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IFFCO Tokio Individual Medishield Policy

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Individual Medishield is a health insurance policy offered by IFFCO Tokio General Insurance Company. With this policy, you can get cashless hospitalization in more than 3000 network hospitals of the company spread across the country. The policy reimburses your expenses incurred in pre-hospitalization and post-hospitalization.

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Features & Benefits of IFFCO Tokio Individual Medishield:

Entry Age The policy offers coverage for persons between the ages of 3 months to 80 years. Children between the ages of 3 months to 5 years can also be covered under this policy, provided both parents are covered under the same policy.
Basis Individual
Medical Screening Medical checkup is not required up to 45 years. Beyond 45 years, pre-acceptance medical tests like Blood Sugar, ECG and Urine needs to be done for fresh and break coverage. For individuals beyond 55 years, additional medical tests are required for fresh and break coverage.
Renewability Renewability is available. You can renew it online as well. However, the policy needs to be renewed within the expiry date or within a grace period of 30 days from the date of expiry.
Special Features
  • All resident individuals are covered.
  • Treatment shall be available only in India.
  • Includes provision for Family Package cover with discount on premiums.
  • Hospitalization needs to be done for a minimum of 24 hours.
  • Ayurvedic and Homeopathic hospitalization treatments are also covered under this policy.
  • The optional Critical Illness Extension cover can be taken under this policy by paying an extra 30% on the basic premium.
  • The policy will automatically terminate upon the death of the insured person and upon exhaustion of the limit of coverage.
Sum Assured Total ten sum insured options are available under this policy for your benefit. Sum insured ranges from Rs.50, 000 to Rs.5,00,000.
Premium Premiums vary based on the basic sum insured and age of the insured individual. Premium rates are same at all cities in India, except for Gujarat, where it is different.
Discount
  • A discount of 5% is given to Family Package cover, if two persons are covered. If more than two person are covered, discount becomes 10%.
  • Also, a special premium discount is offered under this policy, if the insured person has taken his/her Motor Two Wheeler Insurance policy with IFFCO Tokio.
Benefits
  • Get a digitally signed copy of the policy document immediately after purchase.
  • Income tax benefit under section 80D of the Indian Income tax Act, 1961, is available to the main proposer.
  • No provision for any excess payment or co-payment under this policy.
  • Pre-existing disease exclusion is applicable for the initial 3 to 4 years only.
  • Hassle free claim settlement procedure. No third party administrator is involved.
  • Offers portability.
  • Unique add-on cover available for the Critical Illness Extension cover under this policy.
  • Value added services offering emergency medical and personal assistance services for the insured person undertaking medical travel.
Policy Cover
  • Hospitalization expenses incurred for treatment of physical disease or injury during the policy period.
  • Room rent and ICU charges are covered up to a specified limit.
  • Registration, service charges and surcharges are covered up to a maximum of 0.5% of the basic sum insured.
  • Nursing expense during pre and post hospitalization periods is covered.
  • Surgeon, anesthetist, consultant’s fee is covered.
  • Cost of medicines, blood, oxygen, anesthesia, diagnostic and pathological tests, operation theatre charges, cost of chemotherapy, dialysis, pacemaker, artificial limbs etc. is covered.
  • Ambulance charges are covered up to 1.0% of the basic sum insured. It is subject to a maximum Rs 1,500.
  • Daily allowance is covered up to a maximum Rs. 250 per day during hospitalization.
  • Domiciliary hospitalization expenses are covered.
  • Pre and post-hospitalization expenses are covered for a maximum period of 60 days each.
  • Hospitalization expenses covered for person donating organs during an organ transplantation of the insured person.
  • Health check-up cost is covered once at the end of 4 claim free years.
  • Covers prescribed package charges of hospitals for specific treatments.
Bonus Cumulative bonus of 5% is offered for each claim free year at renewals. It is subject to a maximum 50% of the basic sum insured. In case, a claim is made, the bonus gets reduced by 10% at next renewal.
Exclusions Any pre-existing disease for a period of 3 years is not covered. Cost spent in spectacles, contact lens or other hearing aids, dental treatment expenses, cost of external medical equipment are not covered under this policy.

Find cashless network hospitals nearby: IFFCO Tokio Cashless Network Hospitals

Also Read: Check Incurred Claim Ratio of Health Insurers

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Also Read: How to File a Claim with IFFCO Tokio?

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GST rate of 18% applicable for all financial services effective July 1, 2017.

Disclaimer: Premiums may vary depending upon factors like age, location and prevailing taxes/GST.

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