At TATA AIG, We’re Committed To Providing You With Only The Best Kind Of Care. Here’s A Look At Just A Few Reasons Why Our Health Insurance Policy Is The Right One For You:
No Sub-Limit on Hospital Room Rent
Our health insurance plans allow you the flexibility to get the upper ceiling on your hospital rent expenses removed as long as it falls under the umbrella of the sum insured under the plan. Therefore, you can have access to treatment in a hospital room sans any worry for out-of-pocket expenses for the room rent.
No Co-Pay
With a TATA AIG medical insurance plan, you can opt to have the room rent limit removed. This means that you can pick the best possible hospital room to receive treatment in, without worrying about out-of-pocket expenses. As long as the amount is covered by your sum insured, you don’t have to worry.
Maternity Cover
The Tata AIG Maternity Cover has been designed to financially support you through the beautiful phase of motherhood. Under this cover, you are eligible for the reimbursement of maternity expenses to the tune of ₹50,000, which can be extended to ₹60,000 should your child be a baby girl. There is no limit to the number of pregnancies covered under this feature; however, do note that the maternity benefit gets activated four years after the beginning of your health insurance plan with us.
Pre & Post Hospitalisation Cover
If you are insured under the Tata AIG MediCare line of health insurance products, you can benefit from a cover for pre-hospitalisation expenses incurred 30 to 60 days before your admission to a hospital as well as post-hospitalisation expenses generated 60 to 90 days after your discharge from the hospital. Remember that these limits vary from one plan to another.
Cover For Pre-Existing Illnesses
When you buy a Tata AIG health insurance policy, you get coverage against pre-existing illnesses, albeit after the expiration of the designated waiting period. This waiting period for a pre-existing illness usually gets activated two to five years after the purchase of the health insurance plan.
Cashless Claims
We’ve spread our network far and wide. We’ve tied up with over 7200+ hospitals across the country where you can enjoy cashless claims. Just intimate us about the treatment a few days in advance, or as soon as possible if it’s an emergency, and we’ll take care of settling the bill.
Tax Benefits
When you purchase medical insurance, the premium that you pay is exempt from taxes under Section 80D of the Income Tax Act, 1961. If the insured individuals are under the age of 60, you can claim a maximum deduction of INR 25,000. If you’ve also purchased a policy for an elderly parent who is above the age of 60, you can claim an additional deduction of INR 50,000.
Ambulance Cover
In an emergency, if you need an ambulance to transport you or another insured individual to the nearest hospital, our health insurance policy will take care of the cost of the ambulance.
No-Claim Bonus
If you do not make any claims against your medical insurance policy in a single year, you’re entitled to a cumulative bonus. Essentially, we’ll increase your sum insured without increasing your health insurance premium. So, you’ll enjoy higher cover for the same cost. For every consecutive claim-free year, we’ll increase the sum insured by a certain percentage
AYUSH Cover
With the Tata AIG MediCare line of health insurance plans, you are insured not only for modern medical procedures but also for medical treatment under Ayurveda, Yoga and Naturopathy, Unani, Sidha, or Homeopathy
Cover For Daycare Procedures
The health insurance benefits of a Tata AIG health insurance plan also include a cover for daycare procedures, that is, medical procedures that entail a hospital stay below 24 hours. With our MediCare and MediCare Protect plans, you get coverage for more than 540 daycare procedures.
COVID-19 Cove
In light of the severe impact of the ongoing COVID-19 pandemic, with the Tata AIG health insurance policies, you are insured against COVID-19 medical expenses. If you get diagnosed with the virus, we have got your back.
Hospitalisation Expenses
The Tata AIG health insurance plans include a cover for the hospitalisation expenses borne by you for the treatment of any medical condition or an injury that is covered under the plan and not explicitly excluded from the policy wordings.
What’s Not Covered Under TATA AIG Health Insurance?
Tata AIG Health Insurance Covers Many Medical Processes, But There Are Certain Exclusions Too. We Are A Transparent Firm And Would Like You To Know What We Do Not Cover.
Exclusions
Medical exclusions:
- Plastic surgery or cosmetic surgery unless necessary as a part of medically necessary treatment certified by the attending Medical Practitioner for reconstruction following an Accident, Cancer or Burns.
- Rest cure, sanatorium treatment, rehabilitation measures, private duty nursing, respite care, long-term nursing care or custodial care.
- All preventive care, vaccination including inoculation and immunizations (except in case of post- bite treatment and other vaccines explicitly covered);
- Hospitalization purely for enteral feedings (infusion formulae via a tube into the upper gastrointestinal tract) and other nutritional and electrolyte supplements, unless certified to be required by the attending Medical Practitioner as a direct consequence of an otherwise covered claim.
- Experimental and Unproven treatments, Rotational Field Quantum Magnetic Resonance (RFQMR), External Counter Pulsation (ECP), Enhanced External Counter Pulsation (EECP), Chelation therapy, Hyperbaric Oxygen Therapy.
Non-Medical Exclusions:
- Charges incurred at a Hospital primarily for diagnostic, X-ray or laboratory examinations not consistent with or incidental to the diagnosis and treatment of the positive existence or presence of any Illness or Injury, for which confinement is required at a Hospital.
