IFFCO Tokio Individual Medishield & Mediclaim Policy (IMI)

What is the Plan all About?

This Health insurance plan of IFFCO Tokio helps you in those panic moments of hospitalization. This plan reimburses pre, post and hospitalization stages expenses.This plan provides you a complete financial support during the medical need.

Key Features

Complete health insurance protector Plan
Easy Claim Settlement Process
4000 Network hospitals to avail cashless facility
Avail Tax Benefits
No Medical check-up upto 45 years
Add on Critical Illness Cover

Policy Benefits

In-patient hospitalization expenses such as room rent, ICU rent, nursing expenses, cost of medicines,etc. are covered as per the limits specified in the policy for a minimum hospital stay of 24 hours.
Pre and Post Hospitalization expenses are covered 60 days before hospitalization and 60 days after hospitalization.
121 Day Care Procedures are covered under this plan which requires less than 24 hours hospital stay.
Domiciliary hospitalization is covered under this policy for medical treatment for a period of more than 3 days.
Ayurvedic Hospitalization Cover is available under this policy.

Value Added Benefits

Daily allowance benefit per day is payable under this policy in respect of an insured person for the duration of hospitalization. If the hospitalization period is less than 24 (twenty four hours), then this daily allowance will be reduced proportionately for the period of hospitalization.
Enhancement of sum insured upto a maximum of 50% of sum insured for claim free year without additional premium.
Cumulative Bonus of 5% of the basic sum insured subject to maximum 50% for claim free years.
Reimbursement of cost of medical checkup once at the end of a block of every four claim-free policies for the insureds after block of 4 claim free years.
Ambulance charges are reimbursed as per the specified limit.
Lifelong Renewability available under this plan is available.
Emergency assistance services are available.
Tax Benefits under section 80 D of IT Act, 1961.

Sub Limits

Room Rent, Boarding and nursing charges per day are capped to 1% of basic SI.
Sub limit per day for ICU expenses are 2.5% of SI.
Domiciliary hospitalization benefits arecapped upto 20% of the sum insured.
Daily Allowance is paid equivalent to 0.1% of sum insured or Rs 250 whichever is less.
Ambulance charges are paid upto a limit of 1% of the sum insured or Rs 1,500whichever is lower for each hospitalization.
Ayurvedic hospitalization expenses shall be limited to 10% of the basic sum insured.

Waiting Period Clause

Initial Waiting Period: Initial 30 days of the policy start date, waiting period for newly incurred diseases except those arising out of accidents.
Specific Waiting Period: Certain specific treatments/diseases are covered after 1 or 2 consecutive policy years.
Pre existing Disease Waiting Period: This plan has a waiting period of 4 years to cover pre existing diseases.

Who can Buy the Plan?

Factor	Minimum	Maximum
Age (as on last birthday)	Child:3 Months, Adult: 18 Years	Child:5 Years, Adult: 80 Years
Sum Assured	50 Thousand	5 Lacs
Cover Type	Individual/Family	-
Policy Tenure	1 Year	1 Year
Grace Period	30 Days	-
Free Look Period	15 Days	-
Riders	Critical Illness Cover	-

Exclusions

Expenses attributable to self inflicted injury
Naturopathy Treatment
Cost of spectacles, contact lens or hearing aids
Plastic & Cosmetic Surgery
All non medical expenses, including personal comfort and convenience item services
Maternity related expenses
Convalescence and Rehabilitation Benefits, etc.