Network hospitals
7000+
Incurred claim ratio
111.18%
Sum insured
Up to 1 CR
No. of Plans
11
Solvency Ratio
1.7
Pan India Presence
63+
Network hospitals
7000+
Incurred claim ratio
111.18%
Sum insured
Up to 1 CR
No. of Plans
11
Solvency Ratio
1.7
Pan India Presence
63+
When considering an insurance company to buy insurance from, one crucial aspect to evaluate is its claim settlement ratio. It determines the number of claims paid by the company compared to the total number of claims filed in a given financial year. A higher claim settlement ratio implies a greater likelihood of having your claim settled promptly and efficiently.
Iffco Tokio Health Insurance Company, established in the year 2000, and counted among the oldest insurance companies in India, boasting a network of over 7500 hospitals. As per the latest report by the Insurance Regulatory and Development Authority of India (IRDAI) for the year 2021-22, Iffco Tokio Health Insurance has achieved a commendable claim settlement ratio of 89.38%(for three months). This reflects the company's commitment to fulfilling its policyholders' claims promptly.
Iffco Tokio Health Insurance offers two types of claims filing processes to cater to the diverse needs of its customers:
Let's delve into the details of each claim process.
Here's a step-by-step overview of the cashless claim process for Iffco Tokio Health Insurance:
Step 1: To avail the cashless treatment ,visit the network hospitals of the company.Check for the list of the network hospitals on the website of the company.
Step 2: Notify the hospital 72 hours before the planned In case of planned hospitalization and 24 unplanned notify within 24 hours.
Step 3: Then the policyholder must fill all the information in the intimation form of the cashless treatment and submit it to the TPA.
Step 4: After receiving the duly filled claim form, the TPA will issue a pre -authorizatio letter in the name of the hospital.
Step 5: After the treatment the policyholder will sign a discharge paper and settle all the non medical expenses (if any)
Step 6: The hospital will send all the bills to the TPA and after receiving the documents the company will verify it and will settle the claim within 7 days .
In these claims, the policyholder pays the medical expenses upfront and then later makes reimbursement claims from the insurance company for the costs incurred. Iffco Tokio Health Insurance allows reimbursement claims to be filed for both network and non-network hospitals. Here's an outline of the reimbursement claim process:
Step 1: The policyholder can undergo treatment at a network or non-network hospital.
Step 2: Essential documents, including the reimbursement claim form, must be submitted to the TPA/company within 30 days from the date of discharge from the hospital.
Step 3: After receiving the documents, the insurer will review them and then later approve them. And if the claim is accepted, the payment will be transferred by the company directly to the policyholder's bank account.
With changing and evolving healthcare needs of an individual, IFFCO TOKIO Health Insurance Plans ensures to look after each & every healthcare need of your and your family. The plans offered cater to the different needs of the customers. Continue reading to explore more about the plans.
The policy covers healthcare expenses like hospitalization, treatment, medicines, etc. on an individual as well as a family floater basis. SI goes up to 20 Lakhs.
Unique Features
The plan provides coverage to the entire family including spouse, dependent parent and children, or any other dependent or relatives living together.
Unique Features
A complete family floater health policy that looks after the health needs of you and your family including the proposer, spouse and 3 dependents.
Unique Features
Offers medical coverage to the policyholders and their families for the expenses of hospitalization, surgeries, organ transportation etc with coverage of up to 5 Lakhs.
Unique Features
A standard health policy that offers coverage to individuals and their families against medical expenses. The policy offers coverage of up to INR 5 Lakhs.
Unique Features
The plan offers cover in case of the death due to an accident and covers permanent total/partial disability, and temporary total disability.
Unique Features
IFFCO TOKIO Health Protector Plus Policy offers financial aid to the individual and his/her family to cope with high medical expenses against serious illnesses
Unique Features
IFFCO TOKIO Swasthya Raksha Bima policy is an affordable family floater plan especially designed for people dwelling in small towns and cities.
Unique Features
Critical Illness Policy assists the policyholder by offering financial support to cope with the expenses that occurred during the treatment of the 25 listed critical illnesses.
Unique Features
Designed to provide comprehensive protection against listed seven vector-borne diseases including Malaria, Dengue, Kala-azar, and many more.
Unique Features
The plan offers a fixed amount to the beneficiary for each continuous and completed period of 24 hours of hospitalization.
Unique Features
Corona Kavach Policy shields against the expenses incurred due to COVID-19-related hospitalization/home care treatment.
Unique Features
Corona Rakshak Policy provides a lump-sum benefit (equal to 100% of the SI) to the insured on the positive diagnosis of COVID-19.
Unique Features
The claim settlement ratio of Iffco Tokio Health Insurance for the year 2021-22 is 89.38%.
You can easily check the status of your cashless claim with Iffco Tokio Health Insurance by using their customer app "IFFCO Tokio - Bima" or visiting their official website.
Customers need to submit all the essential documents, including the reimbursement claim form, to the TPA/company within 30 days from the date of discharge from the hospital.
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Read what our customers have to say about Iffco Tokio health insurance company
Priya Sharma
Hyderabad
June 9, 2022
I will rate this company good because I purchased a health policy that has good coverage and less premium. I pay my premium online and I am convenient with the payment options.
Gagandeep
Mumbai
June 6, 2022
I moved to IFFCO Tokio and found great plans with some better benefits as compared to others. I purchased it and gave my family full safety.
Akhyl
Hyderabad
June 6, 2022
I recently visited IFFCO Tokio portal to get a health insurance policy that covers me and my family for COVID-19-related treatments. I read about Corona Rakshak Policy and found it useful so bo...
Tania
Delhi
June 6, 2022
I chose to buy the IFFCO Tokio health insurance policy because the premium is affordable and also because I like the coverage benefits.
Prisha
Bengaluru
June 6, 2022
I have bought health insurance through the website of IFFCO Tokio. It gave me full support and when I contacted the customer care of IFFCO Tokio for clearing some of my queries they provided me...
Vasudha Rane
Indore
May 24, 2022
very nice company, with a wide range of products available. I am happy that I decided to buy the health plan from IIFCO Tokio health insurance company.
pulkit arora
Gurgaon
February 9, 2022
IFFCO Tokio Individual Medishield Plan is a great choice for individual health insurance as I live alone in Gurgaon and at the time of a medical emergency, the company
Ravinder Dewan
Delhi
November 22, 2021
Good Customer service, and very very good plans at affordable price. very quick claim settlement process.
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