- Items of personal comfort and convenience like television (wherever specifically charged for), charges for access to telephone and telephone calls, internet, foodstuffs (except patient’s diet), cosmetics, hygiene articles, body care products and bath additive, barber or beauty service, guest service.
- Treatment rendered by a Medical Practitioner which is outside his discipline,
- Doctor’s fees charged by the Medical Practitioner sharing the same residence as an Insured Person or who is an immediate relative of an Insured Person’s family
- Please refer to the policy document for a complete list of benefits and exclusions.
Factors To Consider While Buying Health Insurance
Whilst it is critical to buy health insurance as early as possible in your life, it is even more important to engage in thorough research before selecting a health insurance plan, finalising the sum insured and the amount of applicable premium. Here are some of the main factors you must consider while choosing a suitable health insurance plan for yourself:
The Sum Insured
You must ensure that the sum insured under the selected health insurance plan is in line with your health insurance requirements, actual and potential alike. For instance, if you have a pre-existing illness, say, diabetes, or have a family history of said ailment, you must choose a plan that covers it. With the cost of medical treatment rising faster than a stock market ticker on a bullish day, you simply must not settle for less than the optimal sum insured for your health insurance plan. Remember that it can turn out to be quite literally a matter of life and death.
Waiting Periods
Whilst some health insurance benefits get activated instantly, some others have a waiting period during which they stay mere words on your policy document. Therefore, it is important to check the various types of waiting periods that constitute a part of your health insurance plan. First things first, there is the initial waiting period of one month during which you cannot file any claims other than accidental claims. Secondly, the waiting period for the pre-existing illness cover to get activated lasts anywhere between two to five years, depending on your policy and the specific illness. Thirdly, the waiting period for the maternity cover part of your policy to get activated is usually four years.
Network Hospitals
The larger the cashless hospital network of your health insurance provider, the higher is the degree of convenience and flexibility you enjoy with regard to cashless claims. With a network of more than 7,200 hospitals, Tata AIG health insurance has you covered for cashless treatment across the country.
The Add-Ons & Riders Available
If a health insurance plan has the flexibility for the addition of an add-on rider, it is usually considered a green light as far as the value of the plan is considered. With the inclusion of the required health insurance add-ons, you can significantly enhance the coverage of your health insurance plan with minimal addition to your health insurance premium. It’s a win-win situation for you if ever there could be one.
The Claim Settlement Ratio
You must always get insured with a health insurance provider with a high claim settlement ratio over the preceding few financial years. Since this ratio is one of the key markers of the customer-centricity and claims efficiency of an insurer, a higher ratio indicates a massive go-ahead sign for you. With a health insurance claim settlement ratio of 94.43 per cent during the financial year 2020-2021, Tata AIG can be the answer to your health insurance requirements.
Age Limits
There is usually an upper age limit restriction attached to health insurance policies that prevents individuals above a certain age from being able to enjoy a health insurance cover. Similar age restrictions may apply to policy renewals as well. Therefore, it is pivotal to check the policy wordings before selecting your health insurance plan.
Why Should I Purchase Health Insurance When I’m Young?
The earlier in life you take valuable and far-sighted decisions, the better placed you are to handle any contingencies, and buying health insurance is no exception to this principle. There are several advantages of buying a health insurance plan at a young age, some of which have been discussed below.
Fewer Health Concerns: It is a truth universally acknowledged that one’s age and health are inversely proportional to each other. Therefore, the younger you are, the lower is your likelihood of the occurrence of any major illness. You can invest in a health insurance plan in your youth and reap the benefits should you ever need to.
Higher Coverage At A Lower Premium: At a relatively young age, you are less vulnerable to any adverse health-related risks and ailments, thereby making you a low-risk customer for us. Therefore, you can easily get a high sum insured for your health insurance plan at a relatively low premium.
You Can Easily Ride Out The Waiting Period: Another advantage of buying health insurance when you are young, say, in your twenties, is that you can easily traverse through life without having to fall on the wrong side of the various waiting periods of your health insurance plan.
Understanding Waiting Periods
Typically, there are three types of waiting periods in health insurance. Here are the categories of waiting periods in a Tata AIG health insurance plan.
Initial Waiting Period
During the initial waiting period of your health insurance plan, you cannot file any claims other than those arising out of accidental injuries. This waiting period usually lasts between 15 to 90 days, varying from one health insurance plan to another. If you were to add any newborn children to your existing health insurance plan, this waiting period clause shall apply to them as well.
Waiting Period For Pre-existing Illnesses
The coverage for various pre-existing illnesses in a health insurance plan does not usually get activated immediately upon the purchase of the said plan. There are different waiting periods for different medical conditions and ailments, such as diabetes, hypertension, and thyroid. You must, therefore, check the selected plan to ascertain this waiting period before you make the purchase decision.
Waiting Period For Specific Diseases
The waiting period for specific critical diseases also varies depending on the health insurance plan you select. For instance, the waiting period for cancer shall be different from that for renal failure. Therefore, it is pivotal to carefully peruse the policy wordings.
Waiting Period For Maternity Cover
The waiting period for maternity cover in a health insurance plan is usually four years. Therefore, it is prudent to buy a health insurance plan well in advance of your plans to start a family.
