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ICICI Lombard

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?

ped

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.

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prePost

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.

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dayCare

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.

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domiciliary

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.

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restoration

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.

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healthCheckup

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.

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ayush

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.

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What's bad here?

coPay

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.

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roomRent

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.

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diseaseSublimit

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.

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What's okay here?

ncb

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.

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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

Yes. Golden Shield imposes 4 kinds of waiting periods -
  • 30-Day Waiting Period: Hospitalizations won’t be covered for the first 30 days of the policy unless it’s an accident.
  • Specific Illness Waiting Period: There’s a 2-year waiting period for a list of diseases which is a mandate before you can start claiming.
  • Pre-Existing Disease Waiting Period: There's a 2-year waiting period for any pre-existing disease you may have while buying the policy.
  • 90-Day Waiting Period: There's a 90-day waiting period for conditions arising out of Hypertension, Diabetes, cardiac unless declared as a PED.
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