The Tata AIG MediRaksha health insurance policy offers customers attractive discounts on premiums paid along with cover for a range of things like in-patient care, day care procedures, organ transplants, etc. It even offers benefits under section 80D of the IT Act along with access to cashless treatment at over 3,000 network hospitals.
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.
Individual or family floater
1 year or 2 years
There are 3 choices for the sum insured, Rs. 50,000, Rs. 75,000 and Rs. 1 lakh.
Not required if you are taking the policy before the age of 55 years
7.5% if you are paying the premium for 2 years.
10% if 2 or more family members are covered by this policy.
15% of every claim made under this policy
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.
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.
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.