Coverage for Pre- and Post- Hospitalization Medical Expenses.
Individual Medishield Insurance
Smart ways to protect yourself from financial risks
Smart ways to protect yourself from financial risks
IFFCO-Tokio is one of the top insurance providers when it comes to individual medical insurance. Let’s look at some of the reasons you should choose IFFCO-Tokio to insure your health:
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BUY/RENEW POLICY| Key Features | Benefits of IFFCO-Tokio |
|---|---|
| Sum Insured | Rs. 50,000 to Rs. 5 lakhs |
| Room Charges | S.I of 3 Lacs and above : Covered up to actuals (depending on plan variant) S.I below 3 Lacs: Up to 1% of S.I. |
| ICU Charges | S.I of 3 Lacs and above : Covered up to actuals (depending on plan variant) S.I below 3 Lacs: Up to 2.5% of S.I. |
| Ambulance Charges | 1% of S.I or up to Rs. 1,500 per hospitilization |
| Daily Allowance Cover | Up to Rs. 250/- per day |
| Co-pay | Nil |
| Critical Illness | Covered |
| No medical test upto | Age 60 |
| Reinstatement Benefit | Available |
| Day Care Cover | 160+ Procedures Covered |
| Online Renewal | Available |
| Lifelong renewal | Yes |
| Tax Benefit under 80D | Available |
| Cashless Treatment | Available at 6400+ Hospitals |
| Covid-19 Treatment | Covered |
| Claim Assistance | With 24/7 customer service |
| Pre and Post Hospitilisation Expenses | Covered |
| Nursing Expenses | Covered |
| Members Covered | Members of the family consisting of you, your spouse, dependent children upto the age of 23 yrs. |
What it covers?
Nursing expenses, including those incurred during the pre- and post-hospitalization of the insured, within the limits of the sum, insured specified in the policy.
Daily allowance @ 0.1% of Basic Sum Insured. This amount is subject to a maximum of ₹250 per day for a period of hospitalization.
In the case of organ transplant, the policy will cover hospitalization expenses of the donor, within the overall limit of the sum insured specified in the health policy.
Any cost of health check-up, once at the end of four claim-free years @ 1.0% of average Basic Sum Insured.
Ambulance charges in connection with any admissible claim. This amount is limited to 1.0% of the Basic Sum Insured or ₹1500/- whichever is less for each claim.
The Individual Medishield Policy will cover Ayurvedic hospitalization. This will include pre- and post-hospitalization expenses. The amount shall be limited to 10% of the Basic Sum Insured.
Exclusions
Pre-existing disease for a period of 3 continuous years of coverage, from the start of the insured's first health policy.
There will be a 30 day waiting period for newly acquired/diagnosed diseases. This will not involve accidents.
One year exclusion for certain specified diseases listed in the policy.
Any expenses incurred on spectacles, contact lenses or hearing aids.
Any Dental treatment, unless it requires hospitalization.
General debility, congenital diseases/defects, sterility.
All claims that arise from or are related to pregnancy.
Any out-patient or domiciliary treatment.
Any expenses on external medical equipment.
Any claim that arises due to participation in dangerous sports/activities.
Any claim that arises or is related to HIV/AIDS
Claims related to the war, terrorism and nuclear risks.
All non-medical expenses incurred, including those for personal comfort and convenience.
Claims for expenses on treatment of obesity, hormone replacement therapy or sex-change procedure.
Expenses incurred on naturopathy, experimental or alternative medicine. Also, acupressure, acupuncture, magnetic and similar therapies.
Cancellation
IFFCO-Tokio will not cancel your insurance policy unless it is a case of misrepresentation, concealment of a material fact or fraudulent act of insured.
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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.
Health Insurance
I choose my health cover very carefully and Iffco Tokio was the only one that met all my requirements.
Rated by: Chirag Babu
Health Insurance
You understood my needs and delivered what you promised, thank you Iffco Tokio for such a great service!
Rated by: Yakub Kapadia
Health Insurance
The family health insurance plan by Ifcco Tokio was very helpful when I was hospitalised for a few days last year.
Rated by: Siddhart Sharma
Health Insurance
The entire process of getting my health insurance plan was digital, very convenient!
Rated by: Radhey Deewan
Health Insurance
I was very pleased with the coverage of my Iffco Tokio health insurance policy.
Rated by: Saqib Salim
