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  • TATA AIG Health Insurance

    Tata Aig Health Insurance
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    Tata Aig General Insurance Company Limited (Tata Aig General) is a joint venture between Tata Group and American International Group, Inc. (AIG). The Tata Group holds 74 per cent stake in the insurance venture with AIG holding the balance 26 percent. Tata Aig General Insurance Company, which started its operations in India on January 22, 2001, provides insurance solutions to individuals and corporate.


    TATA AIG Health Insurance at a Glance

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    Coverage for your most loved ones

    Total members covered

    Coverage for a maximum of 5 family members with up to 2 adults and 3 children

    You get a choice of coverage tenure

    Pre and Post Hospitalization cover

    Medical expenses covered for 30 days before your hospitalization and 60 days for post hospitalization for related medical expenses

    The next best thing to having a doc in the family

    Health Check-ups

    Health check-up up to 1% of the Sum Insured per Policy subject to a maximum of Rs. 5,000 per Insured Person once at the end of a block of every continuous four claim free years

    * For a family health cover product.

    Critical Factors of the Plan

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    Not a paisa goes from your own pocket!

    Co-Pay

    No Co-pay

    You?re covered for any future medical expenses

    Life long renewable

    Plans are lifelong renewable and covers you for your entire lifetime.

    Get essential cover for existing ailments

    Pre-existing Diseases

    Any pre-existing condition will be covered after a waiting period of 4 year

    Hospital room rent determines your treatment bill

    Room Rent

    In-patient expenses including room rent, ICU, nursing, medicines drugs & consumables covered without any sub-limits

    *These Features may be included as part of different products and are subject to the insurer's terms & conditions.

    Additional Features of TATA AIG Health Insurance

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    Good health offers multiple rewards

    You get a Cumulative Bonus of 10% for every claim-free year accumulating up to 50%.

    The world is your healthcare oyster

    Cashless hospitalization at 3000+ hospitals

    *These add-ons may be included as part of different products and are subject to the insurer's terms & conditions.

    Overview

    TATA AIG Health Insurance Plans

    TATA AIG Insurance

    Tata AIG General Insurance Company Limited is a joint venture between two internationally known organizations- India’s Tata Group (74% stake) and the American International Group Inc (AIG- 26% stake). The former is one of the most recognizable brand names in India while the latter is a global leader in insurance and financial services. The company began its operations in India on January 22, 2001 and has quickly risen to be a preferred insurer for both individuals and Corporates.


    TATA AIG Insurance offers a wide range of insurance products in the following domains- Motor, Health, Home, Travel, and Lifestyle as well a number of specialized financial specialities. The company boasts of a strong claims settlement service and promotional strength and accessibility through such mediums as Tele Marketing, Digital Marketing and other online and offline mediums.

    TATA AIG General Insurance Company markets the following Health Insurance products

    1. MediPrime
    2. Wellsurance Executive
    3. Wellsurance Family
    4. Wellsurance Woman
    5. Critical Illness Policy
    6. Individual Accident & Sickness Hospital Cash
    7. MediPlus
    8. MediSenior
    9. MediRaksha
    10. Group Accident and Sickness Hospital Cash Policy

    Looking at each Health Insurance product individually,


    MediPrime

    Cashless claims acted upon in less than 4 hours. Save on taxes too. The MediPrime plan is completely transparent with zero sub-limits on health expenses.

    Entry Age Minimum is 18 years (91 days for children) and maximum is 65 years
    Coverage Type Individual and family floater
    Sum Insured Maximum is Rs. 10 lakh; minimum is Rs. 2 lakh. Sum Insured can be enhanced at the time of renewal (as per the underwriting guidelines of the company)
    Policy Term 1 or 2 years
    Pre & Post hospitalization Avail 30 days before and 60 days after hospitalization
    Ayush Benefit Coverage for non- allopathic in-patient treatments like Ayurveda, Unani etc.
    Tax Benefits Premiums paid up to Rs. 15,000 (individuals) and Rs. 20,000 (senior citizens) are tax deductible under section 80D of the Income Tax Act
    Benefits
    • Cash Benefit for accompanying on hospitalization of an insured child
    • Coverage for non-allopathic in-patient treatments like Ayurvedic, Unani or Homeopathy
    • Health check-up every 4 years of continuous renewal
    • Bonus of 10% increase of annual Sum Assured every claim free year
    • Sum Assured can be enhanced at the time of renewal
    • Organ donor transplant expenses
    • Emergency ambulance costs
    • Option to migrate to similar Indemnity health insurance policy
    Exclusions
    • Pre-existing diseases will be covered after a waiting period of 48 months
    • Treatment in the first 30 days from the commencement of the policy, except accidents
    • Intentional self-injury, drugs abuse, alcohol addiction, obesity, maternity, psychiatric, congenital diseases and HIV/AIDS among others

    Wellsurance Executive

    A robust health insurance for the busy executives of today. While you take care of your goals, this policy takes care of your health.

