Insurance Frequently Asked Questions
What does motor insurance cover?
Own Damage to your vehicle - The policy covers you against any loss or damage caused to your car or it's accessories due to natural and man made calamities as defined in the scope of coverage
(i) Personal Accident Cover - The motor insurance provides you compulsory personal accident cover for individual owners of the vehicle, the personal accident cover is up to Rs. 2 lacs.
You can also opt for a personal accident cover for passengers. Rs.2 Lac is the maximum coverage that can be offered.
Third Party legal liability - The policy covers the vehicle owner's legal liability to pay compensation for:
Death or bodily injury to a third party person.
Damage to third party property.
Liability is covered for an unlimited amount in respect of death or injury and damage to third party property for Rs.7.5 lacs under Commercial vehicle and private and Rs. 1 lacs for Scooters / Motor Cycles.
What is an Insurance Cover Note? How Do They Work?
A cover note is a temporary certificate of insurance issued by the Insurer before the issuance of a policy after the Insured has given a duly filled in proposal form and has paid the premium in full.
A cover note is valid for a period of 60 days from the date of issue of the cover note and the insurer shall issue the Certificate of Insurance before the cover note expires.
What is meant by Insured Declared Value (IDV)?
IDV means the Insured's Declared Value. It is the value of the vehicle, which is arrived at by adjusting the current manufacturer's listed selling price of the vehicle with a depreciation percentage as prescribed in the Tariff. For the vehicles that are obsolete and aged over 5 years, the IDV will be the value agreed between the Insurer and the Insured.
Manufacturer's Listed Selling Price = Cost Price + Local Duties/Taxes, excluding Registration and Insurance.
The value of the obsolete vehicles and the vehicles aged over 5 years are arrived by our Assessment Team with the help of various resources like IMAs, Panel of Surveyors, Car Dealers, Second Hand Car dealers, etc.
What is the period for which a Motor policy is issued?
All motor policies are annual policies issued for a period of twelve months. However, extension to a further period less than 12 months can be allowed with the approval of the competent authority, for arriving the renewals of the customer on a common date or for any other reason convenient to the customer. Additional premium needs to be collected for such extensions. Period less than 12 months can be given on a Short Period basis only with the approval of the competent authority.
When do we require a proposal form from customer?
We require a proposal form in all the following situations:
- New Business.
- Other Company renewal.
- On Transfer of Interest.
- On conversion of Liability Only cover to Package Policy.
- Change / Substitution of the vehicle.
- On alteration/improvement of the vehicle either during the currency of the policy or during the renewal.
When do pre acceptance inspections have to be carried out?
Customer needs to produce the vehicle for inspection under the following circumstances:
- In the case of break-in insurance.
- In case of conversion of TP cover to OD cover.
- In case of covering imported vehicles.
- In case of fresh payment received after cheque bounce.
- The authorized person from the underwriting department will inspect the vehicle.
Factors that determine the premium rating for Private Cars
The premium rating for Private Cars is based on the following factors:
- Insured's Declared Value (IDV).
- Cubic Capacity of the vehicle.
- Geographical Zones.
- Age of the vehicle.
What are the exclusions under Private Car package policies?
The exclusions are:
- Consequential loss, depreciation, wear, and tear, mechanical or electrical breakdown, failure, or breakages.
- Any damage to tires and tubes unless the vehicle is also damaged at the same and the liability of the insurer will be restricted to 50% of the cost of replacement; and
- If the private car is driven by a person who is under the influence of intoxicating liquor or drugs at the time of loss.
- Driving without a Valid Driving License.
- Using the vehicle for hire or reward, carriage of goods other than samples, racing, and other racing-related purposes and motor trade purposes.
What are Electrical/Electronic accessories in a private car?
Those items that are not supplied by the vehicle manufacturer along with the vehicle are called Electrical/Electronic accessories.
E.g., A music system that does not come along with the vehicle, LCD’S or Speakers, etc.
Discounts that can be allowed under Private Car policies
The discounts that can be allowed under the Private Car policies are:
- Voluntary Deductible discount.
- No Claim Bonus.
- Automobile Association Discount.
- Discount on Vintage Cars.
- No other discounts are permissible.
- Under what circumstances No Claim Bonus (NCB) can be allowed?
- It is a reward for No claim in the previous year. It can be .accumulated over some time.
- It starts at 20% and goes up to 50%.
- NCB becomes Nil in case of a Claim.
- NCB follows the fortunes of the customer and not the vehicle.
- Validity - 90 days from the date of expiry of the policy.
- NCB can be utilized within 3 years. (where the existing vehicle is sold and a new car is purchased)
- NCB recovery to be done in case of a Name Transfer.
- NCB gets transferred to the legal heir in case of Death of customer.
- NCB can be transferred to the New vehicle in case of the Substitution of vehicle of the same class.
- NCB earned abroad can be given in India.
Which additional PA covers there under Private Car policies?
The various PA covers under Private Car policies are:
- PA to the Owner Driver.
- PA to the Paid driver.
- PA to the Unnamed occupants.
- PA to the Named occupants.
What will happen when the customer sells his vehicle?
If the customer sells the vehicle to another person, the Insurance can be transferred in the name of the buyer. The buyer (transferee) has to apply for transfer of Insurance with us, within 14 days from the date of transfer of the vehicle in his name. If the customer wants to substitute another private car of his in this policy, the policy will not be transferred to the buyer. The buyer (transferee) has to buy a fresh insurance.
When is an endorsement required?
An endorsement is a written evidence of an agreed change to a policy. It is a document that incorporates changes in the terms of the policy. If there are any alterations to be done in the policy the customer needs to approach Motor Insurance Company to effect the change in the policy. This is done by way of an endorsement.
