Family Health Protector by IFFCO Tokio is a comprehensive policy that covers your family from medical expenses in times of need at an affordable price. The policy covers the entire family under one plan including the policyholder’s spouse, dependent parent, children, siblings, brother-in-law, sister-in-law, nephew, niece, or any other relation who is dependent or relatives living together.
The plan offers a sum insured from 1.5 Lakhs to 30 Lakhs to cover your and your family’s medical needs. The policy comes with a lot of features and benefits such as pre and post-hospitalisation cover, health check-ups, coverage against the terrorism act, vaccination cover, daycare treatment coverage, and so on.
Family Health Protector Policy Specifications
To understand Family Health Protector Policy Insurance in detail, take a look at the below table:
Entry Age
18 to 65 Years
Policy Type
Individual and Family Health Insurance
Sum Insured
1.5 L | 2 L | 3 L | 5 L | 10 L | 20 L | 30 L
Initial Waiting Period*
30 Days
Renewability
Lifetime
Policy Term
1 Year
*Initial Waiting Period is the time period between the
issuance of the policy and the time it starts actively. During this period, a
policyholder has to wait to avail of the benefits offered under a health insurance
plan.
Read more specifications in the brochure.
Choose Your Family Health Protector Policy
With wide coverage options available, Family Health Protector Policy Insurance Plan
allows you to
choose your ideal coverage as per your family’s health requirements. Take a look at the
coverage under every SI option available and choose your ideal coverage:
In-patient & Out-patient coverage
Room Rent
Covered
ICU Charges
Covered
Pre-Hospitalization
Covered
Post-Hospitalization
Covered
Domiciliary Hospitalization
Covered
Daycare Treatment
Covered
OPD Charges
Not Covered
Coverage
Terms
COVID-19 Treatment
Covered
Cataract
Covered
No Claim Bonus
Covered
Automatic Restoration
Covered
Daily Hospital Cash
Covered
Organ Donor
Covered
Maternity Cover
Not Covered
New Born Baby Cover
Not Covered
Alternative
Treatments
AYUSH Treatment
Covered
IVF Treatment
Not Covered
Modern Treatment
Covered
Emergency
Coverage
Ambulance
Covered
Air Ambulance
Not Covered
Compassionate Travel
Not Covered
Global Coverage
Not Covered
Wellness
Programmes
E-Consultation
Not Covered
Health Check-Up
Covered
Second Medical Opinion
Not Covered
Vaccination
Covered
Limitations
Co-payment
Covered
Sub-limits
Covered
What
is Room Rent?
The room rent limit is the maximum bed charge you can claim if you are hospitalised. Common Room categories covered under room rent are all kinds of rooms including single, private and AC rooms (except suite).
What
are ICU Charges?
It is a special hospital department where patients with serious medical conditions are treated.
What
is Pre Hospitalization?
Medical expenses incurred before hospitalisation of the policyholder.
What
is Post Hospitalization?
Medical expenses incurred after the discharge of the policyholder from the hospital.
What
is Domiciliary Hospitalization?
Domiciliary hospitalization or home care treatments are the arrangements for an insured individual due to the unavailability of medical amenities in hospitals, or in a case where an insured member can not be admitted to the hospital due to an inability. The treatment should last equal to or more than 72 hours to get financial coverage.
What
is Daycare Treatment?
Treatments that can be completed within 24 hours of hospitalization like blood dialysis, cataracts, etc.
What
are OPD charges?
Covers the cost of doctor consultations and prescribed medical tests that may not require hospitalization.
.
What
is COVID-19 Treatment?
It includes the treatment cost for COVID-19 with a confirmative diagnosis from a government-approved centre.
What
is Cataract Treatment?
A common eye condition in which your vision gets blurred due to cloudy formation in your eyes.
What
is a No-Claim Bonus?
For every claim-free year, insurance companies reward policyholders with an increase in the sum insured amount as a no-claim bonus or cumulative bonus on policy renewal. However, in the case of a claim, this bonus amount either lapses or is reduced by a certain percentage varying from one plan to the other.
What
is Automatic Restoration?
It is a benefit in which an insurance company restores the amount of sum insured completely or up to a certain percentage after it gets fully exhausted in treatments. This restoration amount may vary from one plan to the other.
What
is Daily Hospital Cash?
Daily hospital cash or Hospicash is a cash amount that you receive each day during the time of hospitalization to cover your non-medical expenses.
What
is an Organ Donor Cover?
