ICICI Lombard Insurance — ICICI's Internaltional Travel Insurance is a big cheating to consumer

Address:Rohtak, Haryana

ICICI Lombard advertises their International Travel Policy as one of best as with cashless claim facilities worldwide and offers peace of mind. Well, all that's only true till someone unfortunately needs to make a claim using this policy. In this case, my dad who's is in USA currently fell trap to this policy and now we are in a big trouble because of ICICI. Like most parents visiting USA do, my dad had bought the ICICI Travel policy (and this is the 3rd or 4th time he bought this policy) for his 3 month trip to USA in June 2015. Unfortunately he developed jaundice 3 weeks ago and had to be hospitalized for the same. Had to undergo surgery as it was some infection in gallbladder that was the root cause of jaundice. He was in hospital for 5 days and then 2 weeks of post-op follow-ups. Within couple of hours hospital admission, we informed ICICI Lombard for registering claim. Since then they have done basically nothing and just trying to find to reasons such as insured is old (74 yrs) and has been taking some medications (blood pressure, thyroid, etc) because of which they can't process the cashless claim. There's no pre-existing condition that's linked to this surgery and other treatment my dad received at hospital. When we asked ICICI to give justification they pull out a line from their policy fine print that "Cashless payment is at the sole discretion of ICICI and customer can not claim it as their right just by way of having insurance policy". This is the biggest catch in their policy!. They are asking us to pay the hospital directly and then once insured comes back to India then submit bills to see of they can reimburse something. The hospital bill is close to 100K USD, how can the insured who's visiting from India be paying 100K USD to hospital - I mean who has so much disposable amount at hand. This is plain cheating and fraud on ICICI;s part to claim one thing and when customer needs to claim then they totally back out and leave insured on his own. I am sure ICICI doesn't have any intentions to pay anything. We have even written to the senior officials also in ICICI Lombard but no response. NEVER EVER BUY THIS TRAVEL INSURANCE POLICY FROM ICICI LOMBARD. ITS NOT JUST WASTE OF MONEY BUT YOU WILL LOSE YOUR SLEEP LIKE US IF YOU EVER NEED TO MAKE CLAIM USING THIS POLICY. SHAME ON ICICI.
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Dear Vivek,

Apologies for the unpleasant experience and the inconvenience caused. Request you to visit the below URL and fill in your details. Our official will contact you and assist you.

Link: https://www.icicilombard.com/content/ilom-en/ServiceCouncil/SQindex.html

Regards,
ICICI Lombard General Insurance
I have already filled out the Grievance Redressal form at the mentioned URL last week. [ICICILom:[protected] ServiceQualityStep3 ( INTID :: [protected], Customer Name :: Darshan Lal Chawla, Product:: Travel, SR:: Claim Related )‏]


This is the latest response we have received from your front end insurance processing office regarding this claim.

"Regarding your next query about cashless mode, kindly be informed that as per the policy terms and conditions, cashless mode is not a mandate and we do not guarantee that any claim can be accepted in cashless mode. We Also provided policy wordings for your kind reference."
ICICI Lombard is acting in bad faith in this case. Instead of helping the insured, ICICI is asking insured to deal with Hospital directly and pay them out of pocket and later apply for reimbursement. The hospital bill is quite large and insured is in no capacity to pay that sum out of pocket. ICICI has not even contacted the hospital to get any medical information about this case. Without getting in touch w/ hospital or doctor and w/o any due diligence, ICICI has decided that they can't process the claim as cashless claim...just because the claim amount is large. Well, guess what, this is exactly what people buy insurance for expecting insurance can rescue them financially from unexpected emergencies. In this case, ICICI is treating us like we are asking them for donation. It's very unprofessional, unethical, and in some sense illegal behavior.
ICICI grievance deptt has replied to our complaint. Pretty much repeat of what ICICI claims customer service was telling us so no help. They are telling us that due to insufficient medical records and history they can't process as cashless mode. The reality is that they have not even contacted the hospital to get medical information regarding the treatment my father had received in US. Without doing their due diligence, they have refused for cashless claim and asking insured to pay the US hospital directly.
Looks like going to court is the only option now.
Any suggestions on how do we get more people, especially the ones who's are looking to buy insurance, get to see this page more often? Only then they will know the reviews and reality about ICICI Insurance. Otherwise, it's just some o[censored]s writing here but nothing else...ICICI gives a deaf ear to all these comments I think. They may not even see any of these comments.

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