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A Quick Look
ICICI Pru Hospital Care II is a fixed benefit hospitalisation and surgical plan that offers you and your family, fixed payouts at various stages of hospitalisation in addition to benefit received from other medical insurance plans. It also offers whole life guaranteed insurability at renewal and cashless facilities across an extensive network of hospitals in India.
You can also avail tax benefits under Section 80D of the income tax act
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| | ICICI Pru Hospital Care II at a glance
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| Minimum / Maximum age at entry |
1 year / 65 years (nearest birthday)
(90 days / 24 years for dependent children in
case of family floater) |
| Policy term |
10 years |
| Maximum cover ceasing age |
Whole life guaranteed insurability at renewal |
| Coverage |
Individual / Family floater ( self, spouse, First 3 dependent children) |
| Premium payment frequency |
Yearly, half yearly & monthly |
| Waiting period |
30 days |
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How can I benefit from my plan?
ICICI Pru Hospital Care II is a fixed benefit plan covering various stages of treatment – hospitalisation, ICU, surgical, non-surgical, prolonged stay & recuperating allowance.
To see examples of surgeries, click here. For a detailed list of surgeries, click here.
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How does my plan work?
You can choose from any of the following four plan types. Each plan type offers the benefits amounts, as shown below:
Benefit amounts at-a-glance
Benefit
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Plan A (Rs.)
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Plan B (Rs.)
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Plan C (Rs.)
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Plan D (Rs.)
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DHCB (per day)
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1,000
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2,000
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3,000
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4,000
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ICUB (per day)
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1,000
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2,000
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3,000
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4,000
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Surgical benefit
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Grade 1
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10,000
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20,000
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30,000
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40,000
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Grade 2
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20,000
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40,000
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60,000
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80,000
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Grade 3
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30,000
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60,000
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90,000
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1,20,000
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Grade 4
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40,000
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80,000
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1,20,000
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1,60,000
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Grade 5
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75,000
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1,50,000
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2,25,000
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3,00,000
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Grade 6
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1,00,000
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2,00,000
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3,00,000
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4,00,000
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Grade 7
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1,50,000
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3,00,000
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4,50,000
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6,00,000
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Non-surgical benefit
(per day)
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1000
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2000
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3000
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4000
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Recuperating benefit
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3000
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6000
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9000
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12000
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Prolonged stay benefit
(per day)
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1000
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2000
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3000
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4000
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Health check-up
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Up to 4,000
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Up to 4,000
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Up to 4,000
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Up to 4,000
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Policy benefit limits
Benefit
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Plan A (Rs.)
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Plan B (Rs.)
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Plan C (Rs.)
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Plan D (Rs.)
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Annual limit
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4,00,000
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8,00,000
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12,00,000
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16,00,000
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Lifetime limit
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20,00,000
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40,00,000
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60,00,000
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80,00,000
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There is an initial waiting period of one month from the policy commencement date. (Except for hospitalisation due to an accident)
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How do I claim under the plan?
Take advantage of cashless hospitalisation through our extensive list of network hospitals available across the country.
You can also claim your benefit amount for treatment in any out of network hospital through our hassle free claims process.
4 easy steps to process a claim:
| Hospitalisation in network hospital |
Hospitalisation in out of network hospital |
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Photocopies of hospital bills, discharge card, doctor’s certificate, prescriptions, diagnostic reports and any other relevant documents will be needed to process your claim.
To know more on our in-house claims process or for a detailed list of the network hospitals call us on 1800-103-6363 (24 x 7 toll free number)
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What are the major exclusions?Download & FAQs
You can download the following:
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How can I buy this plan?
We offer several options for you to buy as per your convenience. Choose from one of the following:
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