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About IFFCO Tokio Health Insurance

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

IFFCO Tokio Claim Settlement Ratio

89.38%

IFFCO Tokio

94.21%

Industry Average

Health claim settlement ratio is the percentage of claims settled against the total claims received by the insurance company in a given fiscal year. IFFCO Tokio has a claim settlement ratio of 89.38%, as compared to the industry average of 94.21%.

IFFCO Tokio Health Insurance Plans Overview

IFFCO Tokio health insurance offers 1 health insurance plan. The premium of these plans starts from Rs. 1951/yr. The sum insured ranges from Rs. 50,000 - 20 Lakh. Details of the comprehensive coverage provided by the following 1 IFFCO Tokio health insurance plan is listed below:

IFFCO Tokio Health Protector Policy

Starting Premium- 1,951/Yr

Eligible Age

91 days - 65 years

Coverage

50,000 - 20 Lakh

Top Features From IFFCO Tokio Health Plans

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

  • It promises ease in claim settlement with cashless claims served through a network of more than 5000 hospitals in India
  • The company has a wide presence with more than 20,000 agents working for it at various branches across the country
  • IFFCO Tokio promises complete transparency in buying the policy, servicing it as well as at the time of claims
  • The company has won various awards including the P & C Insurer of the Year Award presented by the Insurance Asia News among others
  • 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

  • Different plans can be availed for covering self, family or dependent parents
  • 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
  • The coverage benefits under the plans are comprehensive and beneficial
  • All the plans promise lifelong renewability ensuring coverage even in very old ages
  • The premiums are low and also allow you tax benefits under the provisions of Section 80D of the Income Tax Act

Coverage under IFFCO Tokio Health Insurance plans

  • 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
  • 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
  • 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
  • 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
  • Ambulance charges : The costs incurred on an ambulance for taking you to the hospital for treatments are covered up to specified limits
  • 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
  • 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
  • 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
  • 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 Across IFFCO Tokio Health 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

IFFCO Tokio Premium Calculator

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IFFCO Tokio Customer Care

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IFFCO Tokio Claim Process

IFFCO Tokio supports both cashless claims and reimbursement claims. This section covers the information on how to check IFFCO Tokio health insurance claim status, fill IFFCO Tokio health insurance claim form, and the claim settlement process.

Cashless claims are of two types:

  1. Cashless Claims procedure for Emergency Admission
  2. Cashless Claims procedure for Planned Admission
    • Step 1: Select a hospital from our list of network hospitals for treatment
    • Step 2: Intimate our Third-party administrator (TPA) through the Helpline Number before 3 days of admission, quoting your Health card Membership number
    • Step 3: Fill in the cashless request form which is available with the Hospital Insurance Help Desk and get it certified by your treating doctor
    • Step 4: Fax the cashless request form along with supporting medical records to the TPA
    • Step 5: The TPA will scrutinize the document and convey the decision to the hospital. The TPA could sanction the cashless request or call for additional documents if required
    • Step 6: On approval of a cashless claim by TPA, the hospital bills will be settled directly (subject to policy limits). Inadmissible amounts like telephone charges, food, attendant charges etc would have to be settled by you
    • Step 7: If the cashless claim is not approved by TPA, please settle the bill with the hospital and apply for reimbursement. The claim will be processed as per policy terms and conditions

Cashless Claims procedure for Emergency Admission:

  1. Step 1: In the case of network hospital, on admission, intimate the Third-party administrator (TPA) through their Toll-free no. Please quote your health card Membership number
  2. Step 2: Fill in the cashless request form which is available with the Hospital Insurance Help Desk and get it certified by your treating doctor
  3. Step 3: Fax the cashless request form along with supporting medical records to the TPA
  4. Step 4: The TPA will scrutinize the document and convey the decision to the hospital. The TPA could sanction the cashless request or call for additional documents if required
  5. Step 5: On approval of a cashless claim by TPA, the hospital bills will be settled directly (subject to policy limits). Inadmissible amounts like telephone charges, food, attendant charges, etc would have to be settled by you
  6. Step 6: If the cashless claim is not approved by TPA, please settle the bill with the hospital and apply for reimbursement. The claim will be processed as per policy terms and conditions

If you have not availed cashless facility in-network hospital or you have taken treatment in a hospital that is not a part of the network then you may submit your original documents for reimbursement

  1. Step 1: Intimate IFFCO-Tokio through the toll number - 1800 103 5499 immediately on admission not later than 7 days from the date of discharge. Please quote your Policy Certificate Number while intimating the claim
  2. Step 2: Avail treatment and settle all the bills with the hospital and then file a claim for reimbursement
  3. Step 3: Download the relevant claim form from our website (or) request for one through our call center. Claim documents may also be submitted to the local IFFCO TOKIO Office address which can be obtained by calling our Toll Number 1800 543 5499

If you need guidance on the claims process, you could also contact us through our Toll Numbers - 1800 543 5499

IFFCO Tokio Health Insurance Renewal Process

Online Renewal Process for IFFCO Tokio Health Insurance Policy

Follow these 3 simple steps to renew your IFFCO Tokio Health Plan online:

Step 1: Visit the Website of IFFCO Tokio General Insurance and click on the ‘renew’ option

Step 2: Choose your product and provide details of your policy, and make the premium payment online

Step 3: A confirmation email will be sent, verifying the successful transaction and policy renewal

Offline Renewal Process for IFFCO Tokio Health Insurance Policy

To renew offline, contact customer care at the toll-free number 1800-103-5499 or get in touch with one of their agents to share your health insurance requirements.Alternatively, visit the nearest IFFCO Tokio branch to conveniently renew your policy.
Another way to renew is with the help of Turtlemint and our expert insurance advisors. For instant policy renewal, visit www.turtlemint.com or renew your IFFCO Tokio Health Plan by downloading the Turtlemint App here.

FAQs

Cumulative bonus is the same as no claim bonus. It is a bonus which is allowed by a health insurance policy if you do not make a claim in a policy year. IFFCO Tokio Health Insurance plans offer you an increase in the sum insured as a cumulative bonus while the premiums do not increase

Most health plans offered by IFFCO Tokio come with coverage duration of one year after which you are required to renew the policy

The requirement of pre-entrance medical check-ups depends on the plan that you are buying, your entry age and sum insured that you choose. At higher ages and if you choose higher levels of the sum insured, pre-entrance medical check-ups would be required.
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