Secure Health Insurance at ₹17 Per Day!*

Protect Your Health From Unexpected Medical Expenses and Emergencies

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Pre Existing & Critical Illness Coverage

Health Insurance

Health insurance, also referred to as medical insurance, is a financial tool that helps you pay for your planned & emergency medical expenses. You receive financial coverage for medical expenses like hospitalisation costs, day care treatments, outpatient (OPD) treatment, pre and post-hospitalisation, ambulance charges, etc. It also covers medical treatment costs for critical illnesses, injuries, pregnancy, surgeries, medication and preventative care.

Medical insurance is a necessity today, given the rising cost of healthcare in India. It offers financial security in times of uncertainty and allows access to the best medical care.

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What is Health Insurance?

A health insurance policy is a legal document that acts as a financial cover for medical expenses/bills incurred in case of hospitalisation or other medically necessary treatment. The best health insurance plans offer comprehensive coverage, which includes emergency medical expenses, day care treatments, surgeries, injuries, pre and post-hospitalisation, outpatient (OPD) treatment, ambulance charges, etc., reducing the need to pay the huge medical costs out of pocket.
Medical insurance plans are useful since they reduce the financial burden you face for unexpected medical situations like emergency hospitalisations or accidental injuries, with the cashless treatment facility at hospitals. Health insurance plans in India will also cover AYUSH treatments and pandemics like COVID-19.
To incentivise more people to buy health insurance, the Indian government offers tax savings under Section 80D of the Income Tax, 1961. You can claim a deduction of ₹25,000, ₹50,000, ₹75,000 or ₹1 lakh against your yearly health insurance premium amount paid to your insurer under the old tax regime.

Health Insurance at a Glance

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Sum Insured

Options from ₹5 lakhs to ₹3 Crores

Network of Hospitals

12,000

Hospitalisation Expenses

Covered

ICU Charges

Covered

Pre-and Post-Hospitalisation Expenses

Covered

Coverage for Pre-Existing Diseases

Available upon completion of the waiting period

Coverage for Daycare Procedures

Available

AYUSH Treatment

Covered

Ambulance Expenses

Covered

Global Cover for Planned Hospitalisation

Available

Lifelong Renewability

Available

OPD Cover

Available

Maternity Cover

Available

Preventive Health Checkups

Covered

Automatic Restoration

Available

Cumulative Bonus

Available

Online Claim Processes

Available

Tax Benefits

Available

24/7 Customer Support

Available

Get 100% Cashless Treatment at Any Hospital of Your Choice

Tata AIG offers 100% cashless treatment at any hospital of your choice anywhere within India.

With the GIC's 2024 ‘Cashless Everywhere’ announcement, the cashless facility is no longer restricted to our network hospitals. You can get admitted to any nearby hospital and claim cashless treatment under your TATA AIG health insurance plan, where we settle 100% of your admissible claim amount directly with the hospital.

Moreover, this process is streamlined so that your cashless claims are addressed within an hour of receiving your initial request. You will also receive the final authorisation within 3 hours of us receiving your discharge request from the hospital.

Here is how our health insurance cashless everywhere facility works:

  • For planned hospitalisations, you must inform us at least 48 hours before treatment.
  • For emergencies, we should be informed within 24 hours of hospitalisation.
  • The cashless claim request should align with our policy terms and conditions.

To avail of TATA AIG Cashless Everywhere via SMS:

  • Send “GetCashless Policy Number City” to 7669300780
  • Our Claims Expert will call you back
  • We will evaluate the hospital acceptance and request
  • We will process your cashless health claim request

Why Do You Need a Health Insurance Policy?

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Chronic Disease Management

Non-communicable diseases like cancer, heart disease, diabetes, asthma, etc., account for nearly 71% of all fatalities. Your health insurance policy can help pay for long-term treatment since these costs can quickly add up.

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Rising Medical Costs

Healthcare costs have increased drastically over the years, making it harder for people to access healthcare. A health insurance plan can help pay for your medical costs, including diagnostic costs before hospitalisation, prescription medication and follow-up consultations.

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To Ensure Financial Security

In the event of a planned treatment or medical emergency, health insurance covers your medical expenses. It reduces your financial burden and helps protect your savings. This ensures you focus on your recovery without worrying about the increasing treatment expenses.

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To Ensure Comprehensive Coverage

With the best health insurance policy and adequate coverage, you can access quality healthcare solutions for your requirements. It also ensures timely medical attention without any delays. By purchasing online health insurance, you can compare and choose the best health policy for your healthcare needs.

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To Avail of Quality and Timely Medical Attention

With the best health insurance policy and adequate coverage, you can access quality healthcare solutions for your requirements. It also ensures timely medical attention without any delays. By purchasing online health insurance, you can compare and choose the best health policy for your healthcare needs.

