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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) 
Minimum18
Maximum60
Maximum Policy Renewal Age (years)80
Coverage TypeFamily floater
Sum Insured (Rs) 
Maximum5 lakh
Minimum2 lakh
Policy Term (years)1
No Claim Bonus5% of Sum Insured for each claim free till it reaches 50% of sum insured with 'Wider Plan' only
Pre Policy Medical Check UpNot required upto 45 years of age
Customer Service 
AddressCorporate Office:
IFFCO TOWER
4th & 5th Floors
Plot No.3, Sector 29
Gurgaon-122001
Haryana (India)
Mail to[email protected]
Call to1800-103-5499(toll free) or 0124-4285499
SMSCLAIM' to 56677
Network HospitalsHttps://www.paramounttpa.com/ProviderNetwork/ProviderNetwork.aspx
Additions to the Plan
Scope Of Cover
Cashless facilityavailable if taken in a network hospital
Reimbursement facilityavailable if treatment taken in non-network hospital
Pre hospitalisation expensescovers expenses upto 30 days prior to admission to hospital
Post hospitalisation expensesupto 7% of hospitalisation expenses for maximum 30 days after discharge from hsopital; maximum upto Rs 7500
Inpatient Hospitalisation
Room expense and boardingcovered upto 1%(2% for ICU expense) of sum insured per day
Day Care Procedures121 such procedures are covered
Hospital Daily AllowanceRs 150 per day
Local ambulance servicesupto 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 servicesprovides medical consultation, emergency medical evacuation, care for minor children etc in case of emergency
Exclusions and Waiting Period
Pre-existing diseasescovered after 4 continuous policy renewal
No claim period30 days commencing from issue date of the policy
Waiting periodAny 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 exclusionsnaturopathy or other non-allopathic treatmentsOut patient treatment, AIDS or related conditions
Annual Premium Option for Basic Plan
Age (in years)Sum Insured (in Rs)
2 lakh3 lakh4 lakh5 lakh
2 Adults
upto 251989257534624150
26-352400285435604268
36-453279397753595947
46-5550757228920010726
56-607169128391315217700
61-658961160491644022125
2 Adults + 1 Children
upto 252745321940164814
26-352900367845895500
36-453858467157716862
46-55580082601051512259
56-608193135001503117590
61-6510241168751878921988
2 Adults + 2 Children
upto 253150366345705478
26-353443397649616259
36-454310520062297777
46-55652592931182913791
56-609218132061691019788
61-6511523165082113824735
2 Adults + 3 Children
upto 253680410751246142
26-353869469258557018
36-454812581272528692
46-557250103251314315323
56-6010242146731878821987
61-6512803183412348527484
1 Adult + 1 Child
upto 251909266433243984
26-352182319637984552
36-452631367145805490
46-554350619578869194
56-60614588041127313192
61-657681110051409116490
1 Adult + 2 Children
upto 252518310838784648
26-352779390644315311
36-453224428353446405
46-5550757228920010726
56-607169102711315215391
61-658961128391644019239
1 Adult + 3 Children
upto 253183355244325312
26-353258446450646069
36-453720489461077320
46-55580082601051512259
56-608193117391503117590
61-6510241146741878921988
Premiums are exclusive of service tax and cess