Review Of Tata AIG Health Insurance

Introduction

Review Of Tata AIG Health Insurance is our today’s topic. TATA AIG General Insurance Co Ltd is a joint venture between TATA Group and American International Group Company, founded in 2001. Since commencement, the insurer has completed 20 years and has grown as one of the most preferable private health insurance companies in India.

The company has over 200 network offices across India and provides a range of health insurance for individuals and businesses. It has over 4800 network hospitals with an incurred claims ratio of 78% and over 80% of the claim settlement ratio. The policies have benefits like a lifetime renewability option and a waiting period of 4 years.

Common benefits of all TATA AIG Health Insurance Plans

I. Amount of sum insured ranges from Rs. 3-20 Lakhs.
II. 1,2 or 3 years of tenure options available.
III. Maximum covered members are self, spouse, 2 children, and 2 dependent parents.
IV. Tax benefit under Section 80D of the Income Tax Act, 1961.
V. Lifetime renewability option is provided for all premiums are regular.
VI. Migration or transfer option to any other insurer with other plans is available.
VII. Zero sub-limit on expenses covering in-patient treatment, domiciliary treatment, daycare expenses, organ donor expenses, etc.
VIII. Sum Insured enhancement.
IX. Grace period of 30 days is available(the coverage will not be provided for the time in which no premium is received).
X. Freelook period is 15 days from the receipt of policy documents, in case anyone wants to cancel the policy.

TATA AIG Health Insurance Plans

TATA AIG Wellsurance Executive Plan

It is a tailor-made health insurance plan suitable for busy official persons or executives. Among the rest, this plan is specifically designed that can take care of a particular and very important segment of society. The policy comes with 3 variants as Classic, Supreme, and Elite Plan.

Features

I. Fixed lump sum benefit is paid for the following,
A. Hospitalization,
B. ICU admission,
C. Specific major/minor surgeries,
D. Diagnosis of any one of the 9 listed critical illnesses,
E. Post hospitalization including recovery benefit and out-patient expenses.
II. Hospitalization benefits and ICU benefits are upto 90 days and 15 days respectively.
III. Critical illness coverage waiting period is 90 days.
IV. Health Portal access is very useful through which you can get knowledge about various health issues and take preventive measures early.
V. Specialized physicians are available at the Health Helpline to guide you on health-related issues.

Sub-limits

I. Convalescence benefit of Rs. 1500, Rs. 2500 and Rs. 4000 is payable under Classic, Supreme & Elite Plan respectively.
II. ICU benefit of Rs. 3000, Rs. 4500 and Rs. 6000 per day is payable under Classic, Supreme & Elite Plan respectively.
III. Under Classic, Supreme & Elite Plan, the benefit is payable as Rs. 3, 5, and 7.5 Lakhs respectively.
IV. For major surgeries, Classic, Supreme & Elite Plan are capped up to Rs. 1, 1.5, and Rs. 2 Lakhs respectively. Several other major surgeries are also capped as specified under the plan.
V. For minor surgeries, Classic Plan is capped up to Rs. 15,000, Supreme and Elite Plan are capped up to Rs. 20,000.

VI. Hospital daily cash is payable up to 90 days. Hospital cash of Rs. 2000, Rs. 3000 and Rs. 4000 per day is payable under Classic, Supreme, and Elite Plan respectively.
VII. Nursing expenses of Rs. 750, Rs. 1000 and Rs. 1250 per day is payable under Classic, Supreme, and Elite Plan respectively. This benefit is payable for up to a maximum of 90 days.
VIII. Physiotherapy cost of Rs. 750, Rs. 1000 and Rs. 1250 per day is payable under Classic, Supreme, and Elite Plan respectively.

Age limit

Persons between the age band of 18-65 years can get coverage under this plan.

Exclusions

I. War, invasion, the act of the foreign enemy.
II. Professional sports or other hazardous activities.
III. Cosmetic surgery.
IV. Pregnancy-related complications.
V. Cost of spectacles, hearing aids, contact lenses, and other such aids.

TATA AIG Wellsurance Family Policy

This plan is specifically designed to take care of each of your family member’s health cover. So that, in case of any unfortunate situation, you can focus on the treatment rather than worrying about the finance. This policy also comes with 3 variants as Classic, Supreme, and Elite Plan.

