What do you mean by Family Floater Policy?

A family floater health insurance policy allows you to cover your entire family under the umbrella of one health insurance policy and with the payment of a single annual premium amount. The sum insured of this policy is shared amongst the insured family members and can be used to cover hospital bills and other medical expenses. 

Why is a mediclaim policy for family important?

Family is everything and we must do all we can to protect our loved ones from life’s unfortunate events. A family health insurance policy can be of immense help in this regard! It protects you and your loved ones against the rising cost of healthcare and ensures that medical emergencies do not eat into your hard-earned savings. But most importantly, a family medical insurance policy allows you and your family members to focus on getting better, without worry about the medical bills.

Which family member can I cover?

The family floater health insurance policy offers coverage to you, your spouse, dependent children and parents, and your other blood relatives and in-laws. 

Who should opt for a family medical insurance plan?

Health insurance for family suits all types of families. Whether you are a young couple or have a joint family, you can cover the desired number of loved ones under the safety blanket of one family floater health insurance policy. 

Does your family medical insurance plan cover daycare procedures?

Yes, most family health insurance plans offer coverage for daycare procedures. With IFFCO Tokio, you are covered for over 160 daycare procedures including cataract surgery, tonsil removal procedure, and so on. 

What happens if I exhaust the sum insured of my policy?

A family floater health insurance offers a single sum insured for all the family members included in the plan. With most plans, if you happen to exhaust this sum insured, then you will not be able to make any further claims during the policy period.

However, we at IFFCO-Tokio offer our customers a feature known as reinstatement. With this feature, the cover amount of your policy will be restored back to its original amount in case you happen to exhaust the entire sum insured during the policy tenure. Want to know more about reinstatement? Just give us a call or visit one of your nearest IFFCO-Tokio branches, our customer support team will be more than happy to help you!

What is Health Insurance?

Health insurance is an agreement wherein IFFCO Tokio offers coverage against medical expenses incurred by you or your family members. In return, you will have to pay a pre-decided premium amount every year. With a health insurance policy, you will be protected against hospital bills, pre- and post-hospitalization expenses, and numerous other medical costs that may arise during an illness, injury or healthcare procedure. Our health insurance plans also offer you a wide range of add-ons that you can choose from. These add-ons are optional extras that can help widen the coverage of your family floater health insurance policy. 

Which Family Health Insurance policies are offered by IFFCO Tokio?

Every customer has different requirements. Therefore, we at IFFCO Tokio, offer a plethora of family health insurance policies that vary in coverage, premium, and benefits. You can call on our toll-free number to speak to one of our insurance experts or visit one of our branches to get a tailor-made health insurance plan for you and your family. 

What kinds of Family Health Insurance covers are available?

At IFFCO-Tokio, we understand that every family is unique. That’s why we offer 3 different kinds of family health insurance plans for you to choose from, they are:

Each of these plans is designed to suit varying needs and requirements. Moreover, they also come with a range of add-on covers as well. This ensures that you get a health insurance policy that is perfect for you & your family. 

Is cashless facility available under Mediclaim Policy for Family?

Yes, we have a tie-up with more than 4000 hospitals, daycare centers, nursing homes, and medical providers to offer cashless facilities to our customers. This ensures that no matter which part of the country you are in, you have easy access to cashless claims.

Just be mindful that there are certain sub-limits applicable to some treatments and medical procedures. If the cost incurred for such treatments crosses the limit, then you may have to pay the extra amount from your pocket. For further terms and conditions, make sure to contact us on our helpline number.

What are the tax benefits I get if I opt for Family Health Insurance Policy?

According to Section 80D of the Income Tax Act, you can enjoy the following tax benefits on your family health insurance policy.

●        If no one in your family is aged above 60 years, you can enjoy tax deductions up to Rs. 25,000 on your taxable income.

●        If one of your parents is above 60 years of age, you can get avail combined tax deductions of up to Rs. 50,000 on your taxable income.

 To know more, visit the IFFCO Tokio website or talk to one of our experts at our nearest branch today!

What are the factors that affect the Family Health Insurance premium?

