ICICI Lombard Personal Protect Insurance Policy- Features, Eligibility and Benefits

Updated: 29-08-2023 07:25:30 AM

ICICI Lombard Personal Protect Policy is an insurance plan that offers Death Benefit to the beneficiary of the policyholder in the case of the unfortunate death of the policyholder during the policy term. The cover also includes Permanent Total Disablement (PTD) and Accidental Death on account of an accident. The Insured also has the option to add Accidental Hospitalisation Expenses Reimbursement and Accidental Hospital Daily Allowance to cover expenses that can be attributed to the treatment after an accident. The Personal Protect plan is a comprehensive insurance policy that gives you worldwide coverage against accidental death or Permanent Total Disablement (PTD) due to an accident.

Features of ICICI Lombard Personal Protect Policy

 There are some of the important features of ICICI Lombard Personal Protect plan mentioned below:

• Accidental Hospitalisation expenses reimbursement within 7 days from the date of accident
• Lifetime Renewability
• Pay premium in installments
• Sum insured ranging from 3 lakhs to 25 lakhs
• Additional cover for accidental hospital expenses
• Fixed amount for each day spent in hospitalization on account of an accident

Eligibility details of ICICI Lombard Personal Protect Policy

• Anyone who is between the age of 18 years to 80 years can buy this plan
• Insurance coverage is available for the Insured’s spouse, parents or children

Benefits of ICICI Lombard Personal Protect Policy

The ICICI Lombard Personal Protect comes with a range of benefits. Here are some of the benefits of this insurance plan:

• Accidental Death Benefit: One of the main reasons why people opt for personal accident insurance plans such as ICICI Lombard Personal Protect is that it offers coverage in case of the unfortunate death of the Insured in an accident. This helps provide security to your loved ones even when you are not around. The beneficiaries can use this money to build their life in your absence.
• Permanent Total Disability Benefit:If you survive an accident but a permanent disability leaves you stranded and you are unable to work then the Permanent Disability Benefit offered under the Personal Protect plan comes to your rescue. The insurer steps up to help to cover expenses related to permanent total disablement and helps you stand on your own two feet. If you cannot remain gainfully employed due to disability then the capital sum insured payable is 100% under the Personal Protect plan.

• Buy Online: In the digital age, you need a personal accident insurance plan that you can easily buy online without any hassle. The digitally signed ICICI Lombard Personal Protect policy is available 24 x 7 online. No need to visit the branch or stand in long queues to secure your future and that of your loved ones.

• No Pre-requisite Health Check-ups: Unlike health insurance plans where you need to undergo a series of tests and medical check-ups to prove your “insurability”, there are no pre-requisite health check-ups for this insurance plan. The insurance policy covers different types of accidents including road accidents, train accidents, accidents due to natural calamities, accidents due to terrorist acts, etc. You can buy this insurance plan online within a matter of a few minutes. 

• Reimbursement of Hospitalisation Expenses: If you are hospitalised after an accident then your expenses are covered under the Personal Protect insurance plan if you opt for the Accidental Hospitalisation Benefit. It is an additional cover that you can choose to add to your Personal Protect plan to make sure that the insurer pays your expenses if you are hospitalised after an accident.

• Hospital Daily Allowance Cover: This insurance plan helps you stay protected even if you meet with an accident and need to undergo a treatment. You can get a fixed amount each day to cover your expenses for hospitalisation. This is also an additional benefit that you can add to your Personal Protect plan. 

• Customised Sum Assured:Unlike other insurance plans where you have to pay a fixed amount for insurance coverage, the ICICI Lombard Personal Protect plan gives you the flexibility to choose your own Sum Insured (and hence premium). You can choose Sum Insured anywhere within the range of Rs. 3,00,000 and Rs. 25,00,000.

Unlike life insurance plans, personal accident plans such as the ICICI Lombard Personal Protect do not offer any tax benefits i.e. no Section 80D and 80C benefits to the Insured.

