Nikhil Jha Profile picture
Aug 4 17 tweets 4 min read Read on X
🚨Health Insurance Policy Analyser-ICICI Lombard Elevate

Imagine,
A 10L policy adds 10L bonus each year without any upper cap!🤯
In the 5th year, it becomes 50L
In the 10th year, it becomes 1cr and so on

The power of unlimited bonus in "Elevate"

A thread🧵on the features of ICICI Lombard Elevate?👇Image
Room Rent limit:-

The policy has a single private AC room limit.

But this can be modified to have no room rent limit
Co-pay

This policy does not have any co-pay.

This means the insurer will pay the entire claim
Infinite Care:-

Covers the medical expenses incurred for the hospitalization of the insured person or any one claim during the lifetime of the policy, without any limits on the annual sum insured. (T&C Apply)

One unlimited claim during the lifetime of the policy!
No Claim Bonus:-

The no-claim bonus is 20% each year upto 100%.

However, this can be modified by a power booster:-

Power Booster
At the end of each Policy Year, the company will provide a Cumulative Bonus of 100% of the expiring or renewed Annual Sum Insured (whichever is lower)

This has no upper cap
This means if u buy a 10L policy

For the First 5 years,
2L will be added each year maximum upto 10L

On top of this,
10L will be added each year without any cap for unlimited no of years
Waiting period:-

The waiting period is 3 years for pre existing diseases

Hower with a rider the waiting period can be reduced.

When the rider is applied, there will be no additional loading other than the cost for this additional cover. This covers asthma, diabetes, hypertension, hyperlipidemia, obesity.
Maternity:-

The maximum limit for maternity is 10% of the Sum insured or Rs 1lakh

The waiting period for maternity is 2 years

However, with additional cover, it can be reduced to 1 year if chosen.

However maternity premium increase is too high top consider it
Reduction in premium increase for Jump Start

Jump start gives instant cover to pre existing diseases
🩺Asthama
🩺Blood pressure
🩺Diabeties
🩺cholestrol

ICICI applied a flat loading of 30% on these illnesses.
Now the loading can be as low as 10%

This is really a huge reduction in loading the company is offeringImage
Worldwide cover:-

This feature gives u a claim anywhere in the world.

A waiting period of 2 years applies for any claim under this cover, except for accidental emergencies, and this is the same for new members added to the policy.

With additional cover, this can be reduced to 1 year.Image
NRI Discount:-

ICICI will now offer 25% discount to NRIs
This is a great move to encourage NRIs to buy health insurance in India and get continuity benefits when they return Image
Relaxation in underwriting guidelines

ICICI has made major changes to underwriting guidelines
The guidelines are further relaxed now Image
Consumable cover:-

Consumables can be covered thru a rider called claim protector,
This gives 100% cover to the customer for non payable items
Restoration benefit:-

ICICI Lombard Elevate offer unlimited restoration benefit in its policy,
This is applicable to same person same illness as well as the same person, different illness
Here is our view on the game changer features of elevate
Premium:-

The premium for a 30 year Old for a 10L sum Insured is Rs 11,000.

The premium is in line with other comprehensive policy of similar nature.
Conclusion:-

ICICI Elevate is a game-changer product,

It gives an unlimited sum insured once during the lifetime of the policy.
It has some very good features.

All other insurers will have to get products to match Elevate now

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More from @NIKHILLJHA

Jul 24
🚨Portability Scam-Retail policyholders getting caught out

Random Telecaller asked the customer to port 2 years ago,
Sum Insured=50L
Claim Amount=5L

The new insurer rejected the claim saying pre-existing diseases weren't disclosed!
New insurer cancels the policy!

A thread🧵on scam around portability and checklist to follow while porting?👇Image
What is health insurance portability?

You bought a health insurance policy.
After some time when u read the policy terms and conditions.

You realize the policy has
🩺Room rent limit
🩺Copay
🩺Isnt a comprehensive policy

Now u want to change the policy!
What do u do?
In such cases, you can shift your policy to another policy with the same insurer or you can move it to a policy with a different insurer altogether.

