ICICI Pru Heart/Cancer Protect

All About ICICI Pru Heart/Cancer Protect

ICICI Pru Heart/Cancer Protect is a health insurance plan that provides cover against specific ailments like heart diseases and cancer. The policy pays out the sum insured on the first diagnosis, irrespective of the actual medical costs.

(Note: All the information in this article has been sourced from the official website of ICICI Prudential Life Insurance Company.)

Features of ICICI Pru Heart/Cancer Protect Policy

Following are some of the features of ICICI Pru Heart/Cancer Protect Policy:

  • Pay-out on Diagnosis - The policy provides the sum insured on the first diagnosis of a covered illness, irrespective of what is actually spent on treatment. The plan stays active even after the first pay-out for a minor condition, without the insured having to incur any further premiums.
  • Discount For The Family - ICICI Pru Heart/Cancer Protect offers a 5% discount on the combined premium for the initial year, if the policyholder extends the cover to include his or her spouse as well.
  • Waiver Of Premium - If the policyholder is diagnosed with a medical condition or is permanently disabled, the policy will take care of all future premiums. This means that the insured individual can enjoy full cover at no cost.
  • Increasing Cover Benefit - ICICI Pru Heart/Cancer Protect Plan will help cover the rising medical costs since it increases the coverage amount by 10% each year. The cover will increase up to 200% of the sum insured chosen at inception, until the time a claim is filed.
  • Tax Benefits - Tax deduction can be claimed under Section 80D of the Income Tax Act, 1961, on the premiums paid towards the policy. The policyholder can claim a deduction of up to Rs. 25,000 for self, spouse and dependent children for the premiums paid.
  • Substitute For Loss Of Income - If the policyholder is unable to work due to any major condition, the policy gives an additional benefit of 1% of the sum insured every month for 5 years to help the family deal with loss of income. This monthly payment is over and above lump sum amount paid on the diagnosis of the illness. It will be paid even on the demise of the insured to the nominee.
  • No Co-payment - There is no co-payment under ICICI Pru Heart/Cancer Protect Plan. It pays the claim amount on the first diagnosis of illness, irrespective of the actual cost of treatment.

Benefits of ICICI Pru Heart/Cancer Protect Policy

Below are some of the benefits of ICICI Pru Heart/Cancer Protect Policy:

Choice of protection: An individual can choose how much coverage he or she needs. There is coverage for both cancer and heart ailments. Condition-based pay-outs: On the first diagnosis of any covered illnesses, the insured will receive a lump sum amount.

  • Minor Condition Level: 25% Pay-out (As % of Sum Assured)
  • Major Condition Level: 100% after deducting earlier Minor Condition claim pay-outs, if any

Add-ons:

Hospital Benefit: The policyholder will receive daily cash benefit on hospitalization due to a covered ailment. The daily cash is given, irrespective of actual hospitalisation expenses.

Income Benefit: If the insured is diagnosed with any major condition, he or she will receive 1% of the base sum insured every month for 5 years.

Increasing Cover Benefit: The sum insured will increase by 10% simple interest every year until the first claim is filed. The benefit shall increase up to a maximum of 200% sum insured opted at inception

What is Covered in ICICI Pru Heart/Cancer Protect Policy?

Cancer Cover

Minor Conditions

  • Early stage cancer

  • Carcinoma-in-Situ of any organ (except skin)

Major Condition

  • Cancer of specified severity

Heart Cover

Minor Conditions

  • Angioplasty
  • Balloon Valvotomy or Valvuloplasty
  • Carotid Artery Surgery
  • Implantable Cardioverter Defibrillator
  • Implantation of Pacemaker of Heart
  • Infective Endocarditis
  • Minimally Invasive Surgery of aorta
  • Pericardiectomy
  • Surgery for Cardiac Arrhythmia
  • Minimally Invasive Surgery of aorta
  • Surgery to Place Ventricular Assist Devices or Total Artificial Hearts

Major Condition

  • Cardiomyopathy
  • First Heart Attack of Specified Severity (Myocardial Infarction)
  • Heart Transplant
  • Major Surgery of aorta
  • Open Chest CABG
  • Open Heart replacement or Repair of
  • Heart Valve
  • Primary (Idiopathic) Pulmonary Hypertension

What is Not Covered in ICICI Pru Heart/Cancer Protect Policy?

  • Pre-existing diseases
  • Self-inflicted injuries, insanity, suicide and deliberate participation of the policyholder in an illegal or criminal act with criminal intent
  • Use of intoxicating drugs, alcohol, solvent, taking of drugs except under the direction of a medical practitioner
  • Radioactive contamination due to nuclear accident
  • Existence of any sexually transmitted diseases, HIV or AIDS
  • Any illness on account of a congenital defect or disease that has manifested or wasdiagnosed before the policyholder attains the age of 17

Add-ons for ICICI Pru Heart/Cancer Protect Policy

Following are the add-ons an individual can consider including to his or her base policy:

  • Hospital Benefit: The policyholder will receive daily cash benefit on hospitalization due to a covered ailment. The daily cash is given, irrespective of actual hospitalisation expenses.
  • Income Benefit: If the insured is diagnosed with any major condition, he or she will receive 1% of the base sum insured every month for 5 years.
  • Increasing Cover Benefit: The sum insured will increase by 10% simple interest every year until the first claim is filed. The benefit shall increase up to a maximum of 200% of the sum insured opted at inception.

