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  • IFFCO Tokio Health Insurance

    IFFCO Tokio Health Insurance
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    Cashless Treatment

    Customer Service

    Medical Coverage

    Claim Experience

    IFFCO-Tokio General Insurance was incorporated on 4th December 2000. It is a joint venture between the Indian Farmers Fertilizer Co-operative (IFFCO) and its associates and Tokio Marine and Nichido Fire Group which is also the largest listed insurance group in Japan. IFFCO-Tokio General Insurance offers products like Motor Insurance, Health Insurance and other products.


    Iffco Tokio Health Insurance at a Glance

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    Coverage for your most loved ones

    Total members covered

    Coverage for a maximum of 5 family members with up to 2 adults and 3 children

    You get a choice of coverage tenure

    Pre and Post Hospitalization cover

    Pre and Post Hospitalisation expenses for maximum period of 60 days each, beyond hospitalisation period.

    The next best thing to having a doc in the family

    Health Check-ups

    Health check up expenses will be reimbursed once at the end of a block of 4 continuous claim free policy years, upto a maximum of 1% of the average sum insured of the block.

    * For a family health cover product.

    Critical Factors of the Plan

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    Not a paisa goes from your own pocket!

    Co-Pay

    No Co-pay

    You?re covered for any future medical expenses

    Life long renewable

    Plans are lifelong renewable and covers you for your entire lifetime.

    Get essential cover for existing ailments

    Pre-existing Diseases

    Any pre-existing condition will be covered after a waiting period of 3 year

    Hospital room rent determines your treatment bill

    Room Rent

    Room Rent @ 1.0% of Basic Sum Insured daily and ICU/ITU Rent @ 2.5% of Basic Sum Insured daily.

    *These Features may be included as part of different products and are subject to the insurer's terms & conditions.

    Additional Features of Iffco Tokio Health Insurance

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    Good health offers multiple rewards

    Unique add-on cover available through the Critical Illness Extension under this Policy, on payment of a small extra premium.

    The world is your healthcare oyster

    cashless hospitalization benefits in more than 3000 hospitals

    *These add-ons may be included as part of different products and are subject to the insurer's terms & conditions.

    Overview

    IFFCO Tokio General Insurance Co. Pvt. Ltd. was founded in the year 2000 by its promoters viz. IFFCO (& associates) and Tokio Marine and Nichido Group,


    This private insurer registered outstanding growth during the decade 2001 - 2011 and is now a leader in the private general insurance sector. Its business network, spread all over the country, consists of 65 Strategic Business Units, 120 Lateral Spread Centres and 255 Bima Kendras. It provides financial protection to all strata of society with plans suited to farmers and large manufacturers alike.


    IFFCO Tokio has the underwriting, reinsurance and risk management capabilities of Tokio Marine and Tokio Risk Consulting. It was a pioneer of large-scale underwriting in the fertilizer and auto segments. In addition to its suite of traditional products, the company has developed niche policies like Credit, Fine Arts, Profit and Loss Insurance etc. They also pioneered the use of technology like RFID and NDVI to create assurance solutions pertaining to cattle and weather.


    Another feather in its cap is that it is the only insurance company in India that has a fully-owned subsidiary (IFFCO Tokio Insurance Services Ltd.) which is a distribution channel servicing retail clients in over 350 towns.


    IFFCO Tokio also has its set its sights on the rural markets as well. Inclusion is one of its priorities, which is evident in some of its plans such as Mausam Bima Yojana, Mahila Suraksha Bima Yojana and Janata Bima Yojana etc.


    This company leverages on information technology to help process and settle claims speedily and efficiently.


    IFFCO - Indian Farmers Fertilizer Co-operative, is the Indian promoter of IFFCO Tokio. It is the largest co-operative fertilizer manufacturer in the world, providing products and services to the agricultural community since 1967. This multinational enterprise is widely recognised for its excellence in production, marketing and customer service. With 40,000 member societies, it contributes to the country’s economic development by supporting government initiatives aimed at increasing national food production.


    TOKIO Marine Asia Pte. Ltd. is the foreign promoter, with a 26% stake in IFFCO Tokio. Tokio Marine & Nichido Fire Insurance Co. has been in existence for over 120 years making it the oldest general insurance provider in Japan. The growth it has achieved during its lifetime has made it the largest player in this segment. It is a part of the world-renowned Mitsubishi Group and has an S&P rating of ‘AA’ which tells of its sound financial position.


