Tata AIG MediCare Health Insurance
About the Tata AIG MediCare Health Insurance
TATA AIG General Insurance Company Limited is an Indian general insurance company that is known for providing excellent health insurance policies. The organization is a joint venture between the TATA Group and the American International Group (AIG). The TATA Group holds a 74% stake in the venture and the AIG holds the remaining 26% of shares.
TATA AIG started its operations in India in January 2001 and has been providing insurance services to individuals, groups, and corporates alike. The TATA AIG share price is also quite high, which goes to show just how well the organization has been doing in the market.
One of the most popular health insurance policies offered by TATA AIG is the TATA AIG Medicare policy. Beyond this, customers can also get travel, personal accident, property, marine, energy, and casualty policies too.
The insurance products of this organization are available through several channels, including banks, telemarketing, agents, brokers, digital marketing, and worksites to name a few. One can also get an 8% discount on LIC premium if paid online.
Further, the claim settlement ratio reported by TATA AIG is 76.04%. The organization provides COVID-19 coverage health insurance policies. It has a network of over 3,000 hospitals in India and provides insurance policies with a lifelong renewability feature.
TATA AIG Medicare is an insurance plan that has been designed while keeping the high medical costs these days. The policy covers individuals between the age group of 5 years and 65 years. The age of dependent children can be between 91 days and 5 years if both the parents are also covered in this policy.
Some exclusive benefits that are provided with TATA AIG Medicare to its policyholders are:
- Lifelong renewal
- Global cover
- Bariatric surgery cover
- A strong network of over 3,000 hospitals in India
- Discounts on premium depending on the terms of the policy and other features
There are also several variants of the TATA AIG Medicare plan. We will look at all those variants in this article today.
1. TATA AIG Medicare Plan
The TATA AIG Medicare plan is an indemnity health insurance policy that provides coverage of the actual cost of hospitalization that has been incurred in case of injury or illness. The salient features of this plan variant are:
- International treatment cover is provided
- The sum insured is restored if it gets exhausted in any year
- The sum insured is enhanced by 50% after every claim-free year
- One can get discounts on the premium for choosing shared accommodation, opting for a long-term cover, and adding family members to the policy
- Accidental death benefit rider is also available as an optional cover
The different types of covers provided under the TATA AIG Medicare plan are:
- Bariatric surgery cover
- Consumables cover
- Inpatient hospitalization benefit
- Pre-hospitalization cover
- Post-hospitalization cover
- Daycare treatments benefit
- Organ donor expenses cover
- Domiciliary treatments benefit
- Inpatient dental treatments benefit
- Ambulance cost cover
- AYUSH treatment cover
- Free medical second opinion
- Vaccination cover
- Cost of hearing aids cover
- Free health check-ups provided after every 2 claim-free policy years
- Compassionate travel cover
- Daily cash allowance for shared accommodation and accompanying an insured child benefit
Other details related to the eligibility and plan parameters are mentioned in the table below.
|
Parameters |
Minimum |
Maximum |
|
Entry Age |
5 years (In case of dependent children, the age can be between 91 days to 5 years if both the parents are covered under the policy) |
65 years |
|
Policy Type |
Individual |
Family Floater |
|
Total Sum Insured |
Rs.3 lakh |
Rs.20 lakh |
|
Policy Term |
1 year |
3 years |
|
Pre-Existing Waiting Period |
36 months |
- |
2. TATA AIG Medicare Plus
The TATA AIG Medicare Plus is a robust health insurance policy that provides comprehensive coverage to the policyholder and his or her entire family. This is a top-up policy that compensates the insured in cases where the basic sum is exhausted. The key features of this plan are:
- Both individual and family-floater option is available
- The total sum assured value is from Rs.1 lakh to Rs.1 crore
- The policy tenure can be 1 year, 2 years, or 3 years
- COVID-19 treatment coverage is provided
- A deductible of Rs.2 lakh, Rs.3 lakh, Rs.5 lakh, Rs.10 lakh, Rs.15 lakh, or Rs.20 lakh can be applicable
The benefits provided with this plan are also mentioned in the table given below.