An endorsement may be issued at the time of issuing the policy to provide additional benefits and cover (e.g., legal liability to driver) or to impose restrictions (e.g., accidental damage deductible). The wordings of those endorsements are provided in the tariff. An endorsement may also be issued subsequently to record changes such as change of address, change of name, change of vehicle, etc.
What are the documents required for renewing the policy?
- Premium Cheque.
- Renewal Reply Form.
- If any changes are required in the coverage, the customer can incorporate the same in the renewal reply form.
- Quick Links.
- Pay Premium.
- Contact Us.
- Branch Locator.
- Hospital Locator.
- Garage Locator.
- Register for Health and Car Care Tips.
- Set Renewal Reminders.
What does 'fault and no fault liability' mean in Motor TP Insurance?
Shilpy Mishra - Fault and No Fault Liability in Third Party Motor Insurance Claims
What is Employees Compensation Act? How does it affect TP insurance claims?
Ms. Shilpy Mishra | Employees Compensation Act and Third Party Claims
How does Judiciary play a role in adjudication of third-party motor insurance claims?
Ms. Shilpy Mishra | Role of Judiciary in Third Party Claims
What events pertain to negligence in third-party motor insurance?
Ms. Shilpy Mishra | Negligence in third party motor insurance
What should you do in case of injury to a pedestrian in an accident?
Ms. Rashmi Singh Verma | Third Party Injury - Line of Action
What is the benefits of QCS feature in IFFCO Tokio Customer app?
Ms. Poonam Bhatia | Objective of QCS for Motor Insurance
What should you do in case of an accident?
Ms. Rashmi Singh Verma | Motor Vehicle Accident- Line of Action
How does the Customer App make claims easier for the customer?
Mr. Sandeep Aggarwal | Mobile App Features
What are the implicatioms of the new MV Act on your motor insurance?
Mr. Abhishek Verma - Motor Insurance (Provisions under Motor Vehicle Act)
What are the features of Long Term Motor Package policy?
Ms. Poonam Bhatia - Introduction of long term OD policy
Can I renew my motor insurance online?
Yes. Usually, insurance policies offer online renewal. This is the same with vehicle insurance policies. You can go to the official website of your lender and opt for a renewal of your insurance policy. On the IFFCO-Tokio website, you will find a ‘RENEW’ option right next to the ‘BUY’ option, when you open the page.
Why do I need to ensure my vehicle?
In India, it is mandatory to get your vehicle insured, under the Motor Vehicle Act, 1988. Also, vehicle insurance will protect your vehicle from unfortunate mishaps. Vehicle insurance policies generally cover damage done to your vehicle, as well as your liabilities towards the third-party. Also, a bike insurance policy will cover your vehicle for damage done to your vehicle by manmade causes and natural causes.
What are the benefits of buying motor insurance online?
There are several benefits to buying a policy online. Here are the benefits of purchasing a motor insurance policy online:
Easy process - The entire process of getting a motor insurance policy online can be completed with just a few clicks!
No time restraints - You can buy an insurance policy online, at any given time of the day. There is no time restriction.
No paper trail required - While buying a policy online, you do not have to maintain a paper trail of important documents.
Is my No Claim Bonus (NCB) transferable?
Yes, it is transferable. An NCB can be transferred from one vehicle to another vehicle. It can also be transferred from one insurance company to another insurance company. However, you cannot transfer it from a bike to a car and vice versa.
What is Motor/Vehicle Insurance?
Motor/ vehicle insurance is a type of insurance that predominantly covers damage done to your vehicle due to an accident. The vehicle insurance policy covers damage done to your vehicle either by manmade causes like theft, dents, scratches, etc. It also covers your vehicle for damage by natural causes like floods, earthquakes, etc. In India, it is compulsory for vehicle owners to buy a vehicle insurance policy, under the Motor Vehicle Act, 1988. Vehicle insurance also covers your liabilities towards the third-party.
Why should I buy Motor Insurance?
In India, it is compulsory for vehicle owners to buy an insurance policy for their vehicles. It is mandatory under the Motor Vehicle Act, 1988. Also, having motor insurance will cover your vehicle for damage due to accidents as well as natural and manmade causes. A vehicle insurance policy will cover you for theft, dents, floods, earthquakes, etc. It will also cover your liabilities towards the third-party, in case of an accident. Thus, it is very important to have a motor insurance policy in India.
What are the eligibility criteria to avail motor insurance?
Following are the eligibility criteria to avail a motor insurance policy in India:
Individuals must be above the age of 18 years.
He/She must be a citizen of India.
He/She must own a vehicle along with its RC.
What are the motor insurance policy exclusions?
A motor insurance policy will cover damage done to your vehicle by man-made as well as natural causes like theft, dents, floods, and so on. But there are certain exceptions that one must be aware of while purchasing a motor insurance policy. Following are a few exclusions of the motor insurance policy:
Damage caused by war
Damaged caused by terrorist attacks
Damaged caused by civil war
Damaged caused by nuclear weapons
Damaged caused by rebellions
How to file motor insurance claims?
The claims process depends on the type of claim and the policy. Talk to the lender before you raise a claim. One can claim for a stolen vehicle, third-party insurance, or for damages to your own car. In case of a motor insurance policy, you will need to get a copy of the police report, if it is applicable. Apart from this, you will need all your basic vehicle-related documents. You will need photos of the damage done to your vehicle too. Repair bills are also required during the claim. You can make a claim online with the help of these documents.
What are motor insurance and its types?
Motor insurance is a type of insurance policy that covers damage done to your vehicle by manmade or natural causes. There are two basic types of motor insurance, however, there are also several add-ons that one can consider. Here are the two types of motor insurance policies:
Third-party motor insurance policy - It is a type of policy that will cover your liabilities towards the third-party in case of an accident.
