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ICICI Pru Life - Health Saver Plan - Health Protector Fund

NAV on (24 Apr 2026)

Objectives

ICICI Pru Health Saver, a whole of life comprehensive health insurance policy which:
1. Provides comprehensive hospitalisation cover for you and your family
2. Reimburses all other medical expenses not covered in the hospitalisation benefit by building a health fund for you and your family
A comprehensive health insurance and savings solution that not only provides your family with immediate hospitalisation cover but also aims to create a fund to keep you prepared against any health related expenses especially allowing you to provide for rising health care costs.

Fund

Asset Mix

Min.%

Max.%

Potential risk- reward

Health Protector: Accumulated steady income at a lower risk

Debt Instruments, Money Market & Cash

100%

100%

Low

Benefits

Key Benefits of ICICI Pru Health Saver
1. Guaranteed coverage up to age 751 for you and your family2 against medical expenses incurred due to hospitalisation
2. Coverage against pre-existing illnesses & conditions after 2 years subject to acceptance by the company
3. Provides comprehensive cover by allowing reimbursement for health expenses not covered by the hospitalisation benefit after 3 years
4. A free health check-up once every 2 years after the first year
5. No claim bonus of 5% of the annual limit for every claim free year up to a maximum of 25%
6. Option to continue cover post 5 years even after stopping premiums
7.vail tax benefits under section 80D on premiums paid under the Income Tax Act, 1961
Additional Benefits
Cover Continuance Option
This option ensures that your policy continues subject to foreclosure in case you are unable to pay premiums, any time after payment of the first five years premium. All applicable charges will be automatically deducted from the units available in your fund. You will need to opt for cover continuance, if you wish to avail of this benefit.
Death Benefit
In the unfortunate event of death of the primary insured member during the term of the policy, the nominee shall receive the total fund value and the policy shall be terminated. The fund value paid out on death of the primary insured may be taxable in the hands of the nominee as per the prevailing tax regulations at that time. In the unfortunate event of death of any other insured members thepolicy would continue for remaining insured members with the appropriate reduction in health insurance charges.

Coverage

Coverage under the policy

A Hospitalisation Insurance Benefit:

This benefit in your policy provides you cover against medical expenses that require a minimum of 24 hours hospitalisation. In addition, over 125 day-care procedures are also covered.

The following expenses incurred during hospitalisation are covered, subject to your annual limit:

1. Room, boarding and nursing expenses as charged by the hospital where the insured availed medical treatment. You are entitled to a single A/C room (room rent capped at 1% of annual limit per day). However for twin share A/C room there is no such cap applicable.

2. Intensive Care Unit (ICU) charges

3. Fees for doctor, surgeon, anaesthetist, medical practitioner, consultant and specialist

4. Anaesthesia, blood, oxygen, operation theatre charges, surgical appliances, medicines and drugs, diagnostic materials and x-ray, dialysis, chemotherapy, radiotherapy, cost of pacemaker, cost of artificial limbs3.

Feature

Description

Family- Floater

With the family floater option, you can additionally cover your spouse and up to the first three dependant children under the same annual limit.

Daycare Treatment Cover

In addition to hospitalisation, you are also covered for procedures which require less than 24 hours of hospitalisation. These include over 125 listed day care surgeries, parenteral chemotherapy, radiotherapy, intervention cardiology, intervention radiology, radio frequency ablation treatment, lithotripsy and dialysis.

Pre & Post

Hospitalisation

Cover

Pre hospitalisation expenses up to 30 days prior to hospitalisation and post hospitalisation expenses up to 60 days from the date of discharge are also covered. The pre and post hospitalisation expenses would be covered only in case the expenses incurred are related to the main hospitalisation event.

Medical check-ups

Reimbursement of medical tests subject to a limit of Rs. 5,000 or 1% of the annual limit, whichever is lower, once every two years after the first year.

Ambulance charges

Up to Rs. 1,000 per policy year4.

No Claim Bonus

A no claim bonus in the form of an increase in annual limit by 5% of the base annual limit is provided for every claim free year. The maximum increase over the base annual limit will be capped at 25%. In case of a claim, the accumulated no claim bonus will reduce by 10% of the base annual limit in the following year. In no circumstance will this reduction cause the annual limit to go below the base annual limit.

Cashless Network Access

You can avail of cashless claims through our extensive network of hospitals across the country.

