Does the plan have any waiting period?

Yes, there are different types of waiting periods which are applicable under the plan. Firstly, for pre-existing illnesses, there is a waiting period of 48 months. Secondly, for illnesses contracted after the start of the policy, a waiting period of 30 days is applicable. Thirdly, a two year waiting period is applicable for specified illnesses and treatments.

What is covered under inpatient treatments?

Under the scope of inpatient treatments, coverage is available for the expenses incurred on room rent, ICU room rent, fees payable to doctors, surgeons, nurses and anaesthetists, costs of medicine, oxygen, drugs, blood, etc., the expenses incurred on surgeries and treatments and also the cost of prosthetics or devices which are implanted in the body surgically.

What is the liability for ambulance costs?

The plan covers ambulance costs on the actual amount incurred up to a maximum of Rs. 2500.

What is the coverage available under dental treatments?

If the insured is hospitalised due to an accident and dental treatments are required in the course of treating the injuries, the expenses incurred would be covered up to the sum insured. Moreover, there is also coverage for dental expenses incurred on an OPD basis. Coverage is available for up to Rs. 5000 for sum insured up to Rs. 4 Lakh and Rs. 7500 for sum insured of Rs. 5 Lakh and above.

When is hospital cash benefit paid?

If an insured child, aged below 12 years, is hospitalised, the plan pays a daily cash benefit for accompanying the child to the hospital. The amount of benefit is Rs. 300/day if the sum insured is up to Rs. 4 Lakh and Rs. 500/day if the sum insured is Rs. 5 Lakh and above. The benefit is paid for a maximum period of 30 days.

What is covered under vaccination benefit?

If the insured is bitten by an animal after which vaccination is required, the cost of such vaccinations is covered under the policy. If the vaccination is availed as an inpatient benefit, coverage is available up to the sum insured level. However, if the vaccination is availed as an outpatient expense, coverage limit is up to Rs. 5000.

Does the plan provide free health check-ups?

Yes, the plan allows free health check-ups once after the completion of four claim-free policy years. The limit of coverage is 1% of the sum insured subject to a maximum of Rs. 5000.

What benefit is allowed under the plan upon renewal?

When the policy is renewed and there has been no claim in the previous year, a cumulative bonus of 10% increment in the sum insured is allowed free of cost. This increment is allowed for every subsequent claim-free year up to a maximum of 5 years wherein the sum insured increases by 50%.

Are pre-policy health check-ups required to buy the plan?

Pre-policy health check-ups would be required at all ages if the sum insured is Rs. 7.5 Lakh and above. For lower sum insured levels, however, the check-ups are not required till 45 years of age.

What is the entry age for children?

Children aged 91 days to 21 years can be covered under the plan.

Tata AIG MediPrime Health Insurance Wordings

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Highlights

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

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Tata AIG MediPrime Brochure

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Tata AIG Health Insurance Plan List

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

Tata AIG Health Insurance Top Up List

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 MediPrime Health Insurance Plan

Does the plan have any waiting period?
Yes, there are different types of waiting periods which are applicable under the plan. Firstly, for pre-existing illnesses, there is a waiting period of 48 months. Secondly, for illnesses contracted after the start of the policy, a waiting period of 30 days is applicable. Thirdly, a two year waiting period is applicable for specified illnesses and treatments.
What is covered under inpatient treatments?
Under the scope of inpatient treatments, coverage is available for the expenses incurred on room rent, ICU room rent, fees payable to doctors, surgeons, nurses and anaesthetists, costs of medicine, oxygen, drugs, blood, etc., the expenses incurred on surgeries and treatments and also the cost of prosthetics or devices which are implanted in the body surgically.
What is the liability for ambulance costs?
The plan covers ambulance costs on the actual amount incurred up to a maximum of Rs. 2500.
What is the coverage available under dental treatments?
If the insured is hospitalised due to an accident and dental treatments are required in the course of treating the injuries, the expenses incurred would be covered up to the sum insured. Moreover, there is also coverage for dental expenses incurred on an OPD basis. Coverage is available for up to Rs. 5000 for sum insured up to Rs. 4 Lakh and Rs. 7500 for sum insured of Rs. 5 Lakh and above.
When is hospital cash benefit paid?
If an insured child, aged below 12 years, is hospitalised, the plan pays a daily cash benefit for accompanying the child to the hospital. The amount of benefit is Rs. 300/day if the sum insured is up to Rs. 4 Lakh and Rs. 500/day if the sum insured is Rs. 5 Lakh and above. The benefit is paid for a maximum period of 30 days.

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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

Reach us for help anytime

Insurance Dekho
755 1196 989Mon to Sun 10:00 AM to 7:00 PM
support@insurancedekho.com
Tata AIG Health Insurance
1800-266-778024x7
customersupport@tataaig.com