Affordable Health Coverage, Anytime, Anywhere

IFFCO Tokio Family Health Protector Policy

Affordable Health Coverage, Anytime, Anywhere

Make a health plan for yourself and your family

By proceeding, you agree to our Terms & Conditions & Privacy Policy

Home > Health Insurance > Iffco Tokio > Family Health Protector

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.

IFFCO Tokio Family Health Protector Policy Specifications

Specification

Details

Policy Name

Family Health Protector Policy

UIN

IFFHLIP21324V032021

Coverage Type

New policy covers the entire family

Eligible Members

Family members living together

Sum Insured Range

Up to Rs. 30 lakhs

Policy Term

1 year (short-term options available)

Room Rent Coverage

Up to actuals

ICU Charges Coverage

Up to actuals

Ambulance Charges

Up to Rs. 2,500

Daily Allowance Coverage

Up 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

Choose the Best Health Insurance Plan

that provides all the necessary coverage benefits you need at affordable premiums.

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 Insured


Up to Rs. 30 lakhs

Room Rent Charges

Up to actuals

ICU Charges

Up to actuals

Ambulance Charges

Up to Rs. 2,500

Daily Cash Allowance

Up to Rs. 1,000 per day

Co-pay

Nil

Critical Illness Cover

Included

No Medical Tests

Up to 60 years

Reinstatement Benefit

Available

Day Care Procedures

380+ procedures covered

Pre-existing Diseases

Covered 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

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

     

Health Insurance Calculator

Health Insurance Calculator

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
Reimbursement 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.
  • Inform IFFCO Tokio upon admission or within 7 days of discharge. 

     
  • Pay your hospital bills and then request reimbursement. 

     
  • Download the claim form from the website or request it from the call centre. 

     
  • Submit the completed form with supporting documents to the IFFCO Tokio office or by mail.
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.

 

Other Insurance Plans

Show All Plan

IFFCO Tokio Family Health Protector Policy Contact Details

Get in Touch with IFFCO Tokio health insurance officials:

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

Best Health Insurance Plans In India

When it comes to the best health insurance, there is no “one-size-fits-all” policy. It is like choosing a Netflix or OTT plan - different plans offer different benefits and have different costs. However, this age is designed to meet the diverse needs of most users, making it a versatile and comprehensive health insurance comparison page.

It is essential to conduct a thorough comparison to find the policy that best suits your needs. We have created a comprehensive table of how some of the top mediclaim policies in India compare to others in the industry.

Insurance Provider Plan Name Coverage Type Sum Insured Range Age Limit (Adults) Important Parameters
Care Advantage Health Insurance Plan Individual & Family Floater ₹2 Lakh - ₹6 Crore 18-65 years
  • Extensive network hospitals
  • Customizable coverage options
  • Wellness programs
Check Premium
ICICI Elevate Health Insurance Policy Individual & Family Floater ₹2 Lakh - ₹6 Crore 18-65 years
  • Extensive network hospitals
  • Customizable coverage options
  • Wellness programs
Check Premium
IFFCO Tokio Family Health Protector Policy Individual & Family Floater ₹2 Lakh - ₹6 Crore 18-65 years
  • Extensive network hospitals
  • Customizable coverage options
  • Wellness programs
Check Premium
Niva Bupa Aspire Policy Individual & Family Floater ₹2 Lakh - ₹6 Crore 18-65 years
  • Extensive network hospitals
  • Customizable coverage options
  • Wellness programs
Check Premium
Arogya Supreme Policy Individual & Family Floater ₹2 Lakh - ₹6 Crore 18-65 years
  • Extensive network hospitals
  • Customizable coverage options
  • Wellness programs
Check Premium
TATA AIG Medicare Lite Policy Individual & Family Floater ₹2 Lakh - ₹6 Crore 18-65 years
  • Extensive network hospitals
  • Customizable coverage options
  • Wellness programs
Check Premium

Frequently Asked Questions (FAQs)

A.

The IFFCO Tokio Family Health Protector is a comprehensive health insurance plan designed to provide financial protection for you and your family in the event of hospitalization. It offers coverage for various medical expenses, ensuring that you can access quality healthcare without worrying about the financial burden. This plan can give you peace of mind knowing that you and your loved ones are covered in case of unexpected medical emergencies. With IFFCO Tokio General Insurance, you can be confident in having reliable support for your family's health needs.

A.

The plan provides a range of coverage options, allowing for the inclusion of yourself, your spouse, dependent children (subject to age restrictions), and in some cases, dependent parents or in-laws (depending on the specific plan chosen).

A.

Certain plans may come with added benefits such as coverage for health check-ups and vaccinations for all family members covered by the insurance.

A.

The processing time for a reimbursement claim depends on claim complexity and document completeness. On average, it takes 7 to 15 working days to process the claim.

A.

The need for a medical checkup at policy renewal is determined by factors like the policy term, sum insured, and the insurer's underwriting guidelines. Typically, policies with lower sums insured and shorter terms may not necessitate a medical checkup.

A.

The plan typically includes coverage for common childbirth procedures, prenatal and postnatal care, as well as newborn care, up to a certain limit.

A.

Yes, typically you can access cashless maternity benefits at network hospitals by notifying your insurer ahead of time and adhering to the required protocols.

A.

Critical illness cover is a type of insurance that offers a lump sum payment if you are diagnosed with a specific critical illness like a heart attack, stroke, cancer, or kidney failure. Unlike regular health insurance, which covers medical expenses, critical illness coverage focuses on providing a financial benefit to help with expenses related to the illness.

A.

It's important to note that while children are typically covered under the family floater plan, there may be specific exclusions related to newborn care or congenital diseases. Therefore, it's crucial to carefully review the policy document to understand any limitations or restrictions in coverage for children.

subscribe

Subscribe to our newsletter