The premium of your family floater health insurance policy will depend on numerous features. Some of these features include:

  • The type of health insurance plan
  • The number of family members to be included in the family health plan
  • The age of each member
  • Medical history of each member
  • Existing medical conditions of each member
  • Add-ons included in the policy

You can check the premium of your family health insurance policy online. All you have to do is visit our website, key-in your family details and your coverage needs. With this information, we will be able to offer you an instant quotation for your family floater health insurance policy.

What does a Family Health Insurance policy not cover?

Your family health insurance plan does not cover the following;

  • Some pre-existing conditions are not covered under the family health insurance plans.
  • Family health insurance plans do not include cosmetic treatments.
  • Some medical conditions are only covered by a family health insurance plan after a waiting period of about 2 to 3 years.

To understand more about the exclusions of a family health insurance policy, call on our toll-free number or reach out to us at our nearest IFFCO Tokio branch.  

Is there any waiting period for claims under a Family health plan?

Yes, when you purchase a family health plan, there is a waiting period of 30 days before you can make any claims. However, in case of an accident, the waiting period is waived off and you can file a claim without worrying about any waiting periods.

Also, some riders in the health insurance plans have a waiting period such as the critical illness cover, etc. So make sure to understand in detail about the waiting period by one of our insurance experts by calling on our helpline number or visiting us at our branch. 

Pre-existing condition defined under Family health insurance policy?

A pre-existing condition is a disease or ailment that the insured family member suffers from before buying the family health insurance policy. These illnesses usually have a waiting period before they are covered under the family floater health insurance policy. You can file a claim for a pre-existing condition only after this waiting period is complete. Generally speaking, waiting periods for pre-existing illnesses range from 2 to 4 years.  

If my policy is not renewed in time before the expiry date, will I be denied for renewal?

It is advisable to get your family health insurance renewed about a week before the expiry date. However, if you miss out on your family health insurance renewal, make sure to make the payment within 30 days of the expiry date. If you are unable to do so, then your insurance policy will become void and you will not be able to make any claims during a medical emergency

Can I transfer my health insurance plan(s) for the family from one insurance company to another without losing the renewal benefits?

Yes, you are allowed to transfer your family health insurance policy from one insurance company to another without losing the renewal benefits accumulated over the policy years. 

What happens to the cover of a mediclaim policy for the family after a claim is filed?

After a claim is filed for medical treatment of an insured family member, the claim amount is deducted from the sum insured and the remaining amount can be used for other medical emergencies.

If the entire sum insured is exhausted, you can reinstate your sum insured by paying a small amount to your insurance provider. This way, you and your family will continue to be protected under the blanket of a family health insurance policy. 

What is the maximum number of claims allowed over a year?

There is no limit on the number of claims that can be registered during a policy year. You can keep making claims until the sum insured of the policy is exhauster. 

Does your health insurance plan for family cover everything from accident, surgery, normal hospitalization?

There are a wide range of diseases, injuries, and accidents that are covered under a health insurance policy for family. However, every insurance policy has different sets of inclusions and exclusions. This is why it is advisable to understand the policy wordings before buying one.

Additionally, make sure that you disclose all the pre-existing conditions and health issues of every family member that needs to be insured so that we can understand your needs and suggest the best plans for your family

Advantages of sticking to one health Insurance company for a long time?

If you stick to one insurance company for a long time, you will be able to enjoy the following benefits;

  • It will make it easier for you to claim the continuity benefits
  • Certain ailments have a waiting period until which you cannot make any claims. Due to this condition, it is advisable to not change insurance providers frequently.
  • You can avail of benefits of all the accumulated bonuses that offer you additional coverage in addition to the sum insured.
  • The claim settlement is faster if you have had a long-term association with the insurance company.
  • Many insurance providers also offer discounts and special bonuses for their long term customers.

Successful claim of Health insurance plans for family

Staying organized while filing a claim for hospitalization and other related expenses, is the success mantra for a successful claim settlement with our amazing health insurance plans for a family. You should keep all your documents and record up to date. Organize all your test reports, doctor prescriptions, treatment details in a folder, so that when asked to submit any document, you do not have to search through different files.

You should also make sure that your communication details are up to date in our records, as all the family mediclaim policy-related communication shall be directed to the registered details only. When you submit your documents and reports for claim settlement with the TPA, please double check to make sure that all your documents have been submitted. Otherwise, it may cause unnecessary delays or even rejection of the claim.

