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Cogent Employee Benefit

This document summarizes the key details of a health insurance plan from ICICI Lombard. The plan provides coverage of up to Rs. 2.5 lacs per employee with no capping on room rent charges. It covers pre-existing diseases, maternity benefits up to Rs. 35,000-45,000, and pre and post-hospitalization expenses. The mobile app provides features like claim assistance, health tracking, and teleconsultation. Certain modern treatments are covered up to 25-50% of the sum insured. The accidental insurance plan from ICICI Lombard provides a sum insured of Rs. 3 lacs per employee with coverage for death, disabilities, medical expenses, education benefits for children, and repat

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Reetam Roy Chowdhury
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37 views1 page

Cogent Employee Benefit

This document summarizes the key details of a health insurance plan from ICICI Lombard. The plan provides coverage of up to Rs. 2.5 lacs per employee with no capping on room rent charges. It covers pre-existing diseases, maternity benefits up to Rs. 35,000-45,000, and pre and post-hospitalization expenses. The mobile app provides features like claim assistance, health tracking, and teleconsultation. Certain modern treatments are covered up to 25-50% of the sum insured. The accidental insurance plan from ICICI Lombard provides a sum insured of Rs. 3 lacs per employee with coverage for death, disabilities, medical expenses, education benefits for children, and repat

Uploaded by

Reetam Roy Chowdhury
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Health Insurance

Company Name ICICI Lombard


Sum Insured 2.5 Lacs / Per Employee
Room Rent No Capping
Maternity for Normal & C-Section 35000 For Normal & 45000 for C-Section, Maternity Benefit will be applicable for first two deliveries only
Pre & Post Natal Expenses Covered up to maternity sub limit within maternit limit in case of Hospitalization
Pre-Existing Disease Yes Covered
Pre-Post Hospitalization 30 & 60 Days
Ambulance 1000 Per Hospitalization
Home Healthcare Not Covered
Day Care Procedure Yes Covered
Aayurvedic Treatment Yes Covered in IPD
Air Ambulance Not Covered
Covid Waiting Period No Waiting Period
Health Risk Assesment, Diet and Exercise Tracker,
Health Parameters Tracking And Trends,
Sleep, Meditation And Water Reminders,
Mobile App For Claim With Features
TeleConsultation, Health Assistance,
Chat with an Expert Network Hospitals with Details

Disease Sublimit
Cyber Knife Treatment
Gamma Knife Treatment
Stem Cell Transplantation 50% Co-Pay
Robotic Surgery
Femto Laser Treatment for Eye
Cochlear Implant Treatment Restricted to 50% of SI

Modern Treatment Method & Advancement Technology List -


Uterine Artery Embolization and HIFU, Ballon Sinuplasty, Deep
Brain Stimulation,Oral Chemotherapy, Immunotherapy -
Monoclonal Antibody to be given as Injection, Intra Vitreal
Restricted to 25% of SI
Injections, Robotic Surgeries, Stereotactic Radio Surgeries,
Bronchical Thermoplasty, Vaporisation of the Prostrate, IONM,
Stem Cell Therapy- Hematopoietic Stem Cell for Bone Marrow
Transplant for Heamatological conditions to be covered

Accidental Insurance
ICICI Lombard
Total Sum Insured 3 Lacs / Per Employee
Death Yes Covered
Permanent Total Disablement Yes Covered
Permanent Partial Disablement Yes Covered
Temporary Total Disablement 1% of SI or Rs. 5,000 per week, whichever is less
Medical Expense 40% of Death/Disability Claim Amount or 10% of SI or Actual Whichever is Less
Cremation Charges Up to 5000/-
Education Benefit Up to 10,000 per child ( Restricted to 2 Child )
Carriage of Dead Body 2% of Sum Insured Subject to Max 2500
Repatriation of Mortal Remains Expenses Payable up to Rs 5,000 or actual whichever is less

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