IFFCO Tokio Individual Medishield Policy

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      IFFCO Tokio Individual Medishield Policy

      Individual Medishield Policy helps you financially by reducing the expenses from your own pocket on the medical treatment in case of an accident or disease. Apart from medical coverage for illnesses with an option to extend the coverage for critical illnesses such as kidney failure, heart surgery, major organ transplantation, cancer, etc. as the cost of treatment for such illnesses is very high.

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      There is a provision of cashless hospitalization in more than 4500 hospitals across India. In the event of an unfortunate event like an illness or an accident resulting in hospitalization, the insurer will take care of the financial expenses.

      Key Features of Iffco Tokio Individual Medishield Policy

      • The nationality of the proposer is not a bar, but to be the resident of India is a pre-requisite, as the medical reimbursements are valid PAN India only
      • Anyone between the age group of 3 months to 80 years can be insured. Dependent children between the age group of 3 months and 5 years can be included by their insured parents
      • Applicants below the age of 60 years do not need any pre-medical checkups. Anyone above the age of 60 years will need to undergo medical screening for diabetes, blood pressure, ECG, etc. Those who are above the age of 55 years shall undergo medical tests like Lipid profile or LP, Kidney functioning test or KFT
      • Discount on family cover

      Inclusions of Iffco Tokio Individual Medishield Policy

      • Daily hospitalization allowance is provided at the rate of 0.1% of the sum assured, and a maximum of Rs. 250 per hospitalization
      • During pre and post hospitalization, nursing expenses shall be covered, if only prescribed by the medical practitioner during the treatment period
      • Hospitalization required for donating organs, at the time of organ transplantation of the proposer, subjected to limits of sum insured as specified under the Iffco Tokio health insurance policy
      • At the end of 4 consecutive claim-free years, amount to be reimbursed is kept at 1 % of the sum assured
      • Provision to cover the entire family including spouse, dependent children, and parents are there. Children can only be covered if they are below 23 years and are dependent on the insured parents.
      • In the case of non-allopathic treatments like Ayurveda and homeopathy, the cap of reimbursement is kept at 10% of the sum insured ( both pre and post hospitalization expenses)
      • By paying 30% of extra premium you can get 10 major critical illnesses covered
      • Avail 5% of discount on premium, on getting 2 members insured and 10% of discount on having more than 2 members insured under the same plan

      Exclusions of Iffco Tokio Individual Medishield Policy

      • Any pre-existing disease diagnosed or treated during the first 3 years from the date of the commencement of the health insurance policy
      • Treatment during the first 30 days or waiting period of the policy ( unless it is an accidental case)
      • Some specified diseases as mentioned in the policy, will not to be treated in the first year of the policy
      • Cost of eyeglasses, lenses or any type of hearing instruments
      • Dental care until it requires hospitalization
      • Congenital diseases or regular health ailments
      • Pregnancy-related health claims except for ectopic pregnancy
      • Domiciliary hospitalization and out-patient treatment
      • Any expenses incurred on external medical equipment
      • Expenses incurred on obesity treatment, and any hormonal treatment
      • HIV/AIDS treatment
      • Expenses on naturopathy treatment, acupuncture, experimental or alternative medicine, acupressure, etc.
      • Involvement in life-threatening sports/activities.
      • Hospitalization required due to war conditions, terrorist activities and foreign attacks
      • Any type of non-medical expenses are not covered

      Sum Assured (Rs.)

      Minimum sum insured is Rs. 50,000 up to a maximum of Rs. 500,000. Which is extendible up to Rs. 2,000,000 if the need be.

      Claim Process of Iffco Tokio Individual Medishield Policy

      Their claim process is quite easy and simple claim process. You can file for both cashless and reimbursement claims. The procedure is listed below:

      If you undergo treatment in a non-network hospital then you can file a claim on a reimbursement basis. Reimbursement claims will require a completed and signed claim form. You will need to submit the medical bills, prescriptions and cash memos of the chemist, receipt bills, pathological test reports, etc. the treatment can also be availed on a cashless basis in a network hospital.