Out of network claims

A co-pay5 of 20% on the eligible medical expenses6 will be applicable in case you either


Stay in single A/c room with a room rent of more than 1% of your annual limit


Access facilities at hospitals not listed in the chosen network What Happens In An Emergency

In case of emergency hospitalisation related to cardiac and trauma cases, co-pays will not be levied even when hospital is outside your chosen network as long as benefit availed is in a twin sharing room.

B.Health Savings Benefit:

This benefit entitles you to claim reimbursement for health care expenses incurred by any of the insured members from your health fund. Some of the benefits covered under the health savings benefit are:


Medicines and drugs


Diagnostic expenses


Dental expenses


Co-pays or deductibles as part of the medical insurance cover


Other miscellaneous medical expenses not covered under medical insurance

The benefit can be claimed after 3 completed years of the policy and is subject to the existing fund value as given below:

4th Year & 5th Year

6th Year to 10th Year

11th year onwards

20% of Health Fund

50% of Health Fund

100% of Health Fund

Claims can be made once in a policy year on producing actual bills or proof of expenses. The minimum amount that can be claimed is Rs. 1,000. To create the health fund part of the premium paid by you is invested in unit linked funds.

Entry Age Details

Min Age at Entry
25 years to 55 years for individual plans
Max Age at Entry
90 days to 55 years for family floater (Maximum cover ceasing age for children is 25 years under the family-floater cover)
Max Age at Maturity:
Hospitalisation Insurance Benefit ceases at 75 years of age

Premium Payment Term

Available Premium Paying frequency
Monthly, Half Yearly, Yearly

Investment Details of the Plan

Investment Details

Life-cycle based portfolio strategy

Your investments will be redistributed between two funds as you move from one age band to another as per below table.

Age Band (Yrs)

18-25

26-35

36-45

46-55

56-65

66-75

76+

Health Flexi Growth

85%

75%

65%

55%

45%

35%

0%

Health Protector

15%

25%

35%

45%

55%

65%

100%

Quarterly Rebalancing - Your fund allocation might get altered because of market movements and claims from your health savings benefit. We will visit your allocations every quarter and reset it to prescribed limits. This vital feature will ensure that you take advantage of the market movements.

Fixed Portfolio Strategy

Under this strategy you can allocate your investment among the following 7 funds:

Fund

Asset Mix

Min.%

Max.%

Potential risk- reward

Health Flexi Growth: Long term returns from an equity portfolio of large, mid and small cap companies

Equity & Related Securities Debt, Money Market & Cash

80% 0%

100% 20%

High

Health Multiplier: Long term capital appreciation from an equity portfolio

Equity & Related Securities Debt, Money Market & Cash

80% 0%

100% 20%

High

Health Flexi Balanced: Balance of capital appreciation and stable returns from an equity (large, mid & small cap companies) & debt portfolio

Equity & Related Securities Debt, Money Market & Cash

0% 40%

60% 100%

Moderate

Health Balancer: Balance of growth and steady returns from an equity & debt portfolio

Equity & Related Securities Debt, Money Market & Cash

0% 60%

40% 100%

Moderate

Health Protector: Accumulated steady income at a lower risk

Debt Instruments, Money Market & Cash

100%

100%

Low

Health Preserver:Protection of capital through very low risk investment.

Debt Instruments Money Market & Cash

0% 50%

50% 100%

Low

Health Return Guarantee Fund*: Provides guaranteed returns through investment in a diversified portfolio of high quality fixed income instruments

Debt Instruments Money Market & Cash

100%

100%

Low

Premium allocation Charges

Premium Allocation Charge

This will be deducted from the premium amount at the time of premium payment and the balance amount will be used for allocation of units. The charges are as follows

Policy Year

Year 1

Year 2 -3

Year 4-10

Year 11 onwards

Charges

20%

9%

2%

0%

Insurance Charges for Hospitalisation Insurance Benefit

Insurance charges for this benefit will be deducted on a monthly basis as per your age by cancellation of units. Annual charges for healthy life at sample ages and annual limit of 3 lacs are as under:

Age (Yrs)

25

35

45

55

65

(Rs.)

2,644

3,120

3,856

7,692

11,670

The above charges are valid for one year from the date of commencement of the policy and are inclusive of service tax and education cess. Thereafter the company reserves the right to change the health insurance charges subject to approval from IRDA. The charges could increase to keep in line with the increasing health care costs.

