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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. |
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| Suited for | Anyone upto 60 years of age can enter this policy. It can cover a family upto 2 adults and 3 children. |
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| 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. |
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| Pros | This policy can be bought online. |
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| Cons | Room rent and boarding benefits are capped. |
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| 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. |
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| Eligibility | |||||||
| Entry Age (years) | |||||||
| Minimum | 18 | ||||||
| Maximum | 60 | ||||||
| Maximum Policy Renewal Age (years) | 80 | ||||||
| Coverage Type | Family floater | ||||||
| Policy Term (years) | 1 | ||||||
| Sum Insured (Rs) | |||||||
| Maximum | 5 lakh | ||||||
| Minimum | 2 lakh | ||||||
| No Claim Bonus | 5% of Sum Insured for each claim free till it reaches 50% of sum insured with 'Wider Plan' only | ||||||
| Customer Service | |||||||
| Address | Corporate Office: | ||||||
| Mail to | |||||||
| Call to | 1800-103-5499(toll free) or 0124-4285499 | ||||||
| SMS | CLAIM' to 56677 | ||||||
| Network Hospitals | Https://www.paramounttpa.com/ProviderNetwork/ProviderNetwork.aspx | ||||||
| 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 | covers expenses upto 60 days after discharge from hsopital | ||
| Inpatient Hospitalisation | |||
| Room expense and boarding | covered upto 1.5%(2.5% for ICU expense) of sum insured per day | ||
| Day Care Procedures | 121 such procedures are covered | ||
| Hospital Daily Allowance | Rs 250 per day | ||
| Local ambulance services | upto Rs 1500 | ||
| General Health Check-up | covered 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 Benefit | available on payment of extra premium. Covers 10 critical illnesses | ||
| 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 | covered 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 exclusions | naturopathy or other non-allopathic treatmentsOut patient treatment, AIDS or related conditions | ||
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