IFFCO Tokio Health Insurance

IFFCO Tokio, a collaborative unit between IFFCO and associates and Tokio Marine and Nichido Group of Japan, offers comprehensive health insurance plans that take care of your and your family’s health needs.

IFFCO stands for Indian Farmers Fertilizer Co-operative, and is one of the largest co-operative fertilizer manufacturers in the world.

The company’s health insurance plans cover up to 5 family members, provide lifetime renewal benefits and have a strong network of hospitals PAN India to ensure that all you need to worry about is your well-being and nothing else!

Features of Iffco Tokio Health Insurance

  • No. of members- The plan covers maximum 5 members of your family with up to 3 children and 2 adults.
  • Lifelong Renewal – The plans offered are lifelong renewable, hence it saves you from the financial burden and stress caused by a medical emergency and keeps you well prepared to handle any situation.
  • Pre & Post hospitalization cover - The plan covers medical expenses for 60 days prior to hospitalization and 60 days post hospitalization only for related medical expenses.
  • Health Check-ups – On successful completion of 4 claim-free years, the health check-up expenses are reimbursed up to maximum 1% of the average sum insured.
  • Pre-existing diseases - Pre-existing diseases are covered after 3 years of waiting period.
  • Co-payment - The plan has no co-payment policy.

Benefits of Buying Health Insurance from Iffco Tokio Health Insurance

  • Trusted Brand: With Tokio Marine & Nichico Fire Insurance Company, the oldest insurance company in Japan, as its promoter, IFFCO Tokio has the expertise in the insurance vertical. It is one of the largest and popular insurance companies with a loyal customer base.
  • Ideal Products: IFFCO Tokio health insurance designs products keeping their audience in mind and you are bound to find a health insurance plan that suits you the best.
  • Strong network of hospitals: With a PAN India presence, Iffco Tokio has a strong network of hospitals for cashless hospitalization.
  • Claim settlement: With minimal rejection ratio, IFFCO Tokio health insurance comes on top when it comes to claim settlements. The incurred claim settlement ratio of IFFCO Tokio Health Insurance for F.Y.2017-18 is 90.69%.

What is Covered by IFFCO Tokio Health Insurance?

  • Cashless Hospitalization: IFFCO Tokio has an extensive range of 4200+ authorized network hospitals where policyholders can avail cashless benefits.

  • Reimbursement: For medical expenses at hospitals that are not a part of the insurer’s authorized hospitals, expenditures incurred are reimbursed by the insurance company on submission of bills and documents as proof.

  • Alternative Treatments: Apart from expenses for hospitalization and pre and post-hospitalization expenditures, alternative treatments like Ayurveda and Homeopathy are covered by health plans from the insurance company.

  • Treatments Undertaken at Home: Not just expenses incurred due to hospitalization, treatments at home are also a part of the coverage.

  • Expenses for Organ Donation: Expenditures incurred towards donation of organs are a part of the coverage for health plans from IFFCO Tokio Health Insurance.

  • Miscellaneous Expenses: This includes ambulance charges, attendant allowance, etc.

  • Add-on Riders: Additional riders, available over and above the basic plan from IFFCO Tokio Health Insurance, enhance the effectiveness of the health plan. It is not mandatory for policyholders to opt for all the add-on riders offered by the insurance company. They can purchase them as per their unique requirements.

  • Digitally Signed Policy Document: Digital signatures ensure that IFFCO Tokio Health Insurance policies can be purchased online instantly, making the process quick and hassle-free.

  • No Involvement of Third Party Administrators (TPAs): Interested applicants and policyholders do not have to coordinate with Third Party Administrators like brokers and agents to avail cashless or reimbursement facilities. They can directly get in touch with the insurance company regarding cashless claims, making the claims procedure seamless and quick.

What is Not Covered by IFFCO Tokio Health Insurance?

  • Pre-existing Medical Conditions: Pre-existing health conditions, i.e., illnesses that the policyholder had been suffering from at the time of purchasing the policy, are not included in the policies from IFFCO Tokio Health Insurance. These are covered only after a waiting period of at least 2 to 4 years, depending on the type of illness and risk involved.

  • Cosmetic Surgery: Surgeries that are undertaken to alter or improve the appearance of individuals are not covered under health plans from IFFCO Tokio Health Insurance. However, in case a cosmetic surgery is required because of an accident or injury, it will be covered by the health plan. Treatment for sex change, hormone replacement therapy is also excluded.

  • Pregnancy and Pre and Post-natal Conditions: Apart from pregnancy that is not covered in most health plans, other conditions like childbirth and abortion, and related treatments are also not included in policies from IFFCO Tokio Health Insurance. Even if pregnancy is covered, policyholders are eligible for it only after a specific waiting period.

