Why choose a Smart Super Health Plan?
HSBC offers the Smart Super Health Insurance policy from ICICI Lombard General Insurance Company. This policy provides cover for hospitalization expenses incurred in India for treatment of Illness, disease or injury
The Policy covers:
-
In-patient treatment
-
Pre & Post hospitalization expenses
-
Day care treatment
-
Domiciliary hospitalisation
-
Organ donor
-
Ayush treatment
-
Convalescence benefit
-
Ambulance charges
-
Animal bite (Vaccination)
-
Out-patient emergency medical expenses (accident only)
-
Out-patient dental expenses in case of accident
-
Domestic air ambulance and restoration of sum insured
Plan UIN Number
- BHAHLIP21246V022021
Ways to open:
Online, Branch
Cover Level |
Sum insured in Lacs |
---|---|
Value |
5, 7.5 |
Classic |
10, 15, 20 |
Uber |
20, 30, 50, 60, 70, 80, 90, 100 |
Cover Level |
Value |
---|---|
Sum insured in Lacs |
5, 7.5 |
Cover Level |
Classic |
Sum insured in Lacs |
10, 15, 20 |
Cover Level |
Uber |
Sum insured in Lacs |
20, 30, 50, 60, 70, 80, 90, 100 |
Salient features & benefits |
Coverage for Value, Classic and Uber |
---|---|
Basic cover (up-to the sum insured limit) |
Up to sum insured |
In-patient Treatment |
Up to sum insured |
Pre-hospitalization - 60 Days |
Up to sum insured |
Post-hospitalization- 90 Days |
Up to sum insured |
Organ Donor |
Up to sum insured |
Day care Treatment (As per Appendix I) |
Up to sum insured |
Ayush Treatment |
Up to sum insured |
Domiciliary Hospitalization |
Up to sum insured |
Salient features & benefits |
Basic cover (up-to the sum insured limit) |
---|---|
Coverage for Value, Classic and Uber |
Up to sum insured |
Salient features & benefits |
In-patient Treatment |
Coverage for Value, Classic and Uber |
Up to sum insured |
Salient features & benefits |
Pre-hospitalization - 60 Days |
Coverage for Value, Classic and Uber |
Up to sum insured |
Salient features & benefits |
Post-hospitalization- 90 Days |
Coverage for Value, Classic and Uber |
Up to sum insured |
Salient features & benefits |
Organ Donor |
Coverage for Value, Classic and Uber |
Up to sum insured |
Salient features & benefits |
Day care Treatment (As per Appendix I) |
Coverage for Value, Classic and Uber |
Up to sum insured |
Salient features & benefits |
Ayush Treatment |
Coverage for Value, Classic and Uber |
Up to sum insured |
Salient features & benefits |
Domiciliary Hospitalization |
Coverage for Value, Classic and Uber |
Up to sum insured |
Sum Insured
Sum insured that can be opted up to the age at entry of 65 years on Individual and/or Floater basis are as follows:
Value: 5 Lakhs, 7.5 Lakhs
Classic: 10 Lakhs, 15 Lakhs and 20 Lakhs
Uber: 20 Lakhs, 30 Lakhs, 50 Lakhs, 60 Lakhs, 70 Lakhs, 80 Lakhs, 90 Lakhs and 1 Crore
This product can be availed by HSBC Premier and HSBC Advance customers.
Optional Covers & Additional Benefits
The policy also has optional covers like:
- Hospital cash allowance
- Maternity and new born baby cover
- Critical illness
Additional benefits under this policy:
- Income Tax benefit
- No Claim Bonus
- Annual Health Check-up
Waiting Period
A1. 30 days waiting period:
Expenses incurred for treatment undertaken for disease or illness within 30 days of the inception date of first/ initial policy.
A2. Specific waiting period:
Hospitalization expenses incurred on treatment of specified diseases or Illness or procedures/ surgeries within the first two years (continuously renewed without any break) from the inception of initial / first Policy
A3. Pre-existing diseases / Illness / Injury / conditions:
The benefits will not be available for any condition(s) as defined in the policy, until 48 months of continuous coverage have elapsed, since inception of the first policy with the insurance company. Disclosure of any pre-existing diseases with details must be done at the time of application for this Policy/ addition of member in existing policy, in the proposal form and shall be classified as pre-existing disease post acceptance of such application by the company.
A4. Maternity expenses where maternity cover is opted:
The benefits will not be available for any condition(s) as defined in the policy, until 9 months since inception of the first policy with the insurance company. In all other cases where maternity benefit cover is not opted, all claims directly or indirectly related to maternity stands excluded always.
A5. Critical illness where opted:
60 days waiting period for fresh policy and 30 days survival period.