If you are going for planned hospitalization under our health insurance plans for a family, then we would suggest that you get a pre-authorization from our side. This way, when it would come to the stage of settling the hospital bills, you need not pay anything from your pocket.

How can I buy a family medical insurance policy from your company?

It is very simple to buy a family floater health insurance policy from IFFCO Tokio. All you need to do is log onto our website and fill in some details about yourself and your family members. Based on the information you provide, we will offer you an instant quotation for your family floater health insurance policy. You can customize the specifics of the quotation and select any add-ons you require. Finally, just make the payment and you will then receive the insurance policy on the email address you have provided - the coverage of your policy will begin immediately.

If you are hesitant to buy a health insurance policy online, you can also walk into any of our branches and buy the best health insurance plan for your family. 

What cashless hospitalization denied under family health insurance plan?

Yes, there are situations when your claim for cashless hospitalization may be denied. These circumstances may arise if;

  • You have not presented genuine documents to your insurance provider
  • You contact details are not correct
  • You are suffering from an ailment that is not covered in the policy
  • The hospital you choose for treatment is not mentioned in the list of cashless hospitals of your insurance provider
  • The waiting period for certain treatment is not over

Do not worry even if your cashless treatment request is denied. You can pay for the treatment from your savings and then file for a claim with our claim settlement department directly. Just make sure that you read all the policy wordings carefully so that you can save yourself from all the troubles while making a claim. 

I have a small family and we all are young and healthy individuals. We lead a very healthy lifestyle and have never been to a doctor. Do I still need a family health insurance plan?

Yes, it is advisable for you and your family to get at least a basic health insurance plan. As a medical emergency can arise at any time, it is always better to be prepared than to regret later. A family health insurance policy helps you save a huge chunk of money in case of a sudden medical emergency. 

I have a life insurance policy, do I still need a family health plan?

Life insurance policy and a health plan are two different types of insurance policies. A life insurance policy offers financial assistance in case of death or disability. In the case of a health insurance family plan, your insurance provider compensates for all the medical expenses incurred if the insured faces a health problem and requires immediate treatment and hospitalization. As such, it is extremely important to have health insurance, even if you already have a life insurance policy.

Who can help me calculate my family Mediclaim policy premium?

You can calculate your family health insurance policy premium from the comfort of your house. All you need is to log in to our IFFCO Tokio website and follow our straightforward procedures that help you calculate the yearly premium that you will have to pay for the type of policy and add-ons that you select. If you have further queries, you can always head to our nearest branch or speak with our sales representative by calling on our helpline number. 

Are diagnostic and investigative tests covered under the family Mediclaim policy?

Yes, various medical tests are covered under the family mediclaim policy. These tests include blood tests, stool tests, CT scans, X-rays, sonography, MRI, and so on. However, a proper prescription is required and the test must be a part of the treatment of an ailment mentioned in your health insurance policy. Only then you will be able to make claims for such tests. 

Can I buy more than one family health plans?

Yes, you can buy more than one family health insurance policy. However, when you make claims, the insurance companies will settle the claims in rateable proportions. For instance, if your medical bill is of Rs. 50,000, and you hold health insurance policies from 2 companies, then each insurance provider will compensate Rs. 25,000 each to cover your medical expenses. 

What are the expenses that are covered under a Family Health Insurance plan?

The main purpose of a Family Health Insurance plan is to make sure that you and your family do not have to stress about the medical expenses. Each family will have a different lifestyle, and hence their requirements for medical coverage would differ. This is why our Family Health Insurance plans are designed with flexibility. So, whether you are a single parent, have just started a new family, or are living in a large household, you can buy such a plan keeping the coverage you need in mind.

Following are the expenses that are covered under a Family Health Insurance plan:

  • Recovery time benefits

  • Mental health covered

  • Health check-ups

  • No age restriction

  • Pre and post hospitalization charges covered

  • Cashless treatment at selected hospitals

How many people can be covered by Family Health Insurance?

You can include more than 2 family members under a Family Health Insurance policy. You can include your spouse, parents, children, brothers/sisters, and even other relatives such as your nephews, nieces, and in-laws who live with you. Also, you can always add new members of the family to your existing plan. This helps you avoid the hassle of buying a new individual plan.

What are the benefits of a Family Health Insurance plan?

