Compare & Buy Car, Bike and Health Insurance Online - InsuranceDekho
Track & Policy DownloadLogin

IFFCO Tokio Health Insurance Claim Settlement

IFFCO Tokio Health Insurance, a pioneer in the health insurance industry, is dedicated to offering hassle-free health claim procedures. With a huge network of around 4,200 network hospitals, the insurer ensures a smooth claim settlement procedure across the nation according to its regulations. IFFCO Tokio is widely appreciated for its easy and fast cashless claim procedure either through external TPAs or directly by IFFCO Tokio. The policyholders can get their claims settled with a reimbursement option or a cashless facility.

Health Insurance Calculator

Whom do you want the insurance for ?

You
Couple
Family
Father
Mother

Select the age of all members

  • You

Where do you live ?

Choose required Coverage for yourself?

5 Lac
10 Lac
25 Lac
Disclaimer : Actual Premium might vary basis your location, age and number of members

Health Insurance News

FAQs

  • How many claims I can make with IFFCO Tokio plan?

    There is no maximum limit for claims to be made. Thus, you can make as many claims as you need within the limit of your plan’s sum insured. 

  • Can the company reject my claim in any case?

    Yes. The company can reject your claim on various grounds as per the terms and conditions mentioned in the policy.

  • At how many hospitals is the cashless facility available?

    You can avail cashless treatment at more than 4,000 network hospitals.

  • What documents do I need to present before Iffco Tokio team to request a claim?

    Here are the documents which need to be submitted to seek a claim:

    • Duly filled claim form 
    • Certificate from the doctor
    • Discharge details
    • Medicine prescriptions
    • Medical bills
    • Final receipts from the hospital
    • Diagnosis reports such as x-ray scan, ECG, etc.

    In addition to these, the claim settlement team of Iffco Tokio may ask for some other documents as well.

  • At how many network hospitals does Iffco Tokio provide cashless claim facility to its policyholders?

    Yes. Iffco Tokio offers cashless claim facility in over 4,000 network hospitals to the policyholders.

  • Within how much time, one should inform the insurer to seek cashless facility or reimbursement of claim in planned and emergency situation?

    The insurer is required to be conveyed within 3 days prior to the hospitalisation in the case of planned hospitalisation. But, in the case of emergency hospitalisation, the insurance providing company need to be informed as soon as an insured member is admitted in the hospital.  

     
  • How to calculate the Claim Settlement Ratio (CSR) of IFFCO Tokio Health Insurance?

    To calculate the Claim Settlement Ratio of IFFCO Tokio Health Insurance, you can use the formula given below: 

    Claim Settlement Ratio=(Total claims settled or paid)/(Total claims received+Outstanding claims at the beginning of the year)

  • How to process cashless insurance claim settlement of IFFCO Tokio Health Insurance?

    To process cashless claims under IFFCO Tokio Health Insurance plans, you are required to follow the steps given below: 

    • Get hospitalised at the network hospital of your choice, show your health card at the hospital, and intimate the Third Party Administrator (TPA)
    • Fill the cashless claim form and send it by fax to the TPA
    • The TPA will examine your document and inform the network hospital about the decision
    • The TPA will approve your request and settle the bill directly at the hospital if the claim made was in accordance with the terms and conditions under the policy.
  • How to make reimbursement claims under health insurance plans offered by IFFCO Tokio Health Insurance?

    You can make reimbursement claims under IFFCO Tokio health Insurance plans by following the steps given below: 

    • On getting hospitalised at a non-network hospital, immediately inform IFFCO-Tokio General Insurance 
    • Avail the treatment and pay for the hospital bills from your own pocket
    • Download and fill the claim form from the official website of IFFCO Tokio General Insurance 
    • Submit the required documents at the IFFCO Tokio office
    • The insurance company will settle the bills if the documents are found authentic and the claim has been made as per the terms and conditions under the policy.
  • What is the time frame within which the hospitalisation must be reported to IFFCO Tokio Health Insurance?

    You must inform IFFCO Tokio General Insurance within 24 hours of hospitalisation in case of emergency hospitalisation and 48 hours before admission in case of planned hospitalisation. 

  • What is the Claim Settlement Ratio of IFFCO Tokio Health Insurance?

    As per the IBAI’s General Insurance Claim Insights Handbook For Policyholders-4th and 5th Edition, the Claim Settlement Ratio (CSR) of IFFCO Tokio Health Insurance for the financial years 2018-19 and 2019-20 is 96.57% and 96.33% respectively.  

  • What is the Claim Settlement Ratio (CSR) of IFFCO Tokio Health Insurance?

    The Claim Settlement Ratio (CSR) of IFFCO Tokio for FY 2019-20 is 96.33%.

User Reviews

Write your review
What users are saying
  • All
  • Price
  • Helpful
  • Network Hospitals
  • Claim
  • Renew
  • Premium
  • Top up
  • Critical Illness
  • Reassurance provided by the cu...

    I was skeptical about buying insurance online, but InsuranceDekho's transparent process put my worries at ease. No hidden fees, no surprises! Buying Iffco Tokio health insurance was hassle-free.

    A
    IFFCO Tokio
    By Abha Saxena
    On: May 30, 2024
  • Happy with Customer Service Te...

    I was really confused about which insurance to take for my family. With the help of InsuranceDekho and their good customer service team, I was able to finalise the IFFCO Tokio Family Health Protector Policy for my family.

    A
    IFFCO Tokio
    By Ayush Kumar Singh
    On: Feb 29, 2024
  • Professional Advisors

    The insurance experts of the InsuranceDekho company are kind and professional. I like their friendly nature. They made my purchase of the IFFCO Tokio Health Insurance Plan from their online platform much easier and smoother. Thanks to the InsuranceDekho company!

    H
    IFFCO Tokio
    By Himanshu Raghav
    On: Jan 08, 2024
  • The best policy to cover famil...

    I wanted to purchase a policy so that I can secure my family. I looked for it on the website of InsuranceDekho. I purchased a plan from Iffco Tokio. I was happy with the easy process of purchasing a plan from the InsuranceDekho  

    S
    IFFCO Tokio
    By Shiva Raman
    On: Feb 28, 2023
  • Reminder feature

    I had purchased the IFFCO Tokio Individual Medisure plan  from the InsuranceDekho’s website. I purchased this plan because it was quite unique and provided good coverage at an affordable price. I had to renew this policy and InsuranceDekho keep sending me reminders to renew the policy on time. Thanks to InsuranceDekho, I was able to renew my policy on time without any fail.

    M
    IFFCO Tokio
    By Mehak Ghai
    On: Feb 10, 2023

Network Hospital in Popular Cities

CityNo of Hospital
Ghaziabad31
Lucknow49
Pune119
Gurgaon49
Patna15
Noida25
Chennai225
View All