IFFCO Tokio Individual Health Protector Health Insurance
Claim Settlement Ratio | 96.33% |
Network Hospitals | 7,500+ |
PED Waiting Period | 3 years |
Starting Premium (for 5L SI) | Rs. 584/month |
About IFFCO Tokio Individual Health Protector Health Insurance
The IFFCO Tokio Individual Health Protector policy is like a shield for you and your family, providing a comprehensive plan to take care of your health. This policy has a lot of features and benefits to make sure it meets everyone's healthcare needs. You can choose a coverage amount from Rs. 50,000 to Rs. 20 Lakh for each person. Anyone between 18 to 65 years old can get this medical insurance, and even kids who are 91 days and older are covered.
Another great thing about this medical insurance policy is that you can renew this policy for your whole life. You can use the benefits of this health insurance policy at over 4,000 hospitals across the country. Plus, you get a tax benefit under section 80D of the IT Act 1961. The plan also gives discounts like existing customer discounts, family discounts, and group mediclaim discounts. But remember, these discounts together can't go over 25%.
IFFCO Tokio Individual Health Protector Health Insurance At a Glance
Highlights of the Iffco Tokio Individual Health Protector Health Insurance plan are listed below in the table:
Coverage |
Individual and Family Floater |
Riders |
Critical Illness Cover |
Key features |
Free Look-up Period, Lifetime Renewal, etc. |
Inclusion |
Room Rent, Daycare Procedure, etc. |
Exclusion |
Cosmetic Procedures, Injury due to War, and more. |
Renewability |
Lifelong |
Riders Available With IFFCO Tokio Individual Health Protector Health Insurance
Life can take unexpected turns, and facing a critical illness without the right protection can be financially challenging. To ensure you're well-prepared, you can choose IFFCO Tokio's Critical Illness Cover by paying an extra amount. This add-on covers the following severe medical conditions:
- Cancer of specified severity
- Permanent Paralysis of Limbs
- Open Heart Replacement or Repair of Heart Valves
- Kidney Failure requiring regular dialysis
- First Heart Attack - of specified severity
- Motor neuron disease with permanent symptoms
- Open Chest CABG
- Coma of specified severity
- Major Organ/Bone Marrow Transplant
- Stroke resulting in permanent symptoms
- Multiple sclerosis with persisting symptoms
Key Features of IFFCO Tokio Individual Health Protector Health Insurance Plan
The following are the key features of the IFFCO Tokio Individual Health Protector Health Insurance Plan:
- Free Look-Up Period: The policy includes a free look-up period, allowing policyholders to thoroughly review the terms and conditions of the insurance policy. Within a specified period, typically 15 days from receiving the policy documents, you have the option to cancel the policy if it doesn't meet your expectations.
- Lifetime Renewal Option: For continuous health coverage, the policy offers a lifetime renewal option. Regardless of age or health conditions, policyholders can renew the policy throughout their lives. This feature ensures sustained coverage and peace of mind.
- Wide Range of Sum Insured: You can choose the amount of coverage that suits you best, sum-insured starting from Rs. 50,000 up to Rs. 20 lakhs. This flexibility ensures that the insurance meets your specific needs and financial situation.
- Critical Illness Add-On: For extra protection, you can opt for coverage against critical illnesses by paying an additional premium of 30% on top of your basic premium. This ensures you're financially prepared to face severe health challenges.
- Portability Option: If you're currently covered by a similar policy with another insurer, you have the freedom to switch to this policy seamlessly. This portability feature lets you move without losing your accumulated benefits, providing convenience and continuity in coverage.
- Income Tax Benefit under Section 80D: By having this health insurance, you can avail of income tax benefits under Section 80D. This means you can save on your taxes while ensuring you have essential health coverage for you and your family.
- Cashless Claim Facility at 4000+ Hospitals: Enjoy the convenience of cashless transactions at over 4000 network hospitals. This means you don't have to worry about paying upfront for covered medical expenses; the insurance provider settles the bills directly with the hospital.
Eligibility Criteria of IFFCO Tokio Individual Health Protector Health Insurance Plan
The eligibility criteria for the IFFCO Tokio Individual Health Protector Health Insurance plan are as follows:
Parameters |
Eligibility Criteria |
Minimum entry age |
Adult: 18 Years Child: 91 Days |
Maximum entry age |
65 Years |
Number of people covered |
Unlimited members of the family |
Sum insured |
Rs. 50,000 - 20 lakhs |
Benefits of IFFCO Tokio Individual Health Protector Health Insurance Plan
This health insurance plan offers the following benefits:
- Comprehensive Coverage Beyond Hospitalisation: IFFCO Tokio understands that medical expenses go beyond just hospital bills and therefore, their policy covers various aspects, ensuring all your medical needs are met, not just during hospitalisation.
