TATA AIG MediCare Premium Health Insurance

TATA AIG Health Insurance

TATA AIG Claim Settlement Ratio

TATA AIG Premium Calculator

Coverage range

5 Lakh - 50 Lakh

Premium starts from

6,535/ Yr

Age eligibility

91 days - 65 years

Claim settlement ratio

96.43%

What Is Special About MediCare Premium Policy?

When thinking of health, DON'T Compromise,Tata AIG Medicare is a simplified and comprehensive Health Insurance plan. The product is designed keeping in mind the important role that your health insurance plays considering the cost of medical emergencies.

Global cover: Medical expenses upto SI covered if diagnosis is made in India and insured travels abroad for treatment.
High End Diagnostics: Covers the insured person for the listed diagnostic tests on OPD basis if required as part of a treatment subject to Rs 25,000 per policy year annually.
Prolonged Hospitalization Benefit: Fixed amount of 1% of SI payable if insured hospitalized for a disease/illness/injury for a continuous period exceeding 10 days.
Accidental Death Benefit: Covers 100% of sum insured in the event of death of insured person due to accident. This benefit is not applicable for dependent children covered in the policy.
In-patient Dental: Expenses of dental treatment where hospitalization required due to accident/injury/illness covered.
Bariatric Surgery Cover: Covers expenses incurred for Bariatric Surgery for treatment of Obesity and weight control.
Vaccination Benefits: Covers expenses related to Human Papilloma Virus (HPV) vaccine & Hepatitis B Vaccine after 2 years of continuous coverage and Anti-rabies vaccine & Typhoid vaccination without any waiting period.
Consumables benefit: Items consumed during hospitalization/medical treatment would be covered by insurer as per policy wordings.
Second medical opinion is free.
Hearing aid cover: Cover for hearing aid every 3rd year. Maximum payable amount is 50% of actual cost or Rs. 10,000/- per policy, whichever is lower.

Features of TATA AIG MediCare Premium Health Insurance Policy

Check the features and coverage of TATA AIG MediCare Premium Health Insurance plan below:

Ambulance Charges

Ambulance cover: Rs 5,000 per hospitalization. Emergency Air Ambulance Cover: Max upto Rs 5 lakhs. Compassionate travel: Max upto Rs 20,000.

Ayush Treatment

Covered upto sum insured

Co-pay

No Copay

Cover Restoration

100% of cover amount

Daily Cash Allowance

Shared Accomodation : Upto 0.25% of base sum insured and max. Rs. 2000 per day Accompanying Child (12 years or less) : Upto 0.25% of base sum insured and max. Rs. 2000 per day Only available in network hospitals.

Day Care Procedures

540+ procedures covered

TATA AIG MediCare Premium Plan Resources

Policy Brochure

Policy Wordings

Exclusions of TATA AIG MediCare Premium Health Insurance Policy

TATA AIG MediCare Premium plan does not cover the following:

Ancillary hospital charges

Hazardous activities

Artificial life maintenance

Unlawful activity

Treatment received outside india

Unrecognized physician or hospital

Other Plans From TATA AIG

TATA AIG health insurance offers 2 health insurance plans. The premium of these plans starts from Rs. 2640/yr. The sum insured ranges from Rs. 2 Lakh - 20 Lakh. Details of the comprehensive coverage provided by the following 2 TATA AIG health insurance plans are listed below:

TATA AIG MediCare Policy

Starting Premium- 4,812/Yr

Eligible Age

91 days - 65 years

Coverage

3 Lakh - 20 Lakh

TATA AIG MediCare Protect Policy

Starting Premium- 2,640/Yr

Eligible Age

91 days - 65 years

Coverage

2 Lakh - 5 Lakh

Calculate MediCare Premium Plan Premium

Use the TATA AIG health insurance premium calculator to estimate your health insurance premiums.

Premium Calculator

Enter just a few details to calculate your health insurance premium within 30 seconds.

TATA AIG Claim Settlement Ratio

96.43%

TATA AIG

94.21%

Industry Average

Health claim settlement ratio is the percentage of claims settled against the total claims received by the insurance company in a given fiscal year. TATA AIG has a claim settlement ratio of 96.43%, as compared to the industry average of 94.21%.

Know More About TATA AIG Claim Settlement

TATA AIG Claim Process

TATA AIG supports both cashless claims and reimbursement claims. This section covers the information on how to check TATA AIG health insurance claim status, fill TATA AIG health insurance claim form, and the claim settlement process.

If you want a cashless claim settlement you should take the following steps

Seek treatments in a hospital which is tied-up with TATA AIG. The list of tied-up hospitals can be checked on the company’s website or you can call the company’s customer care helpline and find out the networked hospitals in your area
You need to fill and submit a pre-authorization claim form containing the details of your claim. This form is available at the hospital’s TPA desk and you should fill and submit it within the prescribed timeline. In case of emergency hospitalisation, the form is required to be submitted within 24 hours of hospitalisation. In case of planned hospitalisation, however,you should submit the form at least 3-4 days before being hospitalised
Based on the pre-authorisation form, the company assesses and approves the claim
Once the claim is approved, you can avail cashless treatments. The hospital bills would be directly settled by the company
Once you are discharged, submit your medical bills,medical reports and Discharge summary in original to the insurance company with your claim form

If, however, you take treatment at a non-networked hospital

You would have to bear the medical costs yourself.Later on, you can file your claim with the insurance company
Submit all the relevant documents and you would get reimbursement of the expenses you paid.

There is another alternative way to handle your health insurance claims

You can contact Turtlemint and get your claims settled in an easier way. urtlemint has an in-house dedicated claim settlement department which handles all customers’ claims.You simply have to inform Turtlemint through a phone call at its toll-free number 1800 266 0101 or drop an email at the company’s email ID claims@turtlemint.com.Once Turtlemint has been intimated, your claim would be handled by the company and you can relax. Turtlemint’s team would coordinate your claim with the health insurance company and help you get a settlement within the quickest possible time

TATA AIG Health Insurance Renewal Process

Online Renewal Process for Tata AIG Health Insurance Policy

Renewing your TATA AIG Health Insurance policy online is a straightforward process. Follow these steps:

Step 1: Visit the Official Website: Navigate to the official Tata AIG website.

Step 2: Select Health Option: On the website, locate the 'Health' tab among the options and click on it.

Step 3: Choose Renew Option: Proceed with the 'Renew Existing Tata AIG Policy' option.

Step 4: Enter Required Details: After selecting the renewal option, input your 10-digit policy number.

Step 5: Click on Renew: Click 'Renew' to initiate the premium payment for your policy's renewal.

Step 6: Confirmation: Upon successful payment, an email confirmation will be sent, validating the renewal of your health insurance policy.

Offline Renewal Process for TATA AIG Health Insurance Policy

Alternatively,you have the option to renew your health insurance policy offline by dialing the toll-free number of Tata AIG at 1800-266-7780 and detailing your specific renewal requirements.

Another way is by visiting the nearest Tata AIG branch to initiate your policy renewal.

You can also renew your TATA AIG Health Plan with the help of Turtlemint and our expert insurance advisors. For instant policy renewal, visit www.turtlemint.com or renew your policy by downloading the Turtlemint App here.