
Tata AIG Medicare
95.43%
Claim Settlement Ratio
7,500+
Network Hospitals
8.25/10
Plan Rating
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Our Verdict
Expert Review: TATA AIG Medicare
Final Verdict
About
What Is Medicare?
Medicare Ratings
Medicare
Insurer Rating
9.07
out of 10
Insurance Rating
8.25
out of 10
No Room Rent Limit
Yes
Consumables Covered
Yes
No Co-payment
Yes
Loyalty Bonus >= 500%
Yes
No Disease Sublimits
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Unlimited Restoration
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Additional Benefits (Informational Only — Not part of score)
PED Waiting <= 2 Years
No
Maternity Available
No
Waiting Period Waiver
No
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Inclusions and Exclusions
TATA AIG Medicare Inclusions and Exclusions
Waiting Period
Initial Waiting Periods: 30 Days Specific Diseases/procedures: 24 MonthsPre-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
Cover for expenses incurred for treatment as in-patient in AYUSH Hospital.
Room Rent
Normal: 2% of the sum insured per dayICU: 4% of the sum insured per day
Cashless Healthcare Providers
11,000+ Cashless Hospitals
Modern Treatment
Covered up to 25% of Sum Insured
ICU Charges
4% of Sum Insured per day
Cumulative Bonus
5% of Sum Insured per claim-free year
Consumable Cover
Not Covered as a Separate Benefit
Initial Waiting Period
30 Days
Specific Waiting Period
24 Months
PED Waiting Period
36 Months
Annual Health Checkup
Available as per Policy Terms
Post-Hospitalisation
Covered for Up to 60 Days
Outpatient Department Cover (OPD Expense)
Not Covered under Base Policy
Deductible Option
Not Specified
Coverage Options
₹1 Lakh to ₹10 Lakh
Maternity Cover
Not Covered
Co-payment
No Specific Mandatory Co-payment Mentioned
Pre-Hospitalisation
Covered for Up to 30 Days
Claim Settlement Ratio
Not Specified
Disease-wise sublimits
Applicable to Specified Treatments
Restoration Benefit
Available Once for Road Traffic Accident
Exclusions
Pre-existing diseases during the waiting period.
Injuries or illnesses due to self-inflicted harm or suicide attempts.
Treatment related to alcohol, drug abuse, or substance use disorders.
Cosmetic or plastic surgeries unless medically required.
Treatment for infertility, sterility, or assisted reproduction.
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About the company
About TATA AIG
TATA AIG Hеalth Insurancе offеrs a widе rangе of hеalth plans for individuals, familiеs, and sеnior citizеns. Each plan is dеsignеd to covеr hospital еxpеnsеs, prе- and post-hospitalisation costs, and еmеrgеncy carе. Thе company also providеs top-up plans and spеcial plans for critical illnеssеs.
With morе than 10,000 nеtwork hospitals across India, TATA AIG makеs cashlеss trеatmеnts еasy and quick. Thе insurеr is known for fast claim approvals, 24x7 customеr support, and transparеnt sеrvicе. It also offеrs tax bеnеfits undеr Sеction 80D for all hеalth insurancе plans.
TATA AIG focusеs on protеcting your hеalth and your savings. Its plans arе flеxiblе, еasy to rеnеw for lifе, and suitablе for all agе groups. Whеthеr you arе an individual, a family, or a sеnior citizеn, TATA AIG has a plan to fit your hеalthcarе nееds.
This content has been reviewed by J Isaac Samuel, Insurance Advisor | BQP code: 39540
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