Subject: Home Health Care feature by ICICI Lombard GIC Ltd
From: "IHEALTHCARE /CS/ICICILOMBARD/HYD" <[email-masked]>
To: <[email-masked]>
Date: Sun, 27 Sep 2020 10:52:41 +0530

Dear Sir / Madam,

Greetings from ICICI Lombard GIC Ltd

At ICICI Lombard, we stay committed to service you efficiently and keeping you apprised of the steps being taken by us amid the Covid-19 pandemic. In keeping with the demands of the market in view of the COVID-19 pandemic and with our customer centric ideology we are desirous of offering the below mentioned Home Health Care feature with the approval of the authority until 31st March 2021.

Home Healthcare

Home healthcare is convenient and an alternative mode to hospital care. This service is based on the individual’s needs as prescribed by his or her treating doctor. The service includes remote monitoring by medical practitioner and may also include visits from medical professional -nurses, doctors and physiotherapists.

Home Healthcare services allowed to a patient at home for an illness or injury (Including Covid-19 with mild symptoms) requiring treatment in a hospital.

Home Health Care managed by Network Hospital: Network Hospital will send the cashless request to ICICI Lombard, cashless is approved and non-payables to be borne by the insured.
Home Health Care managed by Standalone Provider: When Insured is prescribed home isolation/home quarantine by treating doctor under medical supervision, he needs to call the Health Assistance number (040-66274205), Health Assistance team facilitates the home care through service providers, non-payables to be borne by the insured. Some of the standalone providers on our board are Portea Healthcare, Nightingale Healthcare, Health Care at Home, Tribeca Care etc.

However, under special circumstances in case the insured intends to avail the services of non-network provider and claims for reimbursement, a prior approval from the Insurer needs to be taken before availing such services. In case insured breach the conditions of approval or fails to take the prior written approval the insurer is not liable to settle any claim under this section.

Insured to call @ 040-66274205 (Timings Mon-Sat 8 am to 8 pm) or write @ [email-masked] for approvals. Insured can initiate the call from mobile app "IL Take Care" which can be downloaded from Play Store and App Store.

For prior approvals, insured need to submit below mentioned documents @ [email-masked]
    . RT-PCR Report / RAT (Rapid Antigen Report) -Investigation report
    . Treating doctor recommendation mentioning - insured advised home isolation including home isolation period
    . Plan of treatment/medication details during home isolation period
    . Home Healthcare services estimation bill with details from the Provider, Payment receipts (Scan copy, if any)
    . Health Card Copy & ID Proof (issued by Govt. of India)

Will assure you best of services at all time. Stay Safe and Take Care.

Kindly cascade this information to your employees.

With Regards,
ICICI Lombard Health Care

Disclaimer: In this benefit we will cover the medical expenses incurred by the Insured person on availing treatment at home provided that:
    . The insured person has been advised non-emergency hospitalization by a Medical practitioner and the Insured person out of his own will, opts to undergo treatment at home.
    . The condition of the Insured Person is expected to improve in a reasonable and foreseeable period of time.
    . There is a continuous active line of treatment with monitoring of the health status by a medical practitioner for each day through the duration of the home care treatment.
    . Treatment that can be availed on Outpatient basis will not be qualified to be covered under this clause.

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