Additional Discounts for ICICI Pru Heart/Cancer Protect Policy

The discounts one can get on ICICI Pru Heart/Cancer Protect Policy are as follows:

  • ICICI Pru Heart/Cancer Protect offers a 5% discount on the combined premium for the initial year, if the policyholder extends the cover to include his or her spouse as well.
  • A 2% discount is allowed for policyholders who want to buy the policy online.
  • If an insured takes a combo cover, a 2% discount is granted on the combined premium (For heart and cancer)

Eligibility Criteria to Apply ICICI Pru Heart/Cancer Protect Policy

Minimum Age At Entry: 18 years Maximum age at Entry: 65 years Minimum policy term: 5 years Maximum policy term: 40 years

Calculate Premium ICICI Pru Heart/Cancer Protect

Individuals can make use of the online calculator facility available on the website of ICICI Prudential Life Insurance to determine how much they will be paying for ICICI Pru Heart/Cancer Protect Policy. Certain details will have to be provided, such as gender, date of birth, tobacco use and the required coverage amount. On the basis of this information, the tool will give an estimate on the premiums payable.

Tax Benefits in ICICI Pru Heart/Cancer Protect Policy

With ICICI Pru Heart/Cancer Protect, an individual can save up to Rs. 25,000 under Section 80D of the Income Tax Act, 1961, for payment made in the form of health insurance premium. This deduction is available for premiums paid for self, spouse and dependent children. An essential point to be noted is that the payments must be made in any mode other than cash in order to claim the tax deduction.

Documents Required To Buy ICICI Pru Heart/Cancer Protect Policy

An individual will have to submit certain documents to avail ICICI Pru Heart/Cancer Protect Policy. The documents include: - **Identity Proof** - PAN card, Aadhaar card, Passport, etc. - **Address Proof** - Aadhaar card, Passport, Driving license, etc. - **Age Proof** - PAN card, Aadhaar card, etc.

Easy Procedure to Renew ICICI Pru Heart/Cancer Protect Policy

ICICI Pru Heart/Cancer Protect Policy can be renewed until the insured reaches the age of 75 years. Policyholder can choose to renew the cover either online or offline (visiting one of the company’s branches). To renew the policy online, an individual will have to input Policy Number or Mobile Number or Email ID and Date of Birth and then proceed to make the payment.

What Is Claim Procedure For ICICI Pru Heart/Cancer Protect Policy

To make a claim on ICICI Pru Heart/Cancer Protect Policy, the below steps need to be followed:

Intimation

To make it easy for policyholders to raise claims, ICICI Prudential has a number of modes to intimate claims. These include:

  • At ICICI prudential life branches
  • Central claims team at Mumbai
  • Online claim intimation through company’s website
  • SMS ‘ICLAIM Policy No’ to 56767
  • Claim care cell 1860-266-7766

All of the required documents have to be submitted along with intimation for speedy processing.

Claims Processing

After the receipt of claim intimation as well as the supporting documents, a claim assessor will inspect it with reference to completeness of the documents and policy terms & conditions. In case any additional documents are required, then the same will be communicated to the claimant. At the time of claim processing, a dedicated claims manager is allocated for every claim. This individual will take responsibility of helping the claimant at every stage until a fair decision is made on the claim.

Decision and Pay-out

On the submission of all required documents and the completion of field investigation (as the case may be), the insurance company settles and communicates the claims decision. Most of the pay-outs are made through electronic modes, such as ECS and NEFT.

Documents Required to Claim ICICI Pru Heart/Cancer Protect Policy

ICICI Pru Heart/Cancer Protect pays out the sum insured on diagnosis of the disease or ailment. The insurance company will require the policyholder to produce i) filled-up and duly signed claim form and ii) medical records of diagnosis/doctor’s certificate of diagnosis in order to process the claim. In case a claim warrants detailed investigation, the company may ask for additional documents.

Conclusion & Reviews

Conclusion

There has been an alarming rise in the occurrence of heart problems and cancer in recent times. Once detected, the road to recovery can be long and costly– with scans, tests, treatments and surgeries. To help individuals ease this burden, ICICI Prudential Life Insurance Company has introduced ICICI Pru Heart/Cancer Protect Policy. The policy pays out the sum insured on diagnosis of any of the listed conditions. The pay-out can cover all medical costs and help in ensuring that one’s family does not face any financial strain on account of the ailment.

Reviews Of ICICI Pru Heart/Cancer Protect Policy

“This is a big relief for patients as they do not have to bear the costs from their pockets.” - Priyanka Soni, Bangalore

“I found ICICI Pru Heart/Cancer Protect to be an ideal choice since it provides cover against two major diseases. I got adequate coverage at very affordable rate.” - Ashish Sharma, Delhi

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