    Entry Age 18 to 65 years. This policy can be bought as an add-on to basic health insurance
    Policy Term 1 year
    Coverage
    • Critical Illness benefits are available on diagnosis of specified ailments without hospitalisation of the insured. In case of hospitalisation, it can be converted into cashless claim facility.
    • Hospitalisation benefits including major and minor surgeries as per the limits specified
    • Hospital cash benefits are payable based on the number of days the insured is hospitalized.
    • Convalescence benefit is paid in lumpsum after every continuous hospitalisation of 5 days
    • Value added benefits include expert medical practitioners, personalized health tracker, exclusive wellness articles
    • Discounts on select gyms, spas and weights management centers
    • Discounts on select health check up packages at network hospitals
    Waiting Period
    • Survival period of 30 days for all critical ailment benefits
    • 90 day waiting period for critical ailment benefits
    • No waiting period for accident related hospitalization benefits
    • 120 day waiting period for major surgeries
    • Waiting period of 90 days for minor surgery benefits
    Tax Benefits Get tax benefit for premium paid as per section 80D of the Income Tax Act
    Exclusions
    • First 90 days of hospitalisation
    • Critical illness benefit not paid more than once
    • Hospitalisation outside India
    • Pre-existing diseases
    • Spondylitis treatment
    • Pregnancy and related conditions
    • Diseases existing at birth (congenital)
    • Non-allopathic treatments like Ayurveda, naturopathy or homeopathy
    • War, invasion and people serving in military or armed forces
    • Toxic or radioactive contamination
    • Injuries due to dangerous activity
    • Cosmetic surgeries
    • Obesity related treatments
    • Self-inflicted injuries
    • Cost of spectacles, hearing aids, crutches, and wheelchairs among others
    • Abuse of drugs, alcohol
    • HIV / AIDS and related conditions

    Wellsurance Family

    This policy is designed to take care of each member of your family medically, to avoid straining your finances during emergencies and give you complete peace of mind.

    Entry Age 18 to 65 years
    Basis Family floater plans
    Payout Basis Fixed amount on occurrence of a covered event
    Waiting Period
    • Waiting period of 90 days and survival period of 30 days for all critical ailment benefits
    • Waiting period of 90 days for sickness related hospitalization benefits
    • No waiting period for accident related ailments
    Exclusions
    • Critical illness benefit for each ailment is not paid more than once
    • Critical illness benefits are not available for children covered under the policy
    • All benefits are reduced by 50% for children covered in the policy
    • Pre-existing conditions and related complications are excluded except in cases where the insured has been covered for four consecutive years since inception of the policy
    • First 90 days for hospitalisation
    • Hospitalisation outside India
    • Spondylitis treatment

    Wellsurance Woman

    A policy that is specifically designed for the hard working woman of today, helping to manage her health insurance needs as well as ensuring her wellbeing in other spheres of her life.

    Entry Age The entry age for this policy is from 18 years to 65 years of age.
    Basis Individual
    Policy Period 1 year
    Renewability Lifelong
    Waiting period 90 days(For all illnesses)
    Ambulance charges Up to Rs. 2,000 will be covered
    Free-look period 15 days.
    Cashless hospitalisation Over 3,000 hospitals.
    Benefits
    • You can get in touch with medical specialists over the phone for free.
    • This policy can be bought online making it very convenient to purchase
    • The sum insured can be increased at the time of renewing the policy.
    Exclusions
    • Injuries caused by acts of war or exposure to radiation and nuclear material.
    • Attempted suicide or injuries inflicted upon oneself.
    • HIV and AIDS
    • Vaccinations, inoculations, any cosmetic procedure or elective surgery that you opt for.
    • Illnesses or requirement of medical attention which results from substance abuse.

    Critical Illness Policy

    In today’s busy world, critical illnesses have become a common occurrence that could strike anyone at any time. Stay protected financially with this policy that is designed for such unseen, unexpected medical emergencies.

