Overview
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.
Experts Review
Written by Nikhil Nair
Senior Writer
The Iffco Tokio Family Health Protector plan is a decent family floater policy that offers broad coverage for hospitalization and related medical expenses without room rent restrictions [for SI 7L and above], allowing policyholders to choose any room category. The inclusion of wellness benefits adds practical value, often missing in some plans.
However, the plan operates on a single sum insured shared among all family members, which can limit individual coverage if multiple members require treatment simultaneously. While it covers a wide range of daycare procedures and offers wellness benefits, the policy has disease-wise sub-limits, domiciliary cover is covered up to 20% of SI, and has a standard waiting period of 3 years for pre-existing conditions, which may be restrictive for some families.
In addition, premiums for this plan are generally 5-10% lower than comparable family floater plans, making it a cost-effective choice for basic to moderate family health coverage.
Pros
Feature set is satisfactory.
Insurer has a solid track record with great claim and service metrics.
Cons
Maternity benefits not offered, which is a notable gap.
Doctor consultations are not covered, which could be a drawback for some.
Iffco Tokio
Key Insights
Founded
2000
Iffco Tokio was established 25 years ago and has built strong credibility over time, backed by its long-standing presence in the market.
Claims Experience
91% claims settled in 30 Days
Iffco Tokio settles 91% of all claims it receives demonstrating strong credibility.
Network Hospitals
7,900+
Iffco Tokio has a limited network of 7,900 hospitals, which may restrict access to cashless services for policyholders.
Complaints
22 complaints per 10,000 claims registered
Iffco Tokio experiences a moderate number of complaints, indicating room for improvement in addressing customer concerns.
Features
All
Great
Good
Bad
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.
Customisable
Choose a co-payment between 10% and 25% to reduce premiums.
Room Rent
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.
Customisable
Modifies the room rent restriction to Any Room.
Disease sub-limit
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.
Pre existing diseases waiting
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.
Pre/Post hospitalization
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.
Add-ons
Consumables Protector
Recommended
Covers list of 68 non-medical items as per list I
Critical Illness
Gets sum insured doubled in case a life-threatening disease is diagnosed to help you manage treatment costs.
Room Rent Waiver
Modifies the room rent restriction to Any Room.
Co-payment
Choose a co-payment between 10% and 25% to reduce premiums.
Permanent Exclusions
Conditions or treatments that the policy clearly says it will not cover.
Intra-articular injections
Expenses related to any admission primarily for diagnostics and evaluation purposes are excluded.
Diagnostic expenses not related or incidental to current diagnosis and treatment are excluded.
Expenses for admission primarily for bed rest and not for treatment are excluded.
Custodial care at home or in a facility for help with daily activities is excluded.
Disclaimer: For illustration purposes only - exact terms are in the policy wording.
Specific Illness
The following illnesses are not covered under the policy for 1 years.
<b>12 Months waiting period:</b>
Surgical treatment for Tonsillitis/ Adenoids
Tympanoplasty / Septoplasty
Fistula in anus, Anal Sinus, Piles
Any type of Carcinoma / Sarcoma/ Blood Cancer
Waiting Period
30 days Initial waiting period
1 years Specific illness waiting period
3 years Pre-existing disease waiting period
Ditto's Take
◦ Standard ◦
After a close look at the waiting periods, it’s safe to say they are fairly standard overall. However, specific illness waiting period is better than usual.
What's missing in the policy
Maternity benefits not offered.
Doctor consultations are not covered.
Customer Reviews
R
Rina
Good family floater plan, covers everyone.
S
Sameer
Happy to have all family members under one policy.
T
Tina
Provides comprehensive coverage for the family.
A
Anil
Is the cashless network wide enough for the family?
Y
Yash
The sum insured might not be enough for a large family.
W
Wanda
Feels secure for the whole family.
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Frequently Asked Questions
Does Family Health Protector have waiting periods?
- 30-Day Waiting Period: Hospitalizations won’t be covered for the first 30 days of the policy unless it’s an accident.
- Specific Illness Waiting Period: There’s a 1-year waiting period for a list of diseases which is a mandate before you can start claiming.
- Pre-Existing Disease Waiting Period: There's a 3-year waiting period for any pre-existing disease you may have while buying the policy.
Does Family Health Protector have room rent restrictions?
Does Family Health Protector offer a restoration benefit?
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