IFFCO Tokio Claim Settlement Ratio
  • CSR of the company
  • Types claims offered
  • Claim filing process
IFFCO Tokio Claim Settlement Ratio
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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 7000 hospitals. As per the latest annual report released by IFFCO TOKIO health insurance for the year 2023-24, Iffco Tokio Health Insurance has achieved commendable numbers reflecting their growth across all aspects. 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 of 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-authorization 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. If the claim is accepted, the payment will be transferred by the company directly to the policyholder’s bank account.

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.

Delhi

Mumbai

Bengaluru

Chennai

Kolkata

Hyderabad

Pune

Ahmedabad

Jaipur

Lucknow

Know More About Network Hospital

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:

Individual and Family Health Insurance

Family Health Protector Policy

Family Health Protector Policy

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)

Family Health Protector Policy
  • Income Tax benefits.Hassle free claims
  • 4000 network hospitals

Family Health Protector Policy (Cons)

Family Health Protector Policy
  • Pre-Existing Diseases
  • Illegal activities
  • Self-harm

Family Health Protector Policy (Other Benefits)

Family Health Protector Policy
  • Medical Consultation
  • Emergency Cash
  • Modern Treatment

Family Health Protector Policy (Eligibility Criteria)

Family Health Protector Policy
  • 18 to 65 Years

Individual and Family Health Insurance

IFFCO TOKIO MOS-Bite Protector Policy

IFFCO TOKIO MOS-Bite Protector Policy

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)

IFFCO TOKIO MOS-Bite Protector Policy
  • Lumpsum SI up to 1 Lakh
  • Dengue Cover
  • Malaria Cover

IFFCO TOKIO MOS-Bite Protector Policy (Cons)

IFFCO TOKIO MOS-Bite Protector Policy
  • Adventure Sports injury
  • illegal activities
  • self-inflicted injuries

IFFCO TOKIO MOS-Bite Protector Policy (Other Benefits)

IFFCO TOKIO MOS-Bite Protector Policy
  • High sum insured
  • Covers entire family
  • Zika Virus Cover

IFFCO TOKIO MOS-Bite Protector Policy (Eligibility Criteria)

IFFCO TOKIO MOS-Bite Protector Policy
  • Min entry age - 18 Years
  • Max entry age - 65 Years
  • Sum Insured - Up to 1 L
  • Initial Waiting Period - 30 Days

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Customer Support of Iffco Tokio

Customer Support of Iffco Tokio

Iffco Tokio Renewal

Iffco Tokio Renewal

IFFCO Tokio Claim Settlement Ratio

IFFCO Tokio Claim Settlement Ratio

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IFFCO Tokio Health Insurance CSR: FAQs

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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Himanshu Kumar

Written By: Naval Goel

Naval Goel is the Founder and CEO of PolicyX.com (IRDA- Approved Insurance Comparison Website). He is a CFA charter holder (USA) and FRM (GARP). He holds an MBA from IIFT, Delhi, and is also an Associate from the Insurance Institute of India. Naval is an avid investor and entrepreneur who has a deep understanding of the Indian equity market and insurance sector. He has been investing for more than 10 years now and is a CFA charter holder.

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