IFFCO Tokio Health Insurance Plans

IFFCO Tokio General Insurance Company is a joint venture between IFFCO (Indian Farmers Fertilizer Co-operative) and Tokio Marine Group. While IFFCO is an Indian company, Tokio Marine Group is based out of Japan and is the largest insurance group in Japan. The stakeholding is in the ratio of 51% to 49% where IFFCO holds the major portion and Tokio Marine Group has the lower stakeholding.

IFFCO Tokio was formed in the year 2000 as a general insurance company offering a range of general insurance products. Even today the company offers different types of general insurance plans suiting every customer, whether retail, rural or corporate.

Why choose IFFCO Tokio Health Insurance?

IFFCO Tokio is a reputed brand name which gives you the following benefits when you choose its health insurance plans –

1. It promises ease in claim settlement with cashless claims served through a network of more than 5000 hospitals in India
2. The company has a wide presence with more than 20,000 agents working for it at various branches across the country
3. IFFCO Tokio promises complete transparency in buying the policy, servicing it as well as at the time of claims
4. The company has won various awards including the P & C Insurer of the Year Award presented by the Insurance Asia News among others
5. The company has a high claim settlement ratio of 92.65% proving that your claims would be settled by the company effectively

Features of IFFCO Tokio Health Insurance plans

Health insurance plans offered by IFFCO Tokio come with the following common features –

1. Different plans can be availed for covering self, family or dependent parents
2. The plans offer indemnity based coverage where the actual medical costs are paid as well as fixed benefit coverage wherein a lump sum claim is paid
3. The coverage benefits under the plans are comprehensive and beneficial
4. All the plans promise lifelong renewability ensuring coverage even in very old ages
5. The premiums are low and also allow you tax benefits under the provisions of Section 80D of the Income Tax Act

Types of IFFCO Tokio Health Insurance plans

Here are the different health insurance plans which are offered by IFFCO Tokio

1. IFFCO Tokio Family Health Protector Policy

This is a family floater indemnity health insurance policy. You can get coverage for your whole family under the same plan and the policy would pay the medical costs incurred when any one or more family member is hospitalised. The features of the policy are as follows –

• Sum insured of up to INR 30 lakhs is available under the plan
• You can avail an optional critical illness cover wherein an additional sum insured is paid if you or any other insured family member suffers from a covered illness
• The company settles its claims in-house making the claim process easy and simple
• A daily allowance of up to INR 1000 is allowed for each day of hospitalisation
• Free health check-ups are allowed after every four claim-free policy years
• Vaccination expenses are also covered by the policy
• Even if you are hospitalised for less than 24 hours but more than 12 hours, you would get coverage for inpatient hospitalisation for up to 50% of the coverage limit
• The plan provides emergency assistance services if you travel 150 kilometres beyond your residential address
• Premium discounts are also available for making the premiums lower

Eligibility conditions of IFFCO Tokio Family Health Protector Policy

Entry age	18 years to 65 years Dependent children can be covered aged 3 months to 23 years if any parent is covered
Members covered	Self, spouse, relatives living together, dependent parents and dependent children
No claim bonus	5% increase in the sum insured for every claim-free year up to a maximum increase of 50%
Sum insured	INR 1.5 lakhs to INR 30 lakhs
Pre-existing illness waiting period	48 months

2. IFFCO Tokio Individual Health Protector Policy

As the name suggests, this health insurance plan provides coverage on an individual sum insured basis only. The features of the plan are as follows –

• You can opt for an additional critical illness cover by paying an additional premium
• Cost of vitamins and tonics used for inpatient treatment would be covered under the policy
• Coverage for AYUSH treatments is also available under the plan
• You get a daily cash allowance if you are hospitalised for 24 hours or more
• Cost of vaccinations are covered once after every two claim-free years
• Emergency medical assistance is provided when you are travelling farther than 150 kilometres. This service is free of cost

Eligibility conditions of IFFCO Tokio Individual Health Protector Policy

Entry age	18 years to 65 years Dependent children can be covered aged 3 months and above if any parent is covered
Members covered	Self, spouse, relatives living together, dependent parents and dependent children
No claim bonus	5% increase in the sum insured for every claim-free year up to a maximum increase of 50%
Sum insured	INR 50,000 to INR 20 lakhs
Pre-existing illness waiting period	36 months

3. IFFCO Tokio Swasthya Kavach Policy

This is a comprehensive family floater insurance policy which covers your whole family under a single sum insured. The salient features of the policy are as follows –

