Iffco Tokio Individual Medishield Plan
Product Overview of Iffco Tokio Individual Medishield Plan
Iffco Tokio- Individual Medishield Plan is a hospitalization policy, which covers inpatient treatment for a minimum period of 24hrs, along with other benefits like day care treatments, Ayurvedic treatment, etc.
Unique Features of Iffco Tokio Individual Medishield Plan
- Any expenses related to Pre-Hospitalisation are covered upto 60 days and Post-Hospitalisation are covered upto 60 days.
- All Pre-Existing Disease are covered after a waiting period of 3 years.
- Non-Allopathic Treatment like - Ayurvedic/ Homeopathic treatments are covered under this policy
- There is No-Copayment Clause under this plan
- Some Organ Specific are Covered after 1 year like Cataract, Benign Prostatic Hypertrophy etc
Critical features of Iffco Tokio Individual Medishield Plan
Room rent:
Limits imposed towards room and ICU rent expenses
- Room Rent-1% of the Sum Insured
- ICU-2.5% of the Sum Insured
- *This plan provides coverage for registration, service charges, surcharges, etc. up to 0.5% of sum insured.
No Claim Bonus:
Health Insurance policies may offer Cumulative Bonus wherein for every claim free year, the Sum Insured is increased by a certain percentage at the time of renewal
5% of basic sum insured up to a maximum of 50 % for each unclaimed year in case opted for(The cumulative bonus will reduced by 10% of the Sum insured once a claim is made)
Co-Pay:
Specific % of admissible claim amount to be borne by Insured
- This Plan does not have copayment clause.
- Package charges of hospital for specific treatments, subject to a maximum of 80% of Sum Insured.
Pre-Existing Diseases:
Means any condition, ailment or injury or related condition(s) for which you had signs or symptoms, and / or were diagnosed, and / or received medical advice/ treatment, within 48 months prior to the first policy issued by the insurer
This Plan has a waiting period of 3 years is case of pre-existing diseases
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OneInsure App Benefits
Eligibility Criteria
- Minimum Age of Entry:- Children-91 days to 23 years/Adults-18 years
- Maximum age of Entry:- 80 years
- Sum Insured:- 50 Thousands to 5 Lacs
- Policy Tenure:- 1 yr
- Premium Calculated on Basis of:- Age (i.e. sum Insured Chosen)
Add-ons
- Critical illnesses (Optional Rider with 30% Additional Premium):
Critical Illness means any Disease or Major Injuries, which the Insured Person is diagnosed to have suffered from and which requires Hospitalisation: Defined Illness are: Stroke, Cancer, Kidney Failure, Open Chest CABG, Major Organ/ Bone Marrow Transplant, Major Illness, Major Burns, Coma of Specified Severity, Multiple Sclerosis etc. - Emergency Assistance Services:
Value added Emergency Medical Assistance and Emergency Personal Services as described below: (No Additional Cost)
- Medical Consultation, Evaluation and Referral
- Emergency Medical Evacuation
- Transportation to Joint Patient
- Care and/ or Transportation of Minor Children
- Emergency Message Transmission
- Return of Mortal Remains
- Emergency Cash Coordinate
Additional discounts
- Family Package covers, there is provision of premium discount @ 5% if two persons are covered and 10% if more than two persons
- A special premium discount scheme is available under this Policy, if the Insured has effected his Motor Two Wheeler
Exclusions
- Cost of spectacles, contact lens or hearing aids.
- Dental treatment, unless requiring hospitalisation.
- Convalescence, general debility, congenital diseases/defects, sterility.
- All claims arising from or related to pregnancy, other than ectopic pregnancy.
- Any domiciliary or out-patient treatment.
- Cost of external medical equipments.
- Claims arising out of participation in dangerous sports/activities.
- Claims arising from or related to HIV/AIDS.
- War, terrorism and nuclear risks.
- All non medical expenses, including personal comfort and convenience item services.
- Treatment of obesity, hormone replacement therapy, sex change.
- Genetic disorders, stem cell implantation and surgery.
- Treatment of mental illness,cosmetic surgery/implants or plastic surgery
- Expenses on naturopathy, experimental or alternative medicine, acupressure, acupuncture, magnetic and similar therapies
Note: Any claims arising out of or attributable to any of the following is not covered
Tax Benefits
The premium paid for health insurance policy is liable to get a tax rebate under section 80D of the Income Tax Act, 1961.
Claim Process
In case you would like to know about the Claim Process or would like to register a Claim please click the link below
