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Tata AIG MediPrime Health Insurance Wordings

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Highlights
Claim SettlementDedicated Team
Claim Settlement Ratio76.04%
COVID-19 CoverYes
Network Hospitals 3,000+
Policies Sold2,20,583
RenewabilityLifelong

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Tata AIG MediPrime Brochure

  • 407.64 KB
  • PDF Document
  • Jun 08, 2019

Tata AIG Health Insurance Plan List

    Name of PlanSum Insured
    Arogya Sanjeevani PolicyMin: 3 months; Max: 65 years1 Lakh - 5 Lakh Check Premium
    Corona Kavach PolicyMin: 18 years; Max: 65 years50,000 - 5 lakh Check Premium
    MediCare PremierMin: 91 Days; Max; 65 Years5 Lakh Check Premium
    MediCare Min: 91 Days; Max: 65 Years3 Lakh Check Premium
    Wellsurance WomanMin: 18 years; Max: 65 years3 Lakh Check Premium
    Wellsurance FamilyMin: 6 months; Max 65 years2 Lakh Check Premium
    Wellsurance Executive Policy Min: 18 Years; Max: 65 Years3 Lakh Check Premium
    Critical Illness PolicyMin: 18 Years; Max: 65 Years2.5 Lakh Check Premium
    Medicare Protect PolicyMin: 91 days; Max: 65 years2 Lakh - 5 Lakh Check Premium

    Tata AIG Health Insurance Top Up List

      Name of PlanSum Insured
      Medicare Plus PolicyMin: 91 days; Max: 65 years3 Lakh - 1 Crore Check Premium

      2155 Tata AIG Cashless Network Hospitals in India

      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

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