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Tata AIG MediRaksha – Affordable Health Insurance Plan
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₹ 5 Lakh Coverage @ ₹ 10/day
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*All savings are provided by the insurer as per the IRDAI approved insurance plan. Standard T&C Apply

 Tata AIG MediRaksha – Affordable Health Insurance Plan

 Sometimes even a single hospitalisation can wipe of lifetime's savings of an individual. But, if a person is foresighted, he or she can avoid such a crisis by opting for proper health insurance plans beforehand. The MediRaksha Plan under TATA AIG Health Insurance is one such plan that can help the policyholder prepare financially for the treatment of the illness. Under this plan, the minimum entry age is 91 up to the age of 65 years. This plan comes with a coverage period of 1 or 2 years and also with an option of lifelong renewability. An individual can purchase this policy for a single person or as a group plan for the whole family. It has an additional feature of cashless service, which is available in an extensive range of network hospitals of this plan provider company throughout the country.

What is the Tata AIG MediRaksha: Affordable Health Insurance Plan?

The Tata AIG MediRaksha Plan is designed in such a manner that it covers people who are between 91 days and 65 years. The Plan is available on an individual basis as well as family floater basis. It is issued for 1 or 2 years as the case may be. This health insurance has so much flexibility that it covers the policyholder, his spouse, dependent parents, and dependent children under a single policy. This plan which is indemnity based provides health insurance cover, stuffed with a wide range of benefits. Besides, the cashless services offered under this plan can be availed of in 3000+ network hospitals through the length and breadth of our country. TATA AIG Insurance Company has designed this plan in such a manner that it suits everybody whoever seeks health insurance policies for a healthy and carefree life. This policy gives an assurance of providing ample financial support for the treatment of the specified illnesses with benefits and coverage listed. This eventually results in removing worries from the mind of the policyholder that one might get a hole in the pocket in undergoing any medical treatment. This plan enables the policyholder, and his loved ones get treatment during tough times of illness without any financial worry. This plan is affordable in comparison to other health insurance plans. 

Features of the Tata AIG MediRaksha: Affordable Health Insurance Plan

Some of the salient features that make this policy worth buying are:

Global Coverage: This plan not only provides medical facilities across India but also the medical expenditures incurred by the insured outside India. This benefit can be availed by those who travel abroad.

Bariatric Surgery Cover: If the person insured fulfils all the conditions in the policy, this plan also offers coverage against expenses due to Bariatric surgery.

Restoration Benefit: If the person insured needs to undergo extensive treatment thereby exhausting the full insured sum plus cumulative bonus while the plan is in force, an extra sum equal to the insured sum in the plan.

Cumulative Bonus: If there is no claim in a year, the policyholder will get a 50% on the sum insured as a cumulative bonus. On the contrary, the cumulative bonus account decreases upto 50% on the sum assured in the consecutive year, which is consumed during hospitalisation.

*The above information is subject to change as per the norms of the insurance provider.

Benefits of the Tata AIG MediRaksha: Affordable Health Insurance Plan

This TATA AIG health insurance plan comes with multiple benefits. Some of them are mentioned below:

Daycare Treatment Cover

Nowadays, as a result of scientific advancement, some treatments do not require 24 hours hospitalisation. The policy covers such 140 daycare treatments.

Organ Donor Cover

The plan offers financial support for meeting expenses that are incurred as the payment given to donors for organ transplantation.

Pre Hospitalization

The insurance company will avail up to 1% of the total claim amount to the policyholder while admitting in a hospital or 1% of actual medical bills related to the policyholder's hospitalisation.

Post Hospitalisation

The insurer will pay 1% of the claim amount to the policyholder or the actual medical bills relating to his hospitalisation 60 days after hospitalisation.

Health Check-up

The individual can get up to 1% of the sum insured or up to Rs 1000 for a routine health check (routine) for continuous  4  years where no claim is made.

Portability

The policyholder can shift his/her current health insurance policy to MediRaksha Policy before the date of renewal on the condition that one has not taken any breaks from the previous policy.

Free-look Period

If by chance a policyholder changes his mind over buying this policy, he/she can return it and ask for a refund within 15 days from the date of initialisation of the policy.

Room rent / Room category

The insurer gives 1% of the sum that is insured on a per-day rental basis and 2% of the sum insured on the ICU room rent per day basis.

Co-payment

The policyholder has to make a payment of 15% of the sum insured on every claim under this policy.

Waiting Period

Except for any claim arising out of accidental injury, a cooling-off period of 30 days is given for all claims.

Specific Illnesses Cover

The point to be noted here is that the policy covers only some specific diseases/treatments and that too only after 2 years or 24 months. These include Arthritis, Cataract, Kidney stone, Hernia, etc.

Pre-existing Illnesses Cover

The policyholder can avail of any pre-existing conditions only after 4 years from the policy start date.

