Eligibility Criteria | |
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Entry Age | Adults – 18 years to 65 years Dependent Children : > 3 months subject to coverage for their parents also. Children can be covered upto 23 years of age |
Family Members who can be covered | Spouse / Dependent Children / Dependent Parents can be covered. Maximum Members that can be covered under the plan : 5 (Self, Spouse + 3 Dependent Children |
Benefit Coverages of Medishield | |
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Hospitalisation Expenses | The policy covers
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Hospitalisation Expenses Room Rent, Boarding & Nursing Charges Sub Limit | Upto 20% of Total Sum Insured Subject to
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ICU / Therapeutic Expenses |
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Domiciliary Hospitalisation Expenses | Covered upto 20% of Sum Insured |
Organ Donor Expenses | Covered |
AYUSH Treatment | Covered (Ayurveda, Homeopathy, Unani, Sidha) upto 10% of Basic Sum Insured |
Daily Allowance | 0.10% of Sum Insured or ₹250 per day whichever is lesser |
Ambulance Charges | 1% of Sum Insured subject to a maximum of ₹1,500 |
Pre Hospitalisation | Insured is covered upto 60 days |
Post Hospitalisation | Insured is covered upto 60 days |
Cumulative Bonus | Cumulative Bonus shall be increased by 5% (five percent) of the basic sum insured at each renewal in respect of each claim free year of insurance, subject to maximum of 50% (fifty percent) of basic sum insured of the expiring policy. |
Cost of Health Check Up | The reimbursement shall not exceed 1% of the Basic Sum Insured during the block of four claim free policy years |
Day Care Surgeries | Covered |
Hospitalisation > 12 hours but less than 24 hours | Entitlement @50% of the Room Rent per day |
Critical Illnesses Covered |
|
Free Look Period / Grace Period | 15 days / 30 days |
Premium Discounts |
|
Renewability | Lifelong Renewal. However policy to be renewed within Renewal Date (or within maximum of 30 days from expiry date) to ensure continuity of all benefits are intact. |
In a cashless Mediclaim settlement, it is settled directly with the network hospital. In cases where this is no cashless settlement, the claim amount is paid to the nominee of the policyholder. In case there is no nominee made under the policy, then the insurance company will insist upon a succession certificate from a court of law for disbursing the claim amount. Alternatively, the insurers can deposit the claim amount in the court for disbursement to the next legal heirs of the deceased.
Generally, No. In the instances where any of the applicants is above 55 years of age or based on declaration in proposal form, we feel that we require additional information for fair and accurate underwriting purposes, we will ask you to undergo medical tests or ask you previous medical records. Medical Examination reports validity period is 6 months.
Cover for all pre-existing medical conditions are excluded during the first three years of insurance. If you were covered under a health insurance policy from us or any other Indian insurer and we have accepted your request for portability, we shall make due adjustments towards pre-existing diseases and all other time-bound exclusions.
A person who avails the option ‘Treatment in tiered network’ and does not get treated in the tiered networks has to pay a Co-pay of 10%.
Review IFFCO Tokio Individual Medishield Policy insurance brochure to understand coverage details.
Know more »Fill the online IFFCO Tokio Individual Medishield Policy insurance proposal form.
Review IFFCO Tokio Individual Medishield Policy policy wordings which explains the terms and conditions.
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