Key Exclusions
The insurer shall not be liable to make any payment for any claim directly or indirectly caused by or based on or arising out of or howsoever attributable to any of the following:
- Any treatment received outside India.
- War (whether declared or not) and war like occurrence or invasion, acts of foreign enemies, hostilities, civil war, rebellion, revolutions, insurrections, mutiny, military or usurped power, seizure, capture, arrest, restraints and detainment of all kinds.
- Any Illness or injury directly or indirectly resulting or arising from or occurring during commission of any breach of any law by the insured person with criminal intent.
- Disease/ Illness/ Injury whilst performing duties as a serving member of a military or a police force.
- Any loss, injury/illness, directly or indirectly caused due to an act of terrorism or terrorist incident, regardless of any contributory causes (if the insurance company alleges that by reason of this exclusion any loss is not covered by this insurance, the burden of proving the contrary shall be upon the insured / insured members
- Expenses following Ionizing radiation or contamination by radioactivity from any nuclear fuel or from any nuclear waste from the combustion of nuclear fuel.
- Circumcision unless necessary for treatment of a disease, illness or injury not excluded hereunder, or, as may be necessitated due to an accident.
- Experimental and unproven treatment.
- Treatment of mental disease / Illness, stress, psychiatric or psychological disorders.
- Medical treatment in respect of the illness / injury/ disease caused whilst engaging in speed contest or racing of any kind (other than on foot), bungee jumping, parasailing, ballooning, parachuting, skydiving, paragliding, hang gliding, mountain or rock climbing, potholing, abseiling, deep sea diving, polo, snow and ice sports.
- Medical treatment required following involvement in any criminal act of the insured insured members
- Sex change or treatment, which results from, or is in any way related to, sex change.
- Dental treatment or surgery of any kind unless requiring hospitalization or in case of out-patient Dental Emergency Treatment (unless arising out of Accident only as specified under the scope of the Policy).
This is not the exhaustive list of exclusions, kindly refer to the policy wording document for the detailed list of exclusions.
Other Benefits
Benefit |
Value |
Classic |
Uber |
|
---|---|---|---|---|
No Claim Bonus |
As per policy schedule |
As per policy schedule |
As per policy schedule |
As per policy schedule |
Health Check-up |
Annual – Basic |
Annual – extended |
Annual – comprehensive |
Annual – comprehensive |
Restoration of Sum Insured |
Up to 100% of sum insured |
Up to 100% of sum insured |
Up to 100% of sum insured |
Up to 100% of sum insured |
Emergency Surface Ambulance charges |
₹3,000/event |
₹3,000/event |
₹3,000/event |
₹3,000/event |
Convalescence Benefit ( on continuous 10 days hospitalization or more) |
Not Available |
₹10,000 |
₹15,000 |
₹20,000 |
Outpatient emergency treatment (Accident only) |
Not Available |
₹2,500 |
₹10,000 |
₹10,000 |
Animal bite (Vaccination) |
Not Available |
₹2,500 |
₹5,000 |
₹5,000 |
Domestic Air Ambulance (max once in a Policy year / per life) |
Not Available |
Not Available |
Up to ₹1,00,000 |
Up to ₹2,00,000 |
Outpatient Dental emergency (arising out of Accident only) |
Not Available |
Not Available |
₹5,000 |
₹7,500 |
Benefit |
No Claim Bonus |
---|---|
Value |
As per policy schedule |
Classic |
As per policy schedule |
Uber |
As per policy schedule |
Benefit |
Health Check-up |
Value |
Annual – Basic |
Classic |
Annual – extended |
Uber |
Annual – comprehensive |
Benefit |
Restoration of Sum Insured |
Value |
Up to 100% of sum insured |
Classic |
Up to 100% of sum insured |
Uber |
Up to 100% of sum insured |
Benefit |
Emergency Surface Ambulance charges |
Value |
₹3,000/event |
Classic |
₹3,000/event |
Uber |
₹3,000/event |
Benefit |
Convalescence Benefit ( on continuous 10 days hospitalization or more) |
Value |
Not Available |
Classic |
₹10,000 |
Uber |
₹15,000 |
Benefit |
Outpatient emergency treatment (Accident only) |
Value |
Not Available |
Classic |
₹2,500 |
Uber |
₹10,000 |
Benefit |
Animal bite (Vaccination) |
Value |
Not Available |
Classic |
₹2,500 |
Uber |
₹5,000 |
Benefit |
Domestic Air Ambulance (max once in a Policy year / per life) |
Value |
Not Available |
Classic |
Not Available |
Uber |
Up to ₹1,00,000 |
Benefit |
