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  • IFFCO-Tokio Family Health Protector Policy

    Health Insurance
    • Premiums as low as Rs12/day for coverage of Rs.4 Lakhs*
    • 10,000+ hospitals for cashless treatment
    • Claim up to Rs. 55,000 deduction under section 80D**

    IFFCO Tokio is one of the privately owned general insurance companies operating in India. The company provides a range of insurance service for its customers. Among the insurance services offered, the company’s health insurance plans focus on mitigating the medical risks faced by an individual or a family. IFFCO Tokio Family Health Protector Policy focuses on safeguarding a family against various medical risks, and it comes with an affordable price tag. If you are considering a medical insurance policy to cover your entire family, it is worth taking a look at this policy cover.

    Eligibility for IFFCO-Tokio Family Health Protector Policy

    The eligibility criteria set forth for enrolling in IFFCO Tokio Family Health Protector Policy can be listed as follows.

    • Anyone between the age of 18 years and 65 years can enroll in this policy cover.
    • Dependent children can be enrolled in this cover on condition that their parents are also simultaneously covered.
    • Once enrolled, this policy can be renewed throughout one’s lifetime.

    Features of IFFCO-Tokio Family Health Protector Policy

    Some of the key features of IFFCO Tokio Family Health Protector Policy can be listed as follows.

    • This policy comes with a wide range of plans, and it offers sum insured ranging from Rs.1.5 lakh to Rs.30 lakh.
    • This is a floater policy that can be taken for an entire family including self, spouse, dependent children, dependent parents, or any relatives living together.
    • For critical illnesses named by the company, there is a possibility of doubling the sum insured amount by paying extra 30% on premium charges.
    • This policy cover is available all over the country, and there are over 4,000 network hospitals for cashless treatment.
    • All policies offered by IFFCO Tokio are served directly, and there are no third party administrators involved for moderation.
    • A range of day care surgeries are also covered by this policy.
    • Pre hospitalisation and post hospitalisation expenses are covered for up to 45 days and 60 days respectively.
    • A free look period of 15 days is available with this policy cover for customers to review the policy terms.
    • Lifelong renewal is guaranteed by the company. A grace period of 30 days is available from the expiry date for renewal of this policy cover.
    • The premium amount paid towards this policy is eligible for tax relief as per section 80D of the Income Tax Act.
    • Existing customers of IFFCO Tokio can avail 10% discount on the premium amount paid towards this policy.
    • People who have already signed up in a group policy of IFFCO Tokio can avail 20% discount on the premium.

    Benefits of IFFCO-Tokio Family Health Protector Policy

    This policy comes with a range of benefits to take care of the health requirements of a family. Some of the benefits offered by this policy cover can be listed as follows.

    Hospitalisation expenses All hospitalisation expenses up to the maximum sum insured limit
    Room, boarding, and nursing expenses For sum insured up to Rs.7 lakh - 1.5% of sum insured (class A cities); 1.25% of sum insured (other cities) For sum insured over Rs.7 lakh - actual expenses incurred (no limit)
    Intensive care unit charges Up to 2.5% of the sum insured in Class A cities Up to 2% of the sum insured in other cities
    Domiciliary hospitalisation Up to 20% of the sum insured
    Alternative treatments Coverage available for ayurveda, unani, siddha, and homeopathy treatments (AYUSH)
    Ambulance charges 0.75% of sum insured subject to a maximum of Rs.2,500
    Cumulative bonus 5% of the sum insured subject to a maximum of 50% per policy
    Health checkup costs Up to 1% of the sum insured at the end of four claim-free years
    Vaccination expenses Up to 7.5% of the premium charges paid (available only at the end of two claim-free years)
    Registration charges, service charges, and surcharges Up to 0.5% of the sum insured
    Reinstatement of sum insured Following a claim, the sum insured amount can be reinstated by paying additional premium charges.

    Exclusions of IFFCO-Tokio Family Health Protector Policy

    Some of the key exclusions for which coverage is not available can be listed as follows.

    • All non-medical expenses incurred during the hospital stay
    • Medical equipment used for post hospitalisation care including crutches, wheelchair, etc.
    • Expenses related to lasik or laser treatments
    • Expenses related to diagnostic tests, x-ray, and laboratory tests done in outpatient department
    • Dental treatment or surgery of any kind unless incurred due to an accident
    • Any expenses related to pregnancy, childbirth, miscarriage, etc.
    • Intentional self injuries of any kind
    • Convalescence, general debility, or run down condition
    • Any expenses related to treatment for HIV, AIDS, or sexually transmitted diseases
    • Cosmetic and aesthetic treatments of all kinds

    Claim Procedure

    The claim procedure for IFFCO Tokio Family Health Protector Policy follows a simple and straightforward procedure. For emergency cashless claims, pre-authorization can be obtained at the time of admission. The company’s customer service can be contacted in order to get the approval. Typically, a request form must be sent to the insurer with the approval of the treating doctor. Once the documents are received, the company will provide the authorisation. For planned hospitalisations, the company must be notified at least 3 days in advance.

    For reimbursement claims, the company must be notified within 7 days after discharge from the hospital. While contacting the customer care, details such as policy number must be provided. Various proofs such as medical bills, doctor certificates, diagnostic reports, etc. must be submitted to the insurer while filing for the claim. The insurer will verify all the details and accept the claim upon verification. Once the claim has been accepted, reimbursement amount will be provided to the insured.

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