Iffco Tokio
Family Health Protector
The Iffco Tokio Family Health Protector plan is a comprehensive family floater health insurance policy designed to cover multiple family members under a single sum insured. It includes benefits like no room rent restrictions [for SI 7L and above], coverage for AYUSH, ambulance services [subject to a limit of 1% of the sum insured or Rs. 2500/, whichever is lower], and pre-post hospitalization cover [60-90 days respectively]. It also promotes preventive care through health check-ups and vaccination coverage, making it a decent option for family health protection.
What's good here?
You’ll never have to split the bill
The insurer will bear the entire cost of treatment (up to the sum insured). You won’t have to pay a single penny. Meaning this policy has no co-payment.
The insurer will bear the entire cost of treatment (up to the sum insured). You won’t have to pay a single penny. Meaning this policy has no co-payment.
Has disease wise sub-limits
Your insurance cover won’t be fully available in case you are treated for Modern treatments and a few other diseases. Meaning the insurance company has a cap on the total amount they’ll pay out if you are treated for these specific illnesses.
Unlimited Restoration Benefit
Even after you claim part of the cover on one occasion, you will be allowed to claim the full cover any number of times repeatedly if you are hospitalized in the future. All in the same year by the way!!!
Covers Alternative Medicine
Think of getting Ayurvedic, Homeopathic or other alternative treatments to cure an illness? Your insurer will cover you fully, up to the sum insured.
Gym perks are included in this policy
Gym perks are included in this policy.
Pre & Post hospitalization expenses covered
No worries if the doctor had to run a host of diagnostic tests before or after hospitalizing you. The insurer has your back. They will cover this amount in full for a pretty reasonable duration - 60 days before you are hospitalized and 90 days after discharge. This includes the cost of medication by the way.
Day Care treatments covered
If you’re hospitalized for less than 24 hours in lieu of a minor procedure, then the insurer will cover these costs too. Think dialysis, chemotherapy or minor surgeries.
Consumables aren't covered in this policy
Consumables aren't covered in this policy.
What's bad here?
Restrictions on the rooms you can pick and much more
Your insurer won’t let you stay in a room whose rent exceeds 1.5% of the sum insured for Class A (big cities) and 1.25% for others. If it’s an ICU they’ll bump it to 2.5% of the sum insured for Class A (big cities) and 2% for others. And in the event you breach these limits, then you’ll have to pay a lot more.
Your insurer won’t let you stay in a room whose rent exceeds 1.5% of the sum insured for Class A (big cities) and 1.25% for others. If it’s an ICU they’ll bump it to 2.5% of the sum insured for Class A (big cities) and 2% for others. And in the event you breach these limits, then you’ll have to pay a lot more.
What's okay here?
Reasonable waiting period for pre-existing diseases
If you’re already dealing with diabetes, cardiovascular problems or any such illnesses, the insurer will cover all costs arising out of these pre-existing problems after you wait for 3 years.
If you’re already dealing with diabetes, cardiovascular problems or any such illnesses, the insurer will cover all costs arising out of these pre-existing problems after you wait for 3 years.
Free Health Checkups every 2 years
If you’re planning on getting a full body checkup every 2 years just to make sure you’re in fine working condition, the insurer will cover the costs.
Some coverage if you are forced to hospitalize at home
The insurer will pay up to 20% of the sum insured if you are forced to hospitalize at home due to a medical condition or the hospital running out of beds. In insurance lingo, they call this a policy with domiciliary cover.
What's lacking here?
Special Bonus for being healthy and not claiming insurance
Your sum insured increases by 25% each year, so long as you make no claims during this period. But before you get too ahead of yourself, do note that they’ll stop offering you the bonus when your sum insured increases by 100%. Also, the bonus amount will reduce at same rate each time you make a claim. But hey, it's still a bonus.
Your sum insured increases by 25% each year, so long as you make no claims during this period. But before you get too ahead of yourself, do note that they’ll stop offering you the bonus when your sum insured increases by 100%. Also, the bonus amount will reduce at same rate each time you make a claim. But hey, it's still a bonus.
Maternity benefits not offered
The insurer does not cover expenses related to maternity
Doctor consultations are not covered
Doctor consultations are not covered.
Frequently Asked Questions
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