Exclusions under ICICI Lombard Personal Protect Policy

The ICICI Lombard Personal Protect Policy does not cover the claims arising from injury, disablement or death of the Insured as a result of:

• Intentional self-injury
• Suicide or attempted suicide
• Any injury existing before the start of the policy
• Whilst under the influence of intoxicating liquor, drugs, etc.
• Whilst engaging in activities such as aviation, ballooning,
• While mounting into or dismounting from any balloon or aircraft other than as a passenger in duly-licensed standard types of aircraft in any part of the world
• Committing any breach of the law with criminal intent
• Nuclear weapon induced treatment
• Pregnancy and childbirth
• War, invasion, rebellion, insurrection, revolution, etc.
• Directly/indirectly caused by venereal disease or insanity

Claim process for ICICI Lombard Personal Protect Policy

Here are the steps you need to follow to make claims under the ICICI Lombard Personal Protect plan:

Step 1: Get in touch with the company to make the claim. Here are the three options for you to make a claim:

• Call the toll-free number 1800 2666
• Email to customersupport@icicilombard.com
• Write to Retail Claims, ICICI Lombard Healthcare, ICICI Bank Tower, 9^th Floor, Plot No. 12, Financial District, Nanakram Guda, Gachibowli, Hyderabad – 500032, Andhra Pradesh

Step 2: Once the company receives your claim intimation, the ICICI Lombard Retail Claims team will guide you on the next steps you need to take to settle the claim.

Step 3: Provide the necessary information and submit the documents required for the claim settlement.

Documents required to claim ICICI Lombard Personal Protect Policy

Mentioned below are the list of documents required to claim for the policy:

• For Death Claim:
• Duly filled and signed claim form
• A copy of the policy documents
• Attested/Original FIR
• Attested/Original post-mortem report
• Attested/Original Death Certificate
• Medical report
• Discharge card
• Indemnity-cum-declaration Bond
• No Objection Certificate
• For Permanent Total Disablement Claim:
• Duly filled and signed claim form
• A copy of the policy documents
• Attested/Original FIR
• Doctor’s Certificate of Disability
• Photo of the injured reflecting disablement
• Original medical bills with prescription and treatment papers
• For Accidental Hospitalisation Expenses:
• Duly filled and signed claim form
• A copy of the policy documents
• Original and Certified Copies of FIR and Panchnama
• Medical report and Investigation report with bills
• Discharge card

You may have to provide other documents as requested by the Retail Claims team to settle the claim.

FAQs

Q1. What is the meaning of Cashless Hospitalisation?

Cashless hospitalisation refers to the situation in which an insured person does not have to pay money out of his/her own pocket in the case of hospitalisation since the bill is cleared directly by the insurer. There are quite a few health insurance plans offered by ICICI Lombard that offer the cashless hospitalisation feature.

Q2. What are the benefits of opting for a Personal Accident Insurance plan?

There are plenty of benefits of opting for Personal Accident Insurance such as ICICI Lombard Personal Protect:

• One of the main reasons many people opt for Personal Accident Insurance is the Accidental Death Benefit which is paid if the Insured dies in an accident
• The Total Permanent Disability Benefit is also usually payable when someone opts for the Accidental Death Benefit
• In the case of Accidental Death or total/partial disability due to accident, the Personal Accident Insurance offers security to the Insured and his/her family
• Some Personal Accident Insurance plans may also offer Accidental Hospital Daily Allowance which helps cover the daily expenses such as food, transport, etc.

Q3. What are the Exclusions for Insurance plans?

Exclusions are situations or conditions in which the insurer is not liable to pay to the insured. The exclusions are clearly mentioned in the policy documents. If a nominee submits a claim to be paid insurance money in the case of the death of the Insured due to an accident then the insurer will check the cause of death of the Insured before processing the claim. If the Insured (deceased) is found to be driving under influence of intoxicating liquor or drugs (or any other exclusion) then the insurer rejects the claim. Attempted suicide, suicide, childbirth, pregnancy, war, etc. are certain exclusions for Personal Accident Insurance Plans. Check the policy documents to check the exclusions of the specific insurance plan since exclusions may vary from one plan to another.

Q4. How can I contact ICICI Lombard?

For queries regarding top-ups, NAV, Premium Paying Term, breakup of premium, etc. of ICICI Lombard insurance plans, you can contact the company by dialling the toll-free number 1800 2666 (within India). NRI customers can dial +91 40 6627 3505 (chargeable) to talk to the company’s representatives for any queries.