This can be done by porting your existing policy.
Read 17 tweets
Jul 18
🚨Health Insurance and Cancer

Cancer is one of the most toxic illnesses,
Treatment costs range from 50L to 1cr today!🤯🤯

Do u have an adequate sum insured to treat cancer?🤔🤔
Do already recovered cancer patients get a health insurance policy?

A thread🧵on which insurance plan covers cancer and do cancer patients get a new health insurance policy?👇Image
What is cancer?

Cancer is a disease that occurs when cells in the body grow and multiply uncontrollably, forming tumors and potentially spreading to other parts of the body

Cancer can start almost anywhere in the human body, which is made up of trillions of cells.

Normally, human cells grow and multiply (through a process called cell division) to form new cells as the body needs them. When cells grow old or become damaged, they die, and new cells take their place.Image
Types of Cancer:-

Cancer can occur in many parts of the body, including:

Bones: Sarcomas are cancers that form in bone and soft tissues

Blood: Leukemias are cancers that begin in the bone marrow, where blood is formed

Lymphoid tissue: Lymphomas are cancers that start in lymphocytes, which are T or B cells

Plasma cells: Multiple myeloma is a cancer that starts in plasma cells, which are another type of immune cell

Epithelial tissues: Carcinomas are cancers that start in epithelial tissues, which cover the outside of the body and line the inside of organs and body cavities
Read 13 tweets
Jul 16
I have corporate health insurance of 5 Lakhs from my Office
Why do I need personal health insurance?

So many people think this way
But who will cover u when u retire?

A thread🧵on the features of a corporate cover & why personal health insurance is necessary?

Let's go👇 Image
What is a corporate cover?

A Corporate Health Insurance Policy is a type of insurance that covers a group of professionals working under an organization against illness, accidents, & other health issues.

Corporate Health Insurance is basically a Group Health Insurance Plan.
Who is covered under a corporate plan?

It is generally the spouse and children of the working member.
Some companies also allow parents to be covered under these policies on payment of some premium
Read 14 tweets
Jul 1
Do you know there are certain things which are not coverd in all the policies even if you are holding the policy for last 10 years crossing moratorium period...

What are those lets check below👇 Image
This types of disease, hospitalisation or claims are called as permanent exclusion

What is permanent exclusion ?

These are certain illnesses, treatments, or situations that your health insurance will simply never pay for, no matter what, and not even in the future.
List below are the diseases which are not coverd

Cosmetic treatments ÷

Thinking of a nose job or tummy tuck? If it’s just for looks, insurance won’t pay. (Exception: accidents or medical need.)
Read 12 tweets
Jun 17
🚨Co-payment vs Deductible in Health Insurance

Co-payments and deductibles are both used to lower the health insurance premiums
But which one should u choose?🤔🤔

A thread🧵on copayment vs deductible and which one to choose?

Lets go👇 Image
What is Co-pay in health insurance?

Co-pay (co-payment) in health insurance is the percentage of the claim amount that the policyholder has to pay from their own pocket that is part payment between company and policy holder under a health insurance policy
Generally companies have a co-payment clause of 20%

What does this mean?

If you have a 20% co-pay clause

Out of every Rs 1 lakh claim
You will have to pay Rs 20,000 from your own pocket
The rest Rs 80,000 will be paid by the insurer
Read 13 tweets
Jun 9
🚨Health Insurance Claims Stories

Sum Insured=5L
Claim Amount=90,000 for dehydration

Insurer Rejected Claim:-
"Hospitalization not needed."

Court Slammed the insurer and Ruled:-
"All kinds of sweet talk is done while selling policies
But the insurers find excuses when it comes to paying claims"

Why did the court fine the insurer?
Let's find out in this very important claims stories 👇Image
Background to the case:-

Sanjeev Rana and his family from Chandigarh had bought a 5L policy from a leading private insurer in 2023.

He paid a premium of 35,000 for the policy.
In April 2024,
He experienced severe dehydration and increased creatinine levels,

He went to Max Super Specialty Hospital, Mohali to undergo a thorough medical check-up.

Since some of his parameters were alarmingly abnormal,
He was advised to be admitted to the hospital immediately.
Read 14 tweets

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