Tata AIG Health Insurance FAQs
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Cancer
Who is eligible for Tata AIG Health Insurance Cancer Plans?
Any individual with an entry age of 18 to a maximum age of 65 is eligible for Cancer Plans provided by Tata AIG health insurance.
Can I avail of cashless treatment for cancer-related expenses under Tata AIG health insurance?
Yes, a policyholder can easily apply and access cashless treatment at nearby Tata AIG network hospitals for cancer-related expenses.
Does Tata AIG Health Insurance cover alternative cancer treatments?
Yes, Tata AIG health insurance covers alternative cancer treatment.
Are chemotherapy and radiation therapy covered under Tata AIG Health Insurance cancer plans?
Yes, Tata AIG Health cancer plans provide coverage for both chemotherapy and radiation therapy. When filing a claim for cancer treatment, you must provide the insurer with all records related to chemotherapy and radiation therapy sessions.
Are there any exclusions to be aware of in Tata AIG Health Insurance's cancer plans?
Exclusions for cancer plans may include Bladder's Microcarcinoma, tumours associated with HIV infection, treatments not related to covered illness, self-inflicted injury, any diseases caused by a mental or physical condition during commencement or policy issuance, etc.
Claim Settlement
How long does it take for Tata AIG Health Insurance to settle a claim?
The cashless claim process hardly takes much time to settle a claim, however, in the reimbursement claim settlement process, the payment processing after filing the claim may take up to 21 days.
Can I track the status of my claim online through Tata AIG Health Insurance's website?
Yes, you can track your claim status online by visiting the official Tata AIG website's Claim page or reaching out to the support team via call 1800-266-7780 on a Toll-Free number or mail at customersupport@tataaig.com.
What documents are required to file a claim with Tata AIG Health Insurance?
The policyholder must submit a claim form submission with all personal details, a copy of the health insurance plan, original discharge and pharmacy bills released from the hospital, original prescriptions, test reports, payment receipts, age proof documents, self-declaration/MLC/FIR (for accidental cases), cancelled cheque copy, Bank and KYC details.
What steps should I take if my claim with Tata AIG Health Insurance is denied or delayed?
Follow these steps if your Tata AIG claim got denied or rejected:
- Identify the reason for claim rejection
- Contact your insurer and provide supporting documents.
- If still, nothing works in your favor, you can reach out to the Ombudsman forum and represent your issue.
Critical Illness
Can I purchase Tata AIG Health's critical illness insurance as a standalone policy?
Yes, customers can buy a critical illness plan offered by Tata AIG as a standalone policy.
Are there any age restrictions for enrolling in Tata AIG Health's critical illness insurance?
Yes, people only between the age of 18 to 65 years are eligible for Tata AIG Health's critical illness insurance plan.
Can I pay an extra premium to waive the waiting period for critical illness claims?
Yes, policyholders can waive their waiting period by paying an additional premium amount.
Can I add family members to my critical illness insurance policy with Tata AIG Health?
Yes, you have the option to add your family members to the Tata AIG critical insurance policy for family floater-based plan
Can I add family members to my critical illness insurance policy with Tata AIG Health?
Yes, you have the option to add your family members to the Tata AIG critical insurance policy for family floater-based plan
Can I pay an extra premium to waive the waiting period for critical illness claims?
Yes, policyholders can waive their waiting period by paying an additional premium amount.
Diabetes
Are there any specific eligibility criteria for enrolling in Tata AIG Health's diabetes insurance plans?
Yes, if you are already diabetic, you are allowed to make claims for your policy only after completing 2-4 years of your waiting period. However, if you develop diabetes after the policy purchase, you can make claims after 3 months of the policy purchase.
Are there any specific eligibility criteria for enrolling in Tata AIG Health's diabetes insurance plans?
Yes, if you are already diabetic, you are allowed to make claims for your policy only after completing 2-4 years of your waiting period. However, if you develop diabetes after the policy purchase, you can make claims after 3 months of the policy purchase.
Can I purchase a diabetes insurance plan from Tata AIG Health if I already have diabetes?
Yes, a person can purchase a Tata AIG diabetes insurance plan even if they have a pre-existing condition, i.e., diabetes. It is important to note that you can make a claim only after your 2-4 years of waiting period is over.
How does Tata AIG Health's diabetes insurance plan differ from standard health insurance policies?
Diabetes insurance plans offer coverage for all expenses and medications related to diabetes. Standard health insurance policies, on the other hand, may not directly provide a cover for diabetes management.
Are there any waiting periods for coverage of diabetes-related expenses under Tata AIG Health's plans?
Yes, a period of 2-4 years needs to be completed to claim coverage for diabetes-related expenses under Tata AIG Health's plans.
Can I receive coverage for insulin and other diabetes medications under Tata AIG Health's diabetes insurance plans?
Yes, the diabetes insurance plan by Tata AIG offers cover for insulin and other diabetes medications.