|
Benefit |
Description |
|
In-Patient Benefit |
Any hospitalization charges incurred during the policy period are covered |
|
Pre-Hospitalization Benefit |
All pre-hospitalization charges up to 60 days before hospitalization are covered |
|
Post-Hospitalization Benefit |
All medical charges are covered that have occurred after hospitalization for up to 90 days |
|
Daycare Procedure Coverage |
All expenses for day-care treatments for up to 540 plus days are covered in a policy year |
|
Organ Donor Benefit |
The medical surgical charges for an organ donor are also covered |
|
Domiciliary Treatment Coverage |
In the case of domiciliary hospitalization for any treatment, all pre-hospitalization and post-hospitalization charges will be covered |
|
In-Patient Dental Treatment Benefit |
All dental treatment charges will be covered. This dental treatment should be required after an accident or illness |
|
AYUSH Benefit |
All treatment charges for Ayurveda, Unani, Homeopathy, and Siddha are covered. These charges must be incurred at a hospital or center recognized by the government |
|
Ambulance Cover |
All ambulance charges up to Rs.3,000 are covered for hospitalization |
|
Second Medical Opinion Benefit |
One can get a second medical opinion from any hospital existing under the medical network of the organization in case of a critical illness or disease |
|
Health Check-Up Benefit |
Policyholder and insured can get a free health check-up of up to Rs.10,000 after every two-consecutive claim-free policy years |
3. TATA AIG Medicare Protect Plan
The TATA AIG Medicare Protect plan is also an indemnity plan that comes with lower premium rates. This is mainly because the sum insured levels are also lower in this plan. Some salient features of this plan are:
- The plan comes with a life-long renewability option
- The total sum insured can be restored if it is exhausted in a policy year on previous claims
- For every claim-free year, the sum insured is increased by 10%
- An additional accidental death benefit cover is provided for an extra premium amount
The benefits that are provided in this policy are given below.
- Consumables cover
- Pre-hospitalization charges cover
- Inpatient hospitalization
- Post-hospitalization charges cover
- Daycare treatments cover
- Organ donor expense benefit
- Domiciliary treatments benefit
- Compassionate travel coverage
- Ambulance cost cover
- AYUSH treatment cover for alternate therapies
- Free medical second opinion feature
- Free health check-up after every three claim-free policy years
Other details of the insurance plan in terms of its eligibility and features are mentioned in the table below.
|
Parameter |
Minimum |
Maximum |
|
Entry Age |
5 years (For dependent children, the minimum entry age is 91 days and the maximum entry age is 5 years if both the parents are covered in this policy) |
65 years |
|
Total Policy Term |
1 year |
3 years |
|
Policy Type |
Individual |
Family Floater |
|
Total Sum Insured |
Rs.2 lakh |
Rs.5 lakh |
|
Pre-Existing Waiting Period |
48 months |
- |
4. TATA AIG Medicare Premier Plan
The TATA AIG Medicare Premier plan provides comprehensive health insurance benefits to its policyholders. The main features of the plan are:
- If the insured has been diagnosed in India, then he or she can get covered medical treatments abroad too
- The sum insured value can be completely restored if it has been exhausted due to previous claims
- The plan is very affordable due to the range of discount facilities available in this insurance product
- After two policy years without any filling of claims, the sum insured is automatically doubled
Beyond this, other benefits provided in this policy are mentioned below.
- Consumables cover
- Bariatric surgery cover
- Pre-hospitalization benefit
- Post-hospitalization cover
- Inpatient hospitalization cover
- Organ donor expenses cover
- Daycare treatment cover
- In-patient dental treatment cover
- Domiciliary treatment cover
- AYUSH treatment charges cover
- Ambulance cost benefit
- Free medical second opinion
- Free health check-ups provided every year
- Hearing aids cost benefit
- First-year vaccination cover for the newborn child
- Compassionate travel cover
- Daily cash allowance for shared accommodation and accompanying an insured child benefit
- Newborn baby cover
- Maternity cover
- Prolonged hospitalization recovery benefit
- Vaccination cover for adults
- OPD treatments benefit
- Cover for high-end diagnostic tests on an OPD basis
- OPD dental treatments cover
- Emergency air ambulance cover
- Accidental death benefit
The eligibility and other important parameters of this plan are explained in the table below.