• There are two plans options – Base Plan and Wider Plan. You can avail an all-inclusive coverage under the Wider Plan option
• Ten major illnesses are covered under the Wider plan wherein you get a lump sum benefit on diagnosis of any of the covered illness
• You get free emergency assistance service in case you are travelling to a far-off location
• Costs of pacemaker, prosthetics as well as treatments for the donor in an organ transplant surgery are covered under the plan
• Dental treatments are also covered if they are required due to an accidental injury
• A daily hospital cash allowance is paid under both plan variants
• You get a loyalty discount if you are an existing customer of the company’s products

Eligibility conditions of IFFCO Tokio Swasthya Kavach Policy

Entry age	18 years to 65 years Dependent children can be covered aged 3 months and above if any parent is covered
Members covered	Self, spouse and dependent children
No claim bonus	5% increase in the sum insured for every claim-free year up to a maximum increase of 50%
Sum insured	INR 2 lakhs to INR 5 lakhs
Pre-existing illness waiting period	48 months

4. IFFCO Tokio Individual Medishield Policy

This policy offers coverage on an individual sum insured basis and is an indemnity health insurance plan. If you are hospitalised, the plan pays the medical bills that you incur up to the sum insured. The features of the policy are as follows –

• AYUSH treatments are covered for up to 10% of the sum insured
• You can avail an additional cover for specific critical illnesses by paying an additional premium
• You get a family discount of 5% or 10% if 2 or 3 members are insured under the policy
• You also get a 10% premium discount if you have any other policy from IFFCO Tokio
• Pre-entrance health check-ups are not required till 60 years of age

Eligibility conditions of IFFCO Tokio Individual Medishield Policy

Entry age	18 years to 65 years Dependent children can be covered aged 3 months to 23 years if any parent is covered
Members covered	Self, spouse, dependent parents and dependent children
Sum insured	INR 50,000 to INR 5 lakhs
Pre-existing illness waiting period	36 months

5. IFFCO Tokio Individual Personal Accident Policy

This is a fixed benefit personal accident plan. The policy covers accidental death and accidental disablements and pays a fixed claim irrespective of the actual medical costs that you incur. The features of the policy are as follows –

• The policy covers accidental death, permanent total disablement, permanent partial disablement as well as temporary total disablement
• 1% of the sum insured is paid every week in case of temporary total disablement
• Expenses incurred in carrying the dead body, funeral costs and ambulance costs are covered
• If the insured’s clothes are damaged in an accident, their cost would also be covered under the plan
• A children’s education fund is inbuilt under the policy which pays a lump sum benefit in case of accidental death or permanent disablement
• Four optional extensions are available under the plan at an additional premium. These extensions help you to increase the scope of coverage

Eligibility conditions of IFFCO Tokio Individual Personal Accident Policy

Entry age	5 years to 70 years
Members covered	Self, spouse and dependent children
No claim bonus	5% increase in the sum insured for every claim-free year up to a maximum increase of 50%

6. IFFCO Tokio Critical Illness Insurance Policy

This is a specific critical illness plan which covers a list of critical illnesses. If the insured member suffers from any of the covered critical illness, the sum insured is paid in lump sum. Other features of the plan are as follows –

• Nine critical illnesses are covered under the policy
• There are different add-on covers also which are available under the plan for a wider scope of coverage

7. IFFCO Tokio Health Protector Plus Policy

This is a supplemental health insurance policy which pays you a claim if the claim amount exceeds the deductible that you have chosen. The features of the policy are as follows –

• You can choose to buy the plan as a top-up plan or a super top-up plan. In a top-up plan each claim would be matched to the deductible individually. However, under super top-up plan, the aggregate claims in a policy year would be matched to the deductible
• You can also opt for a family floater coverage under the plan
• There are different combinations of sum insured and deductible levels so that you can choose the most suitable option
• You can choose to waive the deductible limit in case of loss of job or change in job by paying an additional premium
• Premium discounts are also available for lower premium outgoes

Eligibility conditions of IFFCO Tokio Health Protector Plus Policy

Entry age	18 years to 65 years Dependent children can be covered aged 3 months to 25 years if any parent is covered
Members covered	Self, spouse, dependent parents and dependent children
Sum insured	INR 2 lakhs to INR 25 lakhs
Deductible limits	INR 1 lakh to INR 5 lakhs
Pre-existing illness waiting period	48 months

8. IFFCO Tokio Swasthya Raksha Bima

This is an affordable health insurance plan which is designed to cover individuals living in small towns and cities. The policy has the following features –

