Tata AIG MediPlus Health Insurance
About the Tata AIG MediPlus Health Insurance
TATA AIG General Insurance Company Limited is a joint venture between the TATA Group and the American International Group (AIG). This is an Indian general insurance company in which a 74% stake is held by the TATA Group and the remaining 26% is held by the American International Group.
TATA AIG started its operations in India on 22 January 2001. The company provides insurance policies and services to both individuals and large corporations. One can get a wide range of financial products and services, including home, personal accident, automobile, travel, marine, energy, property, and casualty insurance.
Customers across India can purchase TATA AIG insurance plans like Medi Plus through several channels like agents, banks, brokers, telemarketing, digital marketing, and worksite. You can also get the MediPlus policy by visiting the nearest branch office or the official website.
The organization has a claim settlement ratio of 76.04%. It provides coverage for COVID-19 treatments. The value of the TATA AIG India consumption fund also shows that the organization is on the rise and that is one of the reasons why it has a large network of over 3,000 hospitals. The policies are also provided with a lifelong renewability option.
Purchasing a good health insurance plan is not just an option for a lot of people now. Instead, it is a need that has to be fulfilled because of the exponentially rising medical treatment prices. This real-life situation has been realized by TATA AIG, which is why they have rolled out the TATA AIG MediPlus plan.
The TATA AIG MediPlus plan provides coverage to individuals who need proper and efficient medical coverage during risks. This is a smart top-up plan that is cost-effective and saves your health. The coverage of this plan is triggered when the pre-defined limit of your primary health insurance policy is exhausted.
The premium rates of this insurance plan are more affordable than regular health insurance policies. The sum insured under this policy is Rs.5 lakh with a deductible option of Rs.1 lakh, Rs.2 lakh, Rs.3 lakh, Rs.4 lakh, and Rs.5 lakh.
This health insurance plan is an ideal option for you and your family if you want to have a large medical security umbrella to fall back on. Some of the most important features of the plan are mentioned below for your perusal.
- The minimum entry age for this plan is 18 years
- The maximum entry age for this plan is 65 years
- Under this plan, one can insure self, spouse, and up to 3 dependent children and parents
- Daycare procedure costs are covered. This cover is provided to 140 daycare procedures that do not require any type of long-term hospitalization
- If the policyholder is going through any dental treatment due to an illness or accident, then he or she is covered under this policy
- There is a lot of flexibility because of the simple claim process, hassle-free portability option, lifelong renewability feature, and ambulance charge cover of up to Rs.2,000
- Policyholders can also avail of a tax deduction of up to Rs.25,000 when he or she insures self, spouse, or children under this policy. If one insures senior citizens or parents under this policy, then a deduction of Rs.50,000 can be availed. This is in accordance with the Section 80D of the Income Tax Act, 1961
There are some valuable benefits provided with this policy. These valuable benefits are mentioned in the table below.
|
Benefit or Coverage |
Description |
|
Pre-Hospitalization Medical Expense Cover |
All expenses incurred up to 60 days before being admitted to the hospital are covered |
|
Post-Hospitalization Medical Expense Cover |
All charges incurred up to 90 days after being discharged from the hospital are covered under this policy |
|
In-Patient Hospitalization Treatment |
In-patient expenses like room rent, ICU charges, nursing charges, consumables expenses, and medicinal drugs charges are covered |
|
Domiciliary Treatment Benefit |
Coverage is also provided for medical expenses that are incurred while availing treatment at home that would otherwise require hospitalization |
|
Day Care Procedure Cover |
Up to 140 daycare treatment charges are covered under this policy |
|
Emergency Ambulance Cover |
An emergency ambulance cover of Rs.2,000 or the actual expense incurred is provided. The amount which is lower is reimbursed to the insured or the policyholder |
|
Portability Feature |
A policyholder who wishes to shift or port this policy to some other insurer can do that but he or she must apply at least 45 days in advance before the renewal date of the current policy |
|
Organ Donor Benefit |
The plan provides coverage for all expenses that were incurred related to the procedure of organ donation for harvesting |
|
Wide Network of Hospitals |
As of now, TATA AIG has a network of over 3,000 hospitals |
|
Lifelong Renewability |
This policy comes with a lifelong renewability feature |
|
Deductible Feature |
The company is not liable for any payment unless the medical expenses are more than the deductible |
|
Waiver of Deductible Feature |
In this feature, the insured individual is given the option to migrate to their indemnity health insurance policy |
There are many reasons why one might want to purchase the TATA AIG MediPlus health insurance. Do you want to know what those reasons are? If yes, then go through the list given below.
- Extensive Coverage: TATA AIG MediPlus health insurance plan is one of those policies that basically covers everyone. From a 91 days old baby to a 65 years old senior citizen, everybody is covered in this policy. Because of this every individual including you, your spouse, your children, and your parents can be covered in a single plan.
- Lower Premium Rates with Discounts: If you decide to cover two or more family members under this policy, then you can get a 10% discount on the total premium price. You can also get a discount of 7.5% if you opt for a policy term of 2 years.
- Pre-Hospitalization and Post-Hospitalization Benefit: TATA AIG MediPlus is one of those plans that cover the costs of every single medical expense incurred 60 days before being admitted to the hospital. You can even get coverage for medical expenses after 90 days of being discharged from the hospital. This is an ample amount of coverage for any individual!