    Entry Age 18 years and 65 years.
    Basis Individual
    Policy Period 1 Year
    Renewability Lifelong
    Sum Insured The sum insured can range from Rs. 2.5 lakhs to 15 lakhs
    Free look period 15 days.
    Grace period 30 days.
    Tax benefits Under Section 80(D) of the Income Tax Act
    Exclusions
    • Pre-existing conditions and resultant complications will not be covered.
    • Exposure to radioactivity, nuclear material or toxic substances will not be covered.
    • Complications arising from congenital conditions will not be covered.
    • All illnesses that are not a part of this policy will not be covered.
    • Self-inflicted injuries or STDs will also not be covered.
    • Injuries or illnesses arising from HIV/AIDS or attempted suicide will not be covered.

    Individual Accident & Sickness Hospital Cash

    This policy serves as a supplement for your current health insurance policy, proving its worth in situations wherein hospitalizations could extend to long durations, unexpected expenses might crop up or specialised treatments might be required.

    Entry Age This policy can be taken by anyone between the ages of 18 years and 65 years.
    Basis Individual or Family
    Policy Period 1 year
    Medicals No medicals are required to take this policy
    Renewability Lifelong provided premiums have been paid regularly.
    Sum Insured The policy offers daily cash ranging from Rs. 500 a day to Rs. 25,000 per day.
    Deductible 5% of the benefit amount is deductible when reimbursements are made under Accident Medical
    Daily cash benefits 180 days
    Tax benefits Under Section 80(D) of the Income Tax Act
    Free look period 15 days.
    Grace period 30 days.
    Benefits
    • The sum insured can be increased when the policy is renewed.
    • The indemnity for accidents has no waiting period and is activated the moment the policy commences.
    • Dependents covered by this policy get the option to migrate to other similar policies provided they have reached an exit age.
    Exclusions
    • Treatments conducted outside India will not be covered.
    • Pre-existing conditions and complications that are a result of these conditions won't be covered.
    • Conditions resulting from the abuse of substances like drugs and alcohol will not be covered.
    • HIV/AIDS, STDs, nervous disorders, attempted suicide, etc. will also not be covered.
    • Congenital diseases and resulting complications will not be covered under this policy.
    • Injuries or sickness resulting from participation in extreme or dangerous sports will also not be covered.

    MediPlus

    This is a top-up health insurance plan that enhances your current health insurance with a higher total coverage at an affordable premium.

    Entry Age 91 days to 65 years. If dependent children are to be covered they, must be between the ages of 91 days and 21 years and unmarried.
    Basis Individual and family floater
    Policy Period 1 year or 2 years
    Renewability Lifelong
    Sum Insured Rs. 5 lakhs
    Discounts You can get a 10% discount if you insure 2 or more family members. If you pay the premium for 2 years then you get a 7.5% discount.
    Coverage
    • Ambulance charges up to Rs. 2,000 will also be covered.
    • Dental treatments, if necessitated by an accident or illness, will be covered.
    • Pre-existing conditions will be covered after a waiting period of 4 years.
    • Other specified illnesses will be covered after a waiting period of 2 years.
    • Medical expenses incurred by you for organ donation will be covered along with expenses for harvesting the organ from the donor.
    Benefits
    • The policy offers tax benefits under section 80D of the IT Act for premiums paid.
    • You can avail cashless treatment at over 3,000 network hospitals across India with this policy.
    • If your children are between the ages of 91 days and 21 years and are unmarried then they too can be covered under this policy.

    MediSenior

    A health insurance policy for the senior citizens to help them take care of unexpected medical expenses without completely depleting their hard earned retirement savings.