    The following plans are on offer as part of the company’s health insurance line:

    • Family Health Insurance Policy
    • Individual Medishield Policy
    • Critical Illness Insurance Policy
    • Family Health Protector Policy
    • Health Protector Plus Policy
    • Health Protector Policy
    • Personal Accident Insurance Policy

    Why Compare IFFCO Tokio Health Insurance Plans on BankBazaar?

    Swasthya Kavach Family Health Insurance

    Eligibility

    • Entry age: 18 years to 60 years; 91 days to 23 years for children as dependents
    • Maximum Renewability age: 80 years.
    • Medical screening: Required for persons over 45 years.

    Coverage

    Basic Plan
    • Inpatient hospitalisation expenses, subject to overall limit of sum assured:
      • Room charges: 1% of chosen sum assured.
      • ICU/ITU charges: 2% of chosen sum assured.
      • Registration, Service charges, surcharge and other similar charges: Lower of actuals or 0.5% of sum assured.
      • Nursing costs (includes pre/post hospitalisation periods).
      • Fees of medical personnel like specialists, consultants etc.
      • Costs pertaining to: Oxygen, Blood, Anaesthesia, Diagnostic tests, Pathological tests, Operation Theatre., Chemotherapy, Dialysis, Prosthetic limbs or devices and other required consumables or equipment or services for treatment.
      • Ambulance charges: Lower of actuals or Rs.750.
      • Cash allowance for each day of hospital stay: Rs.150 per day
      • Domiciliary hospitalisation: Up to 20% of sum assured.
      • Pre-hospitalisation expenses: Up to 30 days.
      • Post-hospitalisation expenses: Up to 30 days, limited to Rs.7,500.
      • Donor’s hospitalisation expenses.
      • Package charges for specific treatments: Lower of 80% of actuals or 80% of sum assured.
    Wider Plan
    • Room charges: 1.5% of chosen sum assured.
    • Registration, Service charges, surcharge and other similar charges: Lower of actuals or 0.5% of sum assured.
    • Nursing costs (includes pre/post hospitalisation periods).
    • Fees of medical personnel like specialists, consultants etc.
    • Costs pertaining to: Oxygen, Blood, Anaesthesia, Diagnostic tests, Pathological tests, OT, Chemotherapy, Dialysis, Prosthetic limbs or devices etc.
    • Ambulance charges: Lower of actuals or Rs.1,500.
    • Cash allowance for each day of hospital stay: Rs.250 per day.
    • Domiciliary hospitalisation: Up to 20% of sum assured.
    • Pre and Post-hospitalisation expenses: Up to 30 days each.
    • Donor’s hospitalisation expenses.
    • Health check costs: 1% of average chosen sum assured upon completion of 4 claim-free years.
    • Package charges for specific treatments: Lower of 80% of actuals or 80% of sum assured.
    • Add-on cover for specific critical illnesses on family floater basis, on payment of additional premium.

    Sum Assured

    • Rs.2 lakhs, Rs.3 lakhs, Rs.4 lakhs or Rs.5 lakhs.
    • Cumulative or No-claim bonus: 5% increase in chosen sum assured; upon renewal; for every claim-free year, up to a maximum of 10 years i.e. 50% (NCB applies to each insured member under the family package).

    Benefits:

    • Cashless claim facilities.

    Individual Medishield Policy

    Eligibility

    • Entry age: 3 months to 80 years, 3 months to 5 years for children, if both parents are covered under the same plan.
    • Medical screening: Required for persons above 45 years.

    Coverage

    • Inpatient hospitalisation expenses (subject to overall limit of chosen sum assured), includes -
      • Room charges: 1% of the sum assured for each day of hospital stay.
      • ICU/ITU rent: 2.5% of the sum assured for each day of hospital stay.
      • Registration, Service charges, surcharge and other similar charges: Lower of actuals or 0.5% of sum assured.
      • Nursing costs (includes pre/post hospitalisation periods).
      • Fees of medical personnel like specialists, consultants etc.
      • Costs pertaining to: Oxygen, Blood, Anaesthesia, Diagnostic tests, Pathological tests, OT, Chemotherapy, Dialysis, Prosthetic limbs or devices etc.
      • Ambulance charges: Lower of 1% of sum assured or Rs.1,500.
      • Cash allowance: Lower of 1% of sum assured or Rs.250 for each day of hospital stay.
      • Domiciliary hospitalisation: Up to 20% of sum assured.
      • Pre and Post Hospitalisation expenses: Up to 60 days each.
      • Organ donor’s hospitalisation expenses.
      • 121 day care procedures
      • Add-on cover for 10 major critical illnesses: Payout is equal to base sum assured chosen, paid in addition to base sum assured; 30% additional premium
      • Ayurvedic/Homeopathic treatment: Up to 10% of the sum assured (includes costs during the pre/post hospitalisation period).
      • Health check costs: 1% of average chosen sum assured upon completion of 4 claim-free years.
      • Package charges for specific treatments: Up to 80% of sum assured.

