ICICI Lombard Health Care medical plan

What you need to know

ICICI Lombard Health Care administers the medical insurance policy, which is 100% company paid.

Plan at a glance

BenefitCoverage
Sum insuredBase cover of INR 5,00,000 per family per year  

In case of a medical emergency, additional support of up to INR 7,50,000 per family per year can be requested via Corporate Buffer.
Voluntary top-up cover

Employees have flexibility to purchase an annual top-up cover ranging from INR 2,50,000 to INR 20,00,000 by electing to pay an additional premium.

The top-up cover would provide supplementary support, which would be in addition to the annual base cover of INR 5,00,000 and the corporate buffer of INR 7,50,000, an overall annual cover of INR 12,50,000 (5L + 7.5L) provided by PayPal to all employees, per family.

Pre- and post-hospitalisationUp to 30 and 60 days respectively
Intensive care unit with nursing staff (charges)On actuals
Room rent (including charges for nursing staff)Single, private, air-conditioned, with a cap of INR 12,000 per day on the room rent
Home nursing (with doctor's prescription)Domiciliary hospitalisation benefit including nursing care at home up to INR 50,000 per family
Maternity care

INR 1,00,000 for normal delivery and INR 1,25,000 for a C-section for first 3 deliveries. Additional benefit of INR 25,000 in case of multiple births.

Includes pre- and post-natal expenses. Same cover applies for surrogacy.

Newborn day oneNewborn child is covered from day one and can be added to your policy within 30 days of birth date
OPD treatmentEmployees, their spouse, and children are covered up to INR 30,000 with the following limits: INR 6,000 consultation, INR 9,000 diagnostics, and INR 15,000 dental, vision, mobility aids and physiotherapy. Cost of spectacles/contact lenses is covered under vision sub-limit.
Ambulance serviceIntensity ambulance service up to INR 10,000 and air ambulance up to INR 1,00,000 per person, up to three events per policy period
IVF / infertility treatmentCovered up to INR 2,00,000 on OPD / IPD basis
Flu vaccinationUp to INR 3,000 per family
AYUSHINR 75,000 per family payable on a reimbursement basis
Copayment for parents or parents-in-law15% co-pay capped at INR 50,000, for parent / in-law claims only.
Same sex partnerEmployees can enrol a same-sex partner under the medical insurance plan
Gender reassignment surgeryCovered up to the base sum insured, i.e., INR 5,00,000

PayPal India supports you being your authentic self. Learn more about how our benefits support the whole you. You can also view the Insurance Benefits Manual on the Bridge for more details.

Questions about COVID-19 coverage or when to isolate in a hotel?

Covid-19 support measures

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An on-site doctor and nurse are available in both the Chennai and Bangalore offices. Contact the office reception to be guided to the medical room.

Extensive coverage

The medical plan provides coverage for pre- and post-hospitalisation and comprehensive benefits for day-to-day medical and maternity expenses.

  • Pre-existing conditions covered
  • Internal and external congenital diseases
  • Hospital miscellaneous services (X-rays, laboratory work, diagnostic tests)
  • Surgical fees, operating theatre, anaesthesia, and oxygen
  • Robotic surgery
  • Oral chemotherapy
  • Ailment coverage (no cap)

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Exclusions

  • Sterilisation
  • Septoplasty
  • Trial or experimental treatments
  • Administrative, registration, service, and other miscellaneous charges
  • Prosthesis-fitting expenses
  • Any device, instrument, or machine contributing to or replacing an organ 
  • Holter monitoring

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Provider contact information

ICICI Lombard Health Care