TATA AIG Health Insurance Plans

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Benefits Medicare Protect Medicare Medicare Premier
Sum Insured 2 lakhs, 3 lakhs, 4 lakhs, 5 lakhs 3 lakhs, 4 lakhs, 5 lakhs, 7.5 lakhs, 10 lakhs, 15 lakhs, 20 lakhs 5 lakhs, 10 lakhs, 15 lakhs, 20 lakhs, 25 lakhs, 50 lakh
Pre-Hospitalization expenses 30 days before the date of admission to the hospital 60 days before the date of admission to the hospital 60 days before the date of admission to the hospital
Post-Hospitalization expenses 60 days after discharge from the hospital 90 days after discharge from the hospital 90 days after discharge from the hospital
Day Care Procedures 540+ listed Day Care Treatment covered 540+ listed Day Care Treatment covered 540+ listed Day Care Treatment covered
Ambulance Cover 1000 3000 5000
Health Checkup Up to 1% of sum insured per policy and more than one insured can utilize the amount. The benefit is payable after every 3 continuous claim free policy years. Up to 1% of sum insured and maximum of Rs.10,000/- per policy and more than one insured can utilize the amount. The benefit is payable after every 2 continuous claim free Up to 1% of sum insured and maximum of Rs.10,000/- per policy and more than one insured can utilize the amount.
Cumulative Bonus 10% on base sum insured for every claim free year and up to 100%. Reduced by 10% and up to 100% in case of claim. 50% on base sum insured for every claim free year and up to 100%. Reduced by 50% and up to 100% in case of claim. 50% on base sum insured for every claim free year and up to 100%. Reduced by 50% and up to 100% in case of claim.
Co-pay 10% for higher room optional No Co-pay
Compassionate Travel Max 20,000pa, more than 5 days of hospitalisation Max 20,000pa, more than 5 days of hospitalisation Max 20,000pa, more than 5 days of hospitalisation
Accidental Cover optional optional Inbuilt, upto Sum Insured
Hearing Aid - 10,000, every third year 10,000, every third year
Daily cash for choosing shared accomodation - If the insured is hospitalized in shared accommodation in a network hospital for more than 24 hours. Then the company pays 0.25% of base sum insured and maximum of Rs.2,000/- per day. If the insured is hospitalized in shared accommodation in a network hospital for more than 24 hours. Then the company pays 0.25% of base sum insured and maximum of Rs.2,000/- per day.
Daily cash for accompanying an insured child - If an insured child aged 12 years or less is hospitalized. The company pays 0.25% of base sum insured and maximum of Rs.2,000/- per day for one accompanying adult for 24 hours. If an insured child aged 12 years or less is hospitalized. The company pays 0.25% of base sum insured and maximum of Rs.2,000/- per day for one accompanying adult for 24 hours.
Maternity Expenses Cover - - Up to Rs.50,000/- (Rs.60,000/- in case of girl child) per policy. Waiting period 4 years.
New born baby cover - - If a claim is admitted under the maternity benefit, then the company covers for medical expenses incurred on the treatment of new born baby up to Rs.10,000/- for complications related to delivery.
Waiting Period for pre-existing disease 48 months 36 months 24 months
OPD Dental - - 10,000
OPD - - 5000
High end diagnostics - - 25,000
Vaccination Cover - 5000 Up to Sum Insured

TATA AIG Health Insurance Review

TATA AIG Health Insurance
TATA AIG Health Insurance sum insured
3 lacs − 20 lacs options available
Incurred Claims Ratio *
78.00%
TATA AIG Health Insurance tenure options
1, 2 or 3 years options available
Claims Settlement Ratio **
80.61%
List of network hospitals
4,000+ hospitals
Number of policies issued *
220,583
Maximum family floater coverage
Self, Spouse + 3 dependent children + 2 dependent parents
Number of lives covered *
2,248,000
* As per IRDAI report for 2018-19   |   ** As per NL25 data published on the Insurance Company website

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CIN: U66000KA2018PTC117713 | IRDAI Web aggregator License Code Number: IRDAI / INT / WBA /53/ 2018, Valid till 07/08/2022
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