A Family Health Insurance will provide coverage for your entire family at an affordable premium. The policyholder can cover their siblings, parents, and family members whom they live with. This even includes their brother or sister-in law.

Following are the main benefits of a Family Health Insurance plan:

  • Coverage without medical test up to the age of 60

  • Daily allowance up to a maximum of Rs.1000/- per day

  • 5000+ network hospitals for cashless services

  • Reinstatement of sum insured after a claim during the policy period

  • 3-lakh cover for 2 adults and 1 child at only Rs.25/- per day

  • Lifelong renewal guarantee

What cashless hospitalization denied under health insurance plan?

There are certain circumstances, when your claim for cashless hospitalization may be denied under your cheapest Mediclaim Policy. Here is why it may happen, read through the following to understand the working behind the denial of your cashless hospitalization claims:

  • Your documents are incomplete and are not what we require;
  • Your contact details registered, do not work or are incomplete as of now;
  • Your medical condition is not covered under our medical policy;
  • The hospital where you are receiving treatment is not under our network;
  • Your illness is of the pre-existing illness type and the stipulated time is not over yet;
  • If the request for pre-authorization was delayed.

Even if your claims are denied, do not worry; you can still try to make a claim for the costs incurred on your end and fill out the claim form duly.

Apart from this, settle the bill on your end and get in touch with us within the stipulated time for making a claim, we will help you out. Other than this, when you run into some problems or are hospitalized, you should get in touch with our customer care straight away to receive immediate help.

During the course of my treatment, can I change the hospitals?

You can easily change your hospitals while undergoing treatment under your mediclaim plan. You are entitled to receive the best care and if shifting hospitals helps, then, by all means, do so. We will cover your expenses. However, you will need to undergo a consultation with your doctor before doing so. To avoid unnecessary issues, choose a hospital that is covered under our network, and get speedy help.

How can I buy a medical insurance policy from IFFCO Tokio?

You can get yourself a mediclaim policy from our website. Our online procedure to buy insurance is easy and simple. Log on to our website, fill out your basic details, follow the instructions as mentioned on the website, make the premium payment and sit back to enjoy the benefits of our amazing Mediclaim plans for individuals. You can renew plans online as well without any problems.

If you are not okay with the online processes, walk into one of our branches with all the relevant documents and get your insurance today.

Successful claim of Health insurance plans for self

When you file for a claim under your cheapest Mediclaim policy, including Mediclaim for senior citizens, you need to understand that you will need to organize all of your medical documents and evidences of your medical history. All of these documents must be submitted to your insurance provider, that’s us. We will examine your documents and then process the claim accordingly.

You should keep all your communication details accessible, and only submit those details that are registered under your name and are still functional. When you submit your claim form, make sure to double check and make sure that all your documents have been duly attached. Any discrepancy here will require you to re-submit the missing documents within the next 15 days.

In case of planned hospitalization under your cheapest Mediclaim policy, including Mediclaim for senior citizens, you should state the same during pre-authorization. This will help you save a lot of time and allow us to help you in every way we can.

What are the advantages of sticking to one Insurance company for a long time?

Sticking to only one Mediclaim plan or policy has many benefits. The biggest benefit of sticking to single insurance is security. If you do not miss out on payments of your premiums you will have back up, for your untimely medical bills. Other than this, for long-running plans, including Mediclaim for senior citizens, there are some exclusive benefits that are available only after 48 months elapse.

Other than this, sticking to a single insurance plan allows you to rack up bonus and enjoy some exclusive benefits. Besides, your coverage will increase over time and also you might get some extra discounts for all Mediclaim policies including Mediclaim for senior citizens.

When you stick to only one Mediclaim plan, including Mediclaim for senior citizens, you may get loyalty discounts, and the claim settlement is faster when you have a long-standing track record with the company, as all the waiting period requirements would be satisfied by then.

Does your Health Insurance plan for cover everything from accident, surgery, normal hospitalization?

Health plans from IFFCO Tokio for individuals covers everything, from hospitalization, surgeries, injuries and even day-care procedure for some ailments.

However, you must remember that our policy will allow you an insurance claim only if your treatment is done by a registered medical practitioner.

What is the maximum number of claims allowed over a year?