Fund Management Charges

Fund Management Charge (FMC)

The annual fund management charges, which will be adjusted from the Net Asset Value (NAV), for the various Funds are as follows:

Fund Name

Health RGF

Health Flexi Growth

Health Multiplier

Health Flexi Balanced

Health Balancer

Health Protector

Health Preserver

FMC (p.a.)

1.50%

1.50%

1.50%

1.00%

1.00%

0.75%

0.75%

Policy Administration Charges

Policy Administration Charge
A policy administration charge is Rs. 60 per month where the premium payment frequency is yearly or half-yearly and Rs. 90 per month for monthly frequency. This will be recovered by cancellation of units

Switching Charges

Switching charge
4 free switches are allowed in every policy year. Subsequent switches will be charged at Rs. 100 per switch by cancellation of units. Any unutilized free switches cannot be carried forward to subsequent years.

Returns (as on 24-Apr-2026)

Period Absolute (%) Annualised (%)
1 Week -0.3 0
1 Month 0.7 9.1
3 Months 0.6 2.6
6 Months 0.8 1.7
1 Year 2.5 2.5
2 Years 14.2 6.9
3 Years 21.9 6.8
5 Years 32.2 5.7

Claim & Solvency Ratio

Claim Ratio Solvency Ratio
99% (2023-24) 2% (March 2024)

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Frequently Asked Questions About Insurance

