IFFCO Tokio Health Insurance

Overview of IFFCO Tokio Health Insurance

IFFCO Tokio Health Insurance company is one of the pioneering insurance providers in the Indian health insurance sector. This multinational conglomerate is committed to serving clients with some of the best health insurance plans and hassle-free insurance claim processes. The insurance giant is known for its wide network of hospitals of over 5000+  which ensure that the policyholders receive cashless treatment and stress-free claim settlement across different cities in the country. Furthermore, IFFCO Tokio is renowned for its simple and fast cashless claim procedure. For cashless claims, the insured person is required to go either through TPAs or can directly reach out to the insurer. IFFCO Tokio allows claims settlement through two different ways including reimbursement claim settlement or cashless claim settlement.

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Key Highlights of Iffco Tokio Health Insurance Company

* Year Data 2019-20

Awards and Achievements of Iffco Tokio Health Insurance Company

• IFFCO Tokio General Insurance Limited was conferred with the prestigious ‘Mahatma Award’ for CSR Excellence on 1st October, 2021.
• The company is the winner of ‘Great Indian Marketing Awards 2021’ in the Social Media Campaign Category on the topic “No Tobacco Day”.
• They are also the recipient of ‘Best in Future of Digital Innovation Awards 2021’ for Crop Claim Monitoring in the Category IDC Future Enterprise Awards for India
• They won the ‘Technology Leader of the Year’ in BFSI Excellence Awards 2021
• IFFCO Tokio also won the ‘Asia’s Best General Insurance Company’ award in the category of 2nd Asia’s Best & Emerging Insurance Company Awards 2021
• They bagged the ‘Best General Insurance company in Claim Management’ in 4th Annual India’s Best & Emerging General Insurance Company

Benefits of Availing Iffco Tokio Health Insurance Plans

Among the numerous benefits of availing IFFCO Tokio mediclaim plans, the below are the key ones:

• Iffco Tokio is known to issue  on the spot online policy documents with digital signatures at their branch offices and POS centers among others.
• The IFFCO health insurance policies are available with only 3 years of waiting period for pre-existing ailments which is generally 4 years for most other health insurance companies.
• Iffco Tokio health insurance presents the facility of auto renewal of the insured sum amount for health insurance claims.
• This is one of the best companies that offer total reimbursement of the suitable claim amount for its different plans.
• Further, Iffco Tokio policies have zero participation of TPAs or third party administrators. This makes the claim process easy and tension free.
• They have a great network of over 5000 hospitals across India where you can avail cashless facilities.
• The insurance provider allows a portability option. Thus existing policy holders having a health insurance policy with any insurer can switch to plans offered by IFFCO-Tokio at the time of renewal.
• The conglomerate has a dedicated 24×7 team of customer assistance that work towards claims settlements.
• The company also allows discount on the premium price if the insured seeks ad-on protection to cover additional family members.

Health Insurance Plans Offered by Iffco Tokio Health Insurance Company

IFFCO Tokio Medical Insurance presents insurance plans in 2 categories of Individual Health Insurance Plans and Group Health Insurance Plans.

Here are some of the top Iffco Tokio Health Insurance Plans:

Individual Health Insurance Plans by IFFCO TOKIO

• IFFCO TOKIO Critical Health Insurance Policy
• IFFCO TOKIO Individual Medishield Policy
• IFFCO TOKIO Individual Accident Insurance Policy

The Group Health Insurance Plans

• IFFCO TOKIO Family Health Insurance Policy
• IFFCO TOKIO Group Critical Illness Plan

1. IFFCO TOKIO Critical Health Insurance Policy 

IFFCO Tokio Critical Health Insurance Policy is an insurance coverage that protects the insurer from incurring the expenses of critical illness treatment. Detection of a critical illness suddenly can cause mental ordeal and anyone. With such critical illness cover, it is possible to get away with the expenses of such diseases with ease.

