IFFCO-Tokio Swasthya Kavach Family Health Insurance Policy

Eligibility and entry age

1. 18 years to 60 years of age of the proposer.
2. Residents of India from any nationality.
3. Coverage available for proposer and up to 3 dependants (children, siblings, nephews or nieces between 3 months to 23 years of age).

Coverage

Base Plan

Room Rent

1% of basic sum insured, daily.

ICU / ITU Rent

2% of basic sum insured, daily.

Ambulance Charges

Up to Rs.750.

Daily Allowance

Rs.150 per day.

Pre and post hospitalization expenses

7% of hospitalization charges, for a maximum of Rs.7,500.

Benefits

1. No medical check-up required up to the age of 45 years.
2. Free enhancement of sum insured (cumulative bonus) of 5% is granted per claim free year, upon renewal, up to a maximum of 50%.
3. Premium depends on the sum insured and the plan opted for, number of family members and age of the eldest insured person.
4. 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.
5. 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.
6. No "excess" or "co-op pay" under the policy and the full eligible claim is paid without any deductions (except if mentioned under exclusions).
7. All claims processing handled in-house.
8. 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:

1. All medical conditions pre-existing at the time of policy issuance.
2. All diseases contracted within the first 30 days from the policy commencement date.
3. Intentional self-injury or attempted suicide.
4. Cosmetic or aesthetic treatment.
5. Alcohol or drug abuse.
6. HIV / AIDS, STDs, Venereal diseases, congenital diseases.
7. Cost of spectacles, contact lenses or hearing aids.
8. Dental treatment not requiring hospitalization.
9. Pregnancy or childbirth.
10. Dangerous and hazardous sports and activities.
11. Genetic disorders, stem cell implantation or surgery.
12. Alternative medicine therapies like naturopathy, acupuncture, magnetic therapy, etc.
13. 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.
14. War, terrorism, nuclear radiation, etc.