IFFCO Tokio Health Protector Policy

Introduction

“Don’t forget to protect yourself from unfortunate illnesses”. This policy covers you and your family against expenses of hospitalization, organ transplant, surgical expenses and medical expenses in case of injury or illness. You can cover your whole family under this policy.

Key Features

• Room expenses and ICU expenses are covered according to the city in which you are living
• Registration charges, service charges and surcharge are covered up to 0.5% of sum insured.
• Terrorism is covered.
• It covers the fees of surgeons, physicians and other medical practitioners.
• Ambulance charges up to 1% of sum insured or Rs 2500 is covered whichever is less.

Benefits

• On every claim free renewal, sum insured is increased by 5% and it can be extended up to 50% on regular claim free renewals.
• After 4 claim free years, cost of health checkup will be covered up to 1% of sum insured.
• Vaccination charges up to 10% of (premium paid in two years) will be covered after two claim free renewals without break.

Details about Premium

Sum insured can be taken less than or more than 5 lacs. Premium will depend upon number of family members covered and the age of the persons covered under this policy.

Policy Details

Coverage: Self, spouse, mother, father, brother,sister,brother in law, sister in law,nephew, niece and the relatives who are of the same family.

Policy period: Policy is issued for 1 year and this policy requires renewal at the end of policy period for continuous coverage.

Portability: If the insured wants to port his policy from the present insurer to new insurer, it should inform to the insurance company 45 days prior to the date of renewal.

Free look period: After buying the policy if the policy holder is not satisfied with the policy, a free look period of 15 days is given to the policyholder to return the policy.

Refund of premium: In case of fraud or misrepresentation, insurer can cancel the policy .In case insured wants to cancel the policy, he/she is entitled to refund of premium as follows.

Period of cover)	Refund of annual premium rate (%)
up to 1(one) month	75% (seventy five percent)
Up to3(three) months	50% (fifty percent
Up to 6(six) months	25% (twenty five percent)
Exceeding 6 months	nil

*The above rates may change. Please check the policy wordings for more details.

Additional Riders or Features

To cover critical illnesses, an additional premium of 30% of basic premium should be paid .It covers critical illnesses such as:

1. Cancer
2. Surgery
3. Bone marrow transplant
4. Kidney failure
5. Paralysis of limbs

Documents Required

The proposer needs to fill an application/proposal form to buy this policy. Insurer might ask the proposer to submit his past medical history.

Eligibility criteria

The proposer for this policy should be in the age slab of 18 years to 65 years.

Inclusions

Expenses(for sum insured less than 5 lacs)	Class A	Class B
Room expenses	1.75%of sum insured	1.50% of sum insured
ICU expenses	3% of sum insured	2.5% of sum insured

 

• Pre-hospitalization charges up to 45 days and post hospitalization charges up to 60 days are covered.
• Daily allowance up to 0.20% of sum insured per day is covered in case of hospitalization.
  

Exclusions

• Pre-existing diseases are not covered up to a period of 36 months from the day of commencement of policy.
• Co-payment: copayment splits the cost between insurer and insurer. Percentage of copayment is the cost that is incurred by the insured.

 

No. Of Claims	Percentage of Co-payment
First claim	Ni
Second claim	7.5%(seven and half percent)of the admissible claim amount
Third claim	10%(ten percent) of the admissible claim amount
Fourth claim and above	20%(twenty percent) of the admissible claim amount