Features:

• Offer cashless treatment at Network Hospitals.
• Cover all expenses incurred for any critical illness treatment.
• Covers critical illness like:
  • Cancer
  • Renal failure
  • Coronary artery diseases (bypass surgery)
  • Major organ transplant
  • Paralytic cerebral stroke
  • Accidental injuries causing loss of limbs

Eligibility:

• Employers offering coverage to their employees and their dependants.
• Pre-identified group where the State/Central Government pays the premium.
• Registered service club members.
• Credit cards or financial card holders.
• Banks/NBFCs certificate holders.
• Shareholders cooperatives and Government companies.
• Students/teachers.
• Common interest group members.

Exclusions – What’s not covered

• Already existing disease.
• Disease diagnosed during 120 days of procuring policy.
• Disease caused due to consumption of alcohol, smoking and drug addiction.
• Diseases/injury caused due to self-inflicted harm like suicide attempt.
• War, Nuclear or terrorism act inflicted injury/disease.

Important Terms & Conditions:

• For claiming critical illness requires compulsory verification by a Medical Practitioner and supported by clinical and laboratory evidence.
• Onetime payment is made to the policyholder only.
• Once the reimbursement is made, the policy automatically comes to an end.

2. IFFCO TOKIO Group Critical Illness Plan

IFFCO Tokio Group Critical Illness Plan is a family floater insurance coverage that protects the insurer and his/her family members from incurring the expenses of critical illness treatment.

Features:

• Extra sum insured to cover critical illness treatment.
• Daily allowance up to Rs. 1,000/-
• Ambulance charges up to Rs. 2,500/-
• Pre and post hospitalization of 45 days and 60 days respectively.
• Insurer’s preventive health check after four claim free policies available under both individual or group plans, etc.

Critical illness diseases list:

• Cancer
• First Heart Attack
• Open Chest CABG
• Open Heart Surgery
• Coma (particular Severity)
• Kidney Failure with Dialysis
• Stroke causing permanent Symptoms
• Major transplant of Organ /Bone Marrow
• Permanent Limb Paralysis
• Motor Neuron Disease
• Multiple Sclerosis

Expenses Covered:

• Hospital Room Rent costs.
• Nursing charges during the period of hospitalization.
• Fee of Surgeon, Medical Practitioner, Anaesthetist, etc.
• Cost of availing Blood, Oxygen, OT, medicine, Surgical tools, Pacemaker, organs, chemotherapy, Artificial Limbs etc.
• AYUSH treatment expenses.
• Reasonable charges for Domiciliary Hospitalization.

The process of Renew of Iffco Tokio Health Insurance Plans

Below are the steps to follow for Iffco tokio health insurance renewal:

• Go to the official website of IIFCO Tokio.
• Click on the ’Renew’ tab and choose your quote from the ones mentioned there.
• Enter policy number in the required tab.
• Submit the details and enter the ‘Search’ button.
• Confirm the renewal quote, and
• Make the payment to renew the policy

How to File a Iffco Tokio Health Insurance Claim?

IIFCO Tokio claims for health insurance can be availed in two ways:

1. Cashless Claim
2. Reimbursement Claim

Cashless Claim:

• For planned hospitalization, the insurer requires you to fill the pre-authorization form before 48 hours. For emergency hospitalization, the insured can call at the toll free customer care number of the insurer and show your health card and photo ID.
• Once your identity is verified you need to fill the pre-authorization form.
• The treatment can be started after the request gets approved by the insurer within 24 hours.

Reimbursement Claim:

• When you get the treatment at a non-network hospital you will have to pay the medical bills directly to the hospital on your own.
• You can request a reimbursement claim within a period of 7 days of discharge.
• You need to submit the claim form with the required documents at your nearest branch of the insurer.
• Once the documents are verified, you will receive the claim amount through a cheque within 20 days.

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Also Read: Top 10 Health Insurance Companies in India 2022-23