Exclusions of Tata AIG MediRaksha: Affordable Health Insurance Plan

The exclusion of the policy are:

  • AIDs/HIV
  • Cosmetic or plastic surgery
  • Breach of the law, i.e. due to drugs
  • Change of gender treatments
  • Investigation & evaluation of diseases
  • Hazardous or adventure sports
  • Rest cure
  • Respiratory care
  • Rehabilitation
  • Obesity or weight control-treated
  • Refractive error treatment
  • Unproven treatments
  • Sterility and infertility treatment

*This list is only indicative and not exhaustive. The insured can refer to the policy document for the complete list of exclusions

Eligibility Criteria of the Tata AIG MediRaksha: Affordable Health Insurance Plan

The eligibility of the Tata AIG MediRakshaplan is as follows:-

  • Sum Insured options - Rs 50,000 or Rs 75,000 or Rs 1,00,000
  • Minimum entry age of the adult - 18 years
  • Maximum entry age of the adult - 65 years
  • Minimum entry age of the child - 91 days to 5 years
  • Maximum entry age of the child - 21 years
  • Policy tenure - 1 year, 2 years
  • Covers family as well as individuals
  • The policy can include 4 members of the family in which 2 Adults & 2 children can be included.
  • No pre-medical check required for up to 55 years.

Claim Process of the Tata AIG MediRaksha: Affordable Health Insurance Plan

TATA AIG health insurance can be claimed for planned or emergency hospitalisation, where the insured can avail the cashless or reimbursement claim facility. The steps for the cashless claim are:

  • Inform the insurer within the mentioned window for planned or emergency hospitalisation.
  • The treatment must be taken from a network hospital.
  • The insured needs to show the health card at the hospital TPA desk and apply for cashless facility.
  • A pre-authorisation letter has to be filled, signed and submitted along with the required documents to the TPA. Further, the application will be submitted to the TATA AIG Insurance Company for approval.
  • The insurer will notify its decision within a few hours. In case of rejection, the reason will be mentioned. If the claim gets approved, the policyholder can avail the cashless facility, where the hospital bills are settled by the insurer.

Reimbursement Claim Process

If the cashless request is rejected, the policyholder can undergo the treatment and pay the bills on own and file for a reimbursement claim later. This claim is also registered if the treatment is taken from a non-network hospital. After getting discharged, a claim should be made by the insured. All the bills related to treatment must be submitted to the insurer. Upon claim acceptance, TATA AIG General Insurance Company Ltd. will reimburse the money by transferring it to the insured’s bank account which is done through NEFT.

Documents Required for Claim

The documents required to submit for the claim are:

  • A medical report which shows no pre-existing disease
  • FIR copy of the accident
  • Extra documents as asked by the insurer
  • Indoor case paper
  • Second copy of the first prescription
  • Signed up the claim form
  • Treatments bill
  • Various medical certificates

On submission of the above-required documents by the policyholder, the insurer will notify about claim approval.

How to Buy the Tata AIG MediRaksha: Affordable Health Insurance Plan?

A person can purchase Tata AIG MediRaksha: Affordable Health Insurance Plan using two options, online and offline. For buying it online, one can approach Paisawiki.com. Below is the process of how to purchase the policy.

  • Visit paisawiki.com for plan details.
  • Select the 'Buy Now' option.
  • The personal details asked on the secured page should be filled, and click on the 'continue' option.
  • After confirming the above details, the person insured can compare the suggested plans online with another health insurance plan or click on the 'continue' option.
  • All policy related details like name of the person to be insured, his/her age, other medical details, etc., policy duration, the sum insured, etc. are to be filled. For calculating premiums easily paisawiki.com has a premium calculator. On calculating the premium amount, one needs to go to the next page to add riders, if required.
  • The policyholder can add riders for greater coverage by selecting the 'proceed' option.
  • Here the KYC documents asked by the policyholder have to be uploaded.
  • Then one has to agree to the terms and conditions of the plan.
  • All the necessary bank details for online transactions to pay for the premium amount need to be given here.

Once the payment process is successful, the policy document will be mailed to the registered email Id.

Required Documents to Buy the Tata AIG MediRaksha: Affordable Health Insurance Plan

To buy the Tata AIG Affordable Health Insurance Plan, the following documents are required:

  • Aadhar Card
  • Birth Certificate
  • Bank A/C statement
  • Electricity Bill
  • PAN Card
  • Passport
  • Passport size coloured photograph
  • Telephone bill
  • Ration Card
  • Utility Bill
  • Voter Card

Renewal Process of the Tata AIG MediRaksha: Affordable Health Insurance Plan

The policy can be renewed online easily through paisawiki.com. The online process consists of the following steps:

  • Visit thepaisawiki.com and go to the ‘Renewal’ option.
  • After selecting the policy renewal option, the policy number has to be entered & continue tab to be clicked.
  • Then the policy details like mobile no., policy tenure, email id, etc.have to be filled in.
  • The renew plan option has to be selected.
  • On adding family members, one has to add their details & upload documents if necessary.
  • On adding new members or riders, one must surely calculate the new premium using the health premium calculator.
  • After pressing the select option, the policyholder is required to agree to the new policy terms & conditions. Then the renewal premium has to be paid by adding bank details.

On successful payment of the renewal premium, the plan documents will be mailed to the policyholder.

FAQs

Written By: Paisawiki - Updated: 12 February 2021

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