  • Dental, Hearing and Vision: Treatments related to teeth and vision are not covered by health insurance plans as they do not involve hospitalization. If it requires hospitalization, it will be covered by the insurance company.

  • Treatment Due to Self-Injuries: Medical treatments required due to self-inflicted injuries or attempted suicide.

Iffco Tokio Health insurance Plans

Individual Medishield Insurance Policy- Base Plan

This is the most basic health insurance plan offered by IFFCO TOKIO with coverage as follows:

  • This policy offers basic coverage in the range of Rs.1 lakh and Rs.5 lakh for individuals of between age 5 years and 65 years.
  • Pre and post hospitalization expenses, no claim bonus, day care procedures, coverage for expenses on treatments using Ayurveda, etc., are benefits provided in this plan.
  • The plan has sub-limits (limits on room-rent, ICU rent, etc.) as specified in the policy.

If you want to buy the base or the wider cover of Individual Medishield Policy then know more about the terms and conditions click here for more details.

Individual Medishield Insurance Policy- Base Plan Plus Critical Care

  • This Individual health insurance policy offers benefit of additional coverage of Rs.1 lakh to the base cover (mentioned above) after payment of 30 % more premium of the base plan premium.
  • Individuals between age 5 years and 65 years would be covered under this policy.
  • This is an extension of base plan, which provides double coverage in case of critical illness. Pre and post hospitalization expenses, no claim bonus, day care procedures, coverage for expenses on treatments using Ayurveda, etc., are benefits provided in the plan.
  • The plan has sub-limits (limits on Room rent, ICU rent, etc.) as specified in the policy.

Health Protector

This is a health insurance plan with co-payment. Here is a brief on coverage offered:

  • This plan offers coverage during illnesses/ injuries/ diseases that require hospitalization.
  • Basic cover like pre and post hospitalization expenses, no claim bonus, day care procedures, coverage for expenses on treatments using Ayurveda, etc., are benefits provided in the plan.
  • The plan has co-payment after first claim in the range of 7.5% to 20%. If you want to discuss the features and exclusions under this plan, contact Coverfox.

Individual Personal Accident Insurance policy

This is personal accident disability plan offered by IFFCO TOKIO. The details of coverage offered is as follows:

  • This plan offers coverage in case of accidents in the range of Rs.2.5 lakh to Rs. 15 lakh to individuals below age 65 years.
  • In this plan a lump sum amount in case is paid in case of accidental death, daily cash in case of illness & accident, it also covers permanent or temporary total disability, injuries with broken bones or burns as well as ambulance costs.
  • If personal accident disability plan was all that you were looking out for know more about it, contact Coverfox.

Health Protector Plus

Individual Coverage :

This is a top-up plan, which provides coverage in case the hospitalization expenses exceed the deductible value. Mentioned below is brief about coverage offered:

  • This is a top-up plan (these plans have an agreed upon deductible amount to be paid at the time of claim), which offers coverage to individuals between age 18 years up to 65 years.
  • The coverage amount for this plan is in the range of Rs.2 lakh and Rs.25 lakh and the deductible amount is in range of Rs.1 lakh and Rs.5 lakh.
  • The plan offers basic coverage like pre and post hospitalization expenses, no sub-limits, no-claim bonus, hospital expense cover, ambulance cover, etc.
  • There are 8 variants of this plan, which offers different sum insured values.

Family Floater Coverage :

  • This is a top-up plan (these plans have an agreed upon deductible amount to be paid at the time of claim) for individuals from age 18 years up to 65 years.
  • The coverage amount for this plan is in the range of Rs.2 lakh and Rs.25 lakh and the deductible amount is in the range of Rs.1 lakh and Rs.5 lakh.
  • The plan offers basic coverage like pre and post hospitalization expenses, no sub-limits, no-claim bonus, hospital expense cover, - -- There are 8 variants of this plan, which offers different sum insured values.

If this top-up plan suits your requirements, know more about the terms and conditions under this policy, contact Coverfox.

Swasthya Kavach Policy Base Plan

This is basic health insurance plan offered by IFFCO TOKIO to cover health expenses for the entire family on a shared basis. Some details of this plan are:

  • It offers coverage in the range of Rs.2 lakh and Rs.5 lakh.
  • A maximum of 2 adults and 3 children in the family between age 18 years and 60 years and dependent children between age 3 months and 23 years can be covered under this policy.
  • Pre and post hospitalization expenses, No sub-limits, No-claim bonus, cashless benefit, hospital expense cover, ambulance cover, etc., are provided in the plan.

