ICICI Lombard Travel mediclaim insurance - Benefit table

Coverages Platinum Gold Deductible Medical Cover* $50,000 / $100,000 / $250,000 / $500,000 $50,000 / $100,000 / $250,000 / $500,000 $100 Global Cashless Hospitalization Available Available   Day-to-day allowance for hospitalization $ $25 per day, Max 5 days - 2 days Dental Treatment $250 $250 $100 Passport Loss $200 $200 $50 Loss of Checked-in Luggage $500 $500   Loss of Checked-in Luggage** $100 $100 12 hours Personal Accident $15,000 $15,000   Personal Liability $100,000 $100,000   Assistance for Financial Emergency $300 $300   Hijack Distress Allowance $125 per day, Max 7 days $125 per day, Max 7 days 12 hours Trip Cancellation & Interruption $500 -   Missed Connection $500 - 3 hours Trip Delay $100 per day, Max $500 - 6 hours Home Insurance# - Building - Content Rs. 2,000,000 Rs. 500,000 -   Repatriation of Remains $7,000 $7,000   180 days Policy extendable upto 360 days Available Available   * - The deductible for medical coverage applies for per illness (full treatment) basis and not for per visit to the doctor / hospital. Note: For medical Cover the maximum amount that can be claimed per illness or injury is $100,000. Further sub-limits applicable for persons aged 56 and above. # - The building is insured based on reconstruction value and the Contents are insured on their present market value. $ - 2 days deductible - If hospitalization is for more than 2 consecutive days, this benefit can be cleared only once during the policy period ** - Applicable when the luggage is delayed for more than 12 hours from the actual arrival of common carrier. ICICI Lombard travel insurance - Limit of Covered Expenses For policies with medical expenses Sum insured over $100,000, the limit of liability of the company will be restricted to $100,000 per sickness, disease or accident contracted within the period of insurance whilst on the trip abroad, that may lead to one or more medical expenses and/ or hospitalization expenses. For persons aged 56 years and above, the maximum eligible medical expenses per sickness, disease or accident contracted within the period of insurance whilst on the trip abroad, that may lead to one or more medical expenses are as mentioned in the table. Medical Sublimits for aged 56 years and above Hospital Room and board, and hospital misc. Expenses Max $1,600 per day up to 30 days. ICU Max. $3,000 per day up to 7 days Surgical treatment Max. up to $12,000 Anaesthetist services up to 25% of surgical treatment Physician's visit Max. $75 per day up to 10 visits Diagnostic and pre-admission testing Max. $750 Ambulance services Max up to $500

ICICI Lombard Travel Insurance - Policy Coverage

• Pay Per day: Slab rate for first 7 days only, then pay on a per day basis.
• Pre-existing ailments are covered under serious conditions.^*
• The insurance provides coverage for medical evacuation costs while traveling back to India.
• Up to the age of 85 years, medical check-up is not required.
• Quality health care is available through our tie up with United Health International (leading US based health care provider).
• Coverage available up to 360 days (Original policy for 180 days and extension for additional 180 days)
• Cashless hospitalization facility available globally.
• Extension of the policy online if your trip has been extended and pay only for the number of days extended.
• This policy also covers you for hospitalization^# in case of Swine Flu / H1N1 influenza.

# If it's not a pre-existing illness
* Conditions Apply

ICICI Lombard Overseas Travel Insurance - Eligibility

• The age of the insured has to be between 1 and 70 years.
• If you are above 70 years of age, avail our Senior Citizen Plan

ICICI Lombard Travel Insurance - Exclusions

Medical Expenses arising from:

• Loss of Passport in Public places
• Pre-existing conditions except in case of serious situations
• Venereal diseases
• Sports activities
• Alcohol or drugs addiction
• Depression, Mental disorder, Anxiety
• Pregnancy, childbirth and any consequences thereof
• Loss of money, valuables, tickets and securities
• Nuclear weapons and harmful radiations.
• Sexually Transmitted diseases

ICICI Lombard Overseas Travel Insurance - Claims

You can contact us at the following:


ICICI Lombard USA: + 1 877 352 7706 (Toll Free)
ICICI Lombard Canada: + 1 877 352 7693 (Toll Free)
ICICI Lombard Rest of the world: +91 22 6787 2010 (Call back facility)
ICICI Lombard India: 1-800 209 8889 (Toll Free and Accessible in India only)
Fax: +91 22 6734 7888
E-mail: travelclaims@icicilombard.com

Claim Process

Cashless Hospitalisation/Financial Emergency/Bail Bond Inform TPA Helpline and register claim aboard Validation & Authorisation TPA settles bills directly with hospital/provides financial assistance Reimbursement Medical Expenses & other claims Inform TPA Helpline and register claim aboard Validation & Authorisation Mail the required documents to claim department at mailing address TPA to check and reimburse payment