Comprehensive motor insurance policy - It is a type of policy that will cover damage done to your vehicle, along with the third-party liabilities. This insurance policy is highly recommended.
What is a Certificate of Insurance under the Motor Vehicle Act?
Certificate of Insurance is a documented statement of coverage offered by the lender for your vehicle. It contains all the information about your insurance policy, including important dates. This is a very important document that one must not lose. It works as a verification document to showcase that your vehicle is indeed covered and insured. Also, it is mandatory to have a certificate of Insurance for your vehicle under the Motor Vehicle Act, 1988.
What coverage limits will meet my needs?
Under a motor insurance policy, there are two subtypes. One of them is a comprehensive policy, and the other one is a basic third-party insurance policy. If you purchase a comprehensive policy, all the damage to your vehicle will be covered. Also, look for a zero-depreciation plan, which will be more beneficial to you. It will cover all the damage. If you buy a third-party insurance plan, usually it will cover the third-party liabilities up to 7 lakhs.
Is it safe to buy health insurance online?
Yes, it is safe to buy health insurance online.
We have a secured payment gateway on our website to ensure your transaction is processed safely, which is one of the reasons why many of our customers choose to purchase health insurance plans online.
While buying health insurance online is generally safe, we recommend taking necessary precautions to ensure a secure experience. Here are some tips to help you have a secure and hassle-free transaction when purchasing health insurance online:
- Choose Official website of IFFCO Tokio
- Use secure devices with updated anti-virus
- Use Secure Wi-Fi
- Avoid Public Computer
While buying health insurance online is 100% safe and secure, if you are still uncertain about making an online purchase, we offer alternative methods to buy a health insurance policy.
Do You Know- You can increase your sum insured up to 1 Crore via a Top-Up plan from us. All you have to do is show your interest towards the best healthcare and our team will guide you with all the coverages, benefits etc.
What is the process to buy health insurance online?
Health insurance offers protection against unforeseen situations such as medical emergencies. Many people are buying a health insurance policy to secure themselves against such expenses. A person can purchase health insurance by visiting our website.
All you have to do is tell us about your healthcare needs and we will offer you the right plan. You can throw in the add-ons you prefer, fine-tune the coverage and proceed to the payment once you are satisfied with the coverage. Once you pay the premium, the policy will be mailed to you, and coverage of your medical insurance policy will commence instantly!
What happens when you don’t renew health insurance on time?
Your health insurance policy offers cover against medical expenses. If a person meets with a medical emergency, then they can file for a claim with health insurance. However, a policyholder will not get such benefits when the health insurance policy has expired. The person must pay the medical expenses out of their pocket. Therefore, it is extremely important that you remember the expiry date of your medical insurance policy and renew your health insurance plan on time to enjoy interrupted protection.
Factors to determine premium payable for health insurance?
Under health insurance, the age and the amount of cover are two main factors that decide the premium. Usually, younger people are considered healthier and thus pay lower annual premiums. Older, people pay a higher health insurance premium as their risk of health problems or illness is higher. Similarly, smokers and those who consume alcohol have higher premiums. Even the nature of your job and where you stay can influence the premium of your medical insurance policy.
Can I buy more than one Health Insurance policy?
Yes, you can have more than one medical insurance policy. In case of a claim, you can choose which policy to use to cover your costs. The benefit of having 2 health insurance plans is that, once the Sum Insured of one policy is exhausted, the remaining medical expenses, if any, can be claimed through the second health insurance policy.
How do I find the best health insurance plan?
The term ‘best’ is subjective. What one considers as the best might not be the most ideal option for another. Therefore, when comparing medical insurance policies, one should look for options that suit their individual needs in a cost-efficient manner .Of course, there are some basic factors that highlight a good plan that you must also bear in mind. These include high claim settlement ration, good number of network hospitals, wide choice of add-ons, and so on. The best plans will cover all these bases and, more importantly, ensure your individual needs are met as well!
What happens to the health insurance policy coverage after a claim is filed?
After a claim is filed and settled, the coverage of your medical insurance policy is reduced by the amount that has been paid out on settlement. For Example: In January you start a policy with coverage of Rs 5 Lakh for the year. In April, you make a claim of Rs 2 lakh. The coverage available to you for the May to December will be the balance of Rs.3 lakh.
However, if you have opted for the reinstatement option, the sum insured of your health insurance policy will be reinstated to the same value. Of course, reinstatement features needs to be added to your policy by charging prorata premium.
What happens to the health insurance coverage after a claim is filed?
After you make a claim, the sum insured of your health insurance policy is reduced by the amount that has been paid out to you as compensation. Confused? Let’s take an example for better understanding.
Say you buy a medical insurance plan with a sum insured of Rs. 10 lakhs on the 1st of January, 2019. In the month of March, you meet with an accident (hypothetically speaking) and make a claim worth Rs. 2 lakh against your mediclaim policy. Now, for the rest of the policy tenure (April-19 to Jan-20) you have a sum insured of Rs. 8 lakhs remaining in your health insurance policy. As such, you can keep making claim against your health insurance policy until the sum insured is exhausted.
However, if you have opted for the reinstatement option, the sum insured of your policy will be restored to its original value (Rs. 10 lakhs) after you make a claim. Of course, the reinstatement feature needs to be added to your policy by paying a pro-rata premium.
What is Health Insurance?
Health insurance is a type of coverage that pay for medical expenses in case of hospitalization occurred due to accidents, illness or injury. Health insurance aims to provide financial protection and access to necessary medical care, helping individuals and families manage healthcare costs and maintain their well-being.
Health insurance is like a safety net that protects you from the financial cost of a medical contingency. Health insurance provide coverage for a wide range of healthcare services including –
Hospital Bills
Doctor’s consultation fees
Cost of medicines
Surgeries
Preventive Medical Checkup
With a medical insurance plan, you will either be reimbursed for the medical expenses you have incurred or the insurance provider will directly pay your hospital/care provider on your behalf.