Swasthya Kavach Policy Wider Plan

Swasthya Kavach Wider plan is advanced variant of the basic plan. The details of coverage offered are:

  • It in the range of Rs.2 lakh and Rs.5 lakh.
  • A maximum of 2 adults and 3 children in the family between age 18 years and 60 years and dependent children between age 3 months and 23 years can be covered under this policy.
  • The wider plan offers higher expense coverage in case of daily cash, reimbursement of health check-up cost, no sub-limits, etc.

Swasthya Kavach Policy Wider Plan with Critical Illness

This is advanced variant with additional coverage in case of diagnosis of critical illness. Here are some details of coverage offered.

  • This is a family floater plan, which covers health costs of the entire family in the range of Rs.2 lakh and Rs.5 lakh.
  • A maximum of 2 adults and 3 children in the family between age 18 years and 60 years and dependent children between age 3 months and 23 years can be covered under this policy.
  • In addition to providing wider coverage this health insurance plan provides additional critical illness coverage.

If you want to know more about the coverage offered under any variant of Swasthya Kavach plan, please click here.

Family Health Protector Policy: Iffco Tokio Family Health Protector Premium Chart

This is a health insurance plan, which covers expenses of entire family on shared basis. The details of coverage offered are as follows:

  • This is a family floater plan, which covers health costs of the entire family.
  • Illnesses or injuries or diseases, which require hospitalization, are covered in this plan.
  • Basic cover like pre and post hospitalization expenses, no claim bonus, day care procedures, coverage for expenses on treatment using Ayurveda, etc., are benefits provided in the plan.
  • This family health insurance plan has sub limits below sum insured Rs.7 lakh.

In case you want to buy a plan to cover basic health expenses of yourself and your family know more about Family Health Protector, contact Coverfox.

Documents Required to Buy IFFCO Tokio Health Insurance

  • Proof of Age, Address and Income as per KYC requirements
  • No medical tests are required for applicants up to 50 years of age

IFFCO Tokio Health Insurance Premium Calculator

Premium Calculator, the automated tool, has simplified the lives of insurers as well as health insurance applicants. Modern insurance companies, having realized the potential of digitalization in ensuring customer satisfaction, have integrated the ‘Premium Calculator’ feature on their official websites. Some Third Party Administrators (TPAs) of these health insurance companies also offer this benefit to interested applicants.

It requires applicants of health plans to enter certain details about themselves and members to be insured like chosen policy, sum insured they are aiming for, no. of members to be insured and their age, etc. for the digital calculator to calculate the premium for the health plan that they have selected.

IFFCO Tokio Health Insurance Online Renewal Process

The Online Renewal Process Is As Below:

  • Visit the official website of IFFCO Tokio Health Insurance Company
  • Click on the ‘Renew Health Policy’ option to be directed to another page
  • Enter the required details about your type of product, policy number, and first and last name of the primary member
  • Click on the ‘Search’ option
  • Make your payment online
  • A renewal completion document will be generated and forwarded to the email ID that you have registered with the insurance company

Iffco Tokio Health Insurance Claim Status

There are two ways to make claim under a Health Insurance Policy: on cashless basis and on reimbursement basis. In simple terms, for making a claim on cashless basis, the treatment must be done only at a network hospital of the insurance company servicing your policy. For availing the treatment, you would have to first seek an authorization as per the procedures laid down and in the prescribed form. In case of claims on reimbursement basis, the insurance company has to be informed as per their prescribed procedures. The policyholder has to ensure that documents such as claim form, discharge summary, prescriptions and bills to be submitted for the claim on reimbursement are obtained after hospitalization.

Religare Health Insurance has a well-defined claim processing system.

Cashless Service: Seeking Pre-Authorization

  • Complete the pre-authorization form available at the hospital's insurance/TPA Desk.
  • Send the completed form via email or fax.
  • Approved letter will be sent by the claim management team. Remember that the claim management team could send an inquiry to the hospital or you before authorization.
  • In case the authorization is rejected, initiate the treatment and file for reimbursement claim.

Reimbursement Claim: Claim Submission

  • Complete the necessary form and submit along with required documents, as per the policy terms and conditions.
  • Necessary documents include discharge summary, prescriptions, bills etc.
  • Approved letter will be sent by the claim management team. Remember that you will be answerable to any queries raised by the claim management team before the letter is issued.
  • In case the claim is rejected, the team will communicate the reasons.

