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Group Critical Illness
Group Critical Illness
IFFCO-Tokio Group Critical Illness Policy has been filed as a benefit policy in order to mitigate the financial hardship of persons who have contracted a critical illness or sustained a critical injury necessitating spending a large sum for taking any treatment, along with maintenance of the family. This policy can be offered to any Corporate, Cooperative or a Group for their employees/ members on Individual or Family Floater basis.
Key Features
IFFCO-Tokio will pay the Sum Insured as mentioned in the schedule, in the event of Insured person being diagnosed with the listed 25 critical illnesses, medical events or undergoing surgical procedures as specifically defined below, during the policy period provided that
1
Commencement of the policy period
the critical illness, medical event and surgical procedure first commenced at least 30 days after the commencement of the policy period (or first policy period in case of renewal without break) and,
2
person survives for a minimum of 28 days
Insured person survives for a minimum of 28 days from the date of diagnosis
What it Covers?
IFFCO-Tokio will pay the Sum Insured as mentioned in the schedule, in the event of Insured person being diagnosed with the following critical illnesses, medical events or undergoing surgical procedures as specifically defined below, during the policy period provided that
the critical illness, medical event and surgical procedure first commenced atleast 30 days after the commencement of the policy period (or first policy period in case of renewal without break) and,
Insured person survives for a minimum of 28 days from the date of diagnosis and shall only include:
A. The below mentioned Illnesses:
Cancer of specified severity
Kidney failure requiring regular dialysis
Multiple Sclerosis with persisting symptoms
Benign Brain Tumor
Motor Neuron Disease with Permanent Symptoms
End Stage Lung Failure
End Stage Liver Failure
Primary (Idiopathic) Pulmonary Hypertension
Parkinson’s Disease Before The Age Of 50 Years
B. The following surgical procedures:
Organ (Hearth/ Lung/ Liver/ Kidney /Pancreas) or Human Bone Marrow Transplant;
Open heart replacement or repair of heart valves
Open chest CABG
Surgery Of Aorta
C. The following medical events:
Stroke resulting in permanent symptoms
Permanent Paralysis of Limbs
Myocardial Infarction (First Heart Attack of specified severity)
Third Degree Burns
Loss of Speech
Blindness
Loss of Limbs
Deafness
Coma of Specified Severity
Major Head Trauma
Muscular Dystrophy
Specific Conditions:-
The policy will provide one time benefit for the critical illnesses defined above under ‘What is Covered’ in a single policy period.
This group policy is available on both individual and family floater basis.
For policies on family floater basis, the coverage for the entire family terminates for the remaining policy period once a claim for any family member has been paid. Such a family shall receive coverage in the next renewal of this group policy. In such a case, the family member who has already claimed for a certain specific illness stated above shall have a renewed cover for all other diseases except for the one claimed for already.
What is Not Covered
IFFCO-Tokio will not pay for:
Any claim arising out of a pre-existing condition.
Any claim if treatment is taken from a family member or a treatment taken is not scientifically recognized or self medication.
Any claim if Policy holder/ Insured person does not submit a medical certificate from the Medical Practitioner evidencing diagnosis of illness or injury or occurrence of medical event or the undergoing of the medical surgical procedure.
Any external congenital anomaly or birth defects.
Any critical Illness which arises or is caused by any one of the following:
the ingestion of drugs other than those prescribed by Registered Medical practitioner.
Elective, Cosmetic or plastic surgery.
Pregnancy (childbirth and their consequences), any infertility or sub fertility or assisted conception treatment
Birth control procedures and /or Hormone replacement therapy
