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Tata AIG MediCare Premier Health Insurance Wordings

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Highlights
Claim SettlementDedicated Team
Claim Settlement Ratio76.04%
COVID-19 CoverYes
Network Hospitals 3,000+
Policies Sold2,20,583
RenewabilityLifelong

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Tata AIG MediCare Premier Brochure

  • 1.17 MB
  • PDF Document
  • Oct 10, 2019

Tata AIG Health Insurance Plan List

  • Senior Citizen (1)
  • Family (5)
  • Individual (5)
  • Kids (2)
  • Maternity (1)
  • Woman (1)
  • Parents (1)
  • Critical Illness (2)
Name of PlanSum Insured
Arogya Sanjeevani PolicyMin: 3 months; Max: 65 years1 Lakh - 5 Lakh Check Premium
Corona Kavach PolicyMin: 18 years; Max: 65 years50,000 - 5 lakh Check Premium
MediCare PremierMin: 91 Days; Max; 65 Years5 Lakh Check Premium
MediCare Min: 91 Days; Max: 65 Years3 Lakh Check Premium
Wellsurance WomanMin: 18 years; Max: 65 years3 Lakh Check Premium
Wellsurance FamilyMin: 6 months; Max 65 years2 Lakh Check Premium
Wellsurance Executive Policy Min: 18 Years; Max: 65 Years3 Lakh Check Premium
Critical Illness PolicyMin: 18 Years; Max: 65 Years2.5 Lakh Check Premium
Medicare Protect PolicyMin: 91 days; Max: 65 years2 Lakh - 5 Lakh Check Premium

Tata AIG Health Insurance Top Up List

  • Individual (1)
  • Top-up (1)
Name of PlanSum Insured
Medicare Plus PolicyMin: 91 days; Max: 65 years3 Lakh - 1 Crore Check Premium

4975 Tata AIG Cashless Network Hospitals in India

FAQs on MediCare Premier Health Insurance Plan

  • How much sum insured amount offered under this MediCare Premier Plan?

    The sum insured amount offered under this plan ranges between Rs. 5 Lakh and Rs. 50 Lakh.  

  • What are the minimum and maximum entry age applicable under this plan?

    The Tata AIG MediCare Premier Plan offers coverage to people between the age of 91 days to 65 years. However, there exist no maximum cover ceasing age under this policy as it comes with lifelong renewability option. 

  • Does this Tata AIG MediCare Premier Policy offer any discount to its policyholder?

    Yes, discounts are provided on two grounds, i.e., policy term and family discount. A 5% and 10% discount on premium is given if insured opts for 2 and 3 years of the policy term. Whereas, a family floater discount on premium is provided for covering more than 1 member. It is applicable as:
    2 members -20%
    3 members -28%
    > 3 members-32%

  • Can I get the coverage for air ambulance under this MediCare Premier Plan?

    Yes, the plan provides the coverage for ambulance transportation in an aeroplane or helicopter, the cost of which can extend to a maximum of Rs. 500,000, only for emergency or life-threatening health conditions where immediate and fast ambulance transportation to the hospital or the medical centre for further medical management is required.

  • Does this plan offer the coverage for vaccinations? If yes, for which vaccinations?

    Yes, the plan offers coverage for expenses of vaccinations. This coverage is differentiated on the basis of immediate coverage and cover post waiting period. Here are the covered vaccines:
    a) Without any waiting period:
    i. Anti-rabies vaccine following an animal bite
    ii. Typhoid vaccination
    b)  After 2 years of continuous coverage:
    i. Human Papilloma Virus (HPV) vaccine
    ii. Hepatitis B Vaccine

  • Can I get a maternity coverage or newborn baby cover under this plan?

    Yes, the policy covers your maternity-related costs up to a maximum of Rs. 50,000, which increases to Rs. 60,000, in case of the birth of girl child per policy subject to a waiting period of 4 years of continuous coverage. In addition to this, the policy also offers coverage for medical expenses incurred for the medically necessary treatment of the newborn baby up to Rs. 10,000 for complications related to delivery. 

  • Does this MediCare Premier Plan offer coverage for OPD treatment?

    Yes, on the completion of two years of continuous coverage, this plan pays for expenses related to consultation fee and pharmacy expenses subject to Rs. 5000 in every policy year subject to the terms and conditions of the plan. 

  • Is any cumulative bonus offered under this health insurance plan?

    Yes, a 50% increase in the sum insured is applicable for every claim-free year, max up to 100% of sum insured. If a claim is requested amid the policy year, the bonus amount will reduce by 50% in the following year.

  • In how many network hospitals is cashless facility available under this plan?

    This plan offers you a cashless hospitalisation and quality health care in more than 3000+ hospitals across India.

  • Does this MediCare Premier Plan own daily cash provision?

    Yes, this plan provides daily cash for choosing shared accommodation and for accompanying an insured child. 

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Claim Process at Tata AIG Health Insurance

  • Network Hospital
  • Non-Network Hospital
  • 1

    Claim Assistance

    For any assistance or query, call InsuranceDekho at the toll-free number 755 1196 989.
  • 2

    Claim Intimation

    Emergency hospitalisation needs intimation within 24 hours and for planned hospitalisation intimate within 48 hours prior to admission.
  • 3

    Claim Processing

    Fill in the pre-authorisation form and hand it over to hospital's insurance/TPA desk to initiate claim request.
  • 4

    Claim Settlement

    Once your request is approved, claim is settled. If not approved, claim for reimbursement after discharge.
  • 1

    Claim Assistance

    For any assistance or query, call InsuranceDekho at the toll-free number 755 1196 989.
  • 2

    Claim Intimation

    Emergency hospitalisation needs intimation within 24 hours and for planned hospitalisation intimate within 48 hours prior to admission.
  • 3

    Claim Processing

    Submit claim form with original documents such as doctor’s reports, hospital bills, diagnostic tests, etc.
  • 4

    Claim Settlement

    Once your request for reimbursement of expenses is approved, the claim will be settled.

Tata AIG Health Insurance Contact Details

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