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IFFCO Tokio Individual Medishield Health Insurance

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IFFCO Tokio Health Insurance
Individual Medishield Policy
Claim Settlement Ratio96.33%
Network Hospitals7,500+
PED Waiting Period3 years
Starting Premium (for 5L SI)Rs. 584/month

About IFFCO Tokio Individual Medishield Health Insurance

IFFCO Tokio Individual Medishield Policy is a medical insurance plan designed with a comprehensive approach is to provide medical coverage to individuals. It is a prudent way to safeguard yourself from a monetary crisis that can occur due to hefty medical expenses during a health emergency. The plan offers medical coverage for diseases with an add-on option to increase the medical cover for different critical illnesses that comprises of kidney failure, heart surgery, major organ transplantation, cerebral stroke, cancer, etc., as the expenses are quite high for such ailments.

The plan also gives cash-free hospitalisation facility at 4000+ network hospitals across the nation. Under this plan, coverage is available for people between the age group of 3 months to 60 years. Also, kids between the age of 3 months and 5 years can be covered provided their parents own the coverage under this health insurance plan. There requires no medical check-up until the age of 60 years to get covered under this health policy. However, people above the age of 60 years have to go through a pre-acceptance medical screening or test.

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Key Inclusions and Exclusions of the Plan

What's Included

  • Organ donor expenses are covered
  • Availability of lifelong renewability option
  • Coverage for up to 121 daycare procedure
  • Pre and post hospitalisation medical expenses
  • Cover for nursing expenses and related charges

What's Not Included

  • Expenses on diagnostic, x-ray or laboratory
  • Pre-existing disease treatment within 36 months
  • Maternity expenses and newborn baby expenses
  • Any medical-related expenses on OPD treatment
  • Injury caused by war, warlike situation, riot, etc.

1187 IFFCO Tokio Cashless Network Hospitals in India

Individual Medishield Policy User Reviews

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Add-ons to Enhance Benefits

  • Critical Illness Cover

    An optional cover is available with the name of critical illness extension under the wider variant of this plan on payment of a little extra premium. The cover doubles the amount of sum insured in respect of 10 listed major diseases by making a payment of 30% additional amount on the basic premium.

IFFCO Tokio Individual Medishield Policy Expert Review

  • Expert Review

    Individual Medishield Policy is a reliable health insurance product by Iffco Tokio. The policy provides you and your family with optimum protection against injuries or disease-related contingencies, and that too, without paying a high amount for premium. Allowing the insured to undergo uninterrupted medical treatment rather than worrying about the expenses, Individual Medishield Policy is undoubtedly a gem in the vast product collection of the insurer.

    When it comes to eligibility, Individual Medishield Policy can be availed by any individual in the age range of 18 years to 65 years. You can also cover your dependent children above 3 months. Available in individual sum insured basis policy type, Individual Medishield Policy can be purchased for a term of 1 year. The policy covers a family of 5 members, including self, spouse, dependent children (up to the age of 23 years), and dependent parents. Talking about the sum insured options, the range starts from Rs. 50,000 and goes up to Rs. 500,000 in multiples of Rs. 50,000. 

  • Major Attractions

    When it comes to major highlights of Individual Medishield Policy, note that the policy has multiple to offer. Room rent expenses; fees of surgeon, specialist & consultant; cost of blood, oxygen, anesthesia and others are a few prime features covered under the policy. Moreover, apart from offering cover for pre & post hospitalisation expenses and hospitalisation expenses for organ donor, Individual Medishield Policy also provides coverage for -

    • AYUSH hospitalisation expenses (up to 10% of sum insured)
    • Domiciliary hospitalisation expenses, if medically necessary (up to a maximum aggregate sub-limit of 20% of sum insured)
    • Emergency Medical Assistance Services
    • Daily allowance amount equivalent to 0.1% of the basic sum insured or Rs. 250 per day, whichever is less
    • Ambulance charges limited to 1.0% of basic sum insured or Rs. 1500, whichever is less for each claim
    • Cumulative bonus - 5% increase in basic sum insured at each renewal in respect of each claim free year, subject to maximum of 50%
    • Cost of health check-up - Reimbursement amount not exceeding 1% of the average basic sum insured during the block of 4 claim free years
    • Optional cover - Reinstatement of sum insured 
    • Optional cover - Critical illness (on additional payment of 30% of basic premium)
  • What’s More?

    Individual Medishield Policy is a complete health insurance product you can go for without having any doubt in mind. With its diverse features and multiple benefit areas, the policy comes up as an apt choice. However, also present in the policy, are a few elements that increase its value in a significant manner. The additional features include - 

    • Lifelong renewal 
    • Easy policy portability
    • Directly serviced by Iffco Tokio, without any TPA 
    • Income tax benefits under Section 80D of the Income Tax Act
    • Easy cashless claim settlement available at over 4000 network hospitals across India
  • Conclusion

    To conclude, choose Individual Medishield Policy if you want your future secure in terms of health and financial stability. The policy won’t let you face disappointment or inconvenience when the emergency occurs. 

    To make the purchase process easy and quick, opt for online mode so that you can get your policy issued soon. Selecting InsuranceDekho as the platform will benefit you regarding claim settlement support, policy transparency & portability, and other additional benefits.

IFFCO Tokio Individual Medishield Policy Brochure

  • 4.68 MB
  • PDF Document
  • Jul 28, 2019

Claim Process at IFFCO Tokio Health Insurance

  • Network Hospital
  • Non-Network Hospital
  • 1

    Claim Assistance

    For any assistance or query, call InsuranceDekho at the toll-free number 755 1196 989.
  • 2

    Claim Intimation

    Emergency hospitalisation needs intimation as soon as it occurs and for planned hospitalisation intimate 3 days prior to admission.
  • 3

    Claim Processing

    Fill in the pre-authorisation form and hand it over to hospital's insurance/TPA desk to initiate claim request.
  • 4

    Claim Settlement

    Once your request is approved, claim is settled. If not approved, claim for reimbursement after discharge.
  • 1

    Claim Assistance

    For any assistance or query, call InsuranceDekho at the toll-free number 755 1196 989.
  • 2

    Claim Intimation

    Emergency hospitalisation needs intimation as soon as it occurs and for planned hospitalisation intimate 3 days prior to admission.
  • 3

    Claim Processing

    Submit claim form with original documents such as doctor’s reports, hospital bills, diagnostic tests, etc.
  • 4

    Claim Settlement

    Once your request for reimbursement of expenses is approved, the claim will be settled.

FAQs on Individual Medishield Policy Health Insurance Plan

  • What is the entry age of getting covered under Individual Medishield Policy?

    The age of proposers should be between 18 years and 65 years. However, the plan also provides coverage for dependent kids who are above the age of 3 months. 

  • What is the sum insured limit offered under Individual Medishield Policy?

    A range of sum insured options is available under the Individual Medishield Policy that starts from Rs. 50,000 and continues up to Rs. 5 Lakh, in multiples of Rs. 50,000.

  • Does this health insurance plan offer portability feature?

    Yes, the plan provides portability feature for its customers with the help of which the policyholders can switch from a similar policy of any insurer to the plan of Iffco Tokio. This option protects the continuity benefit of the policyholders as per IRDAI guidelines. 

  • Does Individual Medishield Policy by Iffco Tokio offer any coverage for parents?

    Yes, Individual Medishield Policy extends its coverage for dependent parents.  

  • How many members can get the coverage in a single plan under the Individual Medishield Policy?

    This health insurance policy allows to cover up to 5 family members, which includes self, spouse, dependent kids (up to the age of 23 years), and dependent parents.

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