Q: What all does TATA AIG’s Medicare plan cover?

TATA AIG’s Medicare plan covers the following: 1)In-patient treatment 2)Pre-hospitalisation 3)Post-hospitalisation 4)Daycare procedures 5)Organ donor 6)Domiciliary treatment 7)Global cover 8)Bariatric surgery cover 9)In-patient dental treatment 10)Restore benefit 11)AYUSH benefit 12)Ambulance cover 13)Health checkup 14)Second opinion 15)Vaccination cover 16)Hearing aid 17)Daily cash for choosing shared accommodation 18)Daily cash for accompanying an insured child 19)Compassionate travel 20)Consumables benefit

Question 1

What all does TATA AIG’s Medicare plan cover?

Accepted Answer

TATA AIG&rsquo;s Medicare plan covers the following: 1)In-patient treatment 2)Pre-hospitalisation 3)Post-hospitalisation 4)Daycare procedures 5)Organ donor 6)Domiciliary treatment 7)Global cover 8)Bariatric surgery cover 9)In-patient dental treatment 10)Restore benefit 11)AYUSH benefit 12)Ambulance cover 13)Health checkup 14)Second opinion 15)Vaccination cover 16)Hearing aid 17)Daily cash for choosing shared accommodation 18)Daily cash for accompanying an insured child 19)Compassionate travel 20)Consumables benefit

Question 2

What are the options for sum insured in Tata AIG MediCare Health Insurance?

Accepted Answer

You can choose to get a cover for sum insured of Rs. 3 Lakh, Rs. 4 Lakh, Rs. 5 Lakh, Rs. 7.5 Lakh, Rs. 10 Lakh, Rs. 15 Lakh, and Rs. 20 Lakh.

Question 3

What is the minimum age required for entry to TATA AIG MediCare plan?

Accepted Answer

TATA AIG MediCare plan covers persons in the age group 5 years onwards (dependent children between 91 days and 5 years can be insured only when both parents are insured).

Question 4

What is the maximum entry age for the TATA AIG MediCare plan?

Accepted Answer

The maximum entry age for TATA AIG MediCare plan is 65 years.

Question 5

Is TATA AIG MediCare plan for an individual or family?

Accepted Answer

This policy can be issued to an individual and/or family.

Question 6

Are day care procedures included in TATA AIG’s MediCare plan?

Accepted Answer

Yes, TATA AIG covers expenses for listed Day Care Treatment due to disease/illness/Injury during the policy period taken at a hospital or a Day Care Centre. The list of such day care procedures covered is available on the company&rsquo;s official website.

Question 7

When can I avail bariatric surgery cover under TATA AIG MediCare plan?

Accepted Answer

The policy covers reasonable and customary expenses for bariatric surgery if the insured fulfills: i) Surgery to be conducted upon the advice of the Doctor ii) The member has to be 18 years of age or older iii)BMI greater than or equal to 40 iv)BMI greater than or equal to 35 in conjunction with any of the following severe comorbidities following the failure of less invasive methods of weight loss: a) Obesity-related cardiomyopathy, b) Severe sleep apnea, c) Uncontrolled Type 2 diabetes, or d) Coronary heart disease

Question 8

How many people are covered under one Individual Plan?

Accepted Answer

Maximum 7 members of a family are covered in one Individual Plan (self, spouse, 3 dependent children, and 2 dependent parents).

Question 9

How many people are covered in one Family Floater Policy?

Accepted Answer

Maximum 7 members are covered in one Family Floater Policy (self, spouse, 3 dependent children (up to the age of 25 years) and 2 dependent parents. In case of family floater, where the age of the dependent child is crossing 25 years, the child can be covered under a separate policy with an eligible continuity benefit.

Question 10

What all is covered under consumables benefit in the TATA AIG MediCare plan?

Accepted Answer

TATA AIG will pay for expenses incurred, for consumables which are listed in &lsquo;Items for which optional cover may be offered by insurers&rsquo; under &lsquo;Guidelines on Standardization in Health Insurance, 2016&rsquo;, which are consumed during the period of hospitalisation directly related to the insured&rsquo;s medical or surgical treatment of illness/disease/injury.

Claim Settlement	Dedicated Team
Claim Settlement Ratio	76.04%
COVID-19 Cover	Yes
Network Hospitals	3,000+
Policies Sold	2,20,583
Renewability	Lifelong

Name of Plan	Sum Insured
Arogya Sanjeevani PolicyMin: 3 months; Max: 65 yearsPopular	1 Lakh - 5 Lakh	Check Premium
Corona Kavach PolicyMin: 18 years; Max: 65 years	50,000 - 5 lakh	Check Premium
MediCare PremierMin: 91 Days; Max; 65 Years	5 Lakh	Check Premium
MediCare Min: 91 Days; Max: 65 Years	3 Lakh	Check Premium
Wellsurance WomanMin: 18 years; Max: 65 years	3 Lakh	Check Premium
Wellsurance FamilyMin: 6 months; Max 65 years	2 Lakh	Check Premium
Wellsurance Executive Policy Min: 18 Years; Max: 65 Years	3 Lakh	Check Premium
Critical Illness PolicyMin: 18 Years; Max: 65 Years	2.5 Lakh	Check Premium
Medicare Protect PolicyMin: 91 days; Max: 65 years	2 Lakh - 5 Lakh	Check Premium

Name of Plan	Sum Insured
Medicare Plus PolicyMin: 91 days; Max: 65 years	3 Lakh - 1 Crore	Check Premium

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FAQs on MediCare Health Insurance Plan

What all does TATA AIG’s Medicare plan cover?

What are the options for sum insured in Tata AIG MediCare Health Insurance?

What is the minimum age required for entry to TATA AIG MediCare plan?

What is the maximum entry age for the TATA AIG MediCare plan?

Is TATA AIG MediCare plan for an individual or family?

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