    Sum assured

    • Rs.1 lakh to Rs.5 lakhs, in increments of Rs.50,000.
    • Cumulative or No-claim bonus: 5% increase in chosen sum assured, upon renewal, for every claim-free year, up to a maximum of 10 years i.e. 50%.
    • Basis: Individual or Family floater basis (Family includes the proposer, his/her spouse, dependent children and dependent parents).

    Premium

    • Family Package discount: 5% up to two members; 10% above two members.

    Critical Illness Insurance Policy

    Aimed at covering costs of major critical illnesses which can strain finances more than regular ailments.

    Covers the following ailments:

    • Cancer
    • Renal failure
    • Coronary artery disease for which bypass surgery is required.
    • Major organ transplant
    • Paralytic Cerebral Stroke
    • Loss of limbs due to accidents

    Coverage is effective if the insured person is diagnosed with the above mentioned ailments during the policy period. If any of these conditions existed prior to policy inception, or if the proposer had prior knowledge of the same before entering into the contract, the company is not liable for the same.

    This policy becomes effective only upon completion of the waiting period of 120 days from policy inception.

    The above mentioned ailments are covered only if diagnosed by a qualified medical practitioner and such diagnosis is supported by relevant tests.

    Each ailment can be covered only once i.e. once a claim is processed for a particular ailment , the said ailment is no longer covered by this plan.

    Family Health Protector Policy :

    Coverage:

    • Inpatient hospitalisation costs, includes -
      • Normal room:
        1. Sum insured > Rs. 7 lakhs - the actual amount; no sub limits.
        2. Sum insured < Rs. 7 lakhs - Lower of actuals or up to 1.5% of sum assured.
      • Intensive Care Unit (ICU): Lower of actuals or up to 2.5% of sum assured.
      • Registration charges and service charges: 0.5% of sum assured per hospitalisation.
      • Doctors, consultants, anaesthetists
      • Blood, oxygen, x-ray, radiotherapy, chemotherapy, operation theatre and other consumables, equipment or services as required for treatment.
      • Prescribed vitamins and tonics.
      • Ayurveda, homeopathy, unani and siddha treatment subject to limits.
      • Domiciliary hospitalisation: 20% of sum insured.
      • Organ donor’s hospitalisation expenses
      • Ambulance charges: Lower of Rs.2,500 or 0.75% of sum insured or Rs 2500.
      • Pre/Post-hospitalisation expenses: Up to 45 days and 60 days respectively.
      • 121 day care procedures.
      • Health check expenses: Every 4 claim-free years ; up to 1% of average sum insured.
      • Vaccinations: Every 2 years; 7.5% of total premium paid (single member) and 15% of total premium (all members).

    Add-on covers:

    • Critical Illness: Additional sum insured
    • Intensive care unit: 6% additional cover on basic premium; no sub-limits on room rent.

    Discounts

    • Cumulative/ No-claim bonus: 5% of basic sum assured upon renewal after every claim-free year, up to 50%

    Health Protector Plus Policy

    Coverage:

    Expenses incurred during hospital stay, pertaining to:

    • Boarding and nursing.
    • Medical practitioner, anaesthetist, consultant fees.
    • Blood, oxygen, x-ray, radiotherapy, chemotherapy, operation theatre.
    • Ayurveda, Homeopathy and Unani treatments undertaken at government approved centres.
    • Ambulance charges: Lower of actuals or Rs 3000
    • Daily cash allowance: 0.10% of sum assured.
    • Domiciliary hospitalisation expenses: 20% of sum assured.
    • Pre/Post-hospitalisation: Up to 30 days/ 60 days respectively.
    • Organ donor’s hospitalisation expenses.

    Add-on covers:

    • Waiver of deductibles: On payment of additional premium in case of loss or change of job; for insured persons up to 55 years.

