Iffco Tokio Swasthya Kavach - Basic (Family Health Insurance)

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Iffco Tokio Swasthya Kavach- Basic (Family Health Insurance)

	Objective			An online health insurance policy that aims to cover a family on a floater sum basis against basic hospitalisation expenses.
Suited for			Anyone up to 60 years of age can buy this policy. It can cover a family of up to two adults and three children.
What does it do?			This is a family floater policy where any of the insured members can utilize the Sum Insured. It is a basic plan that covers hospitalisation expenses, Room rent and boarding expenses with sub-limits and ambulance services. It also covers Day Care procedures which donot require an overnight stay in the hospital due to advancement of technology. It further provides Daily Cash benefit to take care of fooding and accommodation expenses of insured's relatives and family. It solely depends on insured person how he uses the Daily Cash Amount.
Pros			This policy can be bought online. Emergency Assistance Services are available on payment of extra premium. This service provides for medical consultation, medical evacuation, care for minor children, cash coordination and other tasks. Premium paid towards this policy qualifies for tax relief under Section 80D of income tax act.
Cons			Room rent and boarding benefits are capped. Ambulance charges are covered for a comparatively lower amount. Policy does not allw lifetime renewals.
Our View			Sub-limits on room rent and boarding is a drawback. The policy allows renewals only upto 80 years of age which is a major limitation. Old age is an age when the risk of ill health is maximum and health insurance becomes crucial. Buying a new policy at that age becomes a Herculean task. You should prefer policies that offer lifelong renewal facility.
Eligibility
Entry Age (years)
Minimum		18
Maximum		60
Maximum Policy Renewal Age (years)		80
Coverage Type		Family floater
Policy Term (years)		1
Sum Insured (Rs)
Maximum		5 lakh
Minimum		2 lakh
No Claim Bonus		5% of Sum Insured for each claim free till it reaches 50% of sum insured with 'Wider Plan' only
Pre Policy Medical Check Up		Not required upto 45 years of age
Customer Service
Address		Corporate Office: IFFCO TOWER 4th & 5th Floors Plot No.3, Sector 29 Gurgaon-122001 Haryana (India)
Mail to		websupport@iffcotokio.co.in
Call to		1800-103-5499(toll free) or 0124-4285499
SMS		CLAIM' to 56677
Network Hospitals		Https://www.paramounttpa.com/ProviderNetwork/ProviderNetwork.aspx

 

	Scope Of Cover
Cashless facility		available if taken in a network hospital
Reimbursement facility		available if treatment taken in non-network hospital
Pre hospitalisation expenses		covers expenses upto 30 days prior to admission to hospital
Post hospitalisation expenses		upto 7% of hospitalisation expenses for maximum 30 days after discharge from hsopital; maximum upto Rs 7500
Inpatient Hospitalisation
Room expense and boarding		covered upto 1%(2% for ICU expense) of sum insured per day
Day Care Procedures		121 such procedures are covered
Hospital Daily Allowance		Rs 150 per day
Local ambulance services		upto Rs 750
Sub-limit on cover for certain illnesses such as cataract, hernia, knee joint etc.		applicable as per detailed in policy document
Additional benefits (requires payment of extra premium)
Emergency Assistance services		provides medical consultation, emergency medical evacuation, care for minor children etc in case of emergency

 

	Exclusions and Waiting Period
Pre-existing diseases		covered after 4 continuous policy renewal
No claim period		30 days commencing from issue date of the policy
Waiting period		Any type of Carcinoma /Sarcoma /Blood Cancer, Varicose veins/ Varicose Ulcers will be covered after 2 policy years.1 year for any type of Carcinoma /Sarcoma /Blood Cancer etc.2 years for cataract, hernia, piles, sinusitis etc.
Other exclusions		naturopathy or other non-allopathic treatmentsOut patient treatment, AIDS or related conditions

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