When you buy a Mediclaim Policy from us, you can make claims under the Mediclaim policy as many times as you want. However, you will not be covered for any costs of medical expenses if your basic sum insured has been exhausted.

How do I get my insurance claim?

When filing for a claim or cover under the cheapest Mediclaim policy, including Mediclaim for senior citizens, you need to remember that you will need to furnish required documents within 30 days. All kinds of relevant documents, papers, certificates and other prescriptions and papers will be required to be duly filed along with the claim form.

However, in case you are in grave condition, you will be given an extension of 15 days besides the above-mentioned stipulated time. But you will be required to submit all of your documents stating the reasons for failure to submit the details within time under the Mediclaim plan including Mediclaim for senior citizens. If we are satisfied with your answers, we will process your claim.

Transfer of insurance plans without losing the renewal benefits?

As per the guidelines by IRDA, customers and policyholders of our Mediclaim plans including Mediclaim for senior citizens can easily transfer their insurance plans without losing their bonuses and renewal benefits.

At, IFFCO Tokio we have a large array of Mediclaim plans for everyone (including Mediclaim for senior citizens), out of which you can choose the plan you like.

If my policy is not renewed in time before the expiry date, will I be denied for renewal?

The time period for renewing your insurance policy including Mediclaim for senior citizens with our company is 30 days from the expiry of the policy. We suggest that you make your payment for renewal of your existing Mediclaim plans with us before the date expires. However, for some reason, if you are unable to do so, we implore you to do the same within 30 days of the expiry.

In case of failure to do so, the renewal of your plan including Mediclaim for senior citizens will fail, and you will not be allowed to renew your Mediclaim insurance.

How is a pre-existing condition defined under health insurance policy?

A pre-existing condition refers to any kind of disease or ailment that the insured person has been suffering from, before having bought an insurance policy at our company. The coverage for such diseases under our Mediclaim policy including Mediclaim for senior citizens is offered to you only after 48 months have elapsed since the commencement of your Mediclaim policy with us. But in case you port your policy including Mediclaim for senior citizens, from some other company and have been covered under the same policy for a while, we will consider the coverage for such pre-existing diseases.

Is there any Waiting Period for claims under a health plan?

When you buy an insurance or Mediclaim policy for the first time for yourself or Mediclaim for senior citizens, there is a waiting period of 30 days, starting from the commencement date, after which you can file your first medical claim under the policy. During the initial 30 days, you will not be eligible to file any claims and receive any help from the company. However, once the 30 days are over, you will be able to file claims and get reimbursement.

Policies including Mediclaim for senior citizens that are pending for renewal do not have such waiting period options; the claims are processed as per normal requirements.

What does a Health Insurance policy not cover?

There are certain pre-existing conditions that are not covered by our Mediclaim insurance policies (including Mediclaim policy for senior citizens). You can click here to access the list of exclusions under our policies.

Our plans and policies, including Mediclaim policy for senior citizens, do not cover any kind of optional cosmetic surgeries and treatments. Apart from this, there are certain medical conditions that are only available for cover after a waiting period of 24, 48, etc. months, as the case may be. For more information, please click here or call our customer care centre at 1-800-103-5499.

What are the factors that affect the Family Health Insurance premium?

The premium for your insurance plan depends on a variety of factors including:-

  • Your age.
  • Previous medical History.
  • Existing Medical Conditions.
  • Optional Critical Illness cover.
  • Optional Additional benefits.
  • Claim free years.
  • Your physical health.
  • Your financial history.

At IFFCO Tokio, we aim to provide everyone with a chance to take care of your health, which is why we offer you attractive plans including Mediclaim policy for senior citizens along with affordable premium options.

What are the tax benefits I get if I opt for health insurance?

Investing your money in health insurance is a good method of saving up on tax. Under the section 80D of the Income Tax Act, you get a deduction upto Rs. 30,000 on premiums paid for Mediclaim policy including Mediclaim policy for senior citizens.

Is cashless facility available under Mediclaim Policy for me?

At IFFCO Tokio, we have tie-ups with 4600+ hospitals, medical institutions, nursing homes and medical care providers to offer cashless treatment to the insured person or persons. Our cashless service, including Mediclaim policy for senior citizens, is available for a vast range of ailments, medical conditions, and injuries. All the hospitals that are covered under our network offer you the benefit of the best cashless Mediclaim policy treatment, where the insured person does not need not to pay any money or pay for any charges as charged by the hospital or the medical institution, all expenses are taken care of directly by us. However, these cashless payments by us are also subject to certain limits; we do not pay for expenses exceeding these limits.

