Which critical illnesses are covered under the plan?

The plan covers cancer, stroke, first heart attack, multiple sclerosis, major burns, coma, open chest CABG, total blindness, kidney failure and consequent regular dialysis required, major organ or bone marrow transplants and permanent paralysis of limbs.

What is the coverage level for critical illnesses?

For cancer, the coverage level is Rs. 3 Lakh under Classic, Rs. 5 Lakh under Supreme and Rs. 7.5 Lakh under Elite plans. For other critical illnesses, the coverage is reduced by half and is Rs. 1.5 Lakh for Classic, Rs. 2.5 Lakh for Supreme and Rs. 7.5 Lakh under Elite plan options.

When is the critical illness benefit paid?

If the insured is diagnosed with a covered critical illness after the first 90 days of buying the policy and if the insured survives for 30 days post the diagnosis of the illness, the critical illness sum insured would be paid in one lump sum.

When is claim paid for cosmetic reconstruction surgeries?

If the insured suffers an accident and a cosmetic surgery is required to reconstruct a body part which has suffered a severe deformity or for restoring or improving the body function, claim is paid for such cosmetic surgeries.

What is the extent of claim paid under cosmetic reconstruction surgeries?

Cosmetic reconstruction surgeries incurs a fixed claim payment of Rs. 50,000 under Classic Plan, Rs. 1 Lakh under Supreme Plan and Rs. 2 Lakh under Elite Plan.

Who can buy the policy?

The policy is available only for women aged 18 to 65 years as on the date of buying the policy.

Can the policy be taken to cover the family members?

No, the policy would cover only the woman under an individual basis. Family floater cover is not allowed under the plan.

What documents are required to make a claim?

The documents required to make a claim under the policy include claim form, copies of the medical bills, medical reports, diagnosis report of the illness suffered, list of medical treatments availed and all medical prescriptions.

What is paid under convalescence benefit?

If the insured is hospitalised for 5 or more consecutive days, a lump sum benefit is paid as convalescence benefit. The amount of benefit is Rs. 1500 for Classic Plan, Rs. 2000 for Supreme Plan and Rs. 4000 for Elite plan.

Does the plan allow lifelong renewals?

Yes, the plan is renewable lifelong and there is no maximum cover ceasing age.

Tata AIG Wellsurance Woman 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 Wellsurance Woman Brochure

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Jun 08, 2019

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Tata AIG Health Insurance Plan List

Senior Citizen (1)
Family (5)
Individual (5)
Kids (2)
Maternity (1)
Woman (1)
Parents (1)
Critical Illness (2)

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

Individual (1)
Top-up (1)

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 Wellsurance Woman Health Insurance Plan

Which critical illnesses are covered under the plan?
The plan covers cancer, stroke, first heart attack, multiple sclerosis, major burns, coma, open chest CABG, total blindness, kidney failure and consequent regular dialysis required, major organ or bone marrow transplants and permanent paralysis of limbs.
What is the coverage level for critical illnesses?
For cancer, the coverage level is Rs. 3 Lakh under Classic, Rs. 5 Lakh under Supreme and Rs. 7.5 Lakh under Elite plans. For other critical illnesses, the coverage is reduced by half and is Rs. 1.5 Lakh for Classic, Rs. 2.5 Lakh for Supreme and Rs. 7.5 Lakh under Elite plan options.
When is the critical illness benefit paid?
If the insured is diagnosed with a covered critical illness after the first 90 days of buying the policy and if the insured survives for 30 days post the diagnosis of the illness, the critical illness sum insured would be paid in one lump sum.
When is claim paid for cosmetic reconstruction surgeries?
If the insured suffers an accident and a cosmetic surgery is required to reconstruct a body part which has suffered a severe deformity or for restoring or improving the body function, claim is paid for such cosmetic surgeries.
What is the extent of claim paid under cosmetic reconstruction surgeries?
Cosmetic reconstruction surgeries incurs a fixed claim payment of Rs. 50,000 under Classic Plan, Rs. 1 Lakh under Supreme Plan and Rs. 2 Lakh under Elite Plan.

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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