IFFCO Tokio General - Family Health Insurance Plan

IFFCO Tokio offers the best family health and medical insurance policy. It's a reputed brand in the general insurance market in India. Building a strong Pan India branch network, this brand aims to reach out to the maximum number of customers to offer a coverage plan against family health risks and financial distress. This policy gives you cashless hospitalization benefits in more than 3000 hospitals across the nation.

* Person of any nationality can be covered, but should be primarily a resident of India, since coverage is available for treatment in India only.
* Coverage is available for proposer, spouse and up to 3 dependents (children, brother, sister, nephew or niece) between 3 months and 23 years of age at the time of commencement of cover. While renewal cover can continue up to the age of 80 years (for the oldest family member), if any dependent crosses the age limit of 23 years as stated above, he will have to be removed from this Policy and granted cover under a separate individual Policy.
* No medical checkup is required up to 45 years. Beyond that age, pre-acceptance medical tests (Blood Sugar, Urine & ECG) are required to be done for fresh and break coverage only (not for continuous renewals). For persons beyond 55 years, additional tests (LP & KFT) have also to be done for fresh/break coverage.
* Hospitalisation has to take place in defined institutions for a minimum 24 hours period, except for treatments pertaining to 121 listed day care surgeries, when claims would be considered for shorter duration stay also.

* Digitally signed Policy document can be issued immediately at Iffco Tokio offices, POS centres, or for online purchases.
* Income Tax benefit is available to the main Proposer u/s 80D of the I.T. Act, for premium paid under the Policy.
* Special provision is available for automatic reinstatement of Sum Insured in the event of a claim under the Policy, to the extent of the claim amount paid, except for some specified chronic diseases. The reinstatement premium is computed on short period basis, from date of hospitalisation till expiry of Policy and deducted from the claim amount itself. This ensures that the Insured does not have any worries about getting the benefit of full Sum Insured again, for a subsequent claim in respect of any family member covered under the Policy, unlike the standard Policies available in the market, where Sum Insured gets reduced by the claim amount for the balance period under the Policy.
* Unlike most Policies in the market, there is no provision for any Excess or Co-pay under this Policy and accordingly, the full eligible claim is paid without any deductions, except for diabetes/hypertension claims as stated above under Exclusions.
* There is no dependence on any external TPA for claims and the entire activity of servicing and processing claims is handled by an expert in-house team comprising of doctors and other paramedical personnel.
* There are a large number of network hospitals all across the country (exceeding 3000), where cashless claim settlement facility is available. There is also a 24x7 call centre service in place, for any support relating to claims.

Hospitalisation expenses incurred for treatment of physical disease or injury sustained/incepted during the Policy Period, although treatment can continue beyond Policy expiry date also. Following expenses would be included:
* Room Rent @ 1.0% of Basic Sum Insured daily and ICU/ITU Rent @ 2.0% of Basic Sum Insured daily.
* Registration, Service Charges, Surcharges etc. of hospital at actual, subject to a maximum of 0.5% of Basic Sum Insured.
* Nursing expenses, including that incurred during pre and post hospitalisation periods -(only if qualified nurse is employed on advice of Medical practitioner).
* All types of Medical Practitioner s (Surgeon, Anesthetist, Consultant etc.) fees.
* Cost of medicines, blood, oxygen, anesthesia, diagnostic and pathological tests, operation theatre charges, cost of chemotherapy, dialysis, pacemaker, artificial limbs etc.
* Ambulance charges on actual basis, subject to maximum Rs 750.
* Daily Allowance @ Rs. 150 per day, for the duration of hospitalisation.