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What is health insurance? +
Health insurance is a type of coverage that pays for medical and surgical expenses incurred by the insured. It may also provide coverage for other types of health-related costs, such as prescription drugs, mental health services, and preventive care.
Why do I need health insurance? +
Health insurance helps protect you from high medical costs. It provides access to medical care when you need it, helping to pay for doctor visits, hospital stays, surgeries, prescription medications, and other health-related services.
What is a premium? +
A premium is the amount you pay for your health insurance every month. Depending on your plan, the premium may vary based on factors like age, location, and level of coverage.
What is a deductible? +
A deductible is the amount of money you must pay out-of-pocket before your health insurance starts covering your medical expenses. For example, if you have a deductible of $1,000, you must pay $1,000 out-of-pocket before your insurance starts covering your medical bills.
What are copayments and coinsurance? +
Copayment (copay): A fixed amount you pay for a covered health care service, typically when you get the service. Coinsurance: The percentage of the cost you pay for covered health services after you've paid your deductible. For example, if your coinsurance is 20%, you pay 20% of the bill, and the insurance company pays the remaining 80%.
What is an out-of-pocket maximum? +
The out-of-pocket maximum is the maximum amount you can spend on your health insurance. If you exceed this amount, your insurance company will pay 100% of your medical expenses.
What is the difference between in-network and out-of-network providers? +
In-network providers: Health care providers that have a contract with your health insurance plan to provide services at negotiated rates. Out-of-network providers: Providers that don't have a contract with your insurance plan. Services from these providers may cost more or not be covered at all.
What is a Special Enrollment Period (SEP)? +
The Special Enrollment Period (SEP) is a special time during the year when you can sign up for or make changes to your health insurance plan. If you miss this period, you may have to wait until the next one unless you qualify for a Special Enrollment Period (e.g., due to a life event like marriage or having a baby).
Can I keep my doctor with health insurance? +
If you have a preferred doctor, it’s important to check if they are in-network with your insurance plan. If they are not in-network, you may need to pay more out-of-pocket, or you may have to switch to another doctor who is in-network.
What is a Health Savings Account (HSA)? +
A tax-advantaged account for people with high-deductible health plans (HDHPs). The funds roll over from year to year and can be used for qualifying medical expenses.
What is a Flexible Spending Account (FSA)? +
A tax-advantaged account for people with low-deductible health plans (LDHPs). The funds roll over from year to year and can be used for qualifying medical expenses.
What is a Health Maintenance Organization (HMO)? +
An HMO is a type of health insurance plan that requires you to choose a primary care physician (PCP) and get referrals from them to see specialists. HMOs often have lower premiums and out-of-pocket costs but offer less flexibility in choosing providers.
What is a Preferred Provider Organization (PPO)? +
A PPO is a health insurance plan that offers more flexibility in choosing healthcare providers and doesn’t require referrals to see specialists. You can see any doctor, but you’ll pay less if you use in-network providers.
What is the difference between a Health Savings Account (HSA) and a Flexible Spending Account (FSA)? +
HSA: A tax-advantaged account for people with high-deductible health plans (HDHPs) The funds roll over from year to year and can be used for qualifying medical expenses. FSA: A tax-advantaged account for people with low-deductible health plans (LDHPs) The funds roll over from year to year and can be used for qualifying medical expenses.
What does the term "pre-existing condition" mean? +
A pre-existing condition is a medical condition that you had before you got your health insurance. It could include things like diabetes, high blood pressure, or heart disease.
Can I cancel my health insurance at any time? +
Yes, you can cancel your health insurance plan at any time. However, if you cancel outside the open enrollment period, you may not be able to get another plan until the next enrollment period unless you qualify for a Special Enrollment Period.
Are prescription drugs covered by health insurance? +
Many health insurance plans cover prescription medications, but the coverage may vary. Plans typically have a formulary, or list of covered drugs, and different drugs may have different levels of coverage, depending on whether they are generic, brand-name, or specialty drugs.
What is preventive care? +
Preventive care includes health services that help prevent illnesses, such as vaccinations, screenings, and annual checkups. Under the Affordable Care Act, most preventive services are covered by health insurance plans at no additional cost to the policyholder.
What should I do if my health insurance claim is denied? +
If your claim is denied, you can appeal the decision. Review the denial letter for reasons, contact your insurer for assistance, and file a written request for a hearing. If you win the appeal, you may be able to get a refund or other compensation.
How can I choose the best health insurance plan for me? +
When selecting a plan, consider factors like: Your health care needs (e.g., frequent visits, prescriptions) The plan’s network of doctors and hospitals The cost of premiums, deductibles, copays, and out-of-pocket maximums Coverage for specialized care or treatments Compare the different plans and benefits to find one that meets your needs.
What happens if I don't have health insurance? +
If you don’t have health insurance, you can still access some health care services, such as emergency care, in-network doctors, and in-network hospitals. You may be eligible for Medicaid, which provides some health care services at no cost to you.
What is life insurance? +
Life insurance is a contract between you and an insurance company, where you pay regular premiums in exchange for a lump sum payment (death benefit) to your beneficiaries upon your death.
What are the different types of life insurance? +
Term Life Insurance: Provides coverage for a specific period (e.g., 10, 20, or 30 years). If you pass away during this term, your beneficiaries receive the death benefit. It does not build cash value. Whole Life Insurance: Offers lifetime coverage with a death benefit and also builds cash value over time, which you can borrow against or use. Universal Life Insurance: A flexible policy that allows you to adjust the premiums and death benefit while also building cash value.
How much life insurance coverage do I need? +
The amount of coverage you need depends on factors like your income, debts, family needs, and long-term financial goals. A common rule is to have coverage worth 10 to 15 times your annual income, but this can vary based on your individual situation.
What is the difference between beneficiaries and policyholders? +
The policyholder is the person who owns the life insurance policy and pays the premiums, while the beneficiary is the person or group that receives the death benefit when the policyholder passes away.
Can I change my beneficiaries? +
Yes, you can change your beneficiaries at any time during the life of the policy, as long as the policy is in force and you follow the correct procedure with the insurance company.