|
Parameter |
Minimum |
Maximum |
|
Entry Age |
5 years (In case of dependent children, the entry age is between 91 days to 5 years if both the parents are also covered in this policy) |
65 years |
|
Policy Term |
1 year |
3 years |
|
Policy Type |
Individual |
Family Floater |
|
Total Sum Insured |
Rs.5 lakh |
Rs.50 lakh |
|
Pre-Existing Waiting Period |
24 months |
- |
TATA AIG Medicare is an excellent plan with a few unique inclusions. You can go through these inclusions mentioned in the list below.
- The medical and surgical expenses incurred to harvest the organ from an organ donor are covered
- Daycare procedure costs related to any illness, diseases, or injury during the policy period are covered
- Pre-hospitalization of up to 60 days immediately before admission to the hospital is covered
- Post-hospitalization charges for up to 90 days after the insured person is discharged are also covered
- In-patient treatments charges that are directly related to the hospitalization of the insured person can also be reimbursed
Some factors and benefits that are explicitly excluded from this policy are:
- Treatment charges for any weight control or obesity programs are not covered
- Treatments that are rendered by a medical practitioner that is outside the specified discipline are not covered
- Coverage for general debility or exhaustion is not provided
- Coverage for mental disorders, mental health treatments, and psychiatric treatments is not provided
After going through all this information, you must be able to understand that TATA AIG Medicare is a comprehensive plan. The plan is bound to provide you and your family with the required health benefits.
The coverage provided in this policy is available at an affordable premium that comes with several discounts. This means that you can get high-quality medical services at pocket-friendly premiums.
The plan is available on both individual and family floater basis. In the case of the family floater option, coverage can be provided to the policyholder, his or her spouse, dependent children, and dependent parents. These are some of the reasons why customers have rated this policy so highly. You can go through some reviews of this policy below.
- The Medical Health Insurance Policy Out There! By Nitish Rajput (5 stars / 5 stars): I bought the TATA AIG Medicare health insurance policy almost 2-3 years back. Since then, I have applied for claims several times and every single time TATA AIG comes through for me. They have an excellent customer service department that is always very polite and efficient.
- Love the Benefits Offered by Girish Chand (5 stars / 5 stars): If there is one health insurance plan that takes care of all your needs, then that is the TATA AIG Medicare health insurance plan. This plan provides all major benefits from hospitalization benefits to in-patient treatment benefits. What more can you want from a policy? I have been a policyholder of TATA AIG Medicare health insurance and I’m 100% satisfied with it.
Tata AIG MediCare Health Insurance FAQs
What all is covered under the TATA AIG Medicare health insurance plan?
The covers that are provided with the TATA AIG Medicare health insurance plan are:
In-patient treatments
Pre-hospitalization benefit
Post-hospitalization benefit
Day-care procedures
Organ donor
Domiciliary treatment
Global cover
Bariatric surgery cover
Restore benefits
Ambulance cover
Health check-up
Daily cash benefit
Compassionate travel
Consumables benefit
When can I get the bariatric surgery cover under the TATA AIG Medicare plan?
If the insurer fulfills the following requirements, then he or she can get the bariatric surgery cover.
The surgery should be conducted on the advice of the doctor
The insured should be at least 18 years of age or older
The BMI of the insured should be greater than or equal to 35
One must not be suffering from obesity-related cardiomyopathy, severe sleep apnea, coronary heart disease, and uncontrolled type 2 diabetes
How many people can be covered in one TATA AIG Medicare family floater policy?
A maximum of seven members can be covered in one family floater policy. Apart from the policyholder, other members can be the spouse, three dependent children (up to the age of 25 years), and 2 dependent parents. If the age of the child is over 25 years, he or she can be covered under a separate policy with a continuity benefit.
