ICICI Lombard Health Shield 360 Retail Review 2026

01The detail

Health Shield 360 Retail in one table

Claim settlement ratio

87.6%FY 2024–25

95% recommended

Complaints per 10,000

16.6policies

Under 10 recommended

Insurer	ICICI LOMBARD General Insurance Company Limited
Sum insured	₹3 lakh to ₹3 crore.
Entry age	6 years and above, with no maximum entry age. Children from 3 months to 5 years are covered on a floater policy only. Renewal is lifelong.

Claim settlement and complaint figures are IRDAI-published and held centrally by NYVO, not taken from the insurer's marketing.

02Cover

What Health Shield 360 Retail covers

These are the terms that decide what you are actually paid when you claim. Room rent, co-pay and restoration do more to shape a settlement than the sum insured does, and they are read from ICICI Lombard's own policy wording.

Feature	This plan	What good looks like
What kind of plan this is	Indemnity health insurance. It reimburses hospital bills up to the sum insured.	Read this first
Sum insured	₹3 lakh to ₹3 crore	₹10 lakh or more for a metro family
Entry age	From 6 years, with no maximum entry age. Children between 3 months and 5 years can be covered on a floater only.	Open at both ends
Specified illness wait	24 or 36 months depending on the plan variant you buy	Confirm which variant you are quoted
Room rent	Where a higher room category is taken than the entitlement, the difference is applied proportionately across the associated expenses, not only the room charge.	Check your eligibility before admission

What this plan does

03Waiting periods

Health Shield 360 Retail waiting periods: when each part of the cover starts

Waiting periods run from the day cover began, not from the day you fall ill, and they run in parallel rather than one after another.

Pre-existing disease	24 months of continuous cover
Specified diseases and procedures	24 or 36 months, depending on the variant

04Exclusions

Health Shield 360 Retail exclusions: what the plan will not pay for

Every policy carries exclusions, and they are the clauses people read for the first time at claim stage. These are the ones worth knowing before you buy.

Not coveredIndicative, not exhaustive. Your policy wording is the contract.

01Pre-existing diseases and their direct complications, until the waiting period above has passed.

02The listed specified diseases and procedures, for the period set out in the wording.

03Where the sum insured is increased, the waiting periods start again on the increase only.

05The honest bit

Where Health Shield 360 Retail falls short

No plan is right for everyone, and a page that only lists strengths is not much use to you. These are the gaps we would raise on a call before recommending it.

Worth knowing before you buyNone of these are dealbreakers on their own. They are the trade-offs this plan asks you to accept.

01The specified-illness wait is 24 or 36 months depending on which variant you are sold, and the quote will not always make that obvious. Ask which one you are being given.

02ICICI Lombard settles 87.6% of claims, among the weaker records in our table. Read that alongside the plan's terms rather than on its own.

03The proportionate deduction on room rent applies to the whole associated bill, so taking a better room than your entitlement costs far more than the room difference.

04A ₹3 crore ceiling is marketing headroom for most buyers. What you actually pay for is the band you choose, and the terms are the same either way.

06FAQs

Health Shield 360 Retail questions, answered

How much cover can I take?

₹3 lakh to ₹3 crore. For a metro family, ₹10 lakh is a sensible floor and the very high bands are rarely worth the premium unless you have a specific reason.

Is there a maximum entry age?

No. Entry starts at 6 years and the prospectus states no upper limit, with lifelong renewal. That is unusual and it is the plan's strongest feature.

What are the waiting periods?

24 months for pre-existing conditions. Specified diseases and procedures wait either 24 or 36 months depending on the variant you buy, so confirm which applies to your quote.

What is not covered?

Pre-existing conditions until the waiting period passes, the listed specified diseases and procedures for their own period, and any increase in sum insured starts its waiting periods again. The policy wording is the contract.

07Source documents