      Policybazaar exclusive benefits
      • 30 minutes claim support*(In 120+ cities)
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      • 24*7 claims assistance In 30 mins. guaranteed*
      • Instant policy issuance No medical tests*
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      Disclaimer: The list mentioned is according to the alphabetical order of the insurance companies. Policybazaar does not endorse, rate or recommend any particular insurer or insurance product offered by any insurer. For complete list of insurers in India refer to the Insurance Regulatory and Development Authority of India website www.irdai.gov.in

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      *We will respond in the first instance within 30 minutes of the customers contacting us. 30-minute claim support service is for the purpose of giving reasonable assistance to the policyholder in pursuance of the claim. Settlement of claim (including cashless claim) is the responsibility of the insurer as per policy terms and conditions. The 30- minute claim support is subject to our operations not being impacted by a system failure or force majeure event or for reasons beyond our control. For further details, 24x7 Claims Support Helpline can be reached out at 1800-258-5881.

      *Product information is authentic and solely based on the information received from the Insurer. Policybazaar is acting only as a facilitator and claims settlement shall be at the sole discretion of the Insurer. Policybazaar does not provide any medical or surgical advice or diagnosis and is not responsible for your interactions / treatment by a medical practitioner/hospital. Please consult a registered medical practitioner for any medical or surgical advice. The Information that you obtain or receive from Policybazaar, and its employees, or otherwise on the Website is for informational purposes only. As per the Insurance guidelines, you are allowed to cancel the policy with-in 30 days from the date of Issuance of policy.This option is available incase of policies with a term of one year or more.

      *All the health insurance plans cover hospitalization expenses including COVID-19 treatment cover up to the specified limits. You can also buy specific COVID-19 health insurance policies such as Corona Kavach Policy and Corona Rakshak policy.

      **All savings and online discounts are provided by insurers as per IRDAI approved insurance plans. #Tax Benefits are subject to changes in tax laws. GST Exemptions depend on fulfilment of qualification criteria and submission of relevant documents.

      *₹1748/month is the starting price for a 1 crore health insurance for an 18-year-old male, with no pre-existing diseases. Discount on renewal premium is subject to the number of wellness points earned in the health insurance policy. For more details about the plans, please read the sale brochure carefully to get upto 100% discount on renewal premium.

      *₹400/month is the starting price for ₹ 5 lakh Health insurance for a 30 year old male & 29 years old female, living in Delhi with no pre-existing diseases

      *₹541/month is the starting price for ₹ 10 lakh Health insurance for a 30 year old male & 29 years old female, living in Delhi with no pre-existing diseases

      *₹762/month is the starting price for ₹ 1 Crore Health insurance for a 30 year old male & 29 years old female, living in Delhi with no pre-existing diseases

      *₹243/month(₹ 8/day) is the starting price for a 5 lakh health insurance for a 20-year-old male, non-smoker, living in Bengaluru with no pre-existing diseases

      *₹2020/month is the starting price for ₹ 1 Cr Health insurance for a 50 year old male & 50 years old female, living in Bangalore with no pre-existing diseases rounded off to nearest 10.

      *₹390/month (₹13 per day) is starting price for 1 cr. Health insurance for 25 years old male, with pre-existing diseases, residing from tier 1 city rounded off to the nearest 10.

      *No medical tests are required unless requested by the insurer’s underwriter. In-case of pre-existing diseases relevant medical proof would be required as per the terms and condition of the policy opted.

      *The values taken for effective cost calculation are indicative values and may change as per the selected plan.

      *Coverage upto double the amount of Sum Insured is available on certain covers for a minimum plan of Rs. 5 Lakh on the first claim only to an individual of upto 45 years of age with no pre-existing diseases. The benefit is available with or without extra cost depending on the plan chosen.

      *Coverage of pre-existing diseases is provided by insurer as per their underwriting policy.

      *The scope of coverage may vary from plan to plan.

      ~Source: Google Review Rating available on:- http://bit.ly/3J20bXZ

      ##On ground claim assistance is available in 114 cities

      Tax Benefits are subject to changes in tax laws. GST Exemption depends on fulfilment of qualification criteria and submission of relevant documents as required by the insurers. For more details on risk factors, terms and conditions, please read the sales brochure and applicable rules and regulation carefully before concluding a sale.

      STANDARD TERMS AND CONDITIONS APPLY. For more details on risk factors, terms and conditions, please read the sales brochure carefully before concluding a sale.

      Policybazaar is a registered Composite Broker |Registration No. 742, Valid till 09/06/2027, License category- Composite Broker| Visitors are hereby informed that their information submitted on the website may be shared with insurers.

      Policybazaar Insurance Brokers Private Limited | CIN: U74999HR2014PTC053454 | Registered Office - Plot No.119, Sector - 44, Gurgaon, Haryana - 122001 Contact Us | Legal and Admin Policies

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