
Tata AIG Medicare Plus
95.43
Claim Settlement Ratio
12000
Network Hospitals
8.4
Customer Rating
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95.43
Claim Settlement Ratio
12000
Network Hospitals
8.4
Customer Rating
Our Verdict
Expert Review: TATA AIG Health Insurance
Final Verdict
About
About TATA AIG Health Insurance
Inclusions and Exclusions
Inclusions and Exclusions of TATA AIG Insurance Company Limited
Disease-wise sublimits
No
Co-payment
Not available
Initial Waiting Period
30 days
Restoration Benefit
Not available
Cashless Healthcare Providers
12046+ Healthcare Providers
Cumulative Bonus
Your sum insured increases by 50% for every claim-free year, upto 100%. If a claim is made during the policy year, the cumulative bonus is reduced by 50% in the next policy year
Claim Settlement Ratio
95.43%
Coverage Options
Available coverage options: ₹3L, ₹5L, ₹10L, ₹15L, ₹20L, ₹25L, ₹50L and ₹1 Cr
Maternity Cover
Not available
Pre-Hospitalisation
You get cover for medical tests and doctor visits up to 60 days before hospitalisation, if your main claim is approved
Post-Hospitalisation
You get cover for medical bills up to 90 days after discharge, including physiotherapy if your doctor prescribes it
Deductible Option
Available
Waiting Period
Initial waiting period: 30 Days
Specific Waiting Periods: 24 Months
Pre-Existing Diseases: 36 Months
Daycare Treatment
Cover expenses for listed Day Care Treatment due to disease/illness/Injury during the policy period taken at a hospital or a Day Care Centre.
AYUSH Treatment
Covers treatments under Ayurveda, Unani, Siddha, and Homeopathy systems.
Room Rent
No capping on room rent or ICU charges.
ICU Charges
No restriction on ICU room rent
Annual Health Checkup
Health check-up is available once every policy year, from day 1 of the policy
Outpatient Department Cover (OPD Expense)
OPD expense is not included
Consumable Cover
Yes
Specific Waiting Period
2 years
PED Waiting Period
3 years
Modern Treatment
Hospital expenses for listed advanced treatments are covered up to your full sum insured during the policy period
Disease-wise sublimits
No
Co-payment
Not available
Initial Waiting Period
30 days
Exclusions
Pre-existing diseases not covered for 36 months.
Cosmetic or plastic surgery unless medically necessary.
Injuries due to hazardous activities or adventure sports.
Treatment for drug or alcohol addiction.
Non-prescribed vitamins, supplements, or tonics.
Infertility treatments, including IVF procedures.
Dental or vision care unless due to an accident.
Congenital diseases and birth defects.
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About the company
About the company
FAQs
Frequently Asked Questions
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