Swasthya Kavach Family Health Insurance Policy

IFFCO Tokio’s Family Health Insurance policy (also known as Swasthya Kavach Policy) offers top-of-the-line and potential financial instability. They offer cashless hospitalization in over 4,000 hospitals across the country and offer affordable premiums.

Features & Benefits of IFFCO Tokio Swasthya Kavach Policy:

Eligibility and entry age
  • 18 years to 60 years of age of the proposer.
  • Residents of India from any nationality.
  • Coverage available for proposer and up to 3 dependants (children, siblings, nephews or nieces between 3 months to 23 years of age).
Sum insured options and plan options Four floater sum insured options:
  • Rs.2,00,000.
  • Rs.3,00,000.
  • Rs.4,00,000.
  • Rs.5,00,000.
Two plans available – Base Plan and Wider Plan.
Coverage Base Plan Wider Plan
Room Rent 1% of basic sum insured, daily. 1.5% of basic sum insured, daily.
ICU / ITU Rent 2% of basic sum insured, daily. 2.5% of basic sum insured, daily.
Ambulance Charges Up to Rs.750. Up to Rs.1,500.
Daily Allowance Rs.150 per day. Rs.250 per day.
Pre and post hospitalization expenses 7% of hospitalization charges, for a maximum of Rs.7,500. No limit.
Both Base Plan and Wider Plan cover:
  • Domiciliary hospitalization expenses up to a maximum of 20% of the basic sum insured.
  • Hospitalization expenses of persons donating organs during organ transplant of the insured.
  • Prescribed package charges of hospitals for specific treatments up to 80% of sum insured or 80% of actual expenses, whichever is less.
  • Nursing expenses including those which occur during pre and post hospitalization periods.
  • All types of medical practitioner’s fees.
  • Cost of blood, medicine, oxygen, anaesthesia, diagnostic and pathologic tests, operation theatre charges, dialysis, prosthetic limbs, etc.
  • Registration, service charges and other hospital charges subject to a maximum of 0.5% of the sum insured.
  • No medical check-up required up to the age of 45 years.
  • Free enhancement of sum insured (cumulative bonus) of 5% is granted per claim free year, upon renewal, up to a maximum of 50%.
  • Premium depends on the sum insured and the plan opted for, number of family members and age of the eldest insured person.
  • Optional critical illness extension can be taken on the Wider Plan - this pays out double the sum insured on diagnosis on 10 predetermined critical illnesses, for an extra 30% on premium.
  • Special discount for IFFCO Tokio Motor Two Wheeler policy holders. Discount also available if insured person is already insured under an IFFCO Tokio group policy.
  • No “excess” or “co-op pay” under the policy and the full eligible claim is paid without any deductions (except if mentioned under exclusions).
  • All claims processing handled in-house.
  • 24x7 call centre facility for easy claims processing.
Tax Benefit Income tax benefits under Section 80D of the Income Tax Act, 1961.
Exclusions Treatment arising from or traceable to:
  • All medical conditions pre-existing at the time of policy issuance.
  • All diseases contracted within the first 30 days from the policy commencement date.
  • Intentional self-injury or attempted suicide.
  • Cosmetic or aesthetic treatment.
  • Alcohol or drug abuse.
  • HIV / AIDS, STDs, Venereal diseases, congenital diseases.
  • Cost of spectacles, contact lenses or hearing aids.
  • Dental treatment not requiring hospitalization.
  • Pregnancy or childbirth.
  • Dangerous and hazardous sports and activities.
  • Genetic disorders, stem cell implantation or surgery.
  • Alternative medicine therapies like naturopathy, acupuncture, magnetic therapy, etc.
  • First 10% of any admissible claim, if insured person is suffering from either diabetes or hypertension and first 25% of claim, if he is suffering from both diabetes and hypertension. This provision is applicable for claims arising out of diabetes and/or hypertension only.
  • War, terrorism, nuclear radiation, etc.

This health insurance policy takes care of you and your family’s medical care before and after the actual treatment period of hospitalization. It covers a wide range of hospitals and treatments and is the perfect way to cover your financial liability in case you are hospitalized. The policy also provides for emergency medical evacuation, consultation, evaluation and referral ensuring you get the best care and treatment and not have to falter under the financial burden arising from the same.

*Disclaimer: Please chose your policy wisely after careful consideration of all policy documents and literature therein. Diligent examination and scrutiny of terms and conditions, exclusions (if any) and conditions on premium payments is strongly advised. This article is purely informational and is not designed to influence your decision in any way.

Find cashless network hospitals nearby: IFFCO Tokio Cashless Network Hospitals

Other Health Insurance Plans from IFFCO Tokio:

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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