Individual Medishield Insurance

Smart ways to protect yourself from financial risks

Online Individual Medishield Insurance Policy

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:

Coverage for Pre- and Post- Hospitalization Medical Expenses.

No need for medical check-up to the age of 60 years.

Up to 121 day care surgeries covered.

Coverage for nursing expenses and other related fees.

Coverage for Hospitalization expenses of anybody donating an organ to the insured person.

Re-existing disease exclusion is applicable for three years, unlike most insurance policies in the market that do not cover pre-existing disease for four years.

Health check up – The cost of health check-up is covered once in a block of four claim-free years @1% of Basic Sum Insured.

Daily allowance – This can go up to a maximum of 250 for the duration an insured is hospitalized.

24*7 Call centre support to provide information and support related to claims.

5000+ Network Hospitals where the insured can avail cashless settlement of claims.

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BUY/RENEW POLICY

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.

Know More About Individual Medishield Insurance Policy

Top Features of Individual Medishield Policy

Mediclaim Policy for Senior Citizens

What is a Cashless Mediclaim?

FAQs

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 some of 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.

Customer Reviews

This policy is really nice. I am very happy to take this Health Insurance from IFFCO Tokio.

Rated by: Deepan Sharma

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