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ICICI Lombard Claim Settlement Ratio

99.7%

ICICI Lombard

94.21%

Industry Average

Health claim settlement ratio is the percentage of claims settled against the total claims received by the insurance company in a given fiscal year. ICICI Lombard has a claim settlement ratio of 99.7%, as compared to the industry average of 94.21%.

ICICI Lombard Claim Process

ICICI Lombard supports both cashless claims and reimbursement claims. This section covers the information on how to check ICICI Lombard health insurance claim status, fill ICICI Lombard health insurance claim form, and the claim settlement process.

In your ICICI Lombard health insurance policy, claims happen when you are hospitalised and incur medical costs. In ICICI Lombard’s Personal Protect Policy, claims occur when you suffer from an accidental disablement or death. For making health insurance claims, the process is as follows

  1. Inform the insurance company immediately of your claim
  2. If you are admitted in a networked hospital, a pre-authorization form needs to be filled and submitted to the insurance company for approval of cashless claims. You should fill and submit the form 3-4 days before a planned hospitalisation or within 24 hours of an emergency one.
  3. Once the form is submitted, ICICI Lombard would assess the claim and approve the cashless settlement
  4. Thereafter, you can take cashless treatments at the hospital and your medical bills would be settled by the insurance company
  5. After being discharged from the hospital, you should submit a claim form and all the relevant documents so that claim is settled quickly by the insurance company

If you are admitted to a non-networked hospital, you should bear the medical costs yourself. Thereafter, the claim form and the hospital bills should be submitted to ICICI Lombard for reimbursement of the medical costs that you have incurred

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FAQs

Permanent partial disablement includes loss of one hand, loss of one foot, loss of sight in one eye, loss of hearing in one or both ears, loss of fingers and thumbs of hands and/or feet, loss of individual fingers or toes, etc.

Yes, ICICI Lombard health insurance plans allow coverage for senior citizens too. Both health insurance plans offered by the company, Complete Health Insurance and Health Booster, have no maximum entry age making them suitable for individuals of all ages.

You would need to submit your identity proof, age proof, residence proof and photographs with the application form to buy the policy.

Free health check-ups provided under ICICI Lombard health insurance plans are allowed only for adult members. Under both health insurance plans, free health check-ups are allowed for up to two insured members only.

Yes, your health card would be mandatory if you want to make a cashless claim. Health cards contain your policy details and unique identification number. They allow the hospitals to identify the insured members so that cashless treatments can be provided. So, if you are taking treatments at a networked hospital, carry your health card with you for claim purposes.
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