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For Peace of Mind

When you have a health insurance policy with sufficient coverage for all your medical expenses, you can live with peace of mind. It helps you focus on your daily routine and work better.

Types of TATA AIG Health Insurance Plans

At Tata AIG, we have a wide variety of health insurance plans to cater to your varied health insurance requirements. Here is the catalogue of the varied types of health insurance coveragesyou can avail of:

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Individual Health Insurance

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An individual health insurance is a plan wherein the entire sum is dedicated to providing coverage for a single person. If you are seeking extensive and comprehensive coverage for yourself or a dedicated medical insurance plan for your family members, our individual health insurance plans are the perfect choice.

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Family Health Insurance

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A family floater health insurance plan allows you to cover multiple family members under a single health insurance plan with one premium. Under the mediclaim policy for family plan, the sum insured is shared among all individuals covered, providing financial protection for your entire family at an affordable premium. Explore our TATA AIG Medicare Premier - The Care You Need.

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Super Top-Up Health Insurance

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With the TATA AIG Super Top Up Health Insurance Plan, Medicare Plus, you can enhance your coverage by adding to the sum insured provided by your existing individual medical insurance plan or your family health insurance plan.

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Critical Illness Health Insurance

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While a basic health insurance plan provides financial protection against common diseases and injuries, it typically does not cover expenses related to critical illnesses, such as cancer, cardiovascular diseases and renal failure, which can occur during a lifetime. Our TATA AIG Critical Illness Health Insurance Plan offers comprehensive protection to get coverage specific to critical illness.

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Personal Accident Insurance Policy

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In the unfortunate event of an accident resulting in permanent disability or loss of life, the TATA AIG Personal Accident Insurance Policy, TATA AIG Medicare can provide invaluable support to you and your family. This plan ensures financial assistance to you or your beneficiary (in the event of death), offering stability and relief during such challenging times.

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Coronavirus Health Insurance

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The COVID-19 pandemic affected countless lives across the world. We introduced the Coronavirus Insurance to provide comprehensive coverage for expenses related to the infection. As the virus still continues to affect people even now, this coverage remains available to those in need.

What Our Customers Are Saying

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Read All Reviews
Average Rating 4.5/5 (Based On 728 Ratings)
Anil Dafale
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Very good. keep growing .Best of luck tata group and company's.

Manjula Sriram
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This website is amazing. Neat and clutter free...What a delightful user experience...loved it...Kudos to the Tata AIG team and the website developer too!

Vanraj Dubey
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Their customer service executives really helped me with the requirements for claim filing and were very patient with me.

Allur Midhunkumarsingh
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Very nice, big 👌 thumps up to entire who ever involved to build this platform.

Muralianand SV
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Very easy

Bhavesh h. Parekh
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Thank you TATA AIG. this process is very easy. we don't need any agent for this. this is Time Saving for us.

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Benefits of Health Insurance Plans

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Coverage for Hospitalisation Expenses

Health insurance covers hospitalisation expenses, such as room rent (including ICU charges), doctor’s fees, medications, nursing fees and more.

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Coverage for Pre- and Post-Hospitalisation Expenses

A health insurance policy also covers the medical expenses incurred 30 to 60 days before the hospitalisation and 60 to 90 days after the hospitalisation.

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Coverage for Critical Illnesses

By purchasing a health insurance policy, you can cover critical illnesses, such as cancer, cardiovascular diseases, kidney failure and more. 

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Extensive Coverage at an Affordable Premium

You can purchase a TATA AIG Medical Insurance policy with extensive coverage to cover even critical illnesses at an affordable premium.

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Cashless Hospitalisation

We can settle your medical bills directly at the hospital to help you receive the essential treatment without the hassle of upfront payments. 

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Coverage for Different Types of Treatments

Health insurance plans also cover the different types of medical treatments, such as AYUSH and also the expenses incurred towards daycare procedures.

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Add-on Covers for Flexible Coverage

You can customise and enhance your health insurance policy by including additional coverage options such as maternity cover, OPD cover, consumables cover and more.

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Preventive Health Checkups

With our TATA AIG health insurance plans, you can also cover the expenses incurred towards preventive health checkups.

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Tax-Saving Benefit

You can claim up to ₹1 lakh under Section 80D for the premiums paid towards health insurance plans purchased for yourself, including family and parents. 

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Factors To Consider While Buying Health Insurance

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Scope of Coverage

Know the scope of coverage, including the range of minor and major illnesses covered and features, such as the hospitalisation, pre-and post-hospitalisation, critical illness insurance benefits and more.

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Sum Insured

Determine the sum insured based on your healthcare requirements and the cost of medical treatments in your locality. Choose extensive coverage such as ₹50 lakhs or ₹1 crore for higher coverage if you are at risk of developing a critical illness.