We recommend all our clients to obtain a pre-authorization in the cases where the ailment is not life-threatening, including Mediclaim policy for senior citizens, to make sure that their cashless proceedings for such issues are streamlined and taken care of.

What kinds of Family Health Insurance plans are available?

At IFFCO Tokio, we understand that every person needs a different kind of plan to meet their requirements, for them. We make sure that you find the perfect Mediclaim policy to fit your needs. We offer you two broad kinds of individual health insurance plans. One out of these is where you sign the papers and authorize us to take up the full responsibility of your expenses. However, our reimbursement will not exceed the full sum insured to you, in any case. Apart from this, we offer you the option of co-pay insurance plans as well. Here according to the papers you sign, half of the expenses for your medical care are borne by us and the other half of it is borne by you. The rates and the percentages of such expense sharing are predetermined, and is signed by the insured person during the purchase of the insurance.

Get in touch with our customer care department to learn more.

Why is a Health Mediclaim Policy important?

Health insurance is somewhat of a necessity in our modern-day world. With all kinds of pollution and dangerous ailments right around the corner, it is a luxury for most people to find a balance between perfect health and their personal life. With Mediclaim policy and various kinds of plans, you get to relax a bit about your health. The correct Mediclaim plan will allow you to find good quality of medical service and care. Although there are some required procedures to be followed when it comes to finding the treatment that will be covered by your insurance plan, you can rest easy with insurance. The absence of such plans and policies including Mediclaim policy for senior citizens will leave all the costs on your shoulders and may risk your savings totally.

With the perfect mediclaim plans you can get a reimbursement for your costs and other medical expenses once you show the evidence for the same.

What kinds are Health Insurance policies offered by IFFCO-Tokio?

At IFFCO Tokio, we understand the value of good health and well-being for a person. And this is why we offer you two kinds of health insurance, one for your family and the other for you personally. Any of these insurance plans including Mediclaim Policy for senior citizens can be chosen and used as per your requirement. However, make sure that you comply with all of our needs and requirements from you.

What is Health Insurance?

A health insurance policy, including Mediclaim policy for senior citizens, is a binding and enforceable contract between IFFCO Tokio and yourself. We agree to indemnify you for any hospitalization expenses incurred while you are under the coverage of insurance policy and your Mediclaim will be processed as per our rules and regulations when you furnish all the required documents. Our insurance policy covers all hospitalization and other related costs to your medical treatment.

What do you mean by Individual Health Policy?

Individual health policy is a coverage that the insured person purchases on their own to maintain their health and take care of medical care whenever required by the insured person. A medical insurance premium is required to be paid before claiming your cover.

Other than this, every company has a certain number of days, for which the company does not provide a cover for. Our company does not offer you a medical cover for the claims raised in the first 30 days immediately after purchase.

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 policy.

What is a network hospital?

A hospital that has an agreement with us and offers cashless treatment is known as a network hospital. If you undergo treatment at one of these hospitals, we will directly cover the bills for you. You do not have to pay for any of the medical expenses - that's why these are also called cashless hospitals. The best mediclaim policy will have a larger network of cashless hospitals. This ensures you get access to convenient claims in case of a medical emergency. In this regard, IFFCO-Tokio has 5000+ network hospitals spread across India.

How long is an Individual Health Protector Policy valid for?

Most Health Protector Plans provide coverage for a single year only. This means you need to renew your plan every year to enjoy continuous coverage. If you do not renew your plan, it can lapse and you will have to cover medical expenses on your own. Therefore, when you buy a plan, take note of its expiry date and remember to renew it on time.

What happens to the Health Insurance Policy coverage after a claim is filed?

After a claim is filed and settled, the coverage of your Individual Health Protector Plan will be 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 a Sum Insured equal to or above 1.5 lakh, then you will also benefit from the Reinstatement Feature of our health insurance plans. This feature will ensure that the sum insured of your policy will be restored to its original amount after an appropriate premium has been charged for the same. This process will ensure that the full amount of the basic sum that was insured is available to you for the remainder of the period that is due to the policy opted for the reinstatement option.