Features

I. Fixed lump sum benefit is paid for the following,
A. Hospitalization,
B. ICU admission,
C. Specific major/minor surgeries,
D. Diagnosis of any one of the 11 listed critical illnesses, the plan will continue the coverage for remaining critical illnesses even after claiming benefit for 1 diagnosed critical illness.
E. Most importantly, children’s education benefits in case of an accident, permanent disability, or death of the policyholder.
II. Diagnosed critical illness waiting period is 90 days.
III. Hospital cash benefit upto 90 days.
IV. Ambulance charges are covered.
V. ICU benefit is available for upto 15 days.
VI. Recovery benefit can be claimed after a continuous hospitalization for 5 days.
VII. Health Portal access is very useful through which you can get knowledge about various health issues and take preventive measures early.
VIII. Specialized physicians are available at the Health Helpline to guide you on health-related issues.

Sub-limits

I. Convalescence benefit paid upto Rs. 1500, Rs. 2500 and Rs. 4000 is payable under Classic, Supreme, and Elite Plan respectively.
II. ICU benefit of Rs. 3000, Rs. 4500 and Rs. 6000 per day is payable under Classic, Supreme, and Elite Plan respectively.
III. Under Classic, Supreme & Elite Plan, the benefit is payable as Rs. 2, 3, and 4 Lakhs respectively.
IV. Hospital daily cash is payable up to 90 days. Hospital cash of Rs. 2000, Rs. 3000 and Rs. 4000 per day is payable under Classic, Supreme, and Elite Plan respectively.

Age limit

Adults of age between 18-65 years and children aged just 6 months to 18 years are covered under this plan. Children of age 23 years are also covered in case of studying higher studies.

Exclusions

I. War, invasion, the act of the foreign enemy.
II. Professional sports or other hazardous activities.
III. Cosmetic surgery.
IV. Pregnancy-related complications.
V. Cost of spectacles, hearing aids, contact lenses, and other such aids.

TATA AIG Wellsurance Woman Plans

This policy is well suited for women who are managing both home and office. This plan takes care of their health without putting extra stress regarding finance at times of medical emergencies. The policy has 3 variants as Classic, Supreme, and Elite Plan.

Features

I. Fixed lump sum benefit is paid for the following,
A. Recovery benefits,
B. Diagnosis of any one of the 11 listed critical illnesses, the policy coverage will be higher in case of Cancer.
C. Accidental injuries or Cosmetic reconstruction surgeries,
II. Hospital daily cash benefit,
III. Higher hospital cash limit for ICU/CCU admission.
IV. Waiting period of 90 days for critical illnesses.
V. Hospital cash benefit for upto 90 days.
VI. Ambulance charges are covered.
VII. Recovery benefit can be claimed after a continuous hospitalization for 5 days.
VIII. Health Portal access is very useful through which you can get knowledge about various health issues and take preventive measures early.
IX. Specialized physicians are available at the Health Helpline to guide you on health-related issues.

Sub-limits

I. Convalescence benefit of Rs. 1500, Rs. 2500 and Rs. 4000 is payable under Classic, Supreme, and Elite Plan respectively.
II. ICU benefit of Rs. 3000, Rs. 4500 and Rs. 6000 per day is payable under Classic, Supreme, and Elite Plan respectively.
III. Cosmetic Reconstruction Surgery for Rs. 0.5, 1 and 2 Lakhs is payable under Classic, Supreme, and Elite Plan respectively.
IV. Under Classic, Supreme, and Elite Plan, the benefit is capped up to Rs. 3, 5, and 7.5 Lakhs respectively.
V. Hospital daily cash is payable up to 90 days. Hospital cash of Rs. 2000, Rs. 3000 and Rs. 4000 per day is payable under Classic, Supreme, and Elite Plan respectively.

Age limit

Woman between the age of 18-65 years is covered under this policy.

Exclusions

I. War, invasion, the act of the foreign enemy.
II. Professional sports or other hazardous activities.
III. Cosmetic surgery.
IV. Pregnancy-related complications.
V. Cost of spectacles, hearing aids, contact lenses, and other such aids.
VI. Intentionally self-inflicted injury/illness.

TATA AIG Critical Illness Policy

Critical illnesses can interrupt anyone’s healthy life nowadays, this critical illness policy is for individuals to care for those medical situations and unexpected expenses.

Features

I. Fixed lump sum benefit is paid for diagnosis of any one of the 11 listed critical illnesses.
II. Sum Insured enhancement.

Sub limit

I. Benefit is capped up to Rs. 7.5 Lakhs.

Age limit

People with a minimum of 18 years and a maximum of 65 years of age can be covered under this plan.