• The policy is a family floater policy which covers your family under a single sum insured
• A daily allowance of INR 150 is paid if you are hospitalised for 24 hours or more
• Dental treatments due to an accident, cost of pacemaker or prosthetics, vitamins and tonics needed for treatments are all covered under the scope of the policy
• You get a 10% premium discount if you are an existing customer of the company
• Another 10% discount is allowed for buying the policy online through the company’s website

Eligibility conditions of IFFCO Tokio Swasthya Raksha Bima Policy

Entry age	18 years to 65 years Dependent children can be covered aged 3 months to 23 years if any parent is covered
Members covered	Self, spouse and dependent children
Sum insured	INR 1 lakh to INR 5 lakhs
Pre-existing illness waiting period	48 months

9. IFFCO Tokio Critical Illness Benefit Policy

This is a critical illness policy paying a fixed benefit if any insured member suffers from a covered critical illness during the term of the policy. The features of the policy are as follows –

• The policy covers a range of 25 illnesses as well as surgical procedures
• You can buy the policy on a floater basis covering your family members under a single plan
• No pre-entrance health check-ups are required till 50 years of age
• Sum insured of up to INR 1 crore can be opted under the plan

10. IFFCO Tokio MOS – BITE Protector Policy

This is a unique policy which covers vector borne diseases which means diseases suffered due to mosquito bites, fleas, etc. The salient features of the plan are as follows –

• A lump sum benefit is paid if the insured member suffers any of the covered vector borne disease
• Seven diseases are covered under the policy like malaria, dengue, chikungunya, zika virus, kala-azar, etc.
• No pre-entrance health check-ups are required to buy the plan

Eligibility conditions of IFFCO Tokio MOS – BITE Protector Policy

Entry age	18 years to 65 years Dependent children can be covered aged 3 months to 23 years if any parent is covered
Members covered	Self, spouse, siblings, dependent parents, dependent parents-in-law and dependent children
Sum insured	Up to INR 1 lakh

Coverage under IFFCO Tokio Health Insurance plans

IFFCO Tokio offers a range of health insurance plans and, besides the fixed benefit plans, there are some common coverage benefits in all indemnity oriented health insurance plans. These common coverage benefits include the following –

1. Inpatient hospitalisation

   If you or any insured member is hospitalised for 24 hours or more, the costs incurred on such hospitalisation are covered under this head. Common costs which are covered under health insurance plans include room rent, ICU charges, nurse’s fee, doctor’s fee, surgeon’s fee, oxygen, blood, medicines, anaesthesia, etc. required in treatments, etc.

2. Pre-hospitalisation

   If you incur expenses before being actually hospitalised, such expenses are called pre-hospitalisation expenses. These expenses are also covered under health insurance policies up to a specified limit.

3. Post-hospitalisation

   After being discharged from the hospital you incur various charges for tracking your health and recovery. These expenses are called post-hospitalisation expenses and they are covered

4. Daycare treatments

   Treatments which do not require 24-hour hospitalisation due to advanced medical treatments are called daycare treatments. These treatments are covered under all health insurance plans

5. Ambulance charges

   The costs incurred on an ambulance for taking you to the hospital for treatments are covered up to specified limits

6. AYUSH treatments

   Many health insurance plans also cover non-allopathic treatments like Ayurveda, Unani, Siddha and Homeopathy (AYUSH). Such AYUSH Treatments, however, are covered up to specified limits.

7. Domiciliary treatments

   Treatments which are taken at your own home due to non-availability of any hospital bed or if your physical condition is not feasible to be shifted to the hospital are called domiciliary treatments and such treatments are covered.

8. Organ donor treatments

   IFFCO Tokio Health Insurance plans cover the cost of treatments done on the donor as well as on you in case of organ transplant surgeries.

9. Free health check-ups

   You also get the benefit of availing free health check-ups after specified intervals under your policy. These check-ups are allowed up to a specified limit of your sum insured and are allowed only if no claims have been made under the policy.

Exclusions under IFFCO Tokio Health Insurance plans

The following instances and treatments are not covered under IFFCO Tokio Health Insurance plans –

1. Illnesses within the first 30 to 90 days of buying the policy
2. Pre-existing illnesses within their corresponding waiting periods
3. Pregnancy and the cost of childbirth unless it is specifically covered
4. Congenital illnesses or diseases
5. Venereal and sexual illnesses including HIV and AIDS
6. Mental disorders or any type of psychiatric illnesses
7. Illnesses or injuries due to war, related perils, nuclear contamination or similar threats
8. Illnesses due to alcohol and/or drug abuse
9. Accidents and injuries suffered when participating in criminal activities or any other adventurous activities
10. Circumcision and cosmetic treatments

How to buy IFFCO Tokio Health Insurance plans?

