IFFCO Tokio Individual Medishield Policy

IFFCO Tokio Key Features of Individual Medishield Policy Insurance

• Room rent: Daily Limit upto 1% of SI < 3 lacs / NIL for plans of SI > 3 lacs
• Co-pay: NIL Co-payment across all plans
• Restoration Benefit : Restoration upto Claim Amount subject to premium payable

• Coverage with flexible Sum Insured Options ranging from ₹50,000 to ₹5 lacs (in multiples of ₹50,000) on an individual basis.
• Critical Illness Coverage is optional on payment of additional premium.
• Coverage for Pre and Post-hospitalization expenses.
• Coverage is provided for Ambulance charges.
• Coverage for Critical Illness & Emergency Assistance Services is provided.
• 121 Surgical Procedures are covered under the policy.
• Vaccination and health check-up charges are covered.
• Coverage for alternate treatments like Ayurveda, Homeopathy, Unani, Sidha, etc.
• In-House Claim Team: All claims filed under this plan directly attended to by IFFCO’s in-house team. This helps in saving vital time and money while filing claims for hospitalization expenses and quicker support.
• Policy covers hospitalization expense including the Room Rent, Nursing expenses, Doctor’s fees, medicine expenses, Medical tests fees, etc.
• Large network of 5000+ Hospitals across India.
• Portability : An insured can switch their existing Health Policy to IFFCO’s Individual Health Protector with ensured continuity of coverage.
• Lifelong Renewability of all policies offering peace of mind given that in present times the health care costs are rising every day.
• Critical Illness Extension - The optional Critical Illness Extension (for doubling of Sum Insured in respect of 10 listed major diseases) can be taken only under the Wider Plan (and not under the Base Plan), on payment of extra 30% on the basic premium.
• Automatic reinstatement of Sum Insured – 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.

IFFCO Tokio Eligibility of Individual Medishield Policy Insurance

IFFCO Tokio Coverages of Individual Medishield Policy Insurance

IFFCO Tokio Exclusions of Individual Medishield Policy Insurance

1. Pre-existing disease for a period 3 continuous years of coverage, from the start of the insured first health policy.
2. There will be a 30 day waiting period for newly acquired/diagnosed diseases. This will not in involve accidents.
3. One year exclusion for certain specified diseases listed in the policy.
4. Any expenses incurred on spectacles, contact lenses or hearing aids.
5. Any Dental treatment, unless it requires hospitalization.
6. General debility, congenital diseases/defects, sterility.
7. All claims that arises from or are related to pregnancy.
8. Any out-patient or domiciliary treatment.
9. Any expenses on external medical equipment.
10. Any claim that arises due to participation in dangerous sports/activities.
11. Any claim that arises or is related to HIV/AIDS.
12. Claims related to war, terrorism and nuclear risks.
13. All non-medical expenses incurred, including those for personal comfort and convenience.
14. Claims for expenses on treatment of obesity, hormone replacement therapy or sex change procedure.
15. Expenses incurred on naturopathy, experimental or alternative medicine. Also, acupressure, acupuncture, magnetic and similar therapies.