Who should buy individual health insurance?

Any individual who is above the age of 18 years should buy an individual health insurance policy. Even though this is an age where it is quite unlikely for the individual to face health problems, you can never be sure. If in case there is a health complication, it is always good to be backed up by an individual health insurance plan.

Also, since the individual is at a young age, it is quite likely that they are healthy and would not face any health complications in the near future. This is how they can get insurance policies at very affordable premiums. They can also also get a lot of coverage options by their insurer, which might not be the case when they start aging.

What is covered under an individual health insurance policy?

Our individual health insurance policies are meant to cover the policyholder from their medical expenses. As we all are aware of, healthcare expenses can amount to quite the sum, and this is where our individual health insurance policies come in to save the day.

Here’s what our individual health insurance policy will provide coverage for:

  • Ambulance charges

  • Vaccination and health check-up charges

  • Pre- and post-hospitalization medical expenses

  • Critical illness and emergency assistance services

  • Room rent expenses such as service charges, hospital registration, etc.

  • 160+ daycare procedures

  • AYUSH treatments

What is waiting period?

Waiting period refers to the number of days for which a health insurance plan does not provide any coverage to the insured, other than for emergency cases like accident.

Does this health insurance plan cover maternity expenses?

No. Expenses related to or arising out of pregnancy, (except ectopic pregnancy) are not covered under this plan.

How many family members does this plan cover?

The Swasthya Kavach Policy covers the proposer, spouse and 3 dependents. (children, sibling, nephew and niece in the age group of 3 months-23 years)

What do you mean by sub-limit?

Sub-limit is an additional limit that is applied on various aspects of a health insurance claim.

Can this insurance policy be cancelled by IFFCO Tokio?

IFFCO Tokio will not cancel your insurance policy, unless it is a case of misrepresentation, concealment of material fact or fraudulent act of insured.

What are add-on covers?

Add-on covers are additional covers that come alongside a standard health insurance policy and can be purchased by the buyer on payment of extra premium.

What is domiciliary hospitalization?

Domiciliary hospitalization refers to the medical treatment that an individual receives at home, which should have otherwise been treated in a hospital but was not due to specific reasons.

What are few things to know before buying the Policy?

Insurance cover under the Individual Medishield Policy can be availed by any person who is primarily a resident of India as the coverage is available for treatment in India only. Coverage under the health insurance policy is available for persons as young as 3 months and up to 60 years of age. Children between the age of 3 months and 5 years can be covered only if both parents are covered under the health insurance concurrently.

The health policy requires no medical check-up up to the age of 60 years. For those older than 60 years, a pre-acceptance medical test is required to be done for fresh or/and break coverage. The medical tests will check blood sugar, urine, and ECG and will not be needed if there is no break in renewal of health insurance.

Individual Medishield Policy also has a provision for Family Package cover. This cover will include spouse, dependent children, and dependent parents. There will be a discount on premium if the Family Package cover is availed. The dependent children are defined as unmarried children under the age of 23 years.

The hospitalization shall take place in a defined institute for a minimum of 24 hours. This time period is not liable for the 121 listed daycare surgeries, where claims would be considered for shorter duration also.

What are the key benefits of buying Individual Medishield Policy?

  • The pre-existing disease exclusion period is for three years.
  • A large number of network hospitals across the country where cashless claim settlement facility is available.
  • 24x7 helpline for any support relating to claims.
  • Portability for those who want to switch plan from another insurer’s health insurance policy.
  • For those undertaking domestic travel, unique medical and personal assistance service is available at no extra cost.
  • Emergency assistance services in cases of accidents.
  • Unique add-on covers available through the Critical Illness Extension under this Policy.
  • Unique emergency medical and personal assistance is available for all insured persons undertaking domestic travel.

What is an individual personal accident policy?

An individual personal accident policy offers you financial protection and provides lump sum compensation in case you suffer from a fatal accident or an accident that leaves you permanently disabled. This compensation acts as a safety net and saves you and your family from a financial crunch as it also covers costs for hospitalization because of an accident.