- Post-Hospitalisation Support: The policy covers nursing and medical expenses for up to 60 days after discharge, helping you focus on healing without additional financial stress.
- Daily Allowance for Hospitalisation: This health insurance policy eases the burden of hospitalisation with an additional daily allowance of 0.20% of the sum insured value per day, providing extra support during your time in the hospital.
- Pre and Post-hospitalisation Expenses: Pre-hospitalisation expenses, incurred within 45 days before hospitalisation, are covered. This ensures that diagnostic and investigative procedures leading to hospitalisation are financially supported.
- Ambulance Charges Reimbursement: For serious conditions requiring ambulance services, the insurer reimburses charges up to a maximum of 1% of the sum insured or Rs. 2,500 for each episode of hospitalisation.
- Daycare Surgeries Coverage: The policy covers 120+ identified daycare procedures, eliminating the need for admission and discharge hassles.
- Cumulative Bonus for No-Claim Years: For each claim-free year, 5% of the basic sum insured is added to your coverage, up to a maximum of 50% of the expiring policy's basic sum insured.
Inclusions of IFFCO Tokio Individual Health Protector Health Insurance Plan
Inclusions of the IFFCO Tokio Individual Health Protector Health Insurance are mentioned below:
- Comprehensive Medical Coverage: This policy takes care of your medical expenses before and after hospitalisation, covering everything from tests to follow-up treatments.
- Emergency Ambulance Assistance: You're covered for ambulance charges, ensuring that safe transportation is included in your health protection.
- Support for Critical Illness and Emergencies: This policy offers assistance for critical illnesses and emergencies, providing you with the support needed during challenging times.
- Inclusive Room Rent Expenses: Your room rent, along with hospital registration and service charges, is covered, easing the financial burden of your hospital stay.
- Convenient Daycare Coverage: With coverage for over 160 daycare procedures, this policy ensures that even short medical procedures are taken care of without hassle.
- Vaccination and Health Check-ups: Your vaccination and health check-up expenses are covered, encouraging proactive measures to maintain your well-being.
- AYUSH Treatment Support: This policy extends its coverage to AYUSH treatments, offering more comprehensive health protection.
Exclusions of IFFCO Tokio Individual Health Protector Health Insurance Plan
The exclusions in this IFFCO Tokio Insurance plan are as follows:
- Cosmetic Procedures: Enhancing your appearance through medical procedures is not covered by this policy. However, if you need plastic surgery due to an accident or injury, it can be considered for coverage.
- Pre-existing Health Conditions: Conditions you had before getting this insurance will be covered, but only after a waiting period.
- Pregnancy-related Situations: The policy does not cover childbirth and lawful terminations.
- Injuries from Self-harm or Suicide Attempt: Any injuries or medical expenses resulting from self-harm or attempted suicide are not included in the medical insurance coverage.
- Injuries in War: Injuries caused by war are not covered by this policy.
- Congenital Diseases: Conditions present since birth are not included in this medical insurance plan.
Documents Required to IFFCO Tokio Individual Health Protector Health Insurance Plan
You will need the following documents to buy the IFFCO Tokio Individual Health Protector Health Insurance plan:
- A properly completed application form.
- Present identification proof using documents such as an Aadhar card, Passport, Voter ID, or Driver's license.
- Verify your age with documents like a Birth Certificate, School Leaving Certificate, or Passport.
- Validate your address using Utility Bills, Rental Agreement, or Aadhar Card.
- Submit passport-sized photos.
- In certain instances, health check-up reports may be necessary.
- Provide any additional documents requested by the health insurance company.
How to Buy IFFCO Tokio Individual Health Protector Health Insurance?
To buy the IFFCO Tokio Individual Health Protector Health Insurance Plan, you need to follow the steps below:
Step 1: Go to the InsuranceDekho website.
Step 2: Click on "Health Insurance” under the “Insurance” tab at the top.
Step 3: Next, click on "Iffco Tokio" from the list of health insurance companies.
Step 4: Select the "Individual Health Protector Health Insurance" plan.
Step 5: Read the policy document carefully.
Step 6: Upload the required documents for verification.
Step 7: Pay the medical insurance premium online.
Step 8: You will successfully receive the policy document via email.
