IFFCO Tokio Family Health Protector Policy

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What is the IFFCO Tokio Family Health Protector Policy?

The IFFCO Tokio Family Health Protector policy offers affordable coverage for your entire family. With the increasing health risk due to changing lifestyle habits, having a health insurance policy for the family has become crucial. This policy not only safeguards your health but also provides financial support in times of need.

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IFFCO Tokio Family Health Protector Policy Specifications

SpecificationDetails
Policy NameFamily Health Protector Policy
UINIFFHLIP21324V032021
Coverage TypeNew policy covers the entire family
Eligible MembersFamily members living together
Sum Insured RangeUp to Rs. 30 lakhs
Policy Term1 year (short-term options available)
Room Rent CoverageUp to actuals
ICU Charges CoverageUp to actuals
Ambulance ChargesUp to Rs. 2,500
Daily Allowance CoverageUp to Rs. 1,000 per day
Co-payNil
Critical Illness CoverageAvailable as an optional add-on
Pre-Hospitalization ExpensesCovered for up to 60 days
Post-Hospitalization ExpensesCovered for up to 90 days
Nursing ExpensesCovered during hospitalization
Day Care Procedures Covered380+ procedures
Cashless TreatmentAvailable at 7000+ network hospitals
Tax BenefitAvailable under Section 80D (up to Rs. 1 lakh)
DiscountsMaximum 25% off for group policies and existing customers
ExclusionsCosmetic procedures, dental care, pregnancy, self-inflicted injuries, and war-related incidents
Claim ProcessOffers direct claim servicing without 3rd-party administrators
Customer Support24/7 help available for claims and inquiries

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IFFCO Tokio Family Health Protector Policy Coverage Benefits

The IFFCO Tokio Family Health Protector policy offers a single sum insured for unexpected medical expenses and critical illnesses at an affordable cost. Various discounts are available and it can be easily renewed online with no hassle.

FeatureBenefit
Sum InsuredUp to Rs. 30 lakhs
Room Rent ChargesUp to actuals
ICU ChargesUp to actuals
Ambulance ChargesUp to Rs. 2,500
Daily Cash AllowanceUp to Rs. 1,000 per day
Co-payNil
Critical Illness CoverIncluded
No Medical TestsUp to 60 years
Reinstatement BenefitAvailable
Day Care Procedures380+ procedures covered
Pre-existing DiseasesCovered after the waiting period
Pre-hospitalization ExpensesUp to 60 days
Post-hospitalization ExpensesUp to 90 days
AYUSH TreatmentCovered
Domiciliary HospitalizationCovered up to 20% of Sum Insured
Organ Donor ExpensesCovered

What’s Covered and Not Covered in IFFCO Tokio Family Health Protector Policy

IFFCO Tokio Family Health Protector Policy Inclusions

  • Room Rent Expenses
  • Nursing Expenses
  • Surgeon, Anesthetist, Medical Practitioner, Consultant, Specialist fees
  • Anesthesia, Blood, Oxygen, Operation Theatre, Surgical Appliances
  • Medicines & Drugs, Diagnostic Materials and Diagnostic Imaging Modalities
  • Dialysis, Chemotherapy, Radiotherapy
  • Cost of Pacemaker, Artificial Limbs, Cost of Organs
  • AYUSH Hospitalization Expenses
  • Domiciliary Hospitalization
  • Critical Illness
  • Pre and Post-Hospitalization Expenses
  • Day Care Procedures
  • Ambulance Charges
  • Daily Allowance
  • Co-pay
  • COVID-19 Treatment
  • Wellness Benefits
  • Cashless Treatment
  • Claim Assistance
  • Tax Benefits

IFFCO Tokio Family Health Protector Policy Waiting Period

  • Cosmetic or Dental Treatment
  • Pregnancy-related Conditions
  • Alcoholism, Drug or Substance Abuse
  • Unproven Treatment
  • Injuries due to Self-harm, Suicide Attempt, War, Nuclear Explosion, Adventure Sports

     

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IFFCO Tokio Family Health Protector Policy Claim Process

There are two ways to apply for a health insurance claim with IFFCO Tokio Health Insurance company- Cashless Claim and Reimbursement. The procedures for both options are as follows.

Cashless Claim Process

Planned admissions require informing the TPA three days in advance.

Steps to Follow

1
Choose a hospital from IFFCO Tokio’s network list for treatment.
2
Inform TPA (Third Party Administrator) 3 days before admission, providing Health Card Membership number.
3
Complete the cashless request form from the Hospital Insurance Help Desk and have your doctor certify it.
4
Fax the form and medical records to the TPA.
5
The TPA reviews the documents, makes decisions, approves cashless requests or asks for more documents.
6
TP approves cashless claims for hospital bills, but you are responsible for inadmissible amounts like telephone, food and attendant charges.
7
If the cashless claim is rejected by the TPA, pay the hospital bill and request reimbursement. Claim processing follows policy terms.

Emergency admissions require notifying the TPA upon admission.

Steps to Follow

1
At the network hospital, notify the TPA on admission via a toll-free number and then provide your Health Card Membership number.
2
Complete the cashless request form from the Hospital Insurance Help Desk and have your doctor certify it.
3
Fax the form and medical records to the TPA.
4
The TPA reviews the documents, informs hospital decisions and approves cashless payment or requests more documents.
5
The TPA approves cashless claims and settles the hospital bills directly, but inadmissable expenses remain your responsibility.
6
If the TPA does not approve the cashless claim, pay the hospital bill and request reimbursement as per policy terms.

Reimbursement Claim Process

1
Inform IFFCO Tokio upon admission or within 7 days of discharge.
2
Pay your hospital bills and then request reimbursement.
3
Download the claim form from the website or request it from the call centre.
4
Submit the completed form with supporting documents to the IFFCO Tokio office or by mail.

IFFCO Tokio Family Health Protector Policy Contact Details

Get in Touch with IFFCO Tokio health insurance officials:

  • Reach Out Reach Out at: +91-7993407777
  • Customer Customer Service Hotline: 1800-103-5499
  • Inquiries For Crop Insurance Inquiries: Dial 14447
  • Support Email Support: support@iffcotokio.co.in
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