It's important to note that health insurance plans may have limitations, such as exclusions for pre-existing conditions or certain treatments.
Disclaimer - **To understand exactly about the policy coverage, exclusions, etc read the Policy Wordings carefully.**
Why is health insurance necessary?
Healthcare emergencies can come knocking when you least expect them. No matter how young or fit you are, you are never 100% safe from an illness or medical condition. Just take the COVID-19 pandemic for instance – it can affect anyone!
Here, we are highlighting several reasons why health insurance is necessary –
Emergency Coverage: Protects against unexpected medical emergencies and illnesses.
Rising Healthcare Costs: Shields from the high and increasing costs of medical treatments.
Financial Security: Prevents financial strain and depletion of savings due to medical bills.
Access to Quality Care: Provides access to reputable healthcare facilities and specialists.
Preventive Care: Covers screenings and check-ups for early disease detection.
Critical Illness Support: Offers coverage for expensive treatments and critical illnesses.
Peace of Mind: Eases worries about medical expenses, focusing on recovery.
No-Claim Rewards: Encourages wellness with benefits for no-claim periods.
Tailored Coverage: Customizable to individual healthcare needs.
Pandemic Preparedness: Offers coverage during widespread health crises.
Long-Term Financial Stability: Safeguards overall financial health.
In summary,health insurance policy is necessary due to its role in managing unexpected medical costs, maintaining access to quality healthcare, and offering peace of mind amidst health uncertainties.
Do You Know- You can increase your sum insured up to 1 Crore via a Top-Up plan from us. All you have to do is show your interest towards the best healthcare and our team will guide you with all the coverages, benefits etc.
What are the benefits of having a health insurance policy?
There are several benefits of having a health insurance policy. The first is the peace of mind that it provides you. No one can predict when a medical contingency can happen, but at least with a health insurance policy, you can rest assured knowing you are financially prepared for such an unfortunate event.
Next, a health insurance policy provides you financial security against medical contingencies. It ensures that an injury, illness, or medical condition does not eat into your hard-earned savings. And lastly, one of the biggest benefits of medical insurance is that it offers tax benefits. Having a plan gives you access to deductions up to Rs. 1,00,000 on your taxable income. Amazing isn’t it?
How do I register for health insurance renewal online?
Registration for renewing a Health Insurance Policy online is typically a simple process. Here's a general step-by-step guide to help you through the process:
- Log onto our website i.e. IFFCO-TOKIO
- Select the renew button under Health Insurance Product.
- Enter your name and health insurance policy number.
- Our system will show your policy details on-screen.
- Confirm and proceed, or adjust policy coverage to match current healthcare needs.
- Make payment using online payment options, including credit/debit cards, net banking, wallet or UPI.
- Your policy will be renewed immediately and you will receive a renewed policy document on your email id.
If you encounter any issues during the online renewal process of your health insurance policy, don't hesitate to connect with our customer support team for assistance or look for alternative methods to renew health insurance policy.
What are the features of the new Standard Health Insurance?
Ms. Pallavi Roy - Standard Health Insurance
Is Mediclaim the same as health insurance?
Yes, it is just a just different name for health insurance.
Is Health Insurance the same as Life Insurance?
No, life insurance and health insurance are two very different products. Health insurance covers the policyholder against medical expenses that arise due to illness, injury, or medical procedures. Health insurance offers coverage only for a certain period of time, after which it needs to be renewed or else it will expire.
Life insurance on the other hand offers protection against unfortunate events such as total permanent disability & death. In case of such an event, a life insurance policy will provide the insured and/or the dependent with a lump sum payout. In case no such event occurs during the policy period, the plan may offer a payout on the maturity date.
What are the minimum and maximum health insurance policy durations?
Most health insurance policies generally provide coverage for 1 year only. However, some medical insurance companies also offer multi-year policies that can offer cover for up to two years. Regardless of the policy tenure, all plans need to be renewed before their expiry to ensure continuous coverage against healthcare expenses.
What is health insurance coverage amount?
Health insurance coverage amount is the maximum amount you can claim as compensation in case of a medical contingency. It is also known as the sum insured or sum assured of the policy. You can select the coverage amount of your mediclaim policy when you purchase it. Just beware; a higher coverage amount translates into a higher premium amount.
What happens when I cancel the health insurance policy?
When you cancel your health insurance policy, the coverage of the policy will stop. This means that, after the date of cancellation, you will no longer receive protection against medical expenses. You may also be refunded a certain amount of your premium based on the number of months left in the policy tenure. You can refer to your policy document to understand how this refund amount is calculated.
Tax benefits that one gets with a health insurance policy
Yes, besides covering your medical expenses, a health insurance policy also offers lucrative tax benefits under section 80D of the Indian Income Tax Act of 1961. The amount of deductions you can avail of depends on your age.
You can avail of additional deductions on your taxable income if you pay for your parent’s health insurance as well. As such, you can avail maximum deductions of up to Rs. 1,00,000 on your taxable income with health insurance.
Are Maternity/Pregnancy related expenses covered under Health Insurance plans?
No, maternity and pregnancy-related expenses are usually not covered under a health insurance policy. But worry not! Your employer-provided group insurance plans often cover these expenses.
Does health insurance cover diagnostic charges like X- ray, MRI or ultrasound?
Yes, health insurance covers the cost of all diagnostic tests including X-rays, MRIs, blood tests, and so on as long they are associated with the patient’s stay in the hospital for at least one night. However, any diagnostic tests which have been prescribed in the OPD are generally not covered by a medical insurance policy.
What do you mean by waiting period in health insurance?
