Why Should You Buy Health Protector Plus Policy by Iffco Tokio General Insurance

Iffco Tokio General Insurance Company has an incurred claim settlement ratio of 102% in the financial year 2018-19. It is the ratio of claims settled by the company to the collective premium during that year. The insurance company is one the leaders in the health insurance industry and has been providing greater satisfaction to its customers with comprehensive plans and a seamless claim settlement process.

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Get ₹5 Lac Health Insurance starts @ ₹200/month*
Tax Benefitup to Rs.75,000
Save up to 12.5%* on 2 Year Payment Plans
7 Lakh+ Happy Customers

*All savings are provided by the insurer as per the IRDAI approved insurance plan. Standard T&C Apply
*Tax benefit is subject to changes in tax laws. Standard T&C Apply

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    What makes Iffco Tokio Health Protector Plus Policy Useful?

    The following features and benefits make Health Protector Plus Policy a worth buy:

    • You can buy Iffco Tokio Health Protector Plus policy online. The scheme offers flexibility to choose the plan term – 1 year plan, top up plan, super top up plan
    • It’s your decision whether you want to deductibles on basis of the claim made per year or a total of all the claims made in a year
    • There are wide range of sum insured options to choose from to meet your healthcare and financial needs
    • You also have the option to go for a family floater plan or have an individual sum insured
    • Lifelong policy renewal if you continue with the policy without any break
    • The plan provides better coverage at a lower premium price
    • You can purchase this insurance plan, even if you don’t have a basic health insurance plan
    • In case of change of job or loss of job you can avail waiver of deductibles– By paying an extra premium amount, you can get the full sum insured without any deductibles, if there is a loss/change of employment for a period of 30, 60 & 90 days.
    • Avail cashless claim settlement in more than 5000 hospitals across India
    • The insurance is directly processed by the insurer without involvement of any third party administrator
    • Tax saving benefits under Section 80/D of the Income Tax Act

    How Waiver of Deductible option works?

    Suppose there is a loss of employment, or you happen to change your job and the sum insured you have taken is 5 lakhs with a deductible limit of Rs. 2 lakhs. And you have opted for a waiver of deductibles for a period of 1 month. Then you need to intimate your insurer and provide all the supporting documents stating the unemployment.

    If this happens, you will be given full coverage of Rs 7 lakh (5 lakh + 2 lakh) during the 30 days period. This waiver will be applicable from the date of notice or reliving whichever is later, until you request to end the WOD cover, whichever takes place earlier.

    Waiver of deductibles can be utilized multiple times, if there is a loss of employment more than once during the policy term, subjected to a maximum of 30 days during the policy period.  

    What does the Policy Cover?

    The plan offers coverage against hospitalization expenses to you and your family members in case of any high cost treatment required for any illness or injury. The plan provides additional cover over and above the deductible amount. Health Protector plus plan helps you meet the exorbitant medical costs in a very convenient manner.

    Key Features

    ● The entry age criteria is 18 years and 65 years of age

    ● Flexibility to choose the deductibles and waiver of deductibles

    ● Without a base health insurance policy, this plan can be purchased

    ● You can waive off deductibles on payment of an extra premium. Waiver of deductible option is valid only for salaried people and those who are below the age of 55 years

    ● In this policy lifetime renewal option is provided

    ● 15 days of free look period to help you decide if you want to cancel or continue the plan

    ● You can avail cashless claim settlement facility in more than 5000 network hospitals

    ● Moreover, you can save tax on premium paid as per section 80D of the Income Tax Act

    Inclusions

    ● In hospitalization expenses including room rent, ICU charges, nursing and boarding expenses are covered

    ● Fees charged by doctors, anesthetist, medical practitioner and consultants can be claimed

    ● Cost of operation theatre, radiotherapy, chemotherapy, organ transplantation, anesthesia, x ray, dialysis, drugs, medical tests, surgical appliances and other expenses are covered as well

    ● Cost incurred on purchase of vitamins and tonics as part of the hospitalization treatment can also be claimed

    ● 60 days pre hospitalization expenses to be covered and post hospitalization expenses to covered till 90 days from the discharge date

    ● Non-allopathic treatment in a government recognized hospital for homeopathy, Ayurveda and Unani treatment

    ● Up to Rs 3000 to reimbursed for ambulance or the actual cost whichever is less

    ● Up to 0.10% of the sum assured to be compensate for daily hospitalization expenses

    ● Domiciliary hospitalization expenses to be reimbursed but with a sub-limit of 20% of the sum insured

    Exclusions

    ● Any treatment cost incurred in the initial 30 days from the policy inception date

    ● Any hospitalization required for cosmetic or plastic surgeries

    ● Treatment for HIV/AIDS infection

    ● Mental disorders and treatment for anxiety or depression

    ● Hospitalization for genetic disorders

    Sum Insured (Rs.)

    ● The Sum insured amount ranges from Rs 2 lakh to Rs 25 lakh

    *Please note that the amount recompenses is subjected to the total sum insured as per policy terms and conditions. Please go through the same before you purchase it.

    How can you file a Claim for IFFCO Tokio Health Protector Plus Insurance Plan?

    There are two ways in which you can do it -

    If you want to opt Cashless Claim Procedure:

    • If it is a planned hospitalization you should notify the insurance company at least 3 days before the treatment
    • If it is an unplanned hospitalization, then you notify the insurance company on the day of hospitalization. The intimation can be given over a call or via email
    • To start with cashless treatment you need to furnish you Iffco Tokio health card and a Photo ID proof at the network hospital.
    • Once the verification process is completed, the hospital will shared the duly-filled claim form with Iffco Tokio General Insurance Company Limited. The hospital will also send a signed pre-authorization request form to the insurer/TPA.
    • Upon completion of the verification process, you can start with the cashless treatment
    • Upon submission of all the documents, the insurer will send you a confirmation to proceed with  cashless hospitalization
    • Do not forget that cashless treatment is only available in network hospitals

     If You Want To Reimburse Your Claims:

    • If your request for cashless hospitalization has been disapproved, then you can get reimbursement for treatment costs.
    • For this, you need to provide all the medical/hospital bills and the request for reimbursement shall be made within a week of discharge from the hospital.
    • Also, you need to submit the reimbursement claim form duly filled by you. Also, you need to submit all the other documents at the nearest branch of Iffco Tokio Health Insurance Company.
    • On completion of all the verification, the insured claim amount shall be reimbursed via cheque to the insured person.  After receiving all the required documents from your end, the request will be completed within 20 days from then.

    Final Words

    Iffco Tokio’s Health Protector Plus Insurance Policy is a unique plan that provides cover for varied medical situations and conditions. If you do not want any financial trouble to stop you from availing the best medical treatment, then go ahead with Health protector plus policy. Rest assured, you will be satisfied with your decision of buying this exemplary medical insurance product from Iffco Tokio General Insurance Company.

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