Tata AIG Medical Insurance is one of India’s top health insurance providers for almost two decades. Founded in 2001 as a joint venture between the TATA Group and the American International Group (AIG), Tata AIG plans offer coverage for critical illnesses, families and senior citizens. With numerous benefits across every plan, they remain one of India’s most sought after insurance providers today.

Tata Health Insurance has over 3000 network hospitals, maintaining a 78.93% claim settlement ratio through cashless and reimbursement-based hospitalisation. Their tie-ups with efficient TPAs give them the ability to process claims quickly, ensuring that their customers remain financially secure in otherwise medically uncertain times. This has placed their plans in high demand.

The variety of Tata AIG Health Insurance plans are:

• Tata AIG MediCare Health Insurance
• Tata AIG Critical Illness Policy Health Insurance
• Tata AIG MediSenior Health Insurance
• Tata AIG MediCare Premier Health Insurance
• Tata AIG Wellsurance Executive Policy Health Insurance
• Tata AIG Wellsurance Family Health Insurance

Let’s take a closer look at each Tata AIG insurance policy.s

Tata AIG MediCare Health Insurance

• Entry Age: 91 days - 65 years
• Policy Term: 1-3 years
• Sum Assured: Rs.3-20 lakhs
• Pre and Post-Hospitalization: 60 and 90 days, respectively.

Other benefits:

• Global cover provided for international medical care.
• If the insured uses the entire sum insured during the policy period, they can get it restored on renewal.
• No-Claim Bonus: For every claim-free year, the insured receives a cumulative bonus of up to 50%.

Tata AIG Critical Illness Policy Health Insurance

• Entry Age: 18-65 years
• Policy Period: 1 year
• Sum Assured: Rs.2.5-15 lakhs
• Coverage: 11 critical illnesses.

Other benefits:

• Illnesses covered: First Heart Attack - of specified severity; Cancer of specified severity; Coma of specified severity; Kidney Failure Requiring Regular Dialysis; Major Burns; Major Organ / Bone Marrow Transplant; Multiple Sclerosis with persisting symptoms; Open Chest CABG; Permanent Paralysis of Limbs
• Coverage provided for a second medical opinion if required.
• Free Look Period: 15 days

Tata AIG MediSenior Health Insurance

• Entry Age: 61 years onwards
• Policy Period: 1-2 years
• Sum Insured: Rs.2-5 lakhs
• Coverage: 11 critical illnesses.

Other benefits:

• 140 daycare procedures covered under this plan
• 7.5% discount on premium when paid 2 years in advance.
• Ambulance Coverage: Up to Rs. 2000 per hospitalization

Tata AIG MediCare Premier Health Insurance

• Entry Age: 91 days - 65 years
• Policy Term: 1-3 years
• Sum Assured: Rs.5-50 lakhs
• Pre and Post-Hospitalization: 60 and 90 days, respectively

Other benefits:

• Maternity Cover: Up to Rs. 50,000 (Rs. 60,000 for girl child) per policy
• Get this Tata health insurance for your family and avail up to 32% premium discounts for covering 4-7 members.
• New Born Baby Cover: Up to Rs. 10,000 (Additional Rs. 10,000 for first-year vaccinations)
• Hospital Cash Benefit: 0.25% of the base sum insured up to Rs. 2000

Tata AIG Wellsurance Executive Policy Health Insurance

• Entry Age: 18-65 years
• Policy Term: 1 year
• Sum Assured: Rs.3-7.5 lakhs
• Renewability: Lifelong.

Other benefits:

• Ambulance Coverage: Rs.2000 per hospitalization
• Hospital Cash (up to 90 days): Rs.2000-4000
• Coverage provided for any 9 major critical illnesses
• Maternity Expenses: Rs.2-2.5 lakhs (depending on Sum Insured; only available for Elite)

Tata AIG Wellsurance Family Health Insurance

• Entry Age: 6 months - 65 years
• Policy Term: 1 year
• Sum Assured: Rs.3-4 lakhs
• Critical Illness Coverage: 11 critical illnesses

Other benefits:

• Ambulance Coverage: Rs.2000 per hospitalization
• Hospital Daily Cash: Rs.2000-4000 per day for a maximum of 90 days
• Child Education Benefit: Rs.50,000-2 lakhs

Why Choose Tata AIG Medical Insurance

The many Tata AIG health insurance benefits have ensured that the company persists in the minds of the population. Their comprehensive plans for individuals and families keep them in high demand, drawing more people to their insurance services.

