IFFCO Tokio Claim Settlement Ratio
  • CSR of the company
  • Types claims offered
  • Claim filing process
IFFCO Tokio Claim Settlement Ratio
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Network hospitals

7500+

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Claim settlement ratio

89.38%

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Sum insured

Up to 30 Lakh

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No. of Plans

14

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Solvency Ratio

1.64

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Pan India Presence

-

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Age of Eldest Member

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Network hospitals

7500+

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Claim settlement ratio

89.38%

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Sum insured

Up to 30 Lakh

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No. of Plans

14

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Solvency Ratio

1.64

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Pan India Presence

-

Iffco Tokio Health Insurance Claim Settlement Ratio

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.

Types Of Claim Settlement Process of Iffco Tokio

Iffco Tokio Health Insurance offers two types of claims filing processes to cater to the diverse needs of its customers:

  • Cashless Claims
  • Reimbursement Claims

Let's delve into the details of each claim process.

Iffco Tokio Health Insurance Cashless Claims 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 .

Iffco Tokio Reimbursement Claims Process

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.

Types Of IFFCO TOKIO Health Insurance Plans

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.

Iffco Tokio Individual Health Protector Policy

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

  • No medical check-ups up to 60 years
  • Coverage against critical illness
  • Vaccination and check-ups covered

The plan provides coverage to the entire family including spouse, dependent parent and children, or any other dependent or relatives living together.

Unique Features

  • Daily Allowance up to Rs. 1K per day
  • Emergency Assistance Services
  • 160+ Day Care Surgeries covered

Iffco Tokio Swasthya Kavach Policy

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

  • Coverage for Organ transplantation
  • Daily Allowance Cover up to Rs. 250
  • Reinstatement Benefit available

Iffco Tokio Individual Medishield Policy

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

  • Lifelong renewal
  • Nursing Expenses covered
  • Ambulance charges up to Rs 1,500

Iffco Tokio Arogya Sanjeevani Policy

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

  • Cumulative bonus for claim free year
  • 5% co-payment on all claims
  • Cataract treatment up to INR 40K

Iffco Tokio Individual Personal Accident Policy

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

  • Children’s education costs covered
  • Increased SI at every renewal
  • Coverage for ambulance cost

Iffco Tokio Health Protector Plus Policy

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

  • Top-up or Super Top-up options
  • Waiver of deductible cover
  • Emergency assistance services

Iffco Tokio Swasthya Raksha Bima

IFFCO TOKIO Swasthya Raksha Bima policy is an affordable family floater plan especially designed for people dwelling in small towns and cities.

Unique Features

  • Vitamins and tonics covered
  • Additional Daily Allowance
  • Coverage against cataract

Iffco Tokio Critical Illness Insurance Policy

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

  • No medical tests required
  • Lifelong renewal available
  • Wide coverage of up to INR 1 Crore

Designed to provide comprehensive protection against listed seven vector-borne diseases including Malaria, Dengue, Kala-azar, and many more.

Unique Features

  • Lumpsum payout available
  • SI of upto 1 lakh
  • Cover entire family

IFFCO TOKIO Hospital Daily Cash Policy

The plan offers a fixed amount to the beneficiary for each continuous and completed period of 24 hours of hospitalization.

Unique Features

  • Modern Treatment Methods
  • Day care surgeries
  • Daily cash for up to INR 5,000

IFFCO TOKIO Corona Kavach Policy

Corona Kavach Policy shields against the expenses incurred due to COVID-19-related hospitalization/home care treatment.

Unique Features

  • Cover entire family
  • Telemedicine charges
  • High SI of upto 5 lacs

IFFCO TOKIO Corona Rakshak Policy

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

  • Lumpsum payout to beneficiary
  • Coverage up to 2.5 Lacs
  • Avail Tax Benefits

IFFCO Tokio Health Insurance CSR: Frequently Asked Questions

1. What is the claim settlement ratio of Iffco Tokio Health Insurance for the year 2021-22?

The claim settlement ratio of Iffco Tokio Health Insurance for the year 2021-22 is 89.38%.

2. How can I check the status of my cashless claim with Iffco Tokio Health Insurance ?

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.

3. What is the time limit for submitting essential documents for reimbursement claims with Iffco Tokio Health Insurance?

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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Iffco Tokio Health Insurance Reviews

Read what our customers have to say about Iffco Tokio health insurance company

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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.

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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.

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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...

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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.

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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...

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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.

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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

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Ravinder Dewan

Delhi

November 22, 2021

Good Customer service, and very very good plans at affordable price. very quick claim settlement process.

View All Iffco Tokio Insurance Reviews