Exclusions

I. War, invasion, the act of the foreign enemy.
II. Professional sports or other hazardous activities.
III. Cosmetic surgery.
IV. Cost of spectacles, hearing aids, contact lenses, and other such aids.
V. Intentionally self-inflicted injury/illness.

TATA AIG Individual Accident and Sickness Hospital Cash Policy

This plan is great as a health insurance option because, due to recently escalated costs, inflation rates health care is getting a lot costlier. This plan helps to support the finance of the insured person in terms of long duration in hospital, higher cost for modern treatments, etc.

Features

I. Pre-policy check-up is not required.
II. Hospitalization cash benefit upto 180 days, in case of accident or sickness.
III. Options to choose from 5 different levels.
IV. Sum Insured enhancement.
V. In-hospital indemnity for accidents and sickness.
VI. Accident medical expenses reimbursement.

Sub-limits

I. Deductible of 5% of benefit amount under Accident Medical expense reimbursement.
II. 50% coverage is provided in the case of each child.
III. In-Hospital Indemnity for Sickness under Level 1, 2, 3, 4 & 5 is Rs. 500, Rs. 1000, Rs. 2000, Rs. 3000 and Rs. 5000 per day respectively.
IV. In-Hospital Indemnity for Accidents under Level 1, 2, 3, 4 & 5 is Rs. 1000, Rs. 2000, Rs. 4000, Rs. 6000 and Rs. 10000 per day respectively.
V. Accident medical expenses reimbursement under Level 1, 2, 3, 4, and 5 is payable up to Rs. 5000, Rs. 10000, Rs. 15000, Rs. 20000 and Rs. 25000 respectively.

Age limit

From a minimum age of 6 months and upto 65 years old person can get coverage under this plan.

Exclusions

I. Suicide or attempted to suicide.
II. Intentionally self-inflicted injury/illness.
III. War, invasion, the act of the foreign enemy.
IV. HIV/AIDS and other related diseases.

TATA AIG Group Accident and Sickness Hospital Cash Policy

This plan provides cover under all uncertainties like accident and sickness. Busy life, stress, unhealthy lifestyle all of these are the reasons for people to receive medical assistance. This is where the health plan fits perfectly for any person.

Features

I. Pre-policy check-up is not required.
II. Daily benefit is available for accidents and sickness hospitalization.
III. Hospital cash benefit for upto 180 days is available for accidents and sicknesses.
IV. In-hospital indemnity for accidents and sicknesses.
V. Accident medical expenses reimbursement.
VI. A waiting period of 90 days for sickness hospital cash(1-day deductible).
VII. The coverage will be 100% in case of insured and spouse, and 50% in case of children.

Sub limit

I. Room rent Up to 1% of the sum insured is payable towards room rent per day basis.
II. Co-payment of 15%, on every claim under this policy.
III. 15% co-pay applies for every claim.
IV. ICU charges per day are capped up to 2% of the sum insured.
V. 1% of the sum insured or actual expenses incurred, whichever is lower is payable for each pre & post-hospitalization.
VI. Health check-up is covered up to 1% of the sum insured, subject to a maximum of Rs. 1000 for each insured person.

Age limit

From a minimum age of 6 months and upto 65 years old person can get coverage under this plan.

Exclusions

I. War, invasion, the act of the foreign enemy.
II. Breach of law with criminal intent.
III. Participation in dangerous/adventure sports.
IV. Intentionally self-inflicted injury/illness.
V. Dental treatment/surgery.
VI. Obesity or other weight control procedures.

Value-added benefits of TATA AIG Health Insurance Plans

I. Get Cumulative Bonus as a 10% increase in sum insured up to a maximum of 50% of the sum insured on every claim-free policy year.
II. Enhancement of sum insured at the policy renewal.
III. Ambulance Charges are covered.
IV. AYUSH treatment expenses are reimbursed.
V. Health check-up is covered after 4 continuous no-claim policy years.
VI. Health Line to discuss the routine health issues.
VII. Get worldwide coverage for specified illnesses and accidents.

Note

TATA AIG is widely claimed as being one of the top insurers working in the private sector of India. This organization is known for providing quicker claim settlements quickly and smoothly to all its customers.

TATA AIG also provides health insurance with maternity benefits, good claim support, and lifelong renewability. Beyond this, what makes TATA AIG Health insurance policies an excellent choice is that these policies come with excellent coverage at affordable premium rates.

The company also has a network of over 4800 hospitals. Several customers have rated TATA AIG highly. You can browse through some of those reviews below.

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