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IFFCO Tokio Health Insurance Claim Settlement

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Highlights
Claim SettlementDedicated Team
Claim Settlement Ratio96.33%
COVID-19 CoverYes
Network Hospitals5,000+
Policies Sold1,55,454
RenewabilityLifelong

Claim Settlement of IFFCO Tokio Health Insurance

IFFCO Tokio Health Insurance, a pioneer in the health insurance industry, is dedicated to offering hassle-free health claim procedure. With a huge network of around 4,200 network hospitals, the insurer ensures a smooth claim settlement procedure across the nation according to its regulations. IFFCO Tokio is widely appreciated for its easy and fast cashless claim procedure either through external TPAs or directly by IFFCO Tokio. The policyholders can get their claims settled with reimbursement option or cashless facility.

  • Claim Process for Cashless Treatment

    Cashless claims can be availed at the network hospitals of IFFCO Tokio only. Currently, the insurer is empanelled with 4,200+ hospitals. However, here is a guide to filing a cashless claim with IFFCO Tokio:

    • Search a hospital tied-up with IFFCO Tokio, where you would like to avail cashless treatment
    • Inform the Third Party Administrator (TPA) as soon as you get hospitalised in the case of emergency hospitalisation, while within 3 days before the hospitalisation in the case of planned admission. 
    • Find a cashless request form from the hospital’s help desk, fill it and send it with relevant medical records to the TPA  
    • The TPA will intimate the hospitals about its decision, which may include the approval of claim or a request for additional documents
    • If TPA grants the approval for a cashless claim, medical bills will be settled directly as per the policy offerings 
    • If the claim gets rejected by the TPA, the policyholder will have to settle the bill with the hospital on its own and later can request for the reimbursement process as per the terms and conditions

    How to Check Iffco Tokio Health Insurance Plan Claim Status

    To track your claim status, you can either follow the online method or offline method.

    Online Procedure

    To check the status of your claim online, you can simply follow the given steps:

    • Go to the official website of Iffco Tokio and select the ‘Claim’ section from there.
    • Next, on the claim status portal, enter the details as required such as Policy No, Claim No, search number.
    • Click on ‘Submit’. You can check your claim status from the displayed web page.

    Offline Procedure

    You can also check your claim status through offline mode by visiting the nearest branch of Iffco Tokio Health Insurance company and providing the necessary details to the customer care representative there. Also, you can simply call them at their helpline number 1800-103-5499. They may ask you for your policy number or claim number to update you regarding the status of your claim.

  • Reimbursement Treatment

    In case, someone couldn’t avail the cashless treatment facility at the network hospital due to any reason or had to get treated at a non-network hospital; then reimbursement procedure comes into force. Here is the process for it:

    • Convey about the hospitalisation to IFFCO-Tokio just after the hospitalisation but not later than 7 days of discharge
    • While informing do quote your Policy Certificate Number
    • Opt for medical treatment or procedure and avail it
    • Pay the bills at the hospital and file the reimbursement claim.
    • Download the reimbursement claim form from the insurer’s website
    • Collect all the supporting documents such as medical reports, invoices, ID proof and so on at the time of discharge and submit along with the claim form to the insurer's office
  • Documents Needed

    Following are some essential documents that are required to be submitted to claim a reimbursement. 

    • Claim form with doctor's certificate 
    • Discharge details 
    • Medical bills
    • Prescriptions for medicines
    • Final receipts
    • Test reports of diagnosis, x-ray scan, ECG etc.

    However, if required, the team handling the claim process may ask for some more documents as well.

  • Incurred Claim Ratio (ICR) of IFFCO Tokio Health Insurance

    One can gauge the potential of an insurance company through Incurred Claim Ratio (ICR). It unveils the speed of claim procedure as well as the productivity in terms of profit earning. The Incurred Claim Ratio of IFFCO Tokio for FY 2018-19 is 102%, which speaks about the efficiency of claim settlement and the stability of the insurer at the same time. 

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IFFCO Tokio Health Insurance Contact Details

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Claim Process at IFFCO Tokio Health Insurance

  • Network Hospital
  • Non-Network Hospital
  • 1

    Claim Assistance

    For any assistance or query, call InsuranceDekho at the toll-free number 755 1196 989.
  • 2

    Claim Intimation

    Emergency hospitalisation needs intimation as soon as it occurs and for planned hospitalisation intimate 3 days prior to admission.
  • 3

    Claim Processing

    Fill in the pre-authorisation form and hand it over to hospital's insurance/TPA desk to initiate claim request.
  • 4

    Claim Settlement

    Once your request is approved, claim is settled. If not approved, claim for reimbursement after discharge.
  • 1

    Claim Assistance

    For any assistance or query, call InsuranceDekho at the toll-free number 755 1196 989.
  • 2

    Claim Intimation

    Emergency hospitalisation needs intimation as soon as it occurs and for planned hospitalisation intimate 3 days prior to admission.
  • 3

    Claim Processing

    Submit claim form with original documents such as doctor’s reports, hospital bills, diagnostic tests, etc.
  • 4

    Claim Settlement

    Once your request for reimbursement of expenses is approved, the claim will be settled.

1049 IFFCO Tokio Cashless Network Hospitals in India

Insurance Products by IFFCO Tokio General Insurance

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Network Hospital in Popular Cities

CityNo of Hospital
Ghaziabad31
Lucknow49
Pune119
Gurgaon49
Patna15
Noida25
Chennai225
View All

*Standard T&C Apply. All savings/offers are provided by the Insurers, which are subject to modification .For more details on risk factors, terms and conditions, please read the sales brochure of respective insurers carefully before concluding a sale. Tax benefits are subject to changes in applicable tax laws. Girnar Insurance Brokers Private Limited, (CIN: U66010RJ2016PTC054811, Regd .Off: Girnar 21, Govind Marg, Moti Doongari Road, Dharam Singh Circle, Jaipur, Rajasthan- 302004; Corp. Off: 11th Floor, Tower B, Emaar Digital Greens, Golf Course Extension Road, Sector-61, Gurugram-122102, Haryana. IRDAI License no 588. Direct Broker (Life & General) valid till 19th March 2023. Email - support@insurancedekho.com ; Helpline number: 7551196989.
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