Outpatient Dental emergency (arising out of Accident only) |
Value |
Not Available |
Classic |
Not Available |
Uber |
₹5,000 |
Optional Benefits
Benefit |
Value |
Classic |
Uber |
|
---|---|---|---|---|
Hospital cash allowance (Upto Maximum upto 30 days with one day deductible) |
Option of ₹500,1,000 / day |
Option of ₹500,1000,2000 / day |
Option of ₹500, 1000, 2000, 3000 / day |
Option of ₹500, 1000, 2000, 3000 / day |
Maternity Benefit: |
₹35,000
₹25,000 |
₹50,000
₹50,000 |
₹75,000
₹75,000 |
₹1,00,000
₹1,00,000 |
Lump sum benefit for critical Illnesses (over and above sum insured) |
Option of ₹2L, 3L, 5L, 7.5L, 10L, 15L, 20L, 25L, 30L |
Option of ₹2L, 3L, 5L, 7.5L, 10L, 15L, 20L, 25L, 30L |
Option of ₹2L, 3L, 5L, 7.5L, 10L, 15L, 20L, 25L, 30L |
Option of ₹2L, 3L, 5L, 7.5L, 10L, 15L, 20L, 25L, 30L |
Benefit |
Hospital cash allowance (Upto Maximum upto 30 days with one day deductible) |
---|---|
Value |
Option of ₹500,1,000 / day |
Classic |
Option of ₹500,1000,2000 / day |
Uber |
Option of ₹500, 1000, 2000, 3000 / day |
Benefit |
Maternity Benefit: |
Value |
₹35,000
₹25,000 |
Classic |
₹50,000
₹50,000 |
Uber |
₹75,000
₹75,000 |
Benefit |
Lump sum benefit for critical Illnesses (over and above sum insured) |
Value |
Option of ₹2L, 3L, 5L, 7.5L, 10L, 15L, 20L, 25L, 30L |
Classic |
Option of ₹2L, 3L, 5L, 7.5L, 10L, 15L, 20L, 25L, 30L |
Uber |
Option of ₹2L, 3L, 5L, 7.5L, 10L, 15L, 20L, 25L, 30L |
Key Things You Should Know
Benefits of this policy are applicable only if the insured/ insured members are treated in India.
Optional features like hospital cash allowance, maternity and new born baby cover and critical illness will be covered under this policy only if specifically opted at the time of policy purchase.
This policy covers critical illness with a lump sum payment and reimbursement options under different plans. In case you are already covered for critical illness, kindly make an informed decision for this policy.
Pre-existing illnesses and injuries are covered after a period of 4 years from the inception of the policy.
Pre-existing illnesses and injuries, if not disclosed at the time of buying the policy, will not be covered even after the waiting period.
This policy will be issued for a period of 12 / 24 / 36 months basis the tenure opted and are subsequently renewable, if the renewal is consented by the policy holder.
The insurer offers life-long renewal unless the insured / insured members or any one acting on behalf of an insured / insured members has acted in an improper, dishonest or fraudulent manner or has made misrepresentation in relation to this policy or the policy poses a moral hazard.
This policy also provides for cashless servicing across India. Kindly refer to ICICI Lombard General Insurance website for the list of empanelled hospitals for cashless servicing.
Purchase of the insurance product is purely voluntary and is not linked to availment of any other facility from the bank
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Important Information
Terms & Conditions
The Insurance products are offered and underwritten by ICICI Lombard General Insurance Company Ltd., ICICI Lombard House, 414, Veer Savarkar Marg, Prabhadevi, Mumbai – 400025, India.
The Hongkong and Shanghai Banking Corporation Limited, India (HSBC) (IRDAI Regn. no. CA0016) whose India corporate office is at 52/60, M. G. Road, Fort, Mumbai – 400001, India, does not underwrite the risk or act as an insurer.
The contract of insurance is between the insurer and the insured and not between the bank and the insured.
The Hongkong and Shanghai Banking Corporation Limited, India does not underwrite the risk or act as an insurer.
HSBC will receive 15% commission on the premium amount from ICICI Lombard General Insurance company for this transaction.
For more details on risk factors, terms and condition please read the Policy wording Document carefully before concluding a sale.
Website: www.icicilombard.com
Call: 18001032292
SMS: Claim or Service or Renew or Call Back to 5667700
Email: customersupportba@icicilombard.com
You may also approach your nearest HSBC branch for any claim or service related queries/request.
BEWARE OF SPURIOUS PHONE CALLS AND FICTITIOUS/FRAUDULENT OFFERS. IRDA clarifies to public that:
IRDA or its officials do not involve in activities like sale of any kind of insurance or financial products nor invest premiums.
IRDA does not announce any bonus. Public receiving such phone calls are requested to lodge a police complaint along with details of the phone call and number.