A waiting period is a time frame wherein you cannot make a claim against your health insurance policy. There are different kinds of waiting periods in health insurance. There is an initial waiting period which usually lasts for 30 days. During this period, no claim will be entertained except for those pertaining to accidental hospitalization.
The second kind of waiting period is applicable to pre-existing illnesses. Under this waiting period, if you are suffering from critical illness, or if you have undergone any surgery recently, and if you need hospitalization, you won't be covered for the same. This waiting period can last for 2 to 4 years. And lastly, there is an illness-specific waiting period which only applies to certain medical conditions and diseases.
Are there any waiting periods when my expenses will not be settled, in case of a contingency?
Yes, every health insurance policy will have an initial waiting period that usually lasts for up to 30 days starting from the day you buy the plan. During this period, your plan will not cover any hospitalization charges. However, this waiting period is not applicable to emergency hospitalization occurring due to an accident, nor is it applicable when the policy is renewed.
How can I increase my sum assured in health insurance?
Simple, when renewing your policy just click on the edit option next to the sum insured of your health insurance policy and increase the cover amount. Do note that your premium will also increase if you opt for a higher sum insured.
Is a medical checkup necessary before buying a policy?
No, medical check-ups are not required for individuals up to age 60.
What are the documents required for buying a health insurance?
Most people assume that health insurance requires a lot of documents. However, on the contrary, you actually do not need any documents while purchasing health insurance from IFFCO-Tokio. We will not even ask for your Aadhaar or PAN card. However, you might need to furnish a valid ID proof when making a claim.
What is the process to claim health insurance?
There are two ways to make a claim against your health insurance policy. The first is to way to have the insurance company reimburse the expenses you have incurred. For this, you have to submit all your medical bills along with a duly filled claim form & a medical certificate to the insurance company within the stipulated time period.
The other way to make a claim is to undergo treatment at one of the network hospitals covered by your mediclaim policy. In this case, your insurance provider will settle your bills directly with the hospital. This is known as a cashless claim as the insurer covers your expenses on your behalf and you can focus fully on your recovery.
What is the maximum number of health insurance claims allowed over a year?
You can keep making claims against your health insurance policy until the sum insured of your plan is exhausted.
Who will receive the claim amount under health insurance if the policyholder dies during the time of treatment?
In a cashless Mediclaim settlement, it is settled directly with the network hospital. In cases where this is no cashless settlement, the claim amount is paid to the nominee of the policyholder.
In case there is no nominee made under the policy, then the health insurance company will insist upon a succession certificate from a court of law for disbursing the claim amount. Alternatively, the insurers can deposit the claim amount in the court for disbursement to the next legal heirs of the deceased.
What is Cashless Facility in Health Insurance?
The cashless facility refers to a claim process where you do not have to worry about paying your hospital bills. This is because your insurance company will settle the bills directly with the hospital. With the cashless facility, you can focus on getting better while your insurance will cover the expenses on your behalf.
However, this facility is only available at the network hospitals covered under your health insurance policy. At IFFCO-Tokio, we have over 7000 network hospitals, giving you easier access to cashless claims, no matter which part of the country you live in!
How to claim a cashless facility in health insurance?
Getting cashless claims is extremely simple. All you have to do is seek treatment in one of the network hospitals covered under your mediclaim policy. Upon completion of the treatment, the hospital files a claim with the insurer, and the insurance company settles the bill directly with the hospital. Policyholders need not pay a single penny for cashless claims.
What do you mean by Cashless Hospitalization?
It is a facility wherein the insurance provider will settle your bills directly with the hospital. You do not have to pay a single penny as the insurance company will cover the expenses on your behalf. However, this facility can only be availed if the policyholder seeks treatment in one of the network hospitals that is covered by their insurance provider.
As such, we at IFFCO-Tokio have more than 5000 network hospitals spread all across the country. This ensures that no matter where you are in India, you are not far from one of our cashless hospitals.
Difference between Health Insurance & Critical Illness policies
Health insurance is an indemnity-based policy. It will either reimburse your medical expenses or offer cashless hospitalization in case of any medical contingency. On the other hand, critical illness insurance is a fixed benefit policy. This means that it will offer fixed a lump sum payout in case the policyholder is diagnosed with any condition that is covered under the critical illness policy.
How is Critical Illness cover different from normal health insurance?
Critical illness cover is a fixed benefit policy. It can either be offered as an add-on to your existing policy or it can be purchased as a standalone plan. In case the policyholder is diagnosed with an illness covered under the critical illness policy, the insurance company will provide a lump sum payout as per the terms & conditions of the plan. The policyholder is free to use this amount as per his/her needs, both medical and non-medical.
A health insurance policy, on the other hand, does not provide any lump sum payments, and cannot be used to cover non-medical expenses.
Ms. Pallavi Roy | Critical Illness Benefit Policy
Who is a Third Party Administrator in health insurance?
Third-Party Administrators, better known as TPAs, are IRDAI-authorized service providers that act as intermediaries between the insured and insurer. They offer expert assistance & customer support in areas such as cashless claims processing, redressal of disapproved claims, etc. Most health insurance providers in India outsource their claims operations & a number of other administrative functions to TPAs.
How does the insurance company decide whether a disease was a pre-existing one or not?
When you buy a health insurance policy, you need to provide details of any illnesses you have suffered/treatments you have undergone during your lifetime. The insurance company will then refer all your health issues to their medical panel to differentiate between pre-existing and newly contracted illnesses.
Note: It is important to disclose any disease you might be suffering from before buying the health insurance policy. Insurance is a contract based on good faith and any wilful non-disclosure of facts might lead to problems in the future.
What does Mos-bite policy cover and how is it unique?
Ms. Neha Ahuja | Mos-Bite Protector Policy
Can I avail this health insurance policy if I am not an Indian National but living in India?