In case of any emergencies, you need to inform Iffco Tokio within 24 hours of the admission. In case of planned emergencies, the notification has to reach the company 48 hours prior to the hospitalization. The claim intimation can be done via Iffco Tokio's toll free number 1-800-103-5499. The same could also be emailed to websupport@iffcotokio.co.in.

Documents Required to Claim IFFCO Tokio Health Insurance

  • Claim Form, duly filled up by the policyholder
  • Doctor's certificate and treatment reports
  • Discharge summary
  • Bills
  • Prescriptions
  • Advance and final receipts
  • Diagnostic test reports, X Ray, scan, ECG and other films

Further documents may be called upon for by the claim processing team if requirement for the same arises.

Note: If you are a Coverfox customer, you can directly reach out to us for all your claim-related issues and queries.

IFFCO Tokio Health Insurance Network Hospitals List

IFFCO Tokio has an extensive network of 4200+ hospitals at various cities across India. A IFFCO Tokio Health Insurance Network Hospitals are authorized to offer cashless benefit to the policyholders of IFFCO Tokio Health Insurance Company. This implies that policyholders do not have to pay a lump sum amount at the time of hospitalization or for any other medical expenses incurred during hospitalization.

This helps policyholders overcome the hassle of making payments at critical moments, saving time and making processes hassle-free.

IFFCO Tokio Health Insurance Customer Care Support

Contact Number: (0124) 428 5499

Toll-free Number: 1-800-103-5499

Email: websupport@iffcotokio.co.in

Address: IFFCO Tower, Plot No. 3, Sector 29, Gurgaon - 122001, Haryana (India)

Review of Iffco Tokio Health Insurance

With a robust base of faithful customers clubbed with sturdy Pan India branch setup, Iffco Tokio's Family Health Insurance Plans are reasonably priced and cost-optimized. Also the premiums are viable, pocket friendly and accounted for. The cover gives you cashless hospitalization benefit in over 3000 hospitals across nation. If a worthy health cover with strict budget is what's on your mind, iffco Tokio is a sure contender.

For details about plans on offer, do call Coverfox at 1800-209-9920 to assist you further.

FAQ's On IFFCO Tokio Health Insurance

Why to Buy IFFCO Tokio Health Insurance Plans?

The following are the features and benefits that make health plans from IFFCO Tokio Health Insurance score over other health policies:

  • Exclusion for pre-existing illnesses extend to 2-4 years, as opposed to the 4 years limit that is applicable to health plans from other insurance companies
  • Has an extensive network of more than 4200+ hospitals all over India
  • Tech-advanced digital signature during purchase of policies across channels – online, POS and through company branches
  • Known for offering full reimbursement of the total eligible amount for claim settlement
  • Discount on premium amount towards add-on riders when policyholders enrol their family members
  • Experienced and skilled call centre executives for assistance
  • Offers the flexibility of switching over from other health insurance company to IFFCO Tokio Health Insurance.

How to Apply For IFFCO Tokio Health Insurance Plans?

  • Visit the official website of IFFCO Tokio Health Insurance
  • Click on the health plan that you want to purchase
  • Select the ‘Buy New Policy’ button
  • Enter the required details like the sum insured you want to opt for, inception and expiration date, add-on riders you may want to opt for, your name, contact information, etc.
  • The premium amount that you will be eligible for will be displayed on the screen
  • The second stage requires you to enter the necessary information regarding ‘Member Medical History’
  • Complete paying online through any of the available modes of payment – Debit Card, Credit Card, Net banking, as per your preference, to successfully complete the application process.

How Can I File A Reimbursement Claim with IFFCO Tokio?

You Can File a Reimbursement Claim By Following These Steps:

  • Inform IFFCO Tokio as soon as the policyholder is discharged from the hospital and not later than 7 days after he/she has been discharged
  • Give your Policy Certificate Number
  • The reimbursement claim can be made only after the medical bills have been settled, unless the policyholder had been treated at an authorized hospital of IFFCO Tokio
  • Fill up the claim form and submit it along with the following documents:
    • Certificate and treatment reports from the relevant doctor
    • Medical diagnostic tests, ECG, X-rays, scans, etc.
    • Bills and Prescriptions
    • Advance and final receipts
    • Discharge summary
  • Submit the form and the above documents to your nearest IFFCO Tokio branch address for the company to process your claim
  • You will receive a cheque when the insurer approves your claim

I Am Young And Healthy. Do I Really Need Health Insurance?

A comprehensive health insurance policy is a necessity for all. Life is uncertain. Planned medical treatments or unforeseen emergencies may arise anytime. Hence, it is important for all, irrespective of the age, to be financially prepared for such situations well in advance.

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