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ICICI Lombard Health Insurance

Elevate Pro

By ICICI Lombard General Insurance Co. Ltd.

₹1,450/month

Indicative premium for a family of 4 with ₹10 Lakh cover. Actual premium varies by age, city, modules selected, and cover amount.

9,500+
Network Hospitals
96.7%
Claim Settlement Ratio
₹2 Crore
Maximum Cover
Up to 100%
No Claim Bonus
3 Years
PED Waiting Period

Plan Highlights

What makes ICICI Lombard Elevate Pro the most flexible health plan available

India's Highest Claim Settlement Ratio - 96.7%

Among all five plans on this comparison page, ICICI Lombard Elevate Pro has the highest claim settlement ratio at 96.7%. This means more valid claims are honoured here than at any other insurer reviewed. Combined with ICICI Lombard's strong financial backing and technology-driven claims processing, this makes Elevate Pro the most reliable plan for claim payment.

96.7% Claims Settled - Highest among all reviewed plans

Modular Plan Design

Add or remove coverage modules - OPD, global cover, mental health, wellness - based on your exact needs and budget. Pay only for what you use.

Unlimited Restoration

Sum insured restored an unlimited number of times per year once exhausted, ensuring continuous coverage without any cap on reinstatements.

Global Treatment Cover

Hospitalisation costs for treatment abroad covered, including major surgeries, transplants, and life-threatening conditions requiring overseas care.

OPD Cover Included

Doctor consultations, pharmacy bills, and diagnostic tests outside hospitalisation are covered without requiring a separate OPD rider purchase.

Mental Health Cover

In-patient psychiatric treatment and counselling sessions covered in compliance with IRDAI mental health parity regulations.

Wellness Rewards Program

Earn wellness points for healthy habits - gym visits, health check-ups, steps tracking - redeemable against premium discounts and health benefits.

No Room Rent Limit

Any room category at any network hospital is covered without proportionate deductions on doctor fees, surgery costs, or nursing charges.

No Co-payment

No co-payment clause applies. ICICI Lombard covers 100% of all eligible hospitalisation and treatment costs under the plan.

Detailed Coverage

Full breakdown of inclusions and exclusions under ICICI Lombard Elevate Pro

Coverage FeatureDetailsStatus
In-patient HospitalisationAll hospitalisation above 24 hoursFully Covered
Pre-hospitalisation60 days before admissionCovered
Post-hospitalisation180 days after dischargeCovered
Day-care ProceduresAll IRDAI-listed proceduresFully Covered
Room RentNo cap - any categoryNo Sub-limit
ICU ChargesNo sub-limit applicableNo Sub-limit
OPD CoverConsultations, pharmacy, diagnosticsIncluded
RestorationUnlimited restorations per yearUnlimited
Global TreatmentMajor surgeries abroadCovered
Mental HealthIn-patient psychiatric treatmentCovered
Wellness RewardsPoints redeemable for premium discountCovered
Co-paymentNo co-payment clauseZero Co-pay
Modular Add-onsAdd/remove modules at renewalFlexible
Road AmbulancePer hospitalisationCovered
Air AmbulancePer policy terms and sum insuredCovered
Domiciliary HospitalisationDoctor-recommended home treatmentCovered
Organ Donor ExpensesMedical expenses of donorCovered
Modern TreatmentsIncluding robotic surgeryCovered
AYUSH TreatmentsAt recognised AYUSH hospitalsCovered
Pre-existing DiseasesAfter 3-year waiting period3-yr Wait
Cosmetic SurgeryUnless due to accidentExcluded

Who Should Buy ICICI Lombard Elevate Pro?

Profiles best matched to Elevate Pro

Individuals Who Want Full Control Over Coverage

The modular plan design lets you precisely configure coverage. Tech-savvy buyers who want to build their own plan rather than accept a fixed bundle will find Elevate Pro ideal.

Frequent Doctor Visit and OPD Users

With OPD cover included as standard, those who visit doctors regularly, take medications, or undergo regular diagnostics will immediately use and benefit from this feature.

Global Travellers and Expats

The global treatment cover makes this the strongest choice for professionals who travel internationally or may require treatment abroad for serious conditions.

Health-conscious Individuals Seeking Incentives

The Wellness Rewards program rewards active lifestyle choices with tangible premium benefits, making it the only plan here that incentivises healthy behaviour financially.

Pros and Cons

An honest assessment of ICICI Lombard Elevate Pro

Advantages

  • 96.7% claim settlement ratio - highest among all reviewed plans
  • Modular design - add or remove covers at renewal
  • OPD cover included as standard - not a paid add-on
  • Unlimited restoration of sum insured per year
  • Global treatment cover for overseas hospitalisation
  • Mental health cover included as standard
  • Wellness rewards program with premium discounts
  • No co-payment on any claim
  • Backed by ICICI group - one of India's most trusted financial brands
  • 3-year PED waiting period - competitive

Disadvantages

  • Smallest network among reviewed plans at 9,500 hospitals
  • Highest premium among the five plans reviewed
  • Maximum cover capped at ₹2 Crore - lower than Care Supreme
  • Modular structure can make comparison complex for first-time buyers
  • OPD claims require documentation and reimbursement process

Frequently Asked Questions

Common queries about ICICI Lombard Elevate Pro

Elevate Pro allows policyholders to configure their coverage by selecting specific modules such as OPD cover, global treatment cover, mental health cover, and wellness benefits. At renewal, you can add new modules or remove ones you no longer need. This flexibility means you construct a plan around your actual health requirements rather than paying for a fixed package with features you may never use.
Yes. ICICI Lombard Elevate Pro includes OPD cover as a standard feature. This reimburses doctor consultation fees across specialisations, pharmacy bills for medicines prescribed by a registered doctor, and diagnostic tests such as blood work and imaging that do not require hospitalisation. This is a genuine differentiator compared to most plans where OPD cover is available only as a separately priced optional rider.
ICICI Lombard has a claim settlement ratio of 96.7% for health insurance. This is the highest among all five plans reviewed on this comparison page - higher than Care Supreme (95.2%), Star Comprehensive (94.4%), HDFC Ergo Optima Restore (96.1%), and Niva Bupa Reassure 2.0 (93.8%). A higher claim settlement ratio indicates the insurer honours a greater proportion of valid claims submitted by policyholders.
Yes. ICICI Lombard Elevate Pro includes global treatment cover for major surgeries and life-threatening conditions that require hospitalisation abroad. This is particularly valuable for conditions that may not be treatable to the required standard in India. The cover is subject to the sum insured limits and policy terms. Planned international treatment typically requires pre-authorisation from the insurer.

Want to build your perfect health plan with Elevate Pro?

Our advisors help you select the right modules for your health profile and budget - and compare Elevate Pro against all other options at no charge.

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Compare with Other Plans

See how ICICI Lombard Elevate Pro compares to other leading health insurance plans