- Domiciliary Treatment Cover: There are many diseases that can be treated at home. And if you decide to go that route, then you don’t have to worry about paying for the medical expenses. TATA AIG MediPlus covers domiciliary treatment charges. These treatments should be done on the advice of a qualified medical physician.
Now that you know all this, the next point of the order is to talk about the documents that an individual might need if he or she wants to purchase this policy. First, you would need to submit the application form by mentioning the correct details. Do not forget to mention your medical history as accurately as possible and attach your address proof too.
In some cases, one might be required to undergo a medical examination before purchasing the policy. To help you make this decision, you should directly contact the organization. This factor also depends on the total sum insured value selected and the age of the individual.
But what if you want to raise a medical benefit or hospital cash claim request with your TATA AIG MediPlus health insurance plan? In that case, you would need to submit the following documents.
- Claim form
- Attending doctor’s report
- All bills of medicine
- Prescriptions that were written by the medical practitioner
- Discharge card of hospital
- Proof of hospitalization with the details of the treatment
- X-ray reports
- Other pathological reports
In case of placing death claim requests, you would have to submit the following documents.
- Filled claim form
- Original death certificate
- Attending doctor’s report
- Police inquest report, wherever applicable
- Attested copy of FIR or Panchanama
- Original or attested post mortem report, which is also known as coroner’s report
There are some exciting inclusions applicable to this policy. You can look at what those inclusions are by referring to the list given below.
- All charges related to in-patient treatment are included like ICU charges, room rent, medicine charges, drugs charges, and nursing charges
- An emergency ambulance benefit of up to Rs.2,000 is provided to the policyholder
- All pre-hospitalization charges are covered up to a maximum of 60 days before being admitted to the hospital
- Post-hospitalization charges for up to 90 days after being discharged from the hospital are covered
- An impressive number of 140 day-care procedures are covered that do not require a minimum hospitalization period of 24 hours
Even though this policy has a very extensive cover, there are still some factors that are excluded. These factors are mentioned below.
- Maternity cover
- Treatments or medical expenses related to pregnancy
- Medical charges incurred due to self-inflicted injury or illness are not covered
- Injuries or treatments of drug abuse, alcohol addiction, overdose tobacco, or consumption are not covered
- Treatment of psychological disorders is excluded
- Treatment for congenital anomalies are excluded
- Injuries or illnesses caused due to strike, war, riot, or nuclear weapons
- Any treatment for conditions that arise due to HIV or AIDS
TATA AIG MediPlus is a top-up health insurance plan that provides excellent benefits. The plan comes with a sum insured and deductible level. In cases where the claims exceed the deductible limit, the excess claim will be paid by the insurer.
This top-up plan is an excellent way to get some extra protection at lower premium rates. The policy can cover the entire family of the policyholder and can also be availed on an individual basis. The entry age of the policy is from 91 days to 65 years of age. Children who are covered under this plan cannot be over 23 years of age.
The policy terms are either one year or two years. The sum insured value under this plan is also Rs.5 lakh with the deductibles limit ranging from Rs.1 lakh to Rs.5 lakh. After going through all this, it shouldn’t be surprising to you to see that customers have also rated this policy very highly. Let’s go through some of those reviews.
- A Unique Policy with Affordable Premium, says Ritvik Kaushik (5 stars / 5 stars): I have been a TATA AIG MediPlus policyholder for quite a few years now. And I can honestly say that purchasing this policy was one of the best decisions I have ever made. This policy has come through and provided me with benefits for basically every medical expense throughout the years. The additional cover has brought a lot of peace to my mind.
- Will Definitely Recommend It, says Deepak Mathur (5 stars / 5 stars): The biggest highlight in this plan for me has been the sum insured value and the fact that I didn’t have to get a medical check-up done. I have experience in applying for claims and renewing this policy and I have never faced any issue with it till now. If you are in the market for a top-up health insurance policy, then I would definitely recommend TATA AIG MediPlus.
- Day-care Extensive Coverage, says Aniket Sehgal (5 stars / 5 stars): I’m not a big advocate of rushing to the hospital for everything. I believe in getting good quality medical expertise and getting treatments from the comfort of my home. I think that hospitals can get too stuffy and I don’t like to go there unless and until I absolutely have to. This is why I loved the fact that the TATA AIG MediPlus policy provides coverage for almost 140 daycare treatments. I have found this plan very useful for me.
Tata AIG MediPlus Health Insurance FAQs
What is the usual waiting period applicable under the TATA AIG MediPlus plan?
The policy coverage starts from the 30th day of policy issuance. This is valid except in cases where the insured has gone through an accident. Other listed ailments or diseases are covered after a waiting period of 24 hours.
What is the portability feature provided in the TATA AIG MediPlus plan?
The portability feature provided with the TATA AIG MediPlus plan provides policyholders with the flexibility to get the same policy from some other insurance prover. To get this service, one must notify TATA AIG at least 45 days before the renewal of the policy.
I want to buy the TATA AIG MediPlus policy. Do I have to get a medical check-up done for the same?
A pre-policy checkup is not necessary or mandatory under the TATA AIG MediPlus health insurance policy. You should contact the customer service department to see if you need a medical check-up. Further, it should be noted that if the proposal is accepted, then 50% of the charges are covered by the insurer.