Yes, you can avail of a health insurance policy if you plan on studying/working in India. However, if you are planning to visit India as a tourist for less than 3 weeks, then getting a mediclaim policy doesn’t make sense as the thirty-day cooling-off period will offset the benefits of having a plan. And lastly, medical tourism cases are definitely not covered in the policy issued in India.
Are Naturopathy and Homeopathy Treatments Covered Under a Health Policy?
Yes! AYUSH treatments (Ayurveda, Yoga, Unani, Siddha, and Homeopathy) can be covered by your health insurance policy. Some plans offer cover for these treatments by default while others might provide AYUSH cover as an add-on.
My employer provides me with health insurance coverage. Is it advisable to take another policy on my own?
Yes, you need to have a health insurance plan even if you are young and healthy. This is because medical emergencies can strike anyone at any time. COVID-19 is the perfect example of this – it is an illness that can affect all individuals, irrespective of their age, and fitness levels. Some healthcare emergencies, such as accidents, are unpredictable and have nothing to do with age or wellbeing. They can occur when you least expect them and run-up a huge medical bill.
Keeping all this in mind, it is prudent to have a group health insurance policy, even if you are young and healthy. Not to mention, plans are generally very affordable when you are fit and in the prime of your life. However, they start to get more expensive & difficult to avail as you grow older.
I am young and healthy. Do I really need health insurance?
Yes, you need to have a health insurance plan even if you are young and healthy. This is because medical emergencies can strike anyone at any time. COVID-19 is the perfect example of this – it is an illness that can affect all individuals, irrespective of their age, and fitness levels. Some healthcare emergencies, such as accidents, are unpredictable and have nothing to do with age or wellbeing. They can occur when you least expect them and run-up a huge medical bill.
Keeping all this in mind, it is prudent to have a health insurance policy, even if you are young and healthy. Not to mention, plans are generally very affordable when you are fit and in the prime of your life. However, they start to get more expensive & difficult to avail as you grow older.
My wife and children are residing at Mysore while I am here in Bangalore. Can I cover all of us in one health policy?
Yes, you can cover the entire family under one policy. Your health insurance policy is in force across India. You must check whether there is any network hospital near to you as well as your family's place of residence. You must check if your insurer has a network hospital close to you or where the rest of your family resides. Network Hospitals are the hospitals that have tied up with the TPA(Third Party Administrator) for cashless settlement for expenses incurred there.
If there are no network hospitals at the place of your residence, you could opt for reimbursement mode of settlement.
What Is the right age to buy health insurance?
There are many who do not think about buying insurance because they think it is not needed when they are young. However, it is most advisable for an individual to start thinking about buying a health insurance policy when they turn 18 years of age.
Since you are young, it is quite likely that you are in great shape and would not face any health complications any time soon. This is how you can get insurance policies at very affordable premiums. You also get a lot of coverage options by your insurer, which might not be the case when you grow older.
What are the things to look for while choosing a health insurance plan?
Here are 8 factors that one should consider before choosing a health insurance plan:
Their age
Premium and coverage amount
Waiting period for availing benefits
Cashless treatment in selected hospitals
Maternity expenses coverage
Health check-up services and facilities
Claiming process
Coverage of pre- and post-hospitalization services
What are the first year/ second year exclusions?
During the period of insurance coverage, the expenses of certain diseases are not payable for a certain period. These diseases may or may not include cataract, hernia, piles, and others. Contact your insurer for more information on the first-year/second-year exclusions of your health insurance plan.
I have a health insurance policy but I want to increase the sum insured. What should I do?
Several health insurance policies allow the policyholder to increase the sum insured. If you wish to increase your sum insured, please contact your lender for the same. You can also go to the official website of the firm, and submit your name and number. You will receive a call from our executives who will guide you with our policy terms and conditions.
Do I get a discount on renewal of the policy with the same company?
Usually, the premium increases with the renewal, depending on a few factors that include the age of the policyholder and his medical condition. There are no direct benefits on the renewal of the policy. However, one can compare various policies and choose one that fits their needs.
What is a pre-existing condition in health insurance?
A pre-existing condition means that the insured had a medical condition, or a disease, before taking the health insurance policy. For instance, a policyholder having a health problem such as diabetes, asthma, or cancer before their new health insurance plan becomes active is known as a pre-existing condition.
For those of you thinking about whether insurance companies can refuse you in case of a pre-existing condition, you have nothing to worry about. As per the current law, health insurance companies cannot refuse to provide insurance plans to someone with pre-existing conditions or even charge more for their policies.
Is it true that for the policy to be applicable, the hospitalization time needs to be more than 24 hours?
The policyholder does need to be admitted to a hospital, nursing home, or medical institution for at least a minimum of 24 hours to receive any kind of treatment for any kind of ailment that they are suffering from. This is when they can make a claim using their health insurance policy. We also offer daycare services and a cashless Mediclaim policy which allows you to get treated without having to pay any cash.
When we buy a health insurance policy from your website, do we receive a cashless card?
Our company has tie-ups with over 7000 hospital networks. Cashless services are available with these selected hospitals. This is great for the policyholder since they do not have to worry about the hospital bills. We directly settle your medical bill with the hospital since we have a tie-up with them. With this facility, you can enjoy a cashless settlement, leaving out the need for any tedious paperwork.
What will happen if my policy lapses when I am hospitalized?
A policy usually lapses when the insured is not able to pay the premium on time. However, most of the plans offer a grace period of 30 days. If the policy still lapses, then one can talk to the insurance company and explain their situation to the firm. But there are high chances that you may have to incur hospitalization expenses on your own.
What is Deductible in Super Top-Up Health Insurance?
Deductible : The deductible is the amount you must pay before the Health Top Up Insurance coverage start covering your medical expenses.