    Entry Age 61 years and above
    Basis Individual or family floater
    Policy Period 1 year or 2 years
    Renewability Lifelong
    Sum Insured There are 3 options for the sum assured, Rs. 2 lakhs, Rs. 3 lakhs and Rs. 5 lakhs.
    Medicals Medicals will be required prior to taking the policy however, 50% of the cost of the medicals will be reimbursed.
    Discount
    • 7.5% if the premium is paid for 2 years.
    • 5% discount is offered if 2 family members are insured under this policy.
    • 5% cumulative discount is offered on premiums for every claim free year.
    Co-Payments
    • 15% for all day care procedures
    • 15% for shared rooms
    • 30% for single rooms or rooms of a higher category
    Coverage
    • In-patient expenses like ICU charges, operating theatre charges, medicines, nursing charges etc. will be covered.
    • Pre-hospitalisation expenses for 30 days and post hospitalisation expenses of 60 days will be covered.
    • The policy will cover over 140 day care procedures.
    • Ambulance services up to Rs. 2,000 will be covered.
    • Certain illnesses will be covered after a waiting period of 2 years
    • Pre-existing conditions will be covered after a period of 4 years.
    • Cover for accidental injuries will start the moment the policy comes in effect.
    • Domiciliary treatment will be covered if you can't be moved to a hospital due to your condition or availability of beds at the hospital.
    • In case you need an organ transplant then its cost and the cost to the donor for harvesting the organ will be covered.
    Benefits
    • This policy give you access to cashless treatment at over 3,000 hospitals.
    • It comes with a grace period of 30 if the premium is not paid by the due date.
    • It also comes with a free-look period of 15 days.
    • Policyholders can migrate to other indemnity policies of Tata AIG at any time.
    • The sum insured can be increased at the time of renewing the policy.
    Exclusions
    • Injuries or illnesses contracted while involved in illegal activities will not be covered.
    • Injuries or illnesses contracted as a result of war, exposure to toxic material like radiation or nuclear material won't be covered.
    • Treatment sought for weight loss will not be covered.
    • If you require treatment as a result of substance abuse (drugs/alcohol) then you will not be covered.
    • Expenses for screening of potential organ donors won't be covered.
    • Cosmetic surgery won't be covered unless required because of injuries or illness.

    MediRaksha

    A basic medical insurance policy that is aimed at helping you take care of unexpected illness, medical emergencies, hospitalization and surgical treatments when it comes to you and your family.

    Entry Age Adults between the ages of 18 years and 65 years can take this policy. In the case of dependent children, the entry age ranges from 91 days to 21 years.
    Basis Individual or family floater
    Policy Period 1 year or 2 years
    Renewability Lifelong
    Sum Insured There are 3 choices for the sum insured, Rs. 50,000, Rs. 75,000 and Rs. 1 lakh.
    Medicals Not required if you are taking the policy before the age of 55 years
    Discount 7.5% if you are paying the premium for 2 years. 10% if 2 or more family members are covered by this policy.
    Co-Payments 15% of every claim made under this policy
    Coverage
    • In-patient expenses like ICU charges, room rent, medicine cost, nursing charges, etc. will be covered.
    • Pre-hospitalisation expenses for 30 days and post-hospitalisation expenses for 60 days will be covered.
    • In case of pre and post hospitalisation expenses the lesser of 1% of admissible claim or the actual expense will be paid.
    • The policy will cover 144 day care procedures for which hospitalisation is for less than 24 hours.
    • The policy will also cover the organ donor’s expense.
    • At the end of 4 years the policy will offer 1% of the insured amount or a max of Rs. 1,000 towards medical check-ups.
    • Pre-existing conditions will be covered after a period of 4 years.
    • Specific illnesses will be covered after a waiting period 2 years.
    Benefits
    • The policy offers free medical check-ups when it is renewed.
    • Premiums paid will be eligible for tax benefits under section 80D of the IT Act.
    • If you are under the age of 55 years then you don't have to undergo medicals prior to taking this policy.
    • The policy offers cashless treatment at network hospitals.
    • The policy provides access to over 3,000 hospitals where cashless treatment can be availed.
    Exclusions
    • Injuries or illnesses that result from illegal activities won't be covered.
    • Treatment for mental illnesses, Alzheimer's or Parkinson's disease won't be covered.
    • HIV/AIDS and complications arising from them won't be covered.
    • Treatment resulting from abuse of substances like drugs and alcohol won't be covered.
    • Cosmetic surgery won't be covered unless required as a result of injury or illness.
    • Experimental or unproven treatment won't be covered.
    • Diagnostic procedures like x-rays and lab exams won't be covered.

    Group Accident and Sickness Hospital Cash Policy

    Daily cash benefit Avail for injury, accidents and disease.
    Medical examination Not required
    Hospitalization cash 180 days in case of accidents/ sickness.
    Free look period 15 days
    Renewal Lifelong
    Grace period 30 days
    Benefits
    • Changes/modification in the policy will be intimated to the policyholder 3 months prior.
    • Option to migrate to similar health Insurance policy is available.
    • The policyholder will be informed about the possible withdrawal of the policy 3 months prior to expiry of the policy.
    • Accident medical expense repayment is available by using which you can get your daily medical bills reimbursed for accidental injuries with/without hospitalization.
    • Enjoy coverage up to 100% for you and your spouse, and 50% for your children.
    Tax benefits Under Section 80(D) of the Income Tax Act
    Exclusions
    • War or wartime conditions.
    • Intentional self-injury, suicide attempt (sane or insane), committing a breach of law.
    • Participation in naval, military or air-force operation.
    • Participation in dangerous sports like racing, scuba-diving, parachuting etc.
    • Substance abuse including Alcohol, Drugs and smoking cessation programs.
    • Weight control programs and treatments for obesity.
    • Congenital conditions, psychiatric mental disorders, Parkinson’s, Alzheimer’s etc.
    • Acquired Immune Deficiency Syndrome (AIDS) and similar sexually transmitted diseases.
    • All conditions concerning pregnancy, maternity and birth.
    • Treatment for infertility, sterility or similar treatments.
    • Plastic or cosmetic surgery.
    • Experimental, investigational and/or untested treatments.
    • All preventive care, vaccination including inoculation and immunizations.
    • Hospitalization charges that aren’t explicitly mentioned as being covered, including admission charges, discharge, administration, registration etc.
    • Treatment rendered by a Medical Practitioner which is outside his discipline or the discipline for which he is licensed.

