ICICI Pru Health Saver All You Need to Know
What is ICICI Pru Health Saver?
ICICI Pru Health Saver is a comprehensive health insurance plan offered jointly by ICICI Bank and PrudentialLife Insurance. It is designed to provide financial protection against a wide range of medical expenses while also encouraging a healthy lifestyle through various wellness benefits.
Key Features & Benefits
- Sum Insured Options: 2 lakh to 50 lakh (choose based on family size and income).
- Free Health Checkups: Up to two preventive health checkups per policy year.
- Cashless Hospitalisation: Network of over 2,000 empanelled hospitals across India.
- DayCare Treatments: Covered without 24hour admission requirement.
- PreExisting Diseases: Covered after a 36month waiting period (24 months for senior citizens).
- Annual Health Reevaluation Bonus: Extra cover of 10% of the sum insured for every claimfree year, up to a maximum of 30%.
- Ayush & Alternative Treatments: Up to 5,000 per year for proven alternative therapies.
- Wellness Wallet: Earn points for gym visits, yoga, and stepcount goals; points can be redeemed for cash back or added to the policy.
Coverage Details
| Category | Coverage Limit | Notes |
|---|---|---|
| Hospitalisation (Room & Board) | Up to 100% of sum insured | Includes ICU, operation theatre, medicines, diagnostics. |
| Pre and PostHospitalisation | 30 days before & 60 days after | Same limit as hospitalisation. |
| DayCare Procedures | Full sum insured | No 24hour admission required. |
| Alternative Therapies (Ayush) | 5,000 per policy year | Certified AYUSH treatments only. |
| Health Checkups | Two free checkups per year | At empanelled labs. |
| Personal Accident | Up to 10% of sum insured | Applicable only for accidental death or total permanent disability. |
Pricing & Premium Calculation
Premiums are determined by age, sum insured, location, and health status. Below is a sample premium table for a nonsmoker buying a family floater policy.
| Age of Primary Insured | Sum Insured () | Annual Premium () |
|---|---|---|
| 30years | 5lakh | 9,800 |
| 30years | 10lakh | 15,200 |
| 45years | 5lakh | 13,600 |
| 45years | 10lakh | 21,000 |
| 60years (senior citizen) | 5lakh | 20,400 |
Policyholders can opt for an additional No Claim Bonus that adds 5% extra coverage for every claimfree year, capped at 25%.
Claim Process
- Cashless Claim: Present your ICICI Pru Health Saver card and a valid ID at any network hospital. The hospital will submit the preauthorization request to the insurer.
- Reimbursement Claim: If admitted to a nonnetwork hospital, collect all original bills, discharge summary, and prescriptions. Upload the documents via the mobile app or email them to claims@icicipru.co.in.
- Claim Settlement: Once approved, the insurer processes the payment within 710 business days for cashless claims and 1520 days for reimbursements.
- Tracking: Use the My Policy portal or the mobile app to monitor claim status in real time.
Pros & Cons
- Wide network of empanelled hospitals.
- Flexible suminsured options, suitable for individuals and families.
- Wellness incentives encourage healthy habits.
- Comprehensive coverage for daycare and AYUSH treatments.
- Reasonable premiums for the coverage offered.
- Preexisting disease waiting period of 36 months may be lengthy for some.
- Extra riders (critical illness, personal accident) increase the cost.
- Cashless claim availability depends on network hospital density in remote areas.
Comparison with Similar Plans
| Plan | Sum Insured Range | Network Hospitals | PreExisting Disease Waiting | Unique Feature |
|---|---|---|---|---|
| ICICI Pru Health Saver | 2L 50L | 2,000+ | 36months (24months for seniors) | Wellness Wallet & AYUSH cover |
| HDFCERGO Health Suraksha | 3L 75L | 1,500+ | 48months | Free health checkup every 2years |
| Max Bupa Health Companion | 3L 40L | 1,800+ | 36months | Unlimited free OPD coverage (with optional rider) |
Frequently Asked Questions
- Can I add my spouse and children to a single policy?
- Yes. The policy can be purchased as an individual, family floater, or senior citizen plan.
- What happens if I exceed the sum insured?
- Excess expenses are payable outofpocket. You may consider a higher sum insured or an additional rider.
- Is there a limit on the number of claims per year?
- No. The policy allows unlimited claims, but a claim may affect the No Claim Bonus.
- Do I need to undergo a medical test at the time of purchase?
- For sum insured up to 5lakh and ages below 45, a medical questionnaire suffices. Higher sums or older ages may require a medical examination.
- Can I renew the policy after the term ends?
- Yes. Renewal is guaranteed up to the age of 75, provided premiums are paid on time.
Conclusion
ICICI Pru Health Saver stands out as a versatile health insurance solution that balances comprehensive medical coverage with lifestyle incentives. Its wide network, generous daycare benefits, and added wellness features make it suitable for both young professionals and families seeking longterm protection. While the waiting period for preexisting diseases is standard for the market, the plans overall valueformoney proposition remains strong, especially when the optional critical illness rider is added.
Prospective buyers should assess their familys health profile, required sum insured, and preference for wellness rewards before deciding. For most middleincome households, the policy offers a solid blend of affordability, extensive coverage, and added perks that encourage a healthier lifestyle.
ICICI Pru Guaranteed Savings Insurance Plan and Reference File Download Link
