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Elevate Quote

The document is a health insurance offer from ICICI Lombard for Mr/Ms. Prashant Singh, detailing the Elevate plan for four insured members with a preferred sum insured of 10 lakhs. It includes premium options for various tenures, coverage benefits, waiting periods, and additional features like claim protection and wellness programs. The company expresses gratitude for the customer's trust and assures support throughout their journey.

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41 views5 pages

Elevate Quote

The document is a health insurance offer from ICICI Lombard for Mr/Ms. Prashant Singh, detailing the Elevate plan for four insured members with a preferred sum insured of 10 lakhs. It includes premium options for various tenures, coverage benefits, waiting periods, and additional features like claim protection and wellness programs. The company expresses gratitude for the customer's trust and assures support throughout their journey.

Uploaded by

sc6602311
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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Dear Customer,

Dear Customer,

Thank you for your interest and choosing us as your health insurance partner, Mr/Ms. PRASHANT SINGH is our trusted partner and is
an expert in providing health insurance solutions

We are glad to offer you Elevate, a comprehensive health insurance solution that suits your requirement.

Please find below details provided by you to Mr./Ms. PRASHANT SINGH

No. of members 4

Age of Insured 1 49 years

Age of Insured 2 46 years

Age of Insured 3 26 years

Age of Insured 4 23 years

Preferred Sum Insured 10L

Sum insured option/ Premium options

Tenure Preferred Sum Insured - 10L Recommended Sum Insured - 15L

1 year 35073 41432

2 years 66640 78720

3 years 104200 123195

4 years 141759 167670

5 years 179319 212145

Summary of Coverage

Benefit Name Coverage

In-patient treatment In-built, up to SI

In Patient Hospitalisation (Surrogate Mother) In-built, up to SI subject to max of Rs. 5 lacs

In Patient Hospitalisation (Oocyte Donor) In-built, up to SI subject to max of Rs. 5 lacs

Room Rent Capping Single Pvt room

Day-care Treatments In-built, up to SI

Modern Treatment In-built, up to SI

AYUSH Treatment In-built, up to SI

Domiciliary Hospitalisation In-built, up to SI

Wellness Program In-built

Bariatric Surgery In-built, up to SI

Donor Expenses In-built, up to SI

Pre & Post Hospitalisation Pre - 90 days/Post -180 days

Domestic road ambulance In-built, up to SI

In-built, unlimited times for same & different


Reset Benefit
illness

In-built, 20% every year up to 100%;


Loyalty Bonus
irrespective of claims

PED Waiting Period 3 Years

Specific Disease Waiting Period 2 Years


Initial Waiting Period 30 Days

Waiting period for Diabetes,Hypertension and Cardiac conditions (unless they


90 Days
are PED)

BeFit 30 days

Maternity Waiting Period 2 Years

Bariatric Surgery 2 Years

Worldwide Cover Waiting Period 2 Years

Critical Illness Waiting Period/Survival Period 90 days / 0 days

Summary of Coverage

Benefit Name Coverage

Claim Protector Yes

Nursing at Home Yes

Annual Health Checkups Yes

Power Booster Yes

2 hours hospitalization Yes

We thank you for showing your trust and confidence with us. We assure you that we will be with you at every step of your journey and
beyond.

Thanking you,
Team ICICI Lombard

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