Deductible is the threshold amount that needs to be paid before the Super Top-Up Health Insurance starts providing additional coverage. The deductible amount is pre-determined and specified in the insurance policy. Kindly note that deductible can vary depending on the chosen plan.
The deductible amount can be paid by two different ways:
- Out of your own pocket
- Through an alternative health insurance policy.
How much Super Top-Up Health Insurance Premium qualifies for tax benefits?
Under section 80D of the Income Tax Act, you can avail tax benefits upto ₹1,00,000 on premium paid for Super Top-Up Health Insurance.
| Self and family below 60 Years | Self and Family below 60 Years & Parents Below 60 Years | Self and Family above 60 Years | Self and Family below 60 Years & Parents Above 60 Years | Self and Family above 60 Years & Parents Above 60 Years | |
|---|---|---|---|---|---|
| Deduction for Self, Family, Children | ₹ 25,000 | ₹ 25,000 | ₹ 50,000 | ₹ 25,000 | ₹ 50,000 |
| Deduction for parents | ₹ 0 | ₹ 25,000 | ₹ 0 | ₹ 50,000 | ₹ 50,000 |
| Maximum deduction | ₹ 25,000 | ₹ 50,000 | ₹ 50,000 | ₹ 75,000 | ₹ 1,00,000 |
Here is a closer look at how you can claim tax deductions:
Please note that the above-mentioned benefits are as per the current tax laws prevailing in thecountry. Your tax benefits may change subject to tax laws. It is advisable to reconfirm the same with your tax consultant. This is independent of your health insurance premium value.
What are the risks covered under Home Insurance?
A home insurance plan provides financial coverage to your home against any natural calamities such as tornadoes, hurricanes, cyclones, storms, earthquakes, fires, lightning strikes, floods, landslides, damages caused by pipes, tanks, vehicles, or aircraft. It even covers the home from manmade calamities such as burglaries.
Can a Tenant buy this policy | IFFCO Tokio
Yes, tenants are permitted to buy home insurance plans. This would be very helpful min covering their furniture, electronic gadgets, appliances, etc. This plan would also cover any damages faced by the structure of the house.
What are the losses/ perils covered under this policy?
A home insurance plan provides coverage for the following losses:
- Damages caused by terrorist attacks and riots.
- Damage caused by an aircraft, explosion, earthquakes, or fire.
- Leaks caused by automatic sprinklers installations.
- Missile testing operations.
- Damages caused by vehicles, animals, bush fires, or landslides.
- Damages caused by floods, storms, pipes, water tanks.
Does Home Insurance cover any loss to my Jewelry?
Yes, our home insurance plans provide coverage for the loss of jewellery due to robbery, burglary, or dacoit. This applies not just to jewellery kept at home, but even in bank lockers.
Are domestic appliances covered in the policy?
Yes, our house insurance policies provide coverage for your damaged domestic appliances that are not older than 7 years as a result of a mechanical or electrical breakdown. We either provide coverage for its repairs or replacement, with certain exclusions in place.
Is personal Accident a part of the policy?
Yes, they are. Accidents resulting in death or temporary, permanent, partial as well as total disablement are all covered in a house insurance policy.
Do I get a cover for repaying my Home Loan?
Yes, the insurance for home loan repayment is applicable when the individual faces:
- At least 3 days of hospitalization.
- EMI payments to the financier (12 months maximum).
- Total disablement due to an accident or sickness.
- Inability to perform in an employment or occupation for more than 30 days.
Are domestic employees also covered under the policy?
According to the Fatal Accident Act of 1855 and the Women’s Compensation Act of 1923, any domestic employee working at your home will be covered under house insurance in India. The policy includes coverage for accidental death, injury, disease, or illness to domestic employees.
Is Tenants Legal liability covered under this policy?
There are two sections under which the legal liability of a tenant is covered under a house insurance policy. The 1st section involves fires and allied perils, and the 2nd section involves house break-ins, burglary, and such cases. Apart from this, any electrical installation of the building, glass fittings, or any work with overground/underground cables are all included under the policy. This liability will be judged on the market value basis.
How is home insurance different from home loan insurance?
A home insurance policy provides you financial support to cover the damages to your home whereas a home loan insurance provides coverage to your family in case you face a disability where you are no longer able to repay the home loan.
Can I cover my domestic help?
Yes, domestic employees are provided coverage for their bodily injuries or accidental deaths under a personal accident cover or an employee compensation cover of the homeowner’s insurance policy.
Is accidental damage to contents covered?
Yes, our All-in-One-Home protector policy provides home cover for any unforeseen damage caused to your contents.
What is IDV?
IDV stands for the Insured's Declared Value which is deemed to be the sum insured of the vehicle. The IDV of the vehicle is to be fixed on the basis of manufacturers listed selling price of the brand and model, minus depreciation based on the age of the vehicle
What is a No Claim Bonus (NCB)?
A No Claims Bonus is a discount given by an insurer to policyholders who do not claim on their policy in the policy period of car insurance. Typically this starts at 20% in the first claims free policy period of Car Insurance and goes up to maximum of 50%.
What is loading? Do you charge this? How much loading can be charged?
Loading is an additional premium, which is paid at the time of renewal of insurance policy if the claims experience during the policy term has been adverse.
Discount on installing anti-theft alarm and locking system
There is a discount available if you install anti-theft devices in your vehicle provided the device is approved by the Automobile Research Institute of India and installation approved by automobile associations.
Does extra premium have to be paid in case of a claim last year?
There is no extra premium that is payable in case of a claim but if the claim experience is bad then some loading may be charged as per company policy. You only lose your No Claim Bonus that you could have enjoyed had there been no claim on the policy.
What is salvage and total loss?
Salvage is the value of wreck after a vehicle meets with an accident resulting in total loss, whereby retrieval of the vehicle into its initial condition is not possible.
What are the exclusions under the Motor Policy?