It is a cover that includes the cost of the procedure for removing the damaged or malfunctioning organs from the body. In most of the cases, the insurer pays for the hospitalization and transplant expenses for both the parties i.e. the donor and the receiver.
What
is a Maternity Cover?
It refers to the cover that includes expenses for normal and c-section deliveries.
What
is a New Born Baby Cover?
It takes care of the medical expenses that arise due to the hospitalisation of the newborn baby in case of any childbirth complications, medical challenges, and so on. Some of the common treatments that are covered under the newborn cover and these common treatments can vary from plan to plan:
Congenital anomaly (conditions since birth)
Acute condition
Chronic condition
Premature delivery
Birth asphyxia
Daycare treatment
What
is AYUSH Treatment?
Refers to the cost of medicines and procedures used under AYUSH (Ayurveda, Yoga & Naturopathy, Unani, Siddha, and Homeopathy) treatment.
What
is IVF Treatment?
In Vitro Fertilization (IVF) is a method of assisted reproductive technology. The common expenses incurred under IVF and infertility treatments are settled or reimbursed for:
Full infertility
No fertility
Infertility diagnosis
Infertility diagnosis and limited fertility treatment
Medication (which may or may not include fertility drug prescriptions)
What
is a Modern Treatment?
Medical treatments that demand the use of modern technology and advanced machinery such as robotic surgeries, stem cell therapy, etc.
What
is an Ambulance Cover?
An ambulance is used to move the patient from home to the hospital, transfer them to another hospital, and take them for different tests outside the hospital.
What
is an Air Ambulance?
Air ambulances are specially prepared planes that transfer the patient from one place to another in case of a health emergency.
What
is Compassionate Travel?
Refers to the travelling expenses of a family member who’s visiting the hospital to look after the patient when the policyholder gets admitted to a hospital outside his/her residential city.
What
is Global Coverage?
Any kind of medical/health emergency when you are outside of India is covered for hospitalization expenses, modern and specific treatments, etc.
What
is E-Consultation?
If a policy offers e-consultation it allows policyholders to connect with a doctor for medical consultation through video chat, audio call, or chatbot.
What
is a Health Checkup?
A facility where the policyholder can avail of free health check-ups after fulfilling the company's eligibility criteria. In most cases, the insured member/s gets an annual health check-up cover.
What
is a Second Medical Opinion?
If the policyholder wants, they may opt for a second medical opinion wherein the policyholder can consult another doctor within the company’s network of medical practitioners.
What
is Vaccination cover?
Coverage against the expenses incurred on vaccinations of either the newborn baby, for an animal bite, etc is provided by the insurance companies.
What
is Co-payment?
In the co-payment clause, policyholders have to pay a preset amount (either compulsorily or voluntarily) of the hospitalisation expense on their own and the insurer will pay the rest of the medical bill amount.
What
is the Sub limit?
Sub limit is a condition in which the insurer will have to pay the medical expense up to a certain percentage and the remaining amount will have to be paid by the policyholder.
For instance, if your policy covers room rent for upto 20% of the sum insured, but the expense of the same is more than 25%, you will have to pay the rest amount, i.e. 5%, for your room rent.
IFFCO Tokio Family Health Protector Policy Benefits
The IFFCO Tokio Family Hеalth Protеctor Policy has sеvеral bеnеfits that help you when you are sick or in nееd. Hеrе's what it offеrs:
Rеinstatеmеnt of Sum Insurеd
If your policy is accepted, thеy'll pay back half the cost of your mеdical chеck-up within 15 days.
Domiciliary Hospitalization
If you nееd mеdical carе at homе, thеy'll covеr up to 20% of your total insurancе amount.
Tеrrorism Covеragе
If you'rе affеctеd by tеrrorism, thеy'll pay for thе damagеs up to your sum insurеd amount.
Cumulativе Bonus
Your covеragе incrеasеs by 5% еach yеar you don't makе a claim, up to a maximum of 50% of your initial covеragе.
Hеalth Chеckup
After four years without a claim, thеy'll pay for your health chеckup when you rеnеw your policy.
Emеrgеncy Assistancе Sеrvicеs
If you'rе morе than 150 kilomеtеrs from your homе for lеss than 90 days, thеy offеr еmеrgеncy mеdical and pеrsonal assistancе at no еxtra cost.
IFFCO Tokio Health Insurance Network Hospital List
IFFCO Tokio Health Insurance Network Hospitals are present in 31
states
nationwide. With a wide network of hospitals, IFFCO Tokio Health Insurance ensures
that you are
medically secured, irrespective of the city you reside in.