• Whether you buy a Tata AIG health insurance family plan or individual plan, you have no sub-limits on daycare expenses, inpatient treatments, organ donor expenses or domiciliary treatments.
• There is a free-look period of 15 days and a grace period of 30 days under every plan.
• The 3000+ network hospitals offer cashless hospitalization, reducing any possible financial burden on the insured. Instead of worrying about paying medical bills, they can leave it to the insurer and focus on recovery.
• You can enhance your sum insured and coverage at any point during policy renewal.
• Portability benefits are offered on every plan. This means you can shift to AIG health insurance from another provider’s policy easily, with the completed waiting period intact.
• Every premium you pay while renewing any Tata AIG Insurance policy is deductible under Section 80(D) of the Income Tax Act.

Tata AIG Insurance Premium Calculator

After choosing Tata AIG health insurance, buy online and get maximum benefits. One of these benefits is its premium calculator. By letting you know what premium to expect beforehand, you also get an understanding of how much your insurance policy will financially impact you. The parameters Tata AIG uses are:

• Age: The older you are, the higher your premium since the more likely you are to fall ill.
• Pre-Existing Diseases: Pre-existing diseases are covered after a certain period, depending on your policy. However, they also increase your premium. This is why we recommend getting your policy while you're young and have a more robust immune system.
• Sum Insured: The higher your sum insured, the higher your premium.
• Profession: Whether you are in a high-risk work environment or a high-stress work environment, Tata AIG needs to know and calculate the premium accordingly.

Tata AIG Medical Insurance Claim Process

Tata AIG currently maintains a claim settlement ratio of 78.93%. This respectable figure shows their dedication to their clients and the specificity of their claim process. Whether you go through the cashless or reimbursement claim process, having the necessary documents is crucial. You also need to know which approach to follow for the fastest, most efficient and simple claim process.

Cashless Claims:

• Ensure you are in a Tata AIG network hospital and intimate the third-party insurer (TPA) within 24 hours of emergency hospitalization. Inform them 48 hours in advance when hospitalization is planned.
• Carry your cashless card a photo ID proof, showing both at the hospital’s insurance desk.
• Fill in the pre-authorization form with all the necessary details and submit it to the hospital.
• After verifying your ID, the hospital sends the form to the insurer.
• Tata AIG sends their confirmation via email or fax to you and the hospital. Once necessary formalities are out of the way, they settle the costs directly with the hospital.

Reimbursement Claims:

• Settle your medical bills after your treatment at the non-network hospital.
• Contact your TPA will all your information at hand and submit the necessary documents to them.
• After reviewing them, the insurer may require additional proof for verification.
• Depending on the terms in your policy, your claim is settled and, if approved, the amount is reimbursed to your bank account.

Cover360 helps you ensure you have all the necessary documents for a successful claim settlement procedure. If you have any questions about these documents or the validity of your claim, you can contact our 24*7 customer service, and we will guide you through the procedure.

Tata AIG Health Insurance Renewal Process

• Visit cover360.in and go to our renewal page
• Enter the details asked
• You will be taken to the Tata AIG website to complete the renewal process
• Alternatively, go directly to the Tata AIG website and renew your policy online.
• Click on the “Renew” tab.
• Choose “Health” as your type of insurance and submit the necessary information, i.e. your policy number and phone number.
• Check your premium amount after getting your quote and pay it using your preferred mode of payment.
• You will receive confirmation about renewal on your registered email ID.

Contact us to let our expert insurance consultants help you get the best coverage for your needs. Purchasing insurance requires understanding many different aspects from budgets to premiums to illnesses. Cover360 ensures that you do not go into this process blindsided. We help you stay financially secure come what may!