ICICI Lombard General Insurance
One of India's oldest private general insurers, ICICI Lombard benefits from strong institutional backing and a comprehensive product suite. While health insurance is one segment of their broader general insurance business, their IL TakeCare platform has modernised their health offerings significantly.
Claim Settlement
85.8%
Network Hospitals
11,500
Incurred Claim Ratio
74.2%
Claims Difficulty
Medium
Overview
Key Strengths
- Strong institutional brand backed by ICICI group
- IL TakeCare app — one of the best digital health ecosystems
- 11,500+ network hospitals across India
- Integrated wellness and health management programmes
- Wide distribution through ICICI Bank branches
Key Weaknesses
- Health insurance is not the primary focus — general insurer diversification
- Claims settlement ratio below standalone health insurer benchmarks
- Premium pricing not always competitive for individual retail policies
- Complex product naming and variant structures can confuse buyers
Top Plans
IL Health Booster
Sum Insured
5L - 50L
Starting Premium
7,800/yr*
*Premium for 30-year-old, individual plan, base variant
Elevate
Sum Insured
5L - 1Cr
Starting Premium
9,200/yr*
*Premium for 30-year-old, individual plan, base variant
Health Shield
Sum Insured
2L - 25L
Starting Premium
5,100/yr*
*Premium for 30-year-old, individual plan, base variant
Claims Data
Claim Settlement Ratio
Some documentation requirements, occasional follow-ups
The claim settlement ratio indicates the percentage of claims settled out of total claims received. A higher ratio means the insurer pays out more claims. Industry average is approximately 85%.
Incurred Claim Ratio
74.2%
HealthyThe incurred claim ratio measures total claims paid versus premiums earned. A ratio near 60-80% is considered healthy. Above 100% means the insurer is paying more in claims than it collects in premiums.
Source: IRDAI Annual Report FY2024-25
Network Hospitals
11,500
empanelled hospitalsNetwork hospitals are where you can avail cashless treatment. A larger network means more choices and convenience across cities. The industry leader has approximately 14,000+ hospitals. Always verify if your preferred hospital is in-network before hospitalisation.
Gotcha Alerts
These are policy fine-print items that can catch you off guard at claim time. We surface them upfront so you can make informed decisions.
Disease-wise sub-limits on certain ailments
Cataract surgery is capped at 40,000 per eye regardless of actual cost. Knee replacement and similar procedures have fixed caps. These are not proportionate to sum insured — they remain fixed even for high SI policies.
Source: Health Shield, Annexure B — Disease-wise Sub-limits
Daycare procedures list is not exhaustive
Only daycare procedures explicitly listed in the policy document are covered. If a new daycare procedure is not on their approved list, cashless claims can be rejected even if medically necessary.
Source: ICICI Lombard Health, Section 2.5 — Daycare Procedures
Compare with other insurers
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