What is the contestability period? +
The contestability period is the time during which you have the right to contest the decision of the insurer to pay the death benefit. This period varies depending on the type of life insurance policy and the insurer.
Does life insurance cover accidental death? +
Some life insurance policies include accidental death coverage, while others may require a separate rider for this benefit. Be sure to review your policy to understand what’s covered.
Can I cancel my life insurance policy at any time? +
Yes, you can cancel your life insurance policy at any time, provided you follow the correct procedure with the insurance company.
What is cash value? +
Cash value is the accumulated value of the life insurance policy that can be used to pay for expenses, such as medical bills or funeral expenses.
How do I borrow against cash value? +
You can borrow against the cash value of your life insurance policy, but it will need to be repaid, and any unpaid loan will reduce the death benefit.
What is the difference between whole life and universal life insurance? +
Whole life insurance provides coverage for a specific period (e.g., 10, 20, or 30 years) and builds cash value over time. Universal life insurance offers lifetime coverage with a death benefit and also builds cash value over time.
How are life insurance premiums determined? +
Life insurance premiums are based on factors like age, health, lifestyle (e.g., smoking), coverage amount, and type of policy. Generally, younger, healthier individuals pay lower premiums.
Can I borrow money from my life insurance policy? +
If you have a whole life or universal life policy, it may build cash value over time. You can borrow against this cash value, but it will need to be repaid, and any unpaid loan will reduce the death benefit.
What happens if I stop paying my life insurance premiums? +
If you stop paying premiums, your policy may lapse. For permanent policies like whole or universal life, the cash value may cover the premiums for a time, but eventually, if premiums are not paid, the policy will end.
What is auto insurance? +
Auto insurance is a contract between you and an insurance company that provides financial protection against damage or injury caused by accidents, theft, or other incidents involving your vehicle. It covers both liability and your vehicle's repair costs depending on the type of policy.
What types of auto insurance coverage are available? +
There are several types of auto insurance coverage, including liability, collision, comprehensive, uninsured/underinsured motorist, and additional coverage like roadside assistance and collision damage waiver.
How much auto insurance do I need? +
The amount of coverage you need depends on factors such as the value of your car, your driving habits, your state's legal requirements, and whether you own or lease your vehicle. A good starting point is to meet your state's minimum required coverage, but you may want additional coverage for added protection.
Can I cancel my auto insurance policy at any time? +
Yes, you can cancel your auto insurance policy at any time, provided you follow the correct procedure with the insurance company.
What is the difference between liability and comprehensive coverage? +
Liability coverage covers the damages and injuries caused by accidents, while comprehensive coverage also covers non-accident damages, such as theft or vandalism.
How do I choose the right auto insurance policy? +
When selecting an auto insurance policy, consider factors such as the type of coverage you need, your driving habits, the value of your vehicle, and your state's legal requirements.
What factors affect my auto insurance premium? +
Several factors impact your insurance premium, including: Your driving history (accidents, tickets), The make, model, and age of your car, Your location (accident rates in your area), Your age, gender, and marital status, The level of coverage you choose, Your credit score (in some states).
What is a deductible? +
A deductible is the amount you must pay out of pocket before your insurance policy starts to cover the remaining cost of repairs or claims. For example, if you have a $500 deductible and incur $2,000 in damages, you will pay $500, and your insurer will pay the remaining $1,500.
What is the difference between comprehensive and collision coverage? +
Collision coverage pays for repairs to your vehicle after a collision with another vehicle or object, regardless of who is at fault. Comprehensive coverage covers non-collision incidents, such as theft, vandalism, or damage from natural disasters.
Can I get uninsured/underinsured motorist coverage? +
Yes, uninsured/underinsured motorist coverage is available in some states. This coverage provides financial protection for you if another driver is uninsured or underinsured.
Is auto insurance required by law? +
Yes, in most states, you are required to have a minimum level of liability insurance. Some states also require additional coverage like Personal Injury Protection (PIP) or uninsured motorist coverage. The requirements vary by state, so it’s important to check your local laws.
What happens if I don’t have auto insurance? +
If you drive without insurance, you risk facing legal penalties, fines, and the possibility of your driver's license being suspended. If you're involved in an accident, you could be held responsible for the damages.
Can I add other drivers to my auto insurance policy? +
Yes, you can add other drivers, such as family members or friends, to your policy. However, their driving record and age may affect your premium. It's important to inform your insurer about all the drivers in your household.
What should I do if I get into an accident? +
If you're in an accident, follow these steps: Ensure safety by moving to a safe location if possible. Call the police and file a report. Exchange contact and insurance information with the other driver(s). Take photos of the accident scene, vehicle damage, and injuries. Notify your insurance company about the accident as soon as possible.
What is home insurance? +
Home insurance is a contract between you and an insurance company that provides financial protection against damage or loss caused by natural disasters, theft, or other incidents.
What types of home insurance coverage are available? +
There are several types of home insurance coverage, including flood, fire, burglary, and liability. You may also have coverage for water damage, mold, and other property damage.
How much home insurance do I need? +
The amount of home insurance coverage you need depends on the value of your property, the type of coverage you want, and your insurance provider. You may also need additional coverage for water damage, mold, and other property damage.
Can I cancel my home insurance policy at any time? +
Yes, you can cancel your home insurance policy at any time, provided you follow the correct procedure with the insurance company.
What is the difference between flood and fire coverage? +
Flood coverage covers damage caused by floods, while fire coverage covers damage caused by fires.
How do I choose the right home insurance policy? +
When selecting home insurance, consider factors such as the type of coverage you need, the value of your property, and your insurance provider.
What factors affect my home insurance premium? +
Factors such as the type of coverage you need, the value of your property, and your insurance provider can significantly impact your premium.
Can I cancel my home insurance policy at any time? +
Yes, you can cancel your home insurance policy at any time, provided you follow the correct procedure with the insurance company.

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