Iffco Tokio offers two types of claim settlements – cashless and reimbursement. Follow the steps to raise a claim:
- Find the nearest network hospital of Iffco Tokio
- Get admitted to the hospital
- Notify the insurance company about the hospitalization
- In case of pre-planned hospitalization, intimate the insurer before hospital admission.
- Fill up the pre-authorization form and submit it to the hospital staff
- The pre-authorization form will be sent to Iffco Tokio for approval.
- Once approved, obtain medical treatment.
- At the time of discharge, sign all the medical documents.
- Pay for the items/services not covered under the Iffco Tokio policy
- The network hospital will send the hospital bill to Iffco Tokio.
- After review, the insurance company will pay the bill amount directly to the network hospital.
- Intimate Iffco Tokio about the hospitalization
- In case of planned hospitalization, inform the insurance provider before hospital admission.
- Obtain medical treatment
- During discharge, pay the hospital bill in full.
- Collect all the medical documents, hospital bills and receipts
Our Claim specialists in below cities will reach your hospital or home in 30 minutes to support your health insurance claim
About IFFCO Tokio Health Insurance
IFFCO Tokio Health Insurance is offered by IFFCO-Tokio General Insurance Company Limited. The company was established in 2000 as a joint venture between India-based IFFCO and Japan-based Tokio Marine Group. It offers a wide variety of health insurance plans for individuals and families with customized coverage for mosquito-borne diseases, critical illnesses, etc.
Types of Iffco Tokio Insurance Plans
The IFFCO Tokio Family Health protector plan has been designed to cover the medical expenses of the whole family on a floater sum insured basis.
Features and Benefits:
- Coverage for hospitalization expenses and day care procedures are available
- Emergency assistance services and ambulance charges are covered
- Daily allowance benefit, vaccination cover and terrorism cover are available
- AYUSH treatment and domiciliary hospitalization are covered
- 5% cumulative bonus for up to 50% is available if no claim is raised
- Health check-up benefit is available after a block of four claim-free years
- Waiver of room rent limit and double sum insured for named critical illness benefits are available as add-on covers
- No pre-policy medical check-up is required for up to 45 years
The IFFCO Tokio Health Protector plan covers an individual against medical emergencies arising out of an accident or illness.
Features and Benefits:
- In-patient hospitalization and domiciliary hospitalization expenses are covered
- Coverage for 11 critical illnesses and 12 modern treatments are available
- AYUSH hospitalization, ambulance charges and vaccination expenses are covered
- Terrorism cover, emergency assistance services and daily allowance cover are also available
- 100% reinstatement of the sum insured is available
- Cost of medical check-ups are covered after every 4 claim-free years
- 5% cumulative bonus for up to 50% is granted if no claim is raised
- No pre-policy medical check-up is required for up to 45 years
The IFFCO Tokio Health Protector Plus plan offers a top-up and super top-up plan to the insured that comes with a compulsory deductible.
Features and Benefits:
- In-patient hospitalization, AYUSH hospitalization and domiciliary hospitalization are covered
- Ambulance cover, organ donor cover and daily allowance cover are available
- Both pre-hospitalization and post-hospitalization expenses are covered
- Modern treatments and day care treatment covers are available
- Emergency assistance services are also covered
- No medical check-up for up to 45 years
- Waiver of deductible and loss of job cover are available as optional covers
The IFFCO Tokio Swasthya Raksha Bima has been designed to provide medical coverage to people staying in small cities and towns.
Features & Benefits:
- In-patient hospitalization and domiciliary hospitalization are covered
- Pre-post hospitalization and daily allowance are available
- Ambulance charges, organ donor expenses and AYUSH hospitalization are covered
- Emergency assistance services are also available
- No pre-acceptance medical check-up for up to 45 years
- Reinstatement of the sum insured is available
The IFFCO Tokio Critical Illness Benefit plan takes care of the financial liabilities of the insured resulting from the diagnosis of 25 critical illnesses.
Features and Benefits:
- Lump sum benefit is paid on the diagnosis of the critical illnesses
- No pre-policy health check-up is required for up to 50 years
- A survival period of 28 days is applicable
The IFFCO Tokio Hospital Daily Cash plan has been designed to cover out-of-pocket expenses incurred during hospitalization, such as the cost of consumables, food, conveyance, etc.
Features and Benefits:
- Cash allowance is paid for each day of hospitalization
- Twice the daily cash amount is paid for ICU hospitalization
- Day care procedures and modern treatments are also covered
- Coverage period varies from 15 days to 180 days
- No pre-policy health check-up is required for up to 55 years
The IFFCO Tokio MOS-BITE Protector plan provides coverage for the treatment cost of vector-borne diseases, such as malaria, dengue, Zika virus, etc.
