*All savings are provided by the insurer as per the IRDAI approved insurance plan. Standard T&C Apply
Tata AIG provides a profound range of health insurance plans to help fulfil many insurance requirements. Tata AIG health insurance policies are divided into three types- Tata AIG MediCare, Tata AIG MediCare Protect, and Tata AIG Medicare Premier.
Tata AIG MediCare Protect health insurance is the most fundamental of the three plans. This plan covers basic pre- and post-hospitalisation expenses. The plan covers in-patient treatment expenses, organ donor expenses, consumable expenses, Ayush treatment cost, health checkup facilities, ambulance cover, and many other benefits.
The policy provides some alluring features that make it worth buying. These are:
* Tax benefit is subject to changes in tax laws.
The plan offers a variety of benefits to the insured person helping them secure and share some hefty medical expenses. The benefits provided by the plan include-
The policy covers the sum required for hospitalisation due to a disease or illness or injury during the policy period. It requires the admission of the insured in the hospital as an inpatient.
Provides coverage for Pre-hospitalization investigations, consultations, and drugs incurred for a period of 30 days before hospitalisation.
Not only before being hospitalised but after the discharge of the insured person from the hospital, the policy helps cover expenses that are incurred for the next 60 days.
In this benefit, the policy gives cover for the listed Daycare Treatment expenses due to disease/illness/injury during the policy period. Treatment normally taken on an out-patient basis is not included in this cover.
This unique benefit helps cover the expenses for Medical and Surgical harvesting of the organ from the organ donor where an insured person is the recipient of an organ.
This benefit provides coverage for expenses related to the Domiciliary hospitalisation of the insured person in case the treatment exceeds 3 days. A certificate from the treating doctor is necessary to claim the benefit.
The basic sum insured under the policy will be automatically restored upon the exhaustion of both the sum insured and the cumulative bonus during the policy period. This benefit can only be availed once in plan duration. The restored insured sum cannot be carried forward in case of a failure of utilisation.
This benefit is what makes Tata AIG health insurance unique in their policies. The benefit involves coverage for expenses of any in-patient treatment which is taken under Ayurveda, Unani, Siddha, and homoeopathy in government recognized centres.
A benefit common to all health insurance policies at Tata AIG is that they cover the expenses required for transportation of the insured person to the hospital for admission in case of emergencies or from one hospital to another to seek better medical care.
The plan also covers expenses incurred during a preventive health checkup up to 1% of the previous sum insured per policy. This is the maximum limit and can be utilised by more than one insured. The benefit has a separate limit and does not affect the cumulative bonus.
In certain medical situations, a person must be comforted by a close relative or a friend. This benefit comes to save the day by providing coverage for economy-class air ticket or railway ticket (first-class) to allow a family member to be at the insured's side during his stay at the hospital. This benefit also has a separate limit and does not influence the cumulative bonus.
This benefit enables the payment of all the expenses on the consumption of certain amenities during the period of hospitalisation, which is directly related to the insured person's surgical or medical treatment.
Under the circumstances that an insured person suffers an accident during the policy period, then the policy will pay a fixed amount of 100% of the sum insured.
A cumulative bonus is generally a form of reward for the insured person for being fit and not filing a claim. The benefit of the bonus is granted in the year of renewal by making an increase in the amount of sum insured. Under this policy, about 10% Cumulative Bonus shall be applied to the sum insured for the next policy year following every claim-free policy year. The maximum cumulative bonus shall not exceed 100% of the sum insured in any year of the policy.
While opting for any insurance policy, it is important to acquire information about what the policy includes and what it excludes from the insurance cover. The exclusions of the MediCare Protect health insurance plan are categorised as Medical and Non-medical exclusions.
Medical Exclusions include the following:
Non-medical exclusions include the following:
To opt for Tata AIG Medicare Protect Plan, the applicants are required to be in the age group of 5 years onwards (with dependent children between ages 91 days and 5 years with their parents insured). The upper limit of entry age for TATA AIG MediCare plan is 65 years.
Waiting period- 48 months for pre-existing illness, 24 months for listed illnesses.
Grace Period- A Grace period of 30 days is allowed for renewing the policy.
Policy coverage type- The policy can be claimed for individuals or families. The policy coverage for the family is part of the family floater plans.
Premium payment- The premium is to be paid for the policy period before the policy commencement date, which is opted by the individual in the proposal form. One can either opt to pay the full premium upfront before the policy commencement date, or they can pay the premium on an annual or monthly basis. The premium chart is as follows-
Age(yrs.)/Sum Insured |
Rs 2 Lakh |
Rs 3 Lakh |
Rs 4 Lakh |
Rs 5 Lakh |
0-18 |
2,640 |
3,163 |
3,662 |
4,202 |
19-35 |
3,190 |
3,828 |
4,487 |
5,379 |
36-45 |
3,840 |
4,603 |
5,466 |
6,345 |
46-50 |
5,510 |
6,608 |
8,237 |
9,571 |
51-55 |
6,940 |
8,322 |
10,659 |
13,001 |
56-60 |
9,720 |
11,665 |
14,330 |
15,989 |
61-65 |
12,610 |
15,129 |
17,160 |
22,248 |
66-70 |
17,170 |
20,600 |
23,014 |
29,417 |
71+ |
20,190 |
24,226 |
28,576 |
36,981 |
*Premium mentioned is per person in INR (exclusive of GST) applicable for renewals only.
The policy is available online, and the claiming process will be administered by a specific third-party administrator duly licensed by IRDAI. Emergency hospitalisation requires to be intimated within the 24 hours, whereas for planned hospitalisation intimating 48 hours prior to admission is necessary.
For claiming the policy online:
Go to the Tata AIG insurance company website.
To buy the policy, the individual is required to fill up the proposal form available online and provide all the required details correctly. One can also visit Paisawiki.com and complete the buying formalities by following a step-by-step process. Mode of payment can be via online mode. After choosing and calculating the premiums online, one can directly buy the policy at paisawiki.com in a few simple steps.
The following documents are required for purchasing the policy:
The policy can be renewed easily at paisawiki.com. Just follow the below steps:
Ans: The options for sum insured include 2 lakh, 3 lakh, 4 lakh, and 5 lakh.
Ans: The plan can be purchased both on the individual basis or for family members in the family floater plan.
Ans: A maximum of 7 members can be covered (self, spouse, 3 dependent children, and 2 dependent parents).
Ans: Members covered in one Family Floater Policy include self, spouse, 3 dependent children (up to the age of 25 years) and 2 dependent parents. In case of a family floater, where the age of the dependent child is crossing 25 years, the child can be covered under a separate policy with an eligible continuity benefit.
Ans: The Bariatric surgery cover will be provided to an insured person when,