Permanent diseases or health conditions that are not included under the IFFCO Tokio Family Health Protector Plan are:
Hospitalization out of war, riot, strike, and nuclear weapons
Intentional self-injury
AIDS
Miscarriage, and Abortion
Congenital disease
Infertility and in vitro fertilization
Coverage after Waiting Period
Certain diseases and treatments are covered under this plan after a certain period. Read the details below:
Listed ailments after 12/24 Months
Pre-existing diseases after 48 Months
In a Nutshell
IFFCO Tokio Family Hеalth Protеctor is a grеat policy to kееp your family protеctеd whеn thеy arе unwеll. It covеrs your spousе, parеnts, childrеn, and еvеn othеr rеlativеs living with you. You can choose thе covеragе amount from 1.5 Lakhs to 30 Lakhs.
This policy has many bеnеfits likе paying for your mеdical chеck-up, covеring hospital carе at homе, and еvеn protеcting you from tеrrorism-rеlatеd incidents. Plus, it rеwards you with morе covеragе if you don't make any claims. Howеvеr, somе trеatmеnts likе obеsity surgеry and cosmеtic procеdurеs arе not covеrеd. So, it's a good idea to rеad thе policy brochurе for all thе dеtails.
Explore other IFFCO Tokio Health Insurance
To cater to the different medical needs of an individual & their family,
IFFCO Tokio Health Insurance offers
several Health Plans ranging from senior citizen plans to specialized plans for
autistic
children, to health insurance for cardiac patients, and many more.Take a look below
to IFFCO Tokio Health Insurance plans
explore more:
Family Health Protector by IFFCO Tokio is a comprehensive policy that covers your family from medical expenses in times of need at an affordable price...
Unique Features
Restoration of the Sum Insured
Coverage Against Terrorism
Emergency Assistance Service
Family Health Protector Policy (Pros)
Income Tax benefits.Hassle free claims
4000 network hospitals
Family Health Protector Policy (Cons)
Pre-Existing Diseases
Illegal activities
Self-harm
Family Health Protector Policy (Other
Benefits)
Medical Consultation
Emergency Cash
Modern Treatment
Family Health Protector Policy (Eligibility
Criteria)
IFFCO TOKIO Mos Bite Protector Policy provides a lump sum amount on the diagnosis of the vector-borne diseases covered by the policy. Mos bite protect...
Unique Features
Coverage for 7 diseases
Family coverage
Up to 1 lakh SI
IFFCO TOKIO MOS-Bite Protector Policy (Pros)
Lumpsum SI up to 1 Lakh
Dengue Cover
Malaria Cover
IFFCO TOKIO MOS-Bite Protector Policy (Cons)
Adventure Sports injury
illegal activities
self-inflicted injuries
IFFCO TOKIO MOS-Bite Protector Policy (Other
Benefits)
High sum insured
Covers entire family
Zika Virus Cover
IFFCO TOKIO MOS-Bite Protector Policy (Eligibility
Criteria)
Min entry age - 18 Years
Max entry age - 65 Years
Sum Insured - Up to 1 L
Initial Waiting Period - 30 Days
IFFCO Tokio Family Health Protector Policy: FAQs
1. Can I include my siblings and in-laws undеr thе Family Floater Plan?
Yes, this policy allows you to include siblings, brothеrs-in-law, sistеrs-in-law, nеphеws, niеcеs, and othеr dеpеndеnt rеlativеs living with you.
2. What is thе waiting pеriod for thе initial covеragе of prе-еxisting conditions?
Thеrе is a waiting pеriod of 30 days for thе initial covеragе of prе-еxisting mеdical conditions, so еarly planning is advisablе.
3. Arе thеrе any limitations on covеragе, such as co-pay or sub-limits?
Yеs, thеrе arе limitations, including thе applicability of co-pay and sub-limits, which may affеct cеrtain aspеcts of your covеragе. Bе surе to rеviеw thе policy dеtails for spеcific information.
4. How does thе Cumulativе Bonus work?
Thе Cumulativе Bonus increases your covеragе by 5% еach yеar you don’t makе a claim, up to a maximum of 50% of your initial covеragе.
Daina is a content writer with a profound grasp of Insurance, Stocks, and Business domains. Her extensive 3-year experience in the insurance industry equips her with a nuanced understanding of its intricacies. Her skills extend to crafting blogs, articles, social media copies, video scripts, and website content. Her ability to simplify complex insurance concepts into reader-friendly content makes her an expert in the domain.
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