ICICI Lombard Elevate Health Insurance: Review & Benefits

Quick Overview

ICICI Lombard Elevate health insurance is a customizable flagship plan with sum insured options from ₹5 lakh up to an unlimited amount. It combines a basic cover for hospitalization with 33 optional add-ons that let you tailor the plan for different needs. Riders like faster coverage for specific pre-existing conditions, maternity support, consumables coverage, or worldwide cashless treatment make the plan unique. It suits buyers who want flexibility and are willing to pick riders carefully based on their health profile and budget.

Are you thinking of buying ICICI Lombard Elevate health insurance? Before you dive into the plan, it’s important to understand ICICI Lombard as an insurer. ICICI Lombard’s average claim settlement ratio for FY 2022-25 is 84.5%, below the industry average. Now, let’s understand what this plan is all about.

In this article, we will walk you through its key features, coverage, riders, premiums, eligibility criteria, and whether it’s worth it for your needs.

ICICI Lombard Elevate Health Insurance Plan Details

Think of ICICI Lombard Elevate health insurance as a flexible “build-your-own” comprehensive plan: the base policy covers core hospital expenses. Then, depending on your profile, you can choose riders that you care about, like tweaking waiting periods or increasing protection during claims.

You pick a sum insured based on your budget and risk. If you go to a network hospital, you can use cashless. If not, you can claim reimbursement.

Key Features, Coverage & Benefits of Elevate Plan

Key Inbuilt Features	What it Covers
In-patient Treatment	Hospitalization costs in a single private AC room, ICU, daycare procedures, and AYUSH hospitalizations
Modern Treatments	Specified treatments (example - robotic surgery, immunotherapy) up to the sum insured (SI)
Pre-hospitalization	Medical expenses up to 90 days before admission
Post-hospitalization	Medical expenses up to 180 days after discharge
Domestic Road Ambulance	Road ambulance to the nearest hospital for emergency care, up to the SI
Organ Donor Expenses	Donor hospital expenses for organ transplant, up to the SI
Loyalty Bonus	20% bonus yearly up to 100% SI; not reduced after claims; not for unlimited SI option
Reset Benefit	Resets up to 100% SI unlimited times; not for the first claim
Bariatric Surgery Cover	Obesity surgery expenses are up to the SI, with a 2-year waiting period.
Surrogate Mother cover	Surrogate hospitalization for pregnancy complications up to ₹5 lakh with a 30-day waiting period; needs a 3-year policy payment term
Oocyte Donor Cover	Oocyte donor hospitalization for retrieval complications up to ₹5 lakh; valid up to 12 months after success

ICICI Lombard Elevate Brochure Details, Riders & Add-ons

Elevate is a modular plan, meaning you can attach optional covers if you pay an extra premium, and they are shown as opted in your policy schedule. Let’s look at some of the important add-ons in the infographic below.

You can also check out the ICICI Lombard Elevate brochure and prospectus for more details.

Premiums for ICICI Lombard Elevate Plan

Profile	ICICI Lombard Elevate
(Individual Plan): Age 25	₹12,400
(Family Floater, 2A): Ages (31, 32)	₹18,584
(Family Floater, 2A 1C): Ages (35, 34, 5)	₹24,101
(Family Floater, 2A): Ages (62, 63)	₹73,559

Note: These are indicative premiums for a Delhi resident (pin code - 110001) with a ₹15 lakh sum insured, including recommended add-ons. Your premium can change based on age, city, medical history, and chosen add-ons.

CTA

Eligibility Criteria: How to Buy the Plan?

Parameter	Details
Entry Age	Individuals: Minimum 6 years to 125 years. Children: 91 days to 5 years can be insured only under a floater. Dependent children (floater): Up to 30 years
Exit Age	Adults: No maximum renewal age, lifelong renewability. Dependent children (floater): 31 years
SI Options	₹5 lakh to unlimited
Policy Tenures	1 / 2 / 3 / 4 / 5 years
Coverage Options	Individual / Family Floater

Underwriting Note: ICICI Lombard will review your medical history, height and weight, lifestyle habits (like smoking), and past reports, and decide on policy issuance accordingly.

How to Buy the ICICI Lombard Elevate Policy?

Visit ICICI Lombard’s website, navigate to the health insurance section, and select the Elevate plan.

Step 1: Choose Cover Type

Pick an individual or family floater based on who you want to insure. Step 2: Select Sum Insured

Choose from ₹5 lakh up to unlimited based on your budget.

Step 3: Add Members

Ensure age is correct and relationship rules are followed.

Step 4: Pick Tenure

Choose 1 to 5 years at purchase.

Step 5: Choose Riders

Add only what you need. We recommend adding Claim Protector, Room Modifier (any room), Annual Health Checkup, and Power Booster.

