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Iffco Tokio Swasthya Kavach- Wider (Family Health Insurance)

Objective

An online health insurance policy that aims to cover a family on a floater sum basis against basic hospitalisation expenses along with 10 major critical illnesses on an optional basis.


Suited for

Anyone upto 60 years of age can enter this policy. It can cover a family upto 2 adults and 3 children.


What does it do?

This is a family floater health insurance policy where Sum Assured can be utilized by any of the insured members. In addition to Basic coverage, Wider Plan offers an optional Critical Illness Benefit on payment of extra premium. The claim for critical illness is also available on floater basis and will be settled on reimbursement basis. It covers illnesses such as Carcinoma /Sarcoma /Blood Cancer, Varicose veins/ Varicose Ulcers without any waiting period. It also allows a free health check up after a period of 4 claim free years and the policyholder is also entitled to receive a cumulative bonus on renewal for each claim free year.


Pros

This policy can be bought online.
Emergency Assistance Services is useful in case a situation of urgency arises.
Premium paid towards this policy qualifies for tax relief under Section 80D of income tax act.


Cons

Room rent and boarding benefits are capped.
Policy does not allow lifetime renewals.


Our View

A decent policy coverage for a family. Critical Illness rider is must if you have a family history of any of the stated illnesses. It does not allow lifetime policy renewal which is a major drawback. 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
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 expensescovers expenses upto 60 days after discharge from hsopital
Inpatient Hospitalisation
Room expense and boardingcovered upto 1.5%(2.5% for ICU expense) of sum insured per day
Day Care Procedures121 such procedures are covered
Hospital Daily AllowanceRs 250 per day
Local ambulance servicesupto Rs 1500
General Health Check-upcovered upto 1% of sum insured payable once after 4 consecutive claim free years
Sub-limit on cover for certain illnesses such as cataract, hernia, knee joint etc.Not applicable
Additional benefits (requires payment of extra premium)
Critical Illness Benefitavailable on payment of extra premium. Covers 10 critical illnesses
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 periodcovered since inception date of the policy.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 Wider Plan
Sum Insured (in Rs)
Age (in years)2 lakh3 lakh4 lakh5 lakh
2 Adults
upto 252563357544615347
26-352928408550976110
36-453973527965877895
46-55644491781168314188
56-609104156521670120359
61-6511380195652087625449
2 Adults + 1 Child
upto 253020421452586302
26-353451481560087201
36-454635615876849210
46-557451106121350816405
56-6010526150811931023540
61-6513158188512413829425
2 Adults + 2 Children
upto 253652485260547257
26-353974554469188292
36-4552977038878210526
46-558458120461533418622
56-6011949171192192026721
61-6514936213992740033401
2 Adults + 3 Children
upto 254133549068518211
26-354497627478289383
36-4559607918988011842
46-559465134801715920839
56-6013371191572452929902
61-6516714239463066137378
1 Adult + 1 child
upto 252288319239834774
26-352615364745515455
36-453153439954896579
46-5550357170912711084
56-607112101901304715905
61-658890127381630919881
1 Adult + 2 children
upto 253021383147805729
26-353137437754626546
36-453860527965877895
46-55604286041095313301
56-608535122281565719086
61-6510669152851957123858
1 Adult + 3 Children
upto 253531446955766684
26-353843510663727637
36-454635615876849210
46-557049100381277815518
56-609957142661826622267
61-6512446178332283327834
Premiums are exclusive of service tax and cess
Annual Premium Rates under Wider Plan with Critical Illness Benefit
Sum Insured (in Rs)
Age (in years)2 lakh3 lakh4 lakh5 lakh
2 Adults
upto 253204446955766684
26-353660510663717638
36-454967659982349869
46-558055114731460417735
56-6011380195652087625449
61-6514225244562609531811
2 Adults + 1 Child
upto 253775526865737878
26-354314601975109001
36-4557937698960511513
46-559314132651688520506
56-6013158188512413829425
61-6516448235643017336781
2 Adults + 2 Children
upto 254565606575689071
26-3549686930864810365
36-45662287981097813158
46-5510573150581916823278
56-6014936213992740033401
61-6518670267493425041751
2 Adults + 3 Children
upto 2551666863856410264
26-3556217843978511729
36-45745098981235014803
46-5511831168502144926049
56-6016714239463066137378
61-6520893299333832646723
1 Adult + 1 child
upto 252860399049795968
26-353269455956896819
36-453941549968618224
46-55629489631140913855
56-608890127381630919881
61-6511113159232038624851
1 Adult + 2 children
upto 253776478959757161
26-353921547168288183
36-454825659982349869
46-557553107551369116626
56-6010669152851957123858
61-6513336191062446429823
1 Adult + 3 Children
upto 254414558669708355
26-354804638379659546
36-4557937698960511513
46-558811125481597319398
56-6012446178332283327834
61-6515558222912854134793
Premiums are exclusive of service tax and cess

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