Importance of a personal accident policy for homemakers

Accidents cannot really be predicted and can happen to anyone. From motor accidents and rail accidents to natural calamities, the list is truly endless. It might seem that such a policy might not be needed for a homemaker. However, it is always best to remain financially prepared and opt for an individual personal accident insurance that can help you meet the expenses if in any case a crisis were to arise in your life.

Individual personal accident policy along with health & life insurance?

While a life insurance offers death benefits to your nominees and beneficiaries in the case of your death, health insurance provides compensation or reimbursement for your hospitalization and other medical expenses. An individual personal accident policy, on the other hand, will insure you against financial risks that may arise due to the permanent total disability or death of the policy holder in an accident. The policy strengthens your financial portfolio and helps secure the future of your dependent family members.

Does the policy cover hospitalization expenses incur after an accident?

 Yes. You have the option to avail this benefit.

Individual personal accident policy cover death of dependent family?

Yes. You need to mention the names of your nominees or beneficiaries in the policy document and in case of your death, the sum insured will be paid to them by the insurance company.

Why homemaker also need an individual personal accident policy?

Accidents cannot really be predicted and can happen to anyone. From motor accidents and rail accidents to natural calamities, the list is truly endless. It might seem scary to think of such eventualities, but you cannot let them intimidate you. Be financially prepared and opt for an individual personal accident insurance that can help you meet the expenses in case any crises were to arise in your life.

Why homemaker also need an individual personal accident policy?

Accidents cannot really be predicted and can happen to anyone. From motor accidents and rail accidents to natural calamities, the list is truly endless. It might seem scary to think of such eventualities, but you cannot let them intimidate you. Be financially prepared and opt for an individual personal accident insurance that can help you meet the expenses in case any crises were to arise in your life.

Why homemaker also need an individual personal accident policy?

Accidents cannot really be predicted and can happen to anyone. From motor accidents and rail accidents to natural calamities, the list is truly endless. It might seem scary to think of such eventualities, but you cannot let them intimidate you. Be financially prepared and opt for an individual personal accident insurance that can help you meet the expenses in case any crises were to arise in your life.

Why homemaker also need an individual personal accident policy?

Accidents cannot really be predicted and can happen to anyone. From motor accidents and rail accidents to natural calamities, the list is truly endless. It might seem scary to think of such eventualities, but you cannot let them intimidate you. Be financially prepared and opt for an individual personal accident insurance that can help you meet the expenses in case any crises were to arise in your life.

Individual personal accident policy along with health & life insurance?

While a life insurance offers death benefits to your nominees and beneficiaries in the case of your death, health insurance provides compensation or reimbursement for your hospitalization and other medical expenses. An individual personal accident policy, on the other hand, will insure you against financial risks that may arise due to the permanent total disability or death of the policy holder in an accident. The policy strengthens your financial portfolio and helps secure the future of your dependent family members.

Individual personal accident policy along with health & life insurance?

While a life insurance offers death benefits to your nominees and beneficiaries in the case of your death, health insurance provides compensation or reimbursement for your hospitalization and other medical expenses. An individual personal accident policy, on the other hand, will insure you against financial risks that may arise due to the permanent total disability or death of the policy holder in an accident. The policy strengthens your financial portfolio and helps secure the future of your dependent family members.

Individual personal accident policy cover death of dependent family?

Yes. You need to mention the names of your nominees or beneficiaries in the policy document and in case of your death, the sum insured will be paid to them by the insurance company.

Individual personal accident policy cover death of dependent family?

Yes. You need to mention the names of your nominees or beneficiaries in the policy document and in case of your death, the sum insured will be paid to them by the insurance company.

What is an individual personal accident policy?

An individual personal accident policy offers you financial protection and provides lump sum compensation in case you suffer from a fatal accident or an accident that leaves you permanently disabled. This compensation acts as a safety net and saves you and your family from a financial crunch as it also covers costs for hospitalization because of an accident.

What is an individual personal accident policy?

An individual personal accident policy offers you financial protection and provides lump sum compensation in case you suffer from a fatal accident or an accident that leaves you permanently disabled. This compensation acts as a safety net and saves you and your family from a financial crunch as it also covers costs for hospitalization because of an accident.

Does the policy cover hospitalization expenses incur after an accident?

 Yes. You have the option to avail this benefit.

Does the policy cover hospitalization expenses incur after an accident?

 Yes. You have the option to avail this benefit.