Step 6: Fill Disclosures

Declare medical history accurately in the proposal form to avoid claim issues later.

Step 7: Pay and Verify

Pay online and check the policy schedule for correct names, SI, and opted covers.

Note: This plan can be bought directly via the insurer’s website or through various agents and aggregators as well.

Pros, Cons & Claim Experience: Is Elevate Worth It?

ICICI Lombard Elevate Health Insurance is a strong plan on paper because it gives you a lot of flexibility. But the real question for most buyers is how dependable the insurer feels when it comes to servicing and claims at scale.

To add that layer of context to this ICICI Lombard Elevate health insurance review, let’s look at ICICI Lombard’s operational metrics next.

ICICI Lombard Operational Metrics

Metric	FY 22-25	Industry Average	Insight
Claim Settlement Ratio (CSR)	84.5%	91.22%	CSR is below the industry average, so fewer claims get settled overall. If peace of mind is a priority, compare with higher-CSR insurers like HDFC ERGO.
Incurred Claims Ratio (ICR)	79.47%	81.88%	ICR is in the ideal range, showing a balanced payout of claims paid versus premiums received.
Complaints per 10,000 Claims	10.67	27.06	The complaint rate is relatively low, which is a good sign of customer and claim servicing.
Annual Business Volume - Total Health (in crores)	₹6,793.97	₹3,969	ICICI Lombard operates at a strong scale, which means more mature systems and a wider reach.
Network Hospitals	10,200+	10,000+ (Recommended)	A wide network improves your chances of getting cashless. Always confirm that your preferred hospital is active on the network list or not.

Note: The above data has been sourced from the insurer’s public disclosures and IRDAI annual reports.

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ICICI Lombard Elevate Health Insurance Review (Ditto’s Take)

ICICI Lombard Elevate is a modern flagship plan in terms of features and customization. Where we pause is the insurer’s below-average claims track record, so we do not treat Elevate as a default recommendation.

If your top priority is a smoother claims experience, you can consider HDFC ERGO Optima Secure or Aditya Birla Activ One MAX, since both insurers report 95%+ average claim settlement ratios. If you still prefer ICICI Lombard, Elevate can still be a good pick, but only when you configure the plan carefully and choose add-ons that reduce common claim-time gaps. You can also review our curated list of the best health insurance plans in India to compare flagship options side by side.

Who Should Buy Elevate

Pick Elevate if customization matters, and you genuinely want a build-your-own plan with riders that change real outcomes at claim time.
It’s a good fit for specific health profiles where Jumpstart or PED reduction can make the policy usable sooner.
Choose it if you are okay picking it against a higher-CSR insurer.

Who Should Avoid Elevate

Prioritize another insurer if claim certainty is your number one goal, and you want the best claims track record available.
Prefer a simpler plan, and you do not want to rely on multiple add-ons to get “complete” protection.
Look elsewhere if you want a set-and-forget policy with fewer moving parts and fewer decisions at purchase.

Verdict: Elevate seems like a great plan on paper, but it’s best for buyers who want flexibility and will set it up carefully. It’s not for someone seeking the safest claims experience with minimal effort.

Full Disclosure

ICICI Lombard is one of Ditto’s partner insurers. All the information for this article is sourced from their website and other publicly available sources. Learn more about how we evaluate health insurers and plans through Ditto’s Cut.

Frequently Asked Questions

What are permanent exclusions in ICICI Lombard Elevate?

Elevate has standard permanent exclusions like war/nuclear events, unproven treatments, and sterility/infertility (including IVF), with only limited exceptions like surrogate and oocyte donor hospitalization when admissible. OPD is not covered unless you add BeFit, and treatment outside India is not covered unless you opt Worldwide Cover.

Can I add or remove riders later in ICICI Lombard Elevate?

Most changes to add-ons happen at renewal and can be subject to underwriting, so think of riders as renewal-time decisions. Also, some options are inception only or have minimum lock-ins, like waiting-period reduction add-ons that are only available for a minimum 2-3 year tenure.

Can I port my policy to Elevate, and what carries over?

Yes, you can port at renewal (30-60 days before), and your prior continuity can reduce waiting periods to the extent of your past coverage if there is no break. If you increase the sum insured while porting, the fresh waiting period applies only to the increased portion.

How do I check if my hospital is cashless for Elevate before admission?

Use ICICI Lombard’s cashless hospital list and then reconfirm with the hospital’s insurance desk right before admission, since the network can change. Also ask them to confirm cashless availability for your room category and services, because cashless can be limited at some hospitals.

Claim delayed or denied, how do I escalate for Elevate?

Start with ICICI Lombard’s grievance route (raise a request, then escalate to their senior team if needed). If it is not attended then escalate using the Bima Bharosa portal, if you are still not satisfied, you can move to the Insurance Ombudsman route.

Last updated on: 27 Feb, 2026