Features and Benefits:
- Lump sum amount is paid on the diagnosis of a vector-borne disease
- Coverage is available after 48 hours of hospitalization
- No pre-policy health check-up is required
- A waiting period of 30 days is applicable
The IFFCO Tokio Personal Accident Grand plan provides financial support to the insured in case he/she meets with an accident.
Features and Benefits:
- Coverage for accidental death and disablement are available
- Cost of supporting items, damaged clothes and travelling are covered
- Education fund and loss of employment cover are available
- Ambulance charges and the cost of carrying the dead body are also covered
- Modification allowance and hospital cash are available
- Terrorism cover is also available
The IFFCO Tokio Comprehensive Accident Hospitalization plan provides medical coverage to the insured during accidental hospitalization.
Features and Benefits:
- Cost of in-patient hospitalization due to an accident is covered
- Outpatient managed fracture benefit is available
- Ambulance service charges are also covered
- Hospital cash and post-hospitalization medical benefit are available
- Education fund cover and emergency assistance services are also available
Key Benefits of IFFCO Tokio Health Insurance
or select from popular citiess In case of emergency we are just a call away. Take care of your family, we will do the rest. Our claim specialists will reach your location & complete the formalties from filing the claim to documentation to coordinating with insurer, TPA & hospital. Available in New Delhi and 114+ cities View cities list ›Search Iffco Tokio Cashless Network Hospital list
Policybazaar Claim Process
Here is the list of documents required to file a IFFCO Tokio health insurance claim:
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Claim FormDuly filled and signed IFFCO Tokio health insurance claim form
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Health Card/Policy CopyHealth card or a copy of IFFCO Tokio health insurance policy
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Medical DocumentsHospital discharge card, doctor’s prescriptions, test reports, etc.
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Medical Bills & Payment ReceiptsMedical test and investigation reports with payment receipts, Surgeon's bills and payment receipts
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KYC DocumentsNEFT and KYC details
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Legal DocumentsFIR/Self-declaration/ Medico Legal Certificate (MLC) in case of an accidental hospitalization
Note: The exact list of claim documents varies from case to case. Contact the customer support team for the complete list.
The process to buy a IFFCO Tokio Health Insurance plan is given below:
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Visit the Health Insurance SectionGo to the ‘Health insurance’ section on Policybazaar.com
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Fill in Personal DetailsProvide necessary details like age, mobile number, city, medical history, gender, etc.
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Pay the Premium OnlineChoose your preferred IFFCO Tokio health insurance policy and pay the premium online
The process to renew a IFFCO Tokio Health Insurance plan is given below:
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Go to the Renewal SectionNavigate to the ‘Renew Your Policy’ tab on Policybazaar.com and select ‘Health Renewal’
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Verify Your IdentityEnter your registered mobile number and the OTP sent to your device
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Pay the Renewal Premium OnlineSelect the IFFCO Tokio health insurance policy you want to renew and pay the premium online
Take a look at the IFFCO Tokio Health Insurance contact number below:
| Categories | Contact Details |
|---|---|
| Toll-free No. | 1800-103-5499 |
| Phone No | 0124 428 5499 |
| Email ID | websupport@iffcotokio.co.in |
IFFCO Tokio Health Insurance: FAQs
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Q1: What is the claim settlement ratio of IFFCO Tokio health insurance?
Ans: IFFCO Tokio health insurance has earned a claim settlement ratio of 95.82% in FY 2020-21.
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Q2. Is IFFCO Tokio good for health insurance?
Ans: Yes. IFFCO-Tokio General Insurance Company offers a variety of health insurance plans to cater to the health needs of different individuals. They have customized plans to cover critical illnesses and vector-borne diseases.
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Q3. Where can I get IFFCO Tokio health insurance hospital list?
Ans: You can find the network hospital list of IFFCO Tokio General Insurance Company with the health insurance policy document issued by the insurer. You can check the IFFCO Tokio health insurance network hospitals in different cities at Policybazaar.com.
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Q. What is the advantage of selecting a policy with a duration of more than 1 year?
Ans: If one buys Aditya Birla Health Insurance for more than a year, one can save 7.5 % and 10% on the 2 and 3 years premium, respectively.
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Q. How is an Individual cover different from a Floater cover?
Ans: In an Individual cover, coverage is offered to each individual in the family separately. In a Family Floater health insurance plan, each family member is covered based on a floater sum insured.
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Q. How is an Individual cover different from a Floater cover?
Ans: In an Individual cover, coverage is offered to each individual in the family separately. In a Family Floater health insurance plan, each family member is covered based on a floater sum insured.
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Q. What is a waiver of a mandatory co-pay cover?
Ans: This benefit is covered on payment of an additional premium. Therefore, any mandatory co-payment that is applicable under the Aditya Birla Activ Health Essential Plan will be waived off.
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