ICICI Lombard
Golden Shield
ICICI Lombard Golden Shield is a policy that is specifically crafted for senior citizens (56 years & above). While the policy offers a great perk in the form of a reduced waiting period of 2 years for those with pre-existing medical conditions, it doesn’t have a lot more to offer. Rather, with a mandatory copayment of 50%, a room rent restriction, and a low No-Claim Bonus - the plan might not exactly be the best choice for senior citizens.
What's good here?
Short waiting period for Pre Existing Diseases
If you’re already dealing with diabetes, cardiovascular problems or any such illnesses, the insurer will cover all costs arising out of these pre-existing problems after just 2 years. It’s probably the best deal you can get to be honest.
If you’re already dealing with diabetes, cardiovascular problems or any such illnesses, the insurer will cover all costs arising out of these pre-existing problems after just 2 years. It’s probably the best deal you can get to be honest.
Pre & Post hospitalization expenses covered
No worries if the doctor had to run a host of diagnostic tests before or after hospitalizing you. The insurer has your back. They will cover this amount in full for a pretty reasonable duration - 60 days before you are hospitalized and 180 days after discharge. This includes the cost of medication by the way.
Day Care treatments covered
If you’re hospitalized for less than 24 hours in lieu of a minor procedure, then the insurer will cover these costs too. Think dialysis, chemotherapy or minor surgeries.
Full coverage even if you are forced to hospitalize at home
The insurer will bear the costs even if you are hospitalized at home due to a condition or the hospital running out of beds. In insurance lingo, they call this a policy with domiciliary cover.
Good Restoration Benefit
You will have 100% of the cover restored any number of times, so that you can use this benefit in the event you have to endure multiple hospitalizations in a bid to treat a different complication In the same year, by the way.
Free Health Checkups every year
If you’re planning on getting a full body checkup every year just to make sure you’re in fine working condition, the insurer will cover the costs.
Covers Alternative Medicine
Think of getting Ayurvedic, Homeopathic or other alternative treatments to cure an illness? Your insurer will cover you fully, up to the sum insured.
What's bad here?
You will have to pay a portion of the bill
The policy will only cover 50% of the final bill. The rest is on you. They call this a co-payment.
The policy will only cover 50% of the final bill. The rest is on you. They call this a co-payment.
You can only pick a shared room or Single Private Room based on the cover taken
Tough luck if you are thinking about opting for a single private room and a lower cover Because the policy only lets you stay in a shared room for cover below 10 lakhs. If you still want to pick a better room, then be ready to pay a lot more when the final bill shows up.
Has disease wise sub-limits
Your insurance cover won’t be fully available in case you are treated for Cataract, Cerebrovascular and cardiovascular disorders, cancer, Renal complications, Robotic surgeries and a few other diseases. Meaning the insurance company has a cap on the total amount they’ll pay out if you are treated for these specific illnesses.
What's okay here?
Special Bonus for being healthy
Your sum insured increases by 10% each year, even if you've claimed in the previous year. But before you get too ahead of yourself, do note that they’ll stop offering you the bonus when your sum insured increases by 100%. But hey, it's still a bonus.
Your sum insured increases by 10% each year, even if you've claimed in the previous year. But before you get too ahead of yourself, do note that they’ll stop offering you the bonus when your sum insured increases by 100%. But hey, it's still a bonus.
Add-ons
Claim Protector
With this add-on, you also get extended coverage for generally excluded items like syringes, gloves, PPE kits etc.
Co-payment Modifier
This benefit helps to modify the co-payment from 50% to 40%, 30% or 20%. But remember, you need to pay extra premiums to reduce the co-payment.
Deductible
Deductible will be 20% of the base sum insured chosen. If deductible is opted, then co-payment will NOT apply except for treatment taken in higher than eligible category of room.
Care Management Plus Program
With this add-on, the insurance company provides benefits like Health Care Professional (Health coach), Health update to family members, Out-patient consultations, Routine Diagnostics and Minor Procedure cover, Pharmacy cover and Nursing at Home.
Frequently Asked Questions
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