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Tata AIG Wellsurance Woman 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 Wellsurance Woman Brochure

  • 199.29 KB
  • PDF Document
  • Jun 08, 2019

Tata AIG Health Insurance Plan List

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

    Tata AIG Health Insurance Top Up List

      Name of PlanSum Insured
      Medicare Plus PolicyMin: 91 days; Max: 65 years3 Lakh - 1 Crore Get Quotes Now

      1394 Tata AIG Cashless Network Hospitals in India

      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.

      • 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.

      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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