What is the ICICI Golden Shield Health Insurance Policy?

As people age, they are more likely to develop various costly medical conditions. With the body becoming more susceptible to illnesses and infections after the age of 56 to 60, it becomes crucial for senior citizens to have a health insurance policy. This will help them manage and afford the necessary treatments and care for their ailments.

ICICI’s Golden Shield is a unique health insurance policy tailored for individuals aged 56 and over. Similar to a standard Mediclaim policy, it provides coverage for unexpected medical expenses related to hospitalization, health check-ups, day-care procedures and ambulance services.

The Golden Shield policy offers affordable premium rates while providing comprehensive coverage. It includes a high sum insured, annual health check-ups and cashless treatment options. With a wide network of hospitals, this plan is reliable and ensures easy access to medical facilities.

ICICI Golden Shield Policy Specifications

Specification	Details
Network Hospitals	7500+
Incurred Claim Ratio	77.33%
Sum Insured	Up to ₹1 Crore
Number of Plans	8
Solvency Ratio	2.5
Pan India Presence	300+
Eligibility Age	Minimum: 56 Years, Maximum: No Limit
Coverage for the Sum Insured	₹5 Lakhs - ₹50 Lakhs
Room Rent	Covered
ICU Charges	Covered
Pre-Hospitalization	Covered for up to 60 Days
Post-Hospitalization	Covered for up to 180 Days
Domiciliary Hospitalization	Covered
Daycare Treatment	Covered
OPD Charges	Covered
COVID-19 Treatment	Covered
Cataract Treatment	Covered
No Claim Bonus	10% up to a maximum of 100% of Sum Insured
Automatic Restoration	100% of the Sum Insured
Daily Hospital Cash	Not Covered
Organ Donor Expenses	Covered up to ₹10 Lakhs
Maternity Cover	Not Covered
Newborn Baby Cover	Not Covered
AYUSH Treatment	Covered up to Sum Insured
IVF Treatment	Not Covered
Modern Treatment	Covered up to Sum Insured
Ambulance Charges	Covered up to 1% of Sum Insured
Air Ambulance	Covered
Compassionate Travel	Not Covered
Global Coverage	Not Covered

Coverage Benefits of the Golden Shield Policy

Get comprehensive medical coverage specifically designed for senior citizens, including hospitalization, treatment of illnesses, surgeries and more.

Feature	Details
Affordable Premiums	Affordable medical coverage for ageing retirees to address increasing health risks
High Sum Insured	A sum insured option of up to 50 lakh rupees is available which resents if exhausted *(subject to the policy terms and conditions)
Pre & Post-Hospitalisation Coverage	Covers pre/post-hospitalization medical expenses
Pre-Existing Diseases Coverage	Coverage for pre-existing illnesses after 24 months which is good for senior citizens
Cashless Treatment Facility	Use cashless treatment at network hospitals nationwide as per the agreement
Tax Benefits	Tax benefits available of up to 50,000 rupees under Section 80D of the Income Tax Act of 1961 for policyholders over 60

What’s Covered and Not Covered in Golden Shield Health Insurance

Golden Shield Health Insurance Inclusions

Hospitalisation - Room rent, doctor's fees, ICU charges, nurse's charges, medicines and drug costs
Day care treatments - Expenses for surgeries/procedures requiring <24 hrs hospitalisation (e.g. radiotherapy, chemotherapy, dialysis)
Modern treatments - Immunotherapy, stem cell therapy, robotic surgeries, balloon sinuplasty
Pre & post hospitalisation
- Pre-hospitalisation expenses up to 30 days
- Post-hospitalisation expenses up to 7% of hospitalisation
Donor expenses - In-patient hospitalisation for organ donor
Domiciliary hospitalisation & home care treatment - Treatment at home prescribed by a doctor
AYUSH treatment - Ayurvedic, Yoga, Naturopathy, Unani, Siddha, Homeopathy treatment
Ambulance coverage - Road & air ambulance charges
Reset Benefits - 100% unlimited reset of Annual Sum Insured per year
Cumulative Bonus - 10% cumulative bonus for each claim-free year
Optional covers
- Claim protector
- Co-payment modification
- Voluntary deductible
- Care management program
  - Tele consultation, e-opinion, diet, counselling, care calls, incentives, yoga, medical vault, assistance
- Care management plus program
  - Health professional, family updates, OP consultations, diagnostics, pharmacy, nursing

Golden Shield Health Insurance Waiting Periods

Pre-existing Conditions: The waiting period for coverage of pre-existing conditions is years. Policyholders with PEDs like diabetes or cardiovascular issues will be eligible for coverage after 2 years
Other Waiting Periods: Shorter waiting periods for pre-existing conditions compared to other policies