Are routine check-ups and screenings for diabetes covered under Tata AIG Health's plans?
Yes, Tata AIG health plans include routine check-ups and screenings for diabetes.
Family
What all are the health insurance plans offered by Tata AIG for a family?
Some of the health insurance plans offered by Tata AIG for family are-Mediraksha, Wellsurance Family, MediPlus – Top-up Medical Health Insurance Plan, and MediCare Premier Health Insurance.
Can I and my family be covered under the same policy if we are staying in different cities in India?
Yes, you can get coverage for yourself and your family under the same health insurance policy for a family even if you are living in different cities in India. Just ensure that the network hospitals are available in both the cities to keep the process of the cashless claim at ease.
Who all are covered under family floater health insurance plans by Tata AIG?
Family floater health insurance plans by Tata AIG covers all the family members (self, spouse, and children) for one Sum Insured under a single policy. A few plans that it provides also cover dependent parents.
Feature
General Information
How can I check my TATA AIG Health Insurance policy status?
Registered users can login to the portal with their user name and password to check the policy status.
How can I renew my TATA AIG Health Insurance policy?
Follow the steps given below to renew your TATA AIG Health Insurance Policy: a)Enter your Policy Number, Expiry Date and Client ID into Renew Online Portal b)Calculate the premium c)Select the premium option-Net Banking or Credit/Debit Card. d)Save/print the premium deposit receipt. Alternatively, you can even pay via cash/cheque at any nearest branch.
How can I cancel my TATA AIG Health Insurance?
Submit your policy with surrender form to your nearest branch. The refund will be directly credited into your account and the policy will stand cancelled upon successful completion of the documentation.
What is the Claim Settlement Ratio of TATA AIG Health Insurance?
TATA AIG Health Insurance had a Claim Settlement Ratio of 76.04% in the financial year 2019-20.
Help to Buy
How to buy and apply for TATA AIG health policy?
You can buy and apply for any TATA AIG Health Insurance Policy online from the official website of TATA AIG Health Insurance at www.tataaig.com or through online broker’s website like insurancedekho.com.
Individual
Are cosmetic surgeries included in health insurance for individuals?
No, cosmetic surgeries are excluded from the coverage in individual health insurance policies.
What happens if I cancel my individual health insurance policy?
If you want to cancel your health insurance policy before the end date, your insurance will cease to exist. As per the policy terms, you will get a part of your premium refunded. This will vary from plan to plan.
Who all can be covered under the individual health insurance policy?
Health insurance plans for individual cover a person only. It reimburses the expenses for
hospitalisation and medical expenses arising from treatment of an illness or injury as mentioned in the policy document.
Kids
Is pre-existing illness covered under TATA AIG health policy for kids?
The pre-existing illness under TATA AIG kids policy is covered after a waiting period of 4 years.
What is the eligibility criteria for TATA AIG's health policy for kids?
The eligibility for children under TATA AIG's policy is 6 months to 18 years (23 years in case studying for higher education).
Maternity
Is there a waiting period for maternity coverage to become effective under Tata AIG Health's plan?
Yes, a waiting period of 9 to 36 months is available for maternity insurance plans.
Can I purchase Tata AIG Health's maternity health insurance if I am already pregnant?
If you are already pregnant, you may not get maternity health insurance as it will come under a pre-existing condition. However, you have another option to purchase a regular health insurance plan during your maternity period.
Are prenatal check-ups, delivery, and postnatal care covered under Tata AIG Health's maternity insurance?
Yes, Tata AIG Health's maternity insurance offers coverage to prenatal check-ups, delivery, and postnatal care.
Does Tata AIG Health Maternity Insurance cover newborn baby expenses?
Yes, Tata AIG Health Maternity Insurance covers newborn baby expenses.
Does Tata AIG Health Maternity Insurance cover normal and cesarean deliveries?
Yes, both normal and cesarean deliveries are covered by Tata AIG maternity insurance plans.
Parents
Are pre-existing diseases covered under TATA AIG's plans for parents?
TATA AIG's plans for parents cover pre-existing diseases after a waiting period of 4 years since the commencement of the policy.
Are daycare treatments covered under the TATA AIG's plan for parents?
Yes, the plan for parents such as MediSenior covers about 140 daycare procedures.
What are the value-added services available under TATA AIG's plan for parents?
TATA AIG's plan for parents provide value-added services in the form of free services on insurer's health portal, you can seek health-related queries and avail health and wellness discounts.
Plan Coverage
Does Tata AIG Health offer any health insurance plans specifically designed for athletes or people with active lifestyles?
Yes, Tata AIG provides health plans tailored to people with active lifestyles.
Can I get a discount on my Tata AIG Health premium if I have a healthy lifestyle (e.g., gym membership, healthy BMI)?
There are certain health plans provided by Tata AIG that include wellness incentives for people who have a healthy BMI or maintain a healthy lifestyle.
Does Tata AIG Health cover alternative therapies like Ayurveda or homeopathy for certain conditions?