    Premium:

    • Loading applicable on certain conditions like diabetes, hypertension and obesity: 10% to 25%.

    Discounts:

    • Family discount on total premium: 5% for 2 members; 10% for 3 or more members.
    • Online purchase discount: 5% on total premium.

    Health Protector Policy:

    Coverage:

    • Room rent
      • Sum assured > Rs 5 lacs - the actual amount.
      • Sum assured < Rs 5 lacs - lower of actuals or up to 1.75% of sum assured.
    • Intensive Care Unit - Lower of actuals or up to 3% of sum assured.
    • Registration charges and service charges: 0.5% of sum assured per hospitalisation.
    • Fees pertaining to Doctors, Consultants, Anaesthetist’s.
    • Costs for consumables or equipment like blood, oxygen, x-ray, radiotherapy, chemotherapy,operation theatre and other related expenses necessary for treatment.
    • Cost of prescribed vitamins and tonics.
    • Ayurveda, homeopathy, unani and siddha treatment subject to limits.
    • Domiciliary hospitalisation: 20% of sum insured.
    • Organ donor’s hospitalisation expenses within limits
    • Terrorism-related injuries or illness.
    • Ambulance charges: Lower of 1.00% of sum insured or Rs 2,500.
    • Cash allowance: 0.20% of sum insured per day during hospitalisation.
    • Pre/Post-hospitalisation expenses: Up to 45 days/60 days respectively.
    • 121 day care procedures.
    • Health check expenses: Every 4 claim-free years , up to 1% of average sum insured.
    • Vaccination charges: Every 2 years; 10% of total premium paid.

    Add-on covers:

    • Critical Illness: Additional sum assured.
    • Intensive care unit/ Normal Room charges: On payment of additional premium, waiver of sub-limits on ICU or normal rooms.

    Discounts:

    • Cumulative bonus: 5% annual increments in basic sum assured awarded on renewal for every claim-free year, subject to a maximum of 50%.

    Rising healthcare costs in India are a matter of concern to all individuals given its potential for a major financial fallout on account of unexpected medical treatments. Inflation is only expected to make access to healthcare more difficult in the future. Availing health insurance at an early stage in life can help mitigate medical expenses and makes for sound financial planning as well as a peaceful and long life.

    IFFCO Tokio Personal Accident Insurance Policy

    Eligibility
    • Entry age: 5 years to 70 years
    • Individual should not be in any hazardous occupation like aviation, ballooning etc. and should not be a member of the armed forces
    Coverage
    • Death Benefit – 100% of sum assured
    • Loss of sight (both eyes) – 100% of capital sum assured
    • Loss of two limbs – 100% of capital sum assured
    • Loss of one limb and one eye – 100% of sum assured
    • Loss of sight in one eye – 50% of capital sum assured
    • Loss of one limb – 50% of capital sum assured
    • Permanent total and absolute disablement – 100% of capital sum assured
    • Any other permanent partial disablement - % as assessed by doctor
    • Temporary total disablement – 1% of capital sum insured or Rs.25000 whichever is lower
    • Expense for carrying dead body – 2% of sum insured or Rs.25000
    • Ambulance Charges – Rs.1000 per insured person
    • In the event of loss of employment owing to accident – Rs.10000 or 1% of capital sum insured whichever is lower
    • Education expense in the event of death or total permanent disablement of the policyholder – 10% of capital sum assured up to a maximum of Rs.5000 for children up to age 23 and 10% of capital sum insured subject to a maximum of RS.10000 for children more than 23 years of age
    Benefits

    IFFCO Tokio personal accident insurance policy offers several additional benefits over and above the regular accidental benefits. Here is a glimpse of all the extra doles that this insurance scheme offers –

    • Employment Benefit

      In the event of loss of employment owing to death or permanent disablement due to accident, financial compensation up to specified limits is rendered to the policyholder or his/her beneficiaries.

    • Ambulance Benefit

      IFFCO Tokio personal accident policy pays any ambulance charges that might arise as a result of accident of the insured person.

    • Education Benefit

      In the unfortunate event of death or disablement of the insured person due to accidental reasons, the personal accident policy pays the education cost of dependent children up to a certain limit.

    • Cumulative Benefit

      Under the cumulative benefit of the personal accidental insurance scheme, sum assured is automatically increased on renewal of insurance policy, even without paying a higher premium. Apart from these benefits, the policy offers compensation for damage to clothes in an accident, expenses for carrying dead bodies etc.

