Iffco Tokio Swasthya Kavach- Basic (Family Health Insurance)
An online health insurance policy that aims to cover a family on a floater sum basis against basic hospitalisation expenses.
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.
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.
Room rent and boarding benefits are capped.
Ambulance charges are covered for a comparatively lower amount.
Policy does not allw lifetime renewals.
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.
|Entry Age (years)|
|Maximum Policy Renewal Age (years)||80|
|Coverage Type||Family floater|
|Sum Insured (Rs)|
|Policy Term (years)||1|
|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|
4th & 5th Floors
Plot No.3, Sector 29
|Mail to||[email protected]|
|Call to||1800-103-5499(toll free) or 0124-4285499|
|SMS||CLAIM' to 56677|
Additions to the Plan
|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|
|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|
|Annual Premium Option for Basic Plan|
|Age (in years)||Sum Insured (in Rs)|
|2 lakh||3 lakh||4 lakh||5 lakh|
|2 Adults + 1 Children|
|2 Adults + 2 Children|
|2 Adults + 3 Children|
|1 Adult + 1 Child|
|1 Adult + 2 Children|
|1 Adult + 3 Children|
|Premiums are exclusive of service tax and cess|