ICICI Lombard Personal Protect Policy: Benefits and Coverage
ICICI Lombard Health Insurance ICICI Lombard Health Insurance ★ 4.4

ICICI Personal Protect Policy

Comprehensive health insurance covers road traffic accidents and assis ...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 ICICI Personal Protect Policy

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

ICICI Lombard Personal Protect Policy is a comprehensive health insurance policy that offers an array of benefits and extensions to safeguard the insured and their family from the financial impacts of injuries. The plan covers events like Death, Permanent Total Disablement, Permanent Partial Disablement and Temporary Total Disablement due to accidents during the policy period.

Additionally, the policyholder has the option to include the coverage for daily hospital allowance and protection against terrorism-related incidents. The policy is renewable for life, with flexible tenure options of 1,3, or 5 years, catering to the individuals aged 18-80. This plan helps the insured maintain peace of mind by safeguarding their loved ones against life unexpected events.

Plan at a glance

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

Entry age
18 to 80 Years
Plan type
Accident Health Insurance
Sum insured options
₹3 L, ₹25 L
Waiting period
N/A
Renewability
Lifelong
Policy term
1, 3, 5 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

  • Accidental Death
  • Permanent Total Disablement Benefit
  • Hospital Daily Allowance

Cons

  • Illegal activities
  • Adventure sports
  • Obesity

What's covered

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

Hospitalization

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

Bonuses & restoration

  • No-claim bonus Not covered
  • Automatic restoration of SI Not covered
  • Daily hospital cash Covered

Family & special care

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

Modern & preventive care

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

Conditions & global

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

Coverage Table

Policy Coverage SI SI SI SI SI SI
Basic Coverage Option 1 Option 2 Option 3 Option 4 Option 5 Option 6
Accident Resulting In Permanent Total Disablement(PTD) 300,000 500,000 1,000,000 1,500,000 2,000,000 2,000,000
Operational Coverage Policy Year SI Policy Year SI Policy Year SI Policy Year SI Policy Year SI Policy Year SI
Accidental Hospitalization Expenses 10,000 25,000 50,000 100,000 100,000 100,000
Accidental Hospital Daily Allowance 1,000 Per Day 1,000 Per Day 2,000 Per Day 2,000 Per Day 2,000 Per Day 2,000 Per Day

Key Features and Benefits of ICICI Lombard Personal Protect Policy

The plan offers various Benefits and has many unique features, which are mentioned below:

  • Accidental Death Benefit
    In case of the death of the insured due to an accident during the policy period, the nominee will receive the sum insured payout, helping the family during difficult times.
  • Permanent Total Disablement Benefit
    If the policyholder suffers permanent or partial loss of limbs or sight within the policy period, the policy provides compensation to help need the financial challenge of such a life-altering event.
  • Accidental Hospitalization Benefit
    This benefit covers medical expenses incurred during hospitalization resulting from an injury within 7 days of the accident.
  • Hospital Daily Allowance
    The insured has the option to include this benefit, which provides a daily allowance for each day of hospitalisation (up to 30 Days per year) due to an injury within 7 days of the accident. It helps to cover additional expenses during the hospital stay.
  • Refund Grid
    If the policyholder needs to cancel the policy before the renewal, the refund grid ensures a partial premium refund based on the policy that has been in force.
  • Free Look Period
    The insured has 15 days to review the policy terms, and if they disagree with any condition they may withdraw the policy within this period.
  • Flexible Tenure
    The policy has a duration of 1,3, or 5 years, allowing the policyholder to customise the coverage according to their need.
  • Life long Renewal
    The policyholder can renew the policy throughout their life without any age restrictions, ensuring continuous protection against accidents.
  • Terrorism And Acts of Terrorism Coverage
    The plan offers coverage for the claims that have arisen from the act of terrorism, providing peace of mind in uncertain times.

Exclusions of ICICI Lombard Personal Protect Policy

  • Delay In Hospitalization
    Any delay beyond 7 days of the accident may result in claim denials.
  • Non-accident Hospitalisation
    Hospitalization due to illness or medical conditions unrelated to accident is not covered.
  • Specific Medical Treatment
    Dental treatment, plastic surgery, and eye treatment are not covered under this plan.
  • Intentional Self Injury
    The policy excludes the claims related to intentional self-injury, suicide or attempt to suicide.
  • Influnece of Intoxcications
    If the policyholder is under the influence of any intoxicating liquors or drugs at the time of the accident, then the claims are denied.
  • Pregnancy or Childbirth
    Claims related to complications arising due to childbirth or pregnancy are excluded.
  • Venereal or Mental Disorder
    Claims arising due to mental illness or emotional disorders are not covered under this plan.
  • Criminal Activities
    If the policyholders are involved in any breach of law with criminal intent, claims are denied by the company.

Inclusions & exclusions

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

Exclusions

  • Permanent diseases or health conditions that are not included under ICICI Personal Protect Plan are:
  • 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.

  • Min entry age: 18 Years
  • Max entry age: 80 Years
  • Initial Waiting Period: 30 Days
  • Sum Insured: Up to 25 L

Other features & benefits

  • Operational Coverage
  • Accidental Hospitalization
  • Hospital Daily Allowance

ICICI Lombard Personal Protect Plan: FAQs

The 3 most-asked questions about ICICI Personal Protect Policy, answered.

The policy does not cover any pre-existing diseases, the plan basically covers injuries.
This term means that the sum insured can increase at policy renewal.
The cancellation process is as follows: Notify the company by email or phone. The company will verify the claims and premiums paid or dues. And if there are no dues or issues found they will cancel the policy. The refund is based on the remaining policy period.

Conclusion

Affordable accident-focused protection plan best suited as a supplementary cover alongside comprehen

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