Iffco Tokio's Swasthya Kavach (Family Health) Policy

by Lyju Kuruvilla on  July 2, 2011 at 12:54 PM Health Insurance News
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What does the policy cover?
In the unfortunate event of you or your family members meeting with an illness or accident resulting in hospitalisation, Swasthya Kavach (Family Health) Policy gives protection cover for you and your family for any injury or disease related contingencies like hospitalization, medical expenses, surgical expenses, organ transplantation, etc. The Policy also offers unique Critical Illness Coverage (Optional) for the family and is available under two variants- Base plan and Wider Plan and covers the following:
·    Pre-Hospitalisation:
    Medical expenses incurred 30 days prior to the hospitalization are reimbursed.
·    Hospitalisation:
All expenses including the following reimbursed:
Room and board, doctors' fee, intensive care unit charges, nursing expenses, surgical fees, operating theatre expenses, anesthesia and oxygen administration expenses. Room expenses for normal room/ICU limited to 1% /2% of sum insured per day for Base Plan and 1.5%/2.5% of basic sum insured for Wider Plan respectively. There are also restrictions on other hospital expenses in accordance with the room rent under the Base Plan.
·    Post-Hospitalisation:  
Once discharged from hospital, the policy shall pay for medical expenses related to the hospitalisation, for a period of 30 days after discharge subject to specified limits under Base Plan and 60 days after discharge under wider plan.
·    Day care surgeries:
The policy covers 121 defined day care surgeries that requires less than 24 hours hospitalisation and ordinarily fall outside the scope of most health insurance policies.
·    Hospital Daily Allowance:
In addition to hospital expenses, a daily allowance will be paid for the period of hospitalisation.
·    Emergency Assistance Service:
In the event of an emergency, assistance services like medical consultation, evaluation and referral, emergency medical evacuation, care for minor children etc are provided.
·    Local Ambulance Service:
In the event of an emergency, cover is provided for expenses incurred on ambulance services to the nearest hospital where Emergency Health facilities are available.
·    General Health Check-up:
You will be reimbursed the expenses incurred for general health examination (once in a block of 4 claims free years) - Applicable only under Wider Plan
·    Cumulative bonus :
You will be provided with a 5% extra sum insured for every claims free year subject to a maximum of 50% of capital sum insured- Applicable only under Wider Plan
·    Benefits under Section - 80D:
Premium upto Rs. 15,000 is eligible for self, spouse and dependant children with deductions under Section 80D of Income Tax Act, 1961.
ITGI's Swasthya Kavach Policy ensures comprehensive coverage by offering value added features, at a nominal increase in premium, like:
·    Critical illness extension for family:
You will be covered for 10 named critical illness for double the basic cover sum insured. 10 Critical Illness include: Paralytic Stroke, Cancer, Renal Failure, Coronary Artery Disease, Major Injuries, End Stage Liver Disease, Major Burns, Coma, Major Organ Transplant and Multiple Sclerosis
 Iffco Tokio's Swasthya Kavach (Family Health) Policy
Iffco Tokio's Swasthya Kavach (Family Health) Policy


What does the policy not cover?
-    Diseases, which have been in existence at the inception of the policy
-    Illness that commenced during the first 30 days of inception of the first policy.
-    During the first year of the Policy, the expenses on treatment of diseases such as Tonsillitis/ Adenoids, Gastric or Duodenal Ulcer, any type of Cyst/ Nodules/ Polyps, any type of Breast lumps.
-    During the first two continuous years of the insurance with us, the expenses on treatment of diseases such as Cataract, Benign Prostatic Hypertrophy, Hysterectomy for Menorrhagia or Fibromyoma, Hernia, Hydrocele, Fistula in anus, Piles, Sinusitis, Choletithiasis and Cholecystectomy, Inter- vertebral Disc Prolapse (other than caused by an accident), Osteoarthritis, Varicose Veins / Varicose Ulcers etc.
-    Naturopathy, acupuncture, magnetic treatment, alternative medicines, etc
-    Under the Base Plan, during the first two continuous years of the Policy, the expenses on treatment of diseases such as Renal Failure, Heart Diseases, any type of Carcinoma/Sarcoma/Blood Cancer.

Swasthya Kavach (Family Health) covers
Hospitalisation
Pre-hospitalisation
Post - Hospitalisation.
Emergency Assistance Service
Local Ambulance Service.
Critical Illness extension (Optional)


Sectioned 80D Income Tax Benefits:
Premium upto Rs. 15,000 is eligible for tax deductions for self, spouse and dependant children under Section 80D of Income Tax Act, 1961.

Source: Medindia

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