IFFCO-Tokio Individual Personal Accidental Policy: Coverage, Claim & Renewal

Published: 07-02-2019 14:02:40 PM

Accidents are a devastating phenomenon which can bring unpredictable consequences upon a family, especially if it’s the sole bread-winner who is affected. Regardless of how many efforts are put into maintaining good health, an accident in any form can affect an individual. In order to safeguard the family from such situations, there is presence of IFFCO-Tokio Individual Personal Accidental Policy to protect the individual and their family from financial impact that the accident might have on them.

Iffco

Eligibility Criteria

Particulars	Details
Entry Age	Min: 5 years Max: 70 years
Renewal Limit	80 years
Policy term	1 year

What all IFFCO-Tokio Individual Personal Accidental Policy covers?

• Coverage for permanent disablement, loss of eyesight or limbs
• Death caused by accident: If the insurance holder suffers death due to an accident, the nominees declared in the policy papers will be paid for to ensure the financial security of the family
• Education cost of dependent children’s is covered
• Ambulance cost is covered
• There is coverage for the life insured if they suffer loss of employment

Additional Coverage (Riders)

• International Coverage: Under this extension, the insured individual working abroad can be provided cover. There are two criteria of premium payment in such cases
• During war-like activities or disturbance: The insured individual will have to pay 200% additional premium amount
• Travel Charges: This extension covers the transportation cost incurred by the relative, friend, or colleague and also covers the cost of travel incurred by the insured person
• Charges of Support Accessories: Medical Accessories required for supporting bodily functions after injuries or disabilities such as wheelchairs, stretcher, crutch, spectacles, artificial limbs, etc. are covered under this extension

 Claim Process of IFFCO-Tokio Individual Personal Accidental Policy

• Immediate notification to the insurance company is required to process the claim
• In case of death due to accident, sum insured shall be paid to the nominee
• For other claims, it is required on the hand of insured to get examined by the subject matter specialist, cost of which shall be borne by the insurance company

For Cashless Claim:

• In case of emergency, inform IFFCO-Tokio as soon as possible while for planned hospitalization, make sure you receive authorization from the insurer before you get admitted
• Quote your health card membership number at the time of admission for smooth claim settlement
• All the covered expenses, after thorough verification, shall be paid by the insurance company while expenses like food, telephone charges, etc. has to be borne by you

For Reimbursement:

• Intimate the insurance company at their toll free number of 1800 103 5499 within 7 days of discharge from the hospital
• While doing so, make sure to quote your Policy Certification Number
• Download the relevant claim form from the official website of IFFCO-Tokio and use the same, dully filled and signed, to file the claim
• Make sure to attach following documents to support your claim:
  • Bills
  • Discharge Summary
  • Prescriptions
  • All test reports
  • Advance & final receipts

How long does it take to pay out a claim?

To settle a claim for IFFCO-Tokio Individual Personal Accident Policy, there is different time frame for both the types, viz. cashless and reimbursement:

For cashless: It takes 24 hours after the receipt of all the required documents.

For reimbursement: The time period taken by the company is limited to 20 days, subject to receipt of each and every required document.

Cases where you can’t claim IFFCO-Tokio Individual Personal Accidental Policy

• Any injury or death occurred through acts of self-inflicted harm
• If the insured member suffers injuries such as broken bones, disability, dismemberment, or death due to participation in any civil or foreign war
• If any injury or death has incurred to the individual under the influence of alcohol or psychotropic drugs
• If any injury has occurred due to a condition evolved from HIV AIDS or any other STDs
• Any injury suffered by the individual due to participation in riots, strikes, protests, or acts of public disturbance
• Injury due to a medical condition that existed, or has evolved due to worsening of such conditions
• Accident due to radio-active nuclear materials or has occurred as a result of exposure to radio-active material

Advantages of buying IFFCO-Tokio Individual Personal Accidental Policy

Being a highly comprehensive plan, there is not just health aspect covered but, as mentioned earlier, educational costs along with loss of employment event is also taken care of. Read on to know more of such benefits of IFFCO-Tokio Individual Personal Accidental Policy:

• Every year, at the time of renewal of the policy, the capital insured increases automatically without having to pay any extra premium for the same
• Benefits of the policy can be availed for the insured, spouse and dependent children
• On cancellation of the policy, the policyholder will be entitled to pro-rata refund of the premium for the unexpired period of the policy

FAQs

Q1. If I am a home-maker who is not employed in an organization, do I still need to have an accidental cover?

Accidents come in different forms that even include natural disasters. If you have invested your savings in an accidental cover, your family will be better equipped to help you if you face an accident.

Q2. Does individual accident policy cover post-accident hospitalization?

Yes, the policy covers any expenses related to post-accident hospitalization.

Q3. If I already have a life insurance cover, do I need IFFCO-Tokio Individual Personal Accidental Policy too?

The benefits of both types of insurance are very different. While life insurance only provides compensation in case of death, an accidental cover provides compensation in case of death due to accident, as well as permanent disability due to an accident along with advantages of hospitalization cover.

Q4. Can people involved in aviation or armed forces take this policy?

No. People involved in aviation, ballooning, any hazardous activities along with armed forces fall out of the periphery of IFFCO-Tokio Individual Personal Accidental Policy.