Group Safeguard Insurance- Hospital Daily Cash Benefit
FAQs
What is Hospital Daily Cash Benefit?
Hospital Daily cash benefit under Group Safeguard Insurance offers a fixed amount for each day that you are hospitalized, up to a maximum no. of 90 days in a policy year subject to 10 days per hospitalization. The amount that will be paid per day depends on the coverage chosen at the time of enrolling and would remain fixed.
What are the benefits of Hospital Daily Cash insurance (Group Safeguard Insurance) policy?
Below are the benefits of the policy:
- Hospital cash benefit helps to take care of out of pocket expenses that you might incur during hospitalization. It is like a cushion you can fall back on in times of need.
- Maximum age entry of 60 years and minimum age of entry is 18 years
- Premium paid is exempt from Income Tax under Sec 80D
Sample Illustration to help you understand:
Are there any criteria / conditions that need to be fulfilled to avail the benefits of the policy?
Yes. This policy is applicable and payable only under the below conditions:
- Hospitalization is medically necessary and there is a written advice from the doctor for the same
- To avail the benefit, the insured has to be hospitalized for a minimum of 24 hours
How many days of hospitalization are covered in the policy?
To avail the benefit, you need to be admitted for a minimum of 24 hours. We will pay you this benefit for each and every day spent in hospital for a maximum of 10 days per hospitalisation. You can avail this benefit multiple times subject to a maximum of 90 days in a policy year
What is not covered in the policy?
This is an indicative list of exclusion, for detailed list please refer policy wordings
- Any Hospitalization falling within the Waiting Period of 30 days, unless arising solely from accident
- Any hospitalisation arising in relation to a pre-existing diseases will not be covered for 24 months as per plan chosen
- Standard list of procedures and diseases will be excluded for 24 months as per plan chosen
- Any Hospitalization consequent to any condition arising from any disease of the organs of generation, malignant disease of mammary gland, pregnancy, childbirth, abortion or miscarriage
- Any medical examination or diagnostics or Hospitalization for the sole purpose of investigation or employment or travel
- Treatment by a Family Member and self-medication or any treatment that is not scientifically recognized
What do you mean by Pre-Existing Disease? Are pre-existing diseases covered in this policy?
Pre-existing diseases have been defined as "any condition, ailment or injury or related condition(s) for which the insured had signs or symptoms, and/or was diagnosed, received medical advice or treatment within 48 months prior to the first policy issued by the insurer".
For this product, it means that if any condition, injury or ailment, that already exists when an insured enrolls into this policy.
Do I need to undergo any Health check up before purchasing the policy?
No. Basis your declaration that you're in good health, this policy is offered to all our customers between the age of 18 to 60 years.
What is the start date of the policy?
The policy start date will be T+3 days where T is date of payment.
What do you mean by Free look period? Is there a free look period in this policy?
Free look is a period of 15 days given to you as a customer to review the benefits of the policy. If you do not wish to continue the policy, the same can be cancelled; if you cancel the policy within this free look period, you will get the full refund minus the stamp duty charges.
Will Hospital Cash Insurance cover maternity?
No. Hospital cash does not include maternity.
FAQs related to Policy issuance/Post Purchase
Where can I find the policy document?
The policy schedule with all your details is available inside the app under the terms and conditions and post purchase it would be sent on email within the certificate of issuance.
How can I get an invoice for the insurance bought?
Your Certificate of Insurance has the transaction amount. The same document can be used as an invoice.
What is the Policy Certificate Number?
The policy certificate number is the unique identifier of your policy and you will be able to use this number for making any changes to the policy, raising any queries or logging any claims with the insurer.
FAQs related to** modifications & Cancellations in Policy**
Can I change my policy details?
For changing email ID and mobile please raise a request for edit details under the insurance order section in the flipkart app
In case you wish to make any other changes on the policy, request you to please contact the insurer ICICI Lombard on 1800-2666.
Can I cancel the policy? Will there be a penalty for canceling? Will I get a refund for the policy canceled?
Yes, you can cancel the policy. If policy is cancelled within free look period, then customer is eligible for full refund.
If cancelled post that, the premium amount will be refunded on a short period cancellation basis as mentioned in the table below:
| Covered up to Days | % of Refund |
|---|---|
| Within 30 days | 70% |
| 31 - 90 days | 60% |
| 91 days - 6 months | 45% |
| Exceeding 6 months | NIL |
FAQs related to Claim
When can I claim in case of an incident?
You can intimate the claim before being admitted to the hospital, while you are being treated at the hospital or post your discharge from the hospital, however the same has to be intimated within 30 days of occurrence of the event.
How can I register the claim?
You will need to contact ICICI Lombard on 1800-2666 to register the claim.
What is the claim procedure? / I have intimated the claim what happens next?
Once the claim is intimidated and the Claim no. is generated, the insurer ICICI Lombard will get in touch with you for the documents that they need.
What are the documents that would be needed for a claim?
You will need to keep the below documents ready for claim:
Claim Form
Indoor Case papers
MLC / FIR
All Diagnostic Reports
Complete hospital bills
Discharge Summary
Certificate from Medical Practitioner
I have registered the claim, how do I track the status of the claim?
You can track the status of the claim by contacting ICICI Lombard on 1800 2666
How long would the claim process take?
Once all the necessary documents are submitted to the Insurer, the claim will be paid within 30 days from the date of the receipt of the last necessary document
Do I need to submit any documents?
Yes, you will have to submit documents related to the claim. Once you have intimated the claim ICICI Lombard General Insurance Company will contact you for providing the documents. Please keep the below documents ready:
Claim Form
Indoor Case papers
MLC / FIR
All Diagnostic Reports
Complete hospital bills
Discharge Summary
Certificate from Medical Practitioner
How will I get the claim money?
Your claim amount shall be transferred via NEFT transfer by the insurance provider to your preferred bank account details provided by you at the time of claim submission.