Specific Exclusions:
- Any accident outside the geographical area of operation.
- Consequential loss, normal wear and tear.
- Driving without a valid license for that class of vehicle.
- Driving under the influence of liquor / drugs.
- Vehicle not being used as per Limitations to use and.
- Mechanical or electrical breakdown, failure etc which fall under the specific exclusions.
- Willful Damage, Hire or Reward.
- Damage to tires and tubes unless the vehicle is damaged at the same time or the vehicle is stolen.
General exclusion:
- Radioactive contamination, nuclear fission, war invasion.
I own a vehicle which recently met with an accident, but I was not driving it. Can I still make a claim?
You can make a claim in following conditions:
- Insurance Policy for that vehicle should exist,
- If you have paid premium for paid driver or, it would be payable, if the car is being driven with your permission.
- The person driving the car is duly licensed as the premium is taken based on the seating capacity, which also includes the person on the driver’s seat.
What if my car meets with an accident & I do not incur large damage. Is it still compulsory to lodge a claim or I can choose not to claim? Or is it advisable to make a claim on small amounts?
It is not always necessary to lodge a claim especially if the damage is small. Actually, It is not advisable to make a claim for small damages because, not only will you have to pay for depreciation and excess, reducing the claim amount to an even smaller figure, but you will also lose your 'NO CLAIM BONUS' (if any) at the time of renewal. However, once you have decided not to claim, you cannot claim these damages at a later stage.
Will I get the entire amount if my windscreen is damaged?
You do get full reimbursement for the windscreen glass. However, there is a depreciation of 50% on the rubber lining and sealant. Additionally, you will also need to bear the policy excesses
Can my claim be rejected?
Any claim can be rejected by an insurance company in certain conditions. Some common reasons for which a claim may be rejected are:
- The policy has expired, or policy has been cancelled or the premium cheque has been dishonored making the policy invalid.
- It could also be that the date of accident or loss falls outside the policy period or
- The person driving the vehicle at the time of the accident did not possess a valid driving license or was under the influence of drugs or alcohol.
- There are also situations where the ownership of the vehicle has changed but the Insurance Company has not been informed within 14 days of such change or the claim was for damages that existed before the policy started.
- Some other reasons could be that the nature of damages does not co-relate with the cause of accident or that the vehicle was being used for other than personal or social purposes.
Where is IFFCO–Tokio Corporate office located?
The corporate office of IFFCO-TOKIO General Insurance Co. Ltd. is in Gurugram which is a part of National capital region. The postal address is as follows:
IFFCO-TOKIO General Insurance Co. Ltd.
IFFCO TOWER,
4th & 5th Floor,
Plot No. 3, Sector – 29,
Gurugram – 122001, Haryana
What is the meaning of Insurer?
Insurer refers to the insurance company
What is the meaning of Insured?
Insured refers to the policyholder or the person protected in case of a loss or claim
Who owns IFFCO–Tokio General Insurance?
IFFCO-TOKIO is a joint venture between the Indian Farmers Fertilizer Co-operative (IFFCO) and its associates and TOKIO Marine and Nichido Fire Group, the largest listed insurance group in Japan. IFFCO-TOKIO General Insurance has Pan India presence with 63 'Strategic Business Units' i.e., and a wide network of over 120 Lateral Spread Centres and 255 Bima Kendras
What is IRDA and what do they do?
IRDA (Insurance Regulatory and Development Authority) is the apex body overseeing the insurance sector in India. Its main aims are to protect the interests of policyholders and regulate the insurance industry
What is the meaning of Premium?
Premium refers to amount paid to purchase an insurance policy. The frequency of premium payment can vary from monthly to quarterly to yearly or it could even be a one time payment of premium
Why do I need insurance? - IFFCO Tokio
Insurance is a hedge against the occurrence of unforeseen incidents. Insurance products help you in not only mitigating risks but also helps you by providing a financial cushion against adverse financial burdens suffered.
Accidents... illness... fire... financial securities are the things you'd like to worry about any time. General Insurance provides you the much-needed protection against such unforeseen events. Unlike Life Insurance, General Insurance is not meant to offer returns but is a protection against contingencies. Under certain Acts of Parliament, some types of insurance like Motor Insurance and Public Liability Insurance have been made compulsory.
Is it mandatory in India to have auto insurance?
Yes, Auto Insurance is mandatory in India. Having compulsory liability insurance is a statutory requirement of the Motor Vehicles Act, 1988. However, we recommend a comprehensive policy to limit your financial liability.
How can I buy a policy?
Insurance is the subject matter of solicitation. IRDA allows insurance to be sold primarily through following:
Channels
- Company websites
- Buying on phone. It depends upon individual company
- Agents representing an insurance company
- Insurance brokers are allowed to sell products of more than one insurance company Banks, retail houses or any other commercial ventures which are channel partner of these insurance companies
Process
- Approach the insurance company with a duly filled up proposal form, through any of the above mentioned channels
- Seek an approval from the company on the intention of underwriting your policy. (I.e. evaluating your risk and exposures. Risk involves consideration of material facts on the basis of which company will take a decision whether to accept the risk and if so at what rate of premium.)
- Seek premium & other relevant details
- Pay the premium and take premium receipt and cover note/risk held note
- Wait for documents
- Check for its correctness on receipt and store it carefully till the policy expiry date
- Ensure that you renew the policy well in time, before the expiry of the policy
What is underwriting?
Underwriting of a risk involves consideration of material facts on the basis of which a decision will be taken whether to accept the risk and if so at what rate of premium.
What is the period of General Insurance policies?
Typically General Insurance contracts are for one year period only
What is the difference between an agent and a broker?
Agents represent an insurance company and sell products of that insurance company only. Whereas, insurance brokers are allowed to sell products of more than one insurance company.
OUR COMPANY