Claim Process for IFFCO Tokio Individual Health Protector Health Insurance
Below are the ways to claim your IFFCO Tokio Individual Health Protector Health Insurance policy:
Cashless Claim
- Go to a hospital affiliated with Iffco Tokio.
- Present details of the Individual Health Protector Health Insurance plan and any other required information.
- Complete and submit the necessary documents for claim settlement.
- The insurance provider will make direct payments to the hospital.
Reimbursement Claim
- Select a hospital partnered with IFFCO Tokio.
- Settle your medical expenses at the chosen hospital.
- Initiate a reimbursement claim through the insurance company's website.
- Complete and submit the Individual Health Protector Health Insurance claim form along with relevant details.
- Your medical expenses will be reviewed and reimbursed by the insurance company.
Health Insurance Calculator
Whom do you want the insurance for ?
Select the age of all members
- You
Where do you live ?
Choose required Coverage for yourself?
Key Inclusions and Exclusions of the Plan
What's Included
- Pre and post hospitalisation costs for 45 days and 60 days
- In-patient hospitalisation cover for room rent, ICU charges, etc.
- Vaccination expenses are covered up to 10% of the total premium paid
- Daycare surgeries or procedures are covered
- Cost of health check-up up to 1% of the basic SI
What's Not Included
- Treatment of pre-existing ailments within 3 years
- Cost of hospitalisation within the first 30 days of coverage
- Expenses related to maternity, newborn, miscarriage, etc.
- Injury or disease occurred due to self-infliction
- Expenses incurred on x-rays, lab examinations and so on
7178 IFFCO Tokio Cashless Network Hospitals in India
Choose IFFCO Tokio Plan for
Add-ons to Enhance Benefits
IFFCO Tokio Individual Health Protector Policy Expert Review
-
-
Major Attractions
Individual Health Protector Policy has multiple benefits to offer. While you get covered for hospitalisation expenses including room rent, registration/service charges, fees of surgeon and medical practitioner, and others, you also don’t have to worry about organ donor expenses, domiciliary hospitalisation, AYUSH treatment expenses, etc. Furthermore, prime inclusions in the policy comprise -
- Coverage for 121 surgical procedures
- 45 days pre hospitalisation & 60 days post hospitalisation expenses
- Daily allowance - 0.20% of sum insured
- Ambulance charges - 1% of sum insured or Rs. 2500, whichever is less
- Cost of health check-up - 1% of basic sum insured at end of block of 4 continuous, claim free policies
- Hospitalisation if the period is more than 12 hours but less than 24 hours - Up to 50% of entitled room rent per day
- Vaccination expenses - Up to 10% of total premium paid at end of block of 2 continuous, claim free policies
- Cumulative bonus - 5% of sum insured, maximum of 50% for claim free policy
-
What’s More?
While the Individual Health Protector Policy covers basic expenses and additional medical costs, it also provides benefits that can take your health insurance experience to the next level. The list of significant elements covered under the policy comprises -
- Lifelong renewal of the policy
- Direct claim settlement, no TPA involvement
- 15 days free look period
- Tax benefits under Section 80D of the Income Tax Act
- 5% family discount on covering 2 members; 10% discount on covering 3 or more members
- 10% discount on policy premium for existing customers
-
Conclusion
Overall, Individual Health Protector Policy is a great option if you want to get covered and secure the health of yourself, your spouse and dependent family members without paying a huge amount. The policy is dependable and doesn’t put you in any sort of hassle when the time is crucial.
If willing to buy Individual Health Protector Policy, go for online mode so that it gets issued quickly. Also, prefer choosing InsuranceDekho for purchase if you want to avail benefits such as policy transparency & portability, claim settlement support, and other added features.
IFFCO Tokio Individual Health Protector Policy Brochure
- 3.58 MB
- PDF Document
- Jul 19, 2019
Claim Process at IFFCO Tokio Health Insurance
FAQs on Individual Health Protector Policy Health Insurance Plan
-
-
What is the amount of sum insured offered under this plan?
Wide range of sum insured options is available from Rs. 50,000 to Rs. 20 Lakh, when the policy is purchased on an individual basis.
-
Does Individual Health Protector Policy offer a cover for critical illness?
Yes, the plan provides an add-on cover for critical illness by paying an additional premium of 30% of the basic premium.
-
Can I get my parents covered under the Individual Health Protector Policy?
Yes, the plan allows dependent parents to be covered under the plan.
-
How many family members can get coverage under the plan?
There is an unlimited number of family members who can get covered under the plan such as spouse, dependent children, dependent parents, relatives living together or dependent relatives living away.