    Tata AIG health Insurance FAQs

    1. What are the benefits of Hospital Cash policy by Tata AIG?
    2. Some of the key benefits of this health insurance policy by Tata AIG are listed here:

      • Zero documentation
      • Instant coverage
      • No Medical Examination
      • Income Tax benefit under section 80D
      • Daily cash benefit

    3. What is Hospital Cash?
    4. This policy can be viewed as an extension to the Health insurance policies. This allows you to deal with cash expenses that are required during hospitalization.


    5. Is there tax benefit on Health Insurance schemes by Tata AIG?
    6. Yes. Tax exemption is available under section 80D of the Income Tax Act.


    7. What is the maximum and minimum policy duration?
    8. Most policies come for a whole year after which they are to be renewed. However, certain policies also offer two years renewal period.


    9. Are diagnostic charges covered under Health Insurance?
    10. Yes. Diagnostic tests like MRI, CT-Scan etc. are covered under the medical insurance schemes.


    11. Can I cancel my policy midway?
    12. Yes. Policy can be revoked mid-way.


    13. Is Health Insurance different from Life Insurance?
    14. Health Insurance is a scheme that is availed in order to cover you against any sicknesses and the resulting medical expenses. There is no maturity period or amount and a medical insurance needs to be renewed every year usually. However, Life Insurance is to keep your family and loved ones financially covered, in case of untimely death of the policy holder or some serious permanent disability. Life Insurance has a maturity period after which a maturity amount is paid to the insurance customer.


    15. Is Health Insurance required if I am young and Healthy?
    16. Yes. Health Insurance keeps you protected in case of sudden injury due to accident as well as against a host of serious sicknesses. No one knows when a medical urgency may arise. Also, Health Insurance takes care of heavy expenses that are made in case a serious medical emergency occurs.


    17. I have a Health Insurance scheme from my Employer, do I still need a personal Health Insurance policy?
    18. Yes. The Health Insurance policy issued by your Employer is usually non-transferrable, and hence you might face issues during job change. Also, medical records are maintained more efficiently in case a single health insurance policy is continued. Hence, it is advised to have a private policy too in addition with the company provided insurance scheme.


    19. Does this policy cover maternity/pregnancy covered as a part of Health Insurance Schemes?
    20. No. However, company provided group insurance schemes generally cover maternity too.


    21. Are diagnostic charges covered in Health Insurance?
    22. Yes. Diagnostic tests like MRI, CT-Scan etc. are covered under the medical insurance schemes.


    23. Are homeopathy and naturopathy covered?
    24. No. These treatments are not covered under a standard policy.


    25. Can I buy more than one health policy?
    26. Yes. In that case, both health policies will share equally (up to the sum assured) the claim among themselves and pay out your medical expense.


    27. What happens to the policy once a claim is made?
    28. The policy will continue normally, however, whatever is the amount of claim made that would be reduced from the sum assured. For e.g. a policy of 5 lakhs will be reduced to 3 lakhs in case a claim of 2 lakhs has already been made.


    29. What are the documents required for getting a Health Insurance policy?
    30. None. Only basic documents such as ID proof are required at the time of making a claim.


    Examples of Network Hospitals in Major Cities

    CITY NAME OF HOSPITAL
    DELHI KRISHNA HOSPITAL
    MUMBAI MANGAL ANAND HOSPITAL
    KOLKATA WOODLAND MULTISPECIALITY HOSPITAL LIMITED
    BANGALORE BANGALORE BAPTIST HOSPITAL
    CHENNAI VIJAYA MEDICAL AND EDUCATIONAL TRUST

    *Disclaimer - This is not an exhaustive list but an indicative representation of hospitals that form a part of the company's wider network.


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