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013511PW-SC International Travel Insurance Policy Wording

-1-INTERNATIONAL TRAVEL INSURANCE POLICY Preamble ICICI Lombard General Insurance Company Limited ("the Company"), having received a Proposal and the premium from the Proposer named in Part I of the Policy (hereinafter

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ICICI Lombard ICICI Lombard Health Care Claim …

www.icicilombard.com

ICICI Lombard Health Care DDMMYY D D D D M M Y Y M M Y Y DDMMYY Y N Y N Y N Y N 7. Details of the Amount Claimed Bill Heads (as Applicable) Bill Number Bill Date Bills attached Amount (In `)

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Out Patient Department (OPD) Cashless Card ... - ICICI Lombard

www.icicilombard.com

2 Cashless OPD card iHealth Card A first of its kind concept Cashless OPD valid for 1 year No copay, sublimit or deductions For Employees (E), Employee-Spouse-Children (ESC) and Employee- Spouse-Children-Parents (ESCP) The card allows cashless GP & Specialist consultation along with Diagnostics (all pathology related, Sonography and ECG) in select

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KEY INFORMATION SHEET - ICICI Lombard

www.icicilombard.com

Sub Limit (a) Cataract, where sub-limit of Rs.20,000/- is applicable per eye per Policy year for Plans with Sum Insured up to 5Lacs. Sub limit of Rs.1,00,000 per eye per Policy year will be applicable for cataract treatment for plans with Sum Insured above Rs.5Lacs Part II of the schedule Clause 3.2 8

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Complete Health Insurance Brochure - ICICI Lombard

www.icicilombard.com

An Additional Sum Insured of 10% of Annual Sum Insured provided on each renewal for every claim free year up to a maximum of 50%. In case of a claim under the policy, the accumulated Additional Sum Insured will be reduced by 10% of the Annual Sum Insured in the following year. Option of choosing 1 or 2 year policy period under various plans ...

  Health, Plan, Insured

CASHLESS AUTHORIZATION REQUEST NOTE

www.icicilombard.com

b) Qualification: c) Registration No. with state code: Signature of treating doctor Hospital Seal (Must include Hospital NT ID) Patient / Insured Name & Signature: CASHLESS AUTHORIZATION REQUEST NOTE Toll Free Number: 1800 2666 • Fax Number: 1800 209 8880 / 040 6698 9160 / 61 • Email us: cashlessrequest@icicilombard.com ICICI Lombard Health ...

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