    IFFCO Tokio Health Insurance FAQs

    1. Do I need Health Insurance if I am young and Healthy?
    2. Yes. No one knows when a medical urgency may arise. Health Insurance keeps you protected in case of sudden injury due to accident as well as against a host of serious sicknesses. Also, Health Insurance takes care of hefty expenses that are made in case a sudden serious medical emergency strikes.


    3. I have a Health Insurance scheme from my Employer, do I still need a personal Health Insurance policy?
    4. Employer-provided Health Insurance policy is generally non-transferrable. This means that you might face problems in case you take a job switch. Hence, it is advisable to own an individual Health Insurance policy too which will keep you covered all the time.


    5. Is maternity/pregnancy covered as a part of Health Insurance Schemes?
    6. No. However, company provided group insurance schemes generally cover maternity too.


    7. What is coverage amount?
    8. Coverage amount is the sum insured or the sum assured that needs to be paid in the event of a claim.


    9. Is there tax benefit on Health Insurance schemes?
    10. Yes. Tax exemption is available under section 80D of the Income Tax Act.


    11. What is the maximum and minimum policy duration?
    12. Most policies come for a whole year after which they are to be renewed. However, certain policies also offer two years for renewal.


    13. Are diagnostic charges covered in Health Insurance?
    14. Yes. Diagnostic tests like MRI, CT-Scan etc. are covered under the medical insurance schemes.


    15. Are homeopathy and naturopathy covered?
    16. No. These treatments are not covered under a standard policy.


    17. Can I buy more than one health policy?
    18. Yes. In that case, both health policies will share equally (up to the sum assured) the claim among themselves and pay out your medical expense.


    19. What happens to the policy once a claim is made?
    20. The policy will continue normally, however, whatever is the amount of claim made that would be reduced from the sum assured. For e.g. a policy of 5 lakhs will be reduced to 3 lakhs in case a claim of 2 lakhs has already been made.


    21. What are the documents required for getting a Health Insurance policy?
    22. None. Only basic documents such as ID proof are required at the time of making a claim.


    23. Do I need to go personally for renewing my IFFCO Tokio policy?
    24. No. There are many health insurance policies that can be renewed online too.


    25. Can I cancel my IFFCO Tokio policy?
    26. Yes. A policy can be cancelled and the premium paid is refunded based on the rates mentioned in policy terms and conditions.


    27. Are emergency services covered under the base plan and the wider plan of the IFFCO Tokio Health Insurance Policy?
    28. Yes. Emergency services like ambulance and to and fro hospital travel of one designated family member is also covered under the IFFCO Tokio Health Insurance Policies. Other emergency services like care/transportation of minor children, medical repatriation etc. are also provided.


    29. Is dental treatment covered under IFFCO Tokio Health Insurance schemes?
    30. Yes. Dental treatment is covered up to a certain maximum amount.


    31. What is the maximum number of claims that can be made?
    32. There is no restriction on the number of claims however, the sum assured is a constant.


    33. What all is not covered under the Swasthya Kavach Family Health Policy?
    34. Generally, pre-existing sicknesses and sicknesses within 30 days of availing the policy are not covered. Also not covered are the following –

      • Any expense incurred during the first year of policy on operation of ailments like tonsillitis, Gastric Ulcer, Cyst/Polyps, Breast Lumps.
      • Injury or disease caused by war, invasion or any act of foreign army
      • Cost of spectacles, hearing aids etc.
      • Standalone expenses like X-ray, MRI unless related to hospitalization of covered diseases
      • Maternity Expenses
      • Any OPD treatments

      NOTE: Other exclusions also are part of the policy. Please go through the policy details on the official website of Iffco Tokio.


    Examples of Network Hospitals in Major Cities

    CITY NAME OF HOSPITAL
    DELHI INDRAPRASTHA APOLLO HOSPITAL
    MUMBAI MANGAL ANAND HOSPITAL
    KOLKATA RABINDRANATH TAGORE INTERNATIONAL INSTITUTE OF CARDIAC SCIENCES
    BANGALORE CHURCH OF SOUTH INDIA HOSPITAL
    CHENNAI SHIVASUNDER HOSPITAL

    *Disclaimer - This is not an exhaustive list but an indicative representation of hospitals that form a part of the company's wider network.


    News About Iffco Tokio Health Insurance

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