You can buy IFFCO Tokio Health Insurance plans in the following two ways –

1. Offline through agents or company’s branches

   You can choose to buy the plan offline either through the agents of IFFCO Tokio or by visiting the branch of the company yourself. In this mode of buying IFFCO Tokio Health Insurance plans, you would have to fill up a physical application form and pay the premiums to buy the policy.

2. Online

   Another way to buy IFFCO Tokio Health Insurance plans is the online way. You can visit the company’s website athttps://www.iffcotokio.co.in/, choose ‘Health Insurance’ and then the desired policy. Once you know the policy that you want to buy click on ‘Buy Now’ to buy the policy. Provide your coverage details to calculate the premium. Then pay the premiums online and the policy would be bought.

   You can also buy online on Turtlemint’s website. Turtlemint is tied-up with IFFCO Tokio and offers its health insurance plans. You can simply visithttps://www.turtlemint.com/health-insurance and enter in your coverage details to get started. Once all the details are provided, you would get a list of health insurance plans which suit your coverage requirements. You can then compare from the available list of plans and choose the best policy. Fill in an online application form and pay the premiums using any online mode to buy the policy in an instant. Besides allowing you to compare the available plans, Turtlemint also gives you personalised assistance if you have any queries. So, you can buy through Turtlemint for an easier experience.

Things to know before buying IFFCO Tokio Health Insurance plans

Here are some important points which you should keep in mind before you buy any IFFCO Tokio Health Insurance plan –

1. Choose a plan which meets your coverage requirements. A basic indemnity health insurance plan is a must which would meet the actual medical costs. If you have a basic policy, you can invest in critical illness plans for increasing the scope of coverage
2. The coverage amount should be high so that all the medical costs are comfortably covered by the policy. If you have an existing health plan with a low sum insured, you can opt for a top-up health insurance policy for increasing the coverage at lower premiums
3. Buy the plan to cover all the family members who are dependent on you financially
4. Choose optional riders and policy add-ons if they meet your coverage needs

How to renew IFFCO Tokio Health Insurance plans?

Renewal of IFFCO Tokio Health Insurance plans is quite simple as you can renew the policies online from the company’s website itself. Just enter in your policy details to check the status of your existing policy and pay the renewal premium on time to renew the policy online.

If you are a Turtlemint customer and have bought the policy from Turtlemint’s platform, you can renew your IFFCO Tokio Health Insurance policy even though Turtlemint. Just log into your online Turtlemint account and renew the plan by paying the renewal premium online. When renewing through Turtlemint, you can also compare your IFFCO Tokio Health Insurance policy with other health plans in the market and if the policy is the best, you can renew it instantly. If, on the other hand, you find a better policy, you can also port your health insurance policy to get a better deal.

How to make a claim under IFFCO Tokio Health Insurance plans?

In case of a health insurance claim, the following steps should be taken to get your claims settled –

• Inform IFFCO Tokio of your health insurance claim at its claim helpline number or by calling its customer care
• Fill up a pre-authorization form and submit it within 24 hours of emergency hospitalisation. If you are undertaking a planned hospitalisation, the form should be submitted at least 3-4 days prior to you being hospitalised
• The company would approve your claim for cashless treatments based on the submitted form if you take treatments at a networked hospital
• Take the treatments that are needed and your bills would be settled by the insurance company
• After you are discharged, fill up a claim form and submit it with other documents related to the claim
• Once the claim form and documents are submitted, IFFCO Tokio would assess the claim and settle it at the earliest
• If you are admitted in a non-networked hospital, you would get a reimbursement claim. You would have to pay the medical costs yourself and the costs would then be reimbursed once you submit the claim form

If, however, you are a customer of Turtlemint, the claim process would become easier. You would just have to inform Turtlemint of your claim at 1800 266 0101 or by emailing at claims@turtlemint.com. After the company is informed, it would take the necessary steps to get your claims settled without any hassles.

Documents required for health insurance claims

For the successful settlement of your health insurance claim, the following documents should be submitted to the company –

1. Claim form
2. Discharge summary
3. Policy bond
4. Identity proof of the claimant
5. All original medical bills and hospital bills
6. All original medical reports and hospital reports
7. Doctor’s prescriptions and certificates

Review of IFFCO Tokio Health Insurance plans

The range of health insurance plans offered by the company make them suitable for the needs of every individual. Thus IFFCO Tokio Health Insurance plans are suitable for whatever type of coverage that you are looking for. The optional coverage features also make the plan inclusive and the premiums are low so that they don’t hurt your pockets. So, you can invest in an IFFCO Tokio Health Insurance plan and fulfil your health insurance needs.