Affordable Coverage, Anytime You Need

IFFCO Tokio Health Protector Policy

Affordable Coverage, Anytime You Need

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What is the IFFCO Tokio Health Protector Policy?

The IFFCO Tokio Health Protector Policy is a comprehensive health insurance plan designed to cover a wide range of medical expenses, including hospitalization, treatment for critical illness and other specified benefits. This policy is tailored to provide financial assistance for medical treatments based on the details provided by the insured person(s) and as specified in the policy details in the sections to follow.

IFFCO Tokio Health Protector Policy Specifications

Feature

Details

Cashless Claim Processing

Within 1 hour

Minimum Age for Entry

91 days

Maximum Age for Entry

No upper limit

Coverage Amount

Up to ₹30 Lakhs

Network Hospitals

7500+

Tax Savings

Up to ₹1 Lakh

Solvency Ratio (2021-22)

1.60%

Claim Settlement Ratio (2021-22)

89.38%

Ambulance Charges

Included

Accident Coverage

Yes

Choose the Best Health Insurance Plan

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

Coverage Benefits of IFFCO Tokio Health Protector Policy

The IFFCO Tokio Health Protector Policy offers comprehensive health coverage with a variety of benefits designed to ensure financial protection against medical expenses. This includes extensive coverage for pre and post-hospitalization, the convenience of cashless treatment options and assistance for critical illnesses. All these features make it an excellent choice for individuals and families looking for reliable health insurance.

Coverage BenefitsBenefit

Sum Insured


Family floater plans cover up to 30 lakh rupees while individual plans cover up to 20 lakh rupees.

Room Rent Charges


Up to actual coverage based on the insured sum

ICU Charges

Covered up to the agreed sum insured amount

Ambulance Charges

2,500 rupees limit per hospital stay

Daily Allowance

Maximum 1,000 rupees per day based on the insurance amount

Pre-Hospitalization Expenses

Health insurance coverage up to 60 days before hospitalization

Post-Hospitalization Expenses

Up to 90 days of coverage after hospitalization

Day Care Procedures

Insurance for 380+ day care procedures

Critical Illness Coverage

Included in the policy.

Cashless Treatment


7000+ hospitals in the network

Wellness Benefits

Promoting preventive health measures

Health Check-upsCovered under the policy.
AYUSH TreatmentsCoverage for alternative medicine treatments (AYUSH)
Claim Assistance24/7 customer service for claims assistance
Tax BenefitsDeduction under Section 80D, up to 1 lakh rupees
ExclusionsNo coverage for cosmetic treatments, pregnancy-related conditions, self-hrm injuries or adventure sports injuries

IFFCO Tokio Health Protector Policy Inclusions

  • Hospitalization Expenses
  • Pre and Post-Hospitalization
  • Day Care Procedures
  • Ambulance Charges
  • AYUSH Treatments
  • Critical Illness Coverage
  • Consumable Add-On
  • Waiver of Deductible
  • Cashless Treatment
  • Renewability

IFFCO Tokio Health Protector Policy Waiting Period

  • No medical coverage for the first 30 days
  • A 48-month waiting period for cataracts, hernia, gallbladder stones and joint replacements
  • Conditions like diabetic nephropathy have a 36-month waiting period
  • Different medical conditions may have different waiting periods common ailments may have a 1-month waiting period
  • If the policy is renewed after a break of 30 days or more, it will be treated as a new cover, reinstating all waiting periods.

     

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IFFCO Tokio 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.

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IFFCO Tokio 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 Health Protector Policy is a reliable option for securing comprehensive health insurance coverage from the insurer. It efficiently caters to the hospitalization expenses for individuals and their family members during unforeseen circumstances such as illnesses, accidents or surgeries. This policy ensures financial protection in times of medical emergencies, offering peace of mind to policyholders.

A.

To explore various options for the Health Protector Policy offered by IFFCO Tokio, it is recommended to visit their website or consult with an insurance agent. Online sources mention a few variations such as the IFFCO Tokio Health Protector Plus Policy and IFFCO Tokio Protector Assure Policy.

A.

To get a quote for the IFFCO Tokio Health Protector Policy, simply visit their website or reach out to an insurance agent. Basic information like your age, location and desired sum insured will be required. 

A.

The duration of the waiting period for coverage of pre-existing conditions differs depending on the policy variant. Typically, there is a specific number of years that must pass before coverage for pre-existing conditions becomes effective. For precise information, it is best to consult your policy document.

A.

Health insurance policies usually require a waiting period before maternity benefits kick in. To know the exact details about maternity coverage, waiting periods and sub-limits, it is important to carefully review the policy document.

A.

Yes, most health insurance policies cover daycare procedures, such as the Health Protector plan. These procedures do not require overnight hospital stays. However, it is important to carefully review the policy document to understand any specific conditions or coverage limits.

A.

The documents required for a claim usually consist of a completed claim form, original bills, discharge summary and relevant medical reports as instructed by the insurer. It is recommended to retain all medical records associated with the hospitalization.

A.

The claim settlement ratio is an important factor in assessing how well an insurer handles claims. To find the most up-to-date information, it is advisable to visit the insurer’s website or consult independent rating agencies.

A.

When thinking about switching to the Health Protector Policy, it is a good idea to ask the insurer if they offer the option to carry forward the no-claim bonus from your previous policy. This can be a valuable benefit that could help you save on your premiums in the future.

A.

You can easily renew your policy online or through the insurer’s mobile app, or you can also reach out to their customer care team for assistance. It is essential to explore the available renewal options and understand if there are any potential changes to the premium.

A.

It is important to notify the insurance provider before your hospital admission if you want to make a cashless hospitalization claim. You will be required to submit essential paperwork, such as the pre-authorization form, which the hospital can help you with. Make sure the hospital is affiliated with the insurer’s network to facilitate a seamless cashless process.

A.

Yes, you can add or remove family members during policy renewal but there may be age restrictions and specific conditions for adding new members.

A.

Reimbursement claims usually require you to pay the hospital bills and then send the required documents to the insurer for reimbursement, which can take longer than cashless claims.

A.

It's always a good idea to request pre-authorization for hospitalization to ensure a smooth cashless claims process. However, if there is an emergency, you can still submit a claim after hospitalization, although you might need to provide extra documentation.

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