Yes, most Tata AIG plans include AYUSH treatment cover.
Can I pay my Tata AIG Health insurance premiums in installments?
Yes, Tata AIG policyholders have the option to make their premium payments on installment basis, i.e. monthly, quarterly, or annual basis.
Portability
Do I need to bear waiting period again if I port the policy?
No, when you port your existing policy to another policy, the accrued benefits like waiting period and time bound exclusions get transferred.
Premium
How much is the annual premium for Tata AIG health insurance?
Generally, Tata AIG Health Insurance premium starts from 550 per month, but it also depends on the plan you have selected. The premium cost for Tata AIG health plans may vary from policy to policy.
Can we pay the Tata AIG health insurance premium monthly?
Yes, insured individuals have the option to pay premium amounts on a monthly basis for Tata AIG health plans.
What is the maximum limit for Tata AIG health insurance premiums?
The maximum limit for Tata AIG health insurance premiums may vary from policy to policy. For example, the maximum limit for individual health plans might be less in comparison to family health plans (due to more members) and senior citizen health plans (age factor).
Can I choose a deductible option to lower my Tata AIG premium?
Yes, selecting a higher deductible option for your Tata AIG Policy will automatically reduce your premium amount.
Renewal
Can I renew my Tata AIG health insurance after expiry?
Yes, it is best to renew your existing policy within the provided grace period if your policy expired. But, if you renew after the grace period, you might have to pay a heavy penalty or undergo an underwriting process.
How many days before Tata AIG health insurance can be renewed?
Policyholders can renew their Tata AIG health insurance plans 15 days before expiry.
Can I switch to a different plan during the renewal process with Tata AIG Insurance?
Yes, policyholders have the option to switch to a different plan during their renewal process.
Can I adjust my sum insured amount during the renewal process with Tata AIG Insurance?
Yes, insured individuals can contact the support team to make a request for adjusting their sum insured amount during policy renewal.
Senior Citizen
What all is covered under senior citizen health insurance plans by Tata AIG?
Senior citizen health insurance covers the hospitalisation/medical needs of the elder persons. Such plans are available with conditions and exclusions.
What is the name of the plan for senior citizens provided by Tata AIG?
Tata AIG has a plan specifically designed for elder citizens by the name of-MediSenior – Senior Citizen Health Insurance Plan.
Are daycare treatments covered under senior citizens health insurance policy by Tata AIG?
Yes, daycare treatments covered under senior citizens health insurance policy by Tata AIG.
Does the health insurance plan for senior citizens cover expenses for treatment at home?
Yes, the health insurance plan for senior citizens cover expenses for treatment at home.
Tax Benefit
Is there a maximum limit on the amount I can claim for tax deductions on Tata AIG Health insurance premiums?
Under Section 80D of the Income Tax Act, Tata AIG policyholders can claim tax deductions between ₹25,000–₹50,000 based on their age.
Can I claim tax benefits if I pay Tata AIG Health premiums annually but file my taxes half-yearly?
Yes, the mode of premium payment selected does not create any impact on filing a claim tax benefit.
Can I claim tax benefits for Tata AIG Health insurance premiums paid through a Health Savings Account (HSA)?
Yes, even if you pay through a Health Savings Account (HSA) you are eligible for tax deductions on premiums.
Are there any restrictions on claiming tax benefits for health insurance premiums if I am an NRI (Non-Resident Indian) with Tata AIG Health insurance?
No restrictions apply on claiming tax benefits for health premiums even if you are an NRI.
Top-up
Can I claim for pre-existing conditions under a Tata AIG Health Top-Up plan?
Yes, but you need to first complete your waiting period to claim benefits under Tata AIG Health Top-Up plans in case of pre-existing conditions.
What happens if my claim amount exceeds both my base plan coverage and the Top-Up plan sum insured?
You will have to pay from your pocket if the claim amount exceeds both base plan and Top-up plan sum insured.
Does a Tata AIG Health Top-Up plan cover hospitalization expenses outside India?
No, Tata AIG policyholders cannot avail Top-up plan benefits if outside India unless they have global coverage riders added to the policy.
Can I customize my Tata AIG Health Top-Up plan with additional riders?
Yes, Tata AIG policyholders can customize their policy and add additional riders for more benefits.
Woman
Is cosmetic reconstructive surgery benefit available under TATA AIG's woman policy?
Yes, under TATA AIG's woman policy the cosmetic reconstructive surgery benefit is payable in lump sum.
What is the eligibility for TATA AIG's woman policy?
The minimum entry age for TATA AIG's Wellsurance Woman policy is 18 years and maximum entry age is 65 years. There is a life-long renewability option under this plan.
Tata AIG Health Insurance Top Up List
- Individual (1)
- Top-up (1)
Name of Plan | Sum Insured | |
Medicare Plus PolicyMin: 91 days; Max: 65 years | 3 Lakh - 1 Crore | Check Premium |