical opinion Not covered
  • Vaccination Covered

Conditions & global

  • Co-payment Covered
  • Sub-limits Not covered
  • Compassionate travel Not covered
  • Global coverage Covered

Video reviews

Walkthroughs from the PolicyX team — pros, cons, real claim experiences and who should buy.

ICICI Lombard Health AdvantEdge

ICICI Lombard Health AdvantEdge

ICICI Lombard Health Insurance

ICICI Lombard Health Insurance

ICICI Lombard Health Insurance Review

ICICI Lombard Health Insurance Review

Benefits of ICICI Lombard Health AdvantEdge

ICICI Lombard Health AdvantEdge plan offers a multitude of features and benefits to its customers allowing them to customize the health plan as per their requirements:

  • Wellness and Value-Added Services
    There are multiple wellness rewards and features associated with health rewards, medical condition management programs, video/tele-consultations, telemedicine, pharmacy and diagnostic services, online chat with doctors, doctors on call, health assistance, ambulance assistance, and discounts on services/products.
  • Worldwide Cover
    Icici Lombard health advantedge plan offers the insured person hospitalization expenses including planned hospitalisation incurred outside India and anywhere across the world including USA and Canada, up to the amount specified against this benefit in the policy schedule subject to the terms & conditions specified.
  • Home Care Treatment
    Icici Lombard's health advantedge plan will cover the medical expenses incurred by the insured person on home care treatment maximum of up to 5% of the Sum Insured subject to a limit of Rs. 25,000 under certain terms and conditions.
  • Tax Benefits
    All the premiums paid towards the health advantedge health plan will be eligible for tax benefits under the Income Tax Act of India.

ICICI Lombard Health AdvantEdge Plan

Network Hospitals 6700+
No-claim Bonus Applicable, 20% to 100% of SI
Health Checkup Annual; Starting from the 1st year

 

Sample premium

Indicative premium examples — your actual quote depends on age, declared medical history, sum insured and add-ons.

ICICI Health AdvantEdge Plan Premium Table

Below calculated are the premiums for ICICI Health AdvantEdge Health Insurance

Adult 1

Sum Insured 5 L 20 L 40 L 1 Cr 3 Cr
Premium (In Rs.) 7,433 12,839 16,897 23,131 47,737

Adult 1+1

Sum Insured 5 L 20 L 40 L 1 Cr 3 Cr
Premium (In Rs.) 10,330 17,793 23,482 32,163 66,207

Adult 2+1

Sum Insured 5 L 20 L 40 L 1 Cr 3 Cr
Premium (In Rs.) 12,586 21,623 28,561 39,141 80,423

Inclusions & exclusions

What the plan pays for, and what it doesn't.

Exclusions

  • ICICI Health AdvantEdge Health Plan has certain exclusions that are mentioned below:
  • Hospitalization out of war, riot, strike, and nuclear weapons
  • Intentional self-injury
  • AIDS
  • Miscarriage, and Abortion
  • Congenital disease
  • Infertility and in vitro fertilization

Who can buy this plan

Eligibility criteria pulled straight from the policy wording.

  • Entry Age: 18: 65 years
  • SI: 5 L to 3 Cr
  • Initial waiting period: 30 days

Other features & benefits

  • New Born Cover
  • Vaccine Cover
  • Maternity Cover
  • PED Cover
  • Personal Accident Cover

ICICI Lombard AdvantEdge Plan: FAQs

The 5 most-asked questions about AdvantEdge Plan, answered.

The health advantedge health insurance plan has an entry age criteria as follows: Adults - 18 to 65 Years Dependent Children - 91 Days to 25 Years
The various sum insured options available under the plan for customers range between 5 Lakhs to 3 Crores.
Yes, the premiums paid towards the ICICI Health AdvantEdge are eligible for tax benefits under the Income Tax Act of India.
Yes, global cover is available under the plan only for sum insured value of INR 25 Lakhs and above.
Yes, the maternity and new born baby cover is available under the plan.

Conclusion

Best for urban families and professionals wanting unrestricted, comprehensive health coverage.

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Written and reviewed by

PolicyX content is researched in-house and reviewed by an IRDAI-certified insurance specialist before publication.

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