Tata Aig Medicare Plan
Overview
Tata AIG General Insurance Company Limited is a joint venture between the Tata Group and the American International Group (AIG). Tata AIG General Insurance Company Limited celebrated 20 years of service as on 2020, since it commenced operations on January 22, 2001. The company has made a mark in the industry by launching several innovative products and services over the years.<p> Under its two main business verticals ie Consumer Lines and Commercial Lines, Tata AIG General Insurance Company Limited offers an extensive range of General Insurance covers that cater to various individual and business insurance needs. The products range from Home insurance, Motor Insurance, Travel Insurance, Health Insurance, Rural-Agriculture Insurance etc for individuals under the Consumer Line vertical, and Property & Business Interruption insurance; D&O, Professional and General Liability Insurance; and special products like Reps & Warranties and Environmental Insurance under the Commercial Lines vertical. Each product offering is backed by professional expertise to help the customer along the entire relationship period. Tata AIG General Insurance Company Limited has an empowered claims team, with a in-house capability of 400 plus experts spread across 90 office in India. The customer service team too, which is the face of the company to the customer, comprises of 450 team members, operating from various offices across India. Today Tata AIG General Insurance Company Limited’s core strength lies in 3 product categories, ie Travel Insurance, Marine Insurance and Liability and the company aims to be the most preferred General Insurance Company in the industry. In order to achieve its vision of being the most preferred general insurance company, Tata AIG General Insurance Company Limited is increasing its general insurance penetration in India with various significant partnerships with leading business names from varied industries. Tata AIG General Insurance Company Limited has an Asset Under Management (AUM) of approximate Rs. 14,295 Cr (as of September 30, 2020) and a workforce of about 6220 employees present in 200 branches across India. The company’s products are available through various channels of distribution such as Agency which has a combined strength of 40,000+ licensed agents and a very strong Broking channel of 437 licensed brokers. The Bancassurance & Affinity team is responsible for initiating and tapping partnerships with Banks, NBFC's, HFC's and other affinity partners. Tata AIG General Insurance Company Limited is also increasing its online presence and has a strategic initiative called ‘Go Digital’ that facilitates ease of buying Insurance products in the digital world. It makes the process from sale to policy issuance effortless. To help its distributors significantly increase their insurance knowledge, the company had established the ‘Tata AIG Academy’ in May 2014 with a vision to be a centre of excellence in learning in the General Insurance domain. Its mission is to align the training programs with the strategic business and developmental needs of Tata AIG General Insurance Company Limited as well as to empower employees and partners to succeed in a fast-changing competitive environment.
Highlights For
Tata Medicare
Commulative Bonus
Restore Benefits
Consumable Benefits
Compassionate Travel
Features
Sub-limits
Health Check up
Free annual health check-up for all insured members according to the list of tests specfied in the policy document.
Ambulance
Transportation of the patient to the hospital and back home
Pre-Hospitalisation : Upto 60 days
The amount of expenses incurred during this period prior to hospitalisation such as diagnostic tests, doctor fees, medicines, etc. for investigiation purpose are also payable by the insurer
Post Hospitalisation : Upto 90 days
The amount of expenses incurred during this period after discharge from hospitalisation for the purpose of recovery such as follow-up tests, doctor fees, medicines, etc. are also payable by the insurer
Pre existing Disease cover : 36 Months
Coverage for all Pre-Existing Diseases covered after a certain specified waiting period with continuous renewal.
Waiting Period- Initial : 30 Days
No claims are accepted within this period except due to accidents/ injury.
Waiting Period- Specific : 24 months
Listed specific illness
Waiting Period- PED : 36 Months
No pre-existing ailment related claims are accepted within this period.
Room Rent : Private Room
Room rent for in-patient hospitalisation
ICU Charges : Private Room
Charges for ICU hospitalisation
Co pay : No
% of the claim that the policyholder needs to pay out-of-pocket
Restore Benefit/ Recharge/ Refill : Automatically restore the Basic Sum Insured upon exhaustion of the Sum Insured and accrued Cumulative Bonus, during the policy period.
If the sum insured is exhausted due to hospitalisation expenses of one or more members, there is an automatic restoration of the sum insured for related or unrelated ailments.
Health Check up : Covers preventive health check-ups, up to 1% of Upto Sum Insuredor INR 10,000 max.
Free annual health check-up for all insured members according to the list of tests specfied in the policy document.
No Claim Bonus : 50% more bonus each claim-free year. upto 100%
% of the sum insured that rises every claim free year.
Video/telephone consultation : Unlimited Teleconsultation
E-consultation with expert doctors empanelled with the insurer for a second opinion.
Domiciliary hospitalization : Yes
Home care treatment where there are no beds in the hospital or paitient is not in a condition to be moved to the hospital, This treatment is provided under the supervision of a registered medical practitioner.
Ambulance : Upto 30000
Transportation of the patient to the hospital and back home
Convalescence benefit : No
A specific fixed amount of money paid as a recovery benefit for extended hospitalisation.
Organ Donor : Upto Sum Insured
The costs for a surgical procedure of removal or damaged organ from the patient's body which could otherwise be fatal.
Bariatric cover : Upto Sum Insured
Expenses related to obesity-related conditions such as high BP, sleep apnea, arthiritis asthma, etc.
Daycare : Upto Sum Insured
Covers in-patient hospitalisation expenses where the stay is <24 hours under a specified list of treatments
AYUSH : Upto Sum Insured
Alternative treatment coverage such as ayurvedic, unani, sidha and homeopathy which leads to hospitalisation.
Congenital Coverage : No
Covers medical expenses related to diagnosis and treatment of heriditary and internal congenital ailments/ conditions/ traits that exist from birth.
Modern Treatments : No
All advanced treatment with upgrade in technology.
Health Management/ Wellness : No
Benefits provided for staying fit and managing health
Maternity Benefit : No
All expenses related to childbirth or legal medical termination of pregnancy, usually upto a specified limit.