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Waiting Periods

Waiting periods refer to the duration you must wait after purchasing a policy before you can file a claim for specific benefits or treatments. For instance, it applies to treatments for pre-existing illnesses and maternity cover.

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Optional Add-on Coverage Benefits

Determine the range of add-on coverage benefits offered to enhance the medical insurance plans based on your specific needs, such as the OPD cover, maternity cover, etc.

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Eligibility Criteria

Determine the age eligibility criteria, lifelong renewability and specific conditions applicable to the health insurance policy. Read through the policy document thoroughly to understand the inclusions, exclusions and specific terms and conditions.

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Cashless Hospitalisation and Network of Hospitals

Although cashless hospitalisation is now available across all hospitals in India. It is much easier in the network of hospitals. Therefore, explore the network of empanelled hospitals and online health insurance processes for smooth claim settlements.

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Room Rent Sub Limit

Explore health insurance plans with no or minimal sub limits to ensure maximum benefits during hospitalisation. TATA AIG offers no sub limits on hospital room rent subject to the policy conditions.

How to Buy/Renew a Health Insurance Plan?

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How to Buy a Health Insurance Plan?

Step 1: Visit the official TATA AIG website and click on ‘Personal’ → ’Health Insurance’.

Step 2: Choose the member or select the number of members and click on “Get Plan”.

Step 3: Provide the required information, such as date of birth, mobile number, email address and pin code and click on “See Plan”.

Step 4: Review the different health insurance plans available, read the different policy documents and choose a suitable policy.

Step 5: Enter the required information, such as the sum insured, and policy tenure required.

Step 6: View the Premium Breakup and pay the applicable premium online to buy your medical insurance policy. 

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Documents Required to Buy Health Insurance

  • Proof of Identity - Aadhaar Card, Passport, Driver’s Licence, etc.
  • Proof of Address - Aadhaar Card, Passport, Voter ID, etc.
  • Proof of Age - Birth Certificate, Aadhaar Card, Passport, etc.
  • Proof of Income - Bank Statements, Salary Pay Slips, Income Tax Return forms, etc.
  • Medical Documents - Previous Medical Records, Prescriptions, etc.
  • Previous Health Insurance Documents, if applicable 
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How to Renew Health Insurance Online?

Step 1: Visit our official TATA AIG website.

Step 2: Under the “Renewal” tab, click on “Health” for TATA AIG health insurance renewal.

Step 3: Enter your Policy Number and click on “Renew”.

Step 4: Review your existing policy and make the necessary changes.

Step 5: Pay the applicable premium online to renew your health insurance policy with TATA AIG. 

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How to Get a Physical Copy of your Medical Insurance Plans?

Step 1: Visit our official TATA AIG website and click on “My Policy”, which is present at the top right-hand corner.  

Step 2: Click on “Download Policy”.

Step 3: Provide the required details and continue to download your health insurance policy.

Step 4: The health insurance policy document will be saved as a PDF file on your laptop or computer.

Step 5: Proceed to print it and get a physical copy. 

Why Should I Buy Health Insurance Online?

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Instant Procedure

Buying a health insurance policy is quick and easy. You can easily check policy features and get policy quotes in a few simple steps. Simply visit the health insurance page online and provide the requested details. 

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Easy Comparison

Online policy buying procedure makes it easy to compare multiple policies at once. This way, you can check the sum insured, policy features, add-ons and premiums of various insurance providers before buying the best one.

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Ask the Experts

Connect with TATA AIG insurance experts for any queries related to insurance wordings, features or add-ons. Moreover, our claim experts are available instantly for assistance during the settlement procedure. 

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No Health Check-up Required

Another benefit of buying health insurance online is that you do not have to have any health check-ups. If TATA AIG requires any additional health-related information, our tele-underwriters will contact you before you buy the policy. 

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Paperless Procedure

You can buy health insurance online without any paperwork. All the policy procedures will be completed online, and the documents will be digital. Soft copies of insurance policy papers will be sent via email so that you can download and review them anytime and anywhere.

Why Should I Purchase Health Insurance When I’m Young?

Lower Premium Rates: Age is considered a crucial factor when calculating health insurance quotes. Thus, the younger you are, the lower your premium rates will be and vice versa.  

No Health Check-ups: Young people have fewer health risks, so policy agents do not require them to have medical check-ups before they buy health insurance plans.  

No Claim Bonus: Buying health insurance plans at a younger age increases your chances of receiving a non-claim bonus, which can enhance your sum insured in later years.  

No Co-Payment: Young health insurance plan buyers do not have to share their medical bills, as the co-payment option is not available for them.  

Get Continuous Health Insurance Cover: Buying health insurance plans at a young age helps you get continuous health coverage with renewals. This way, you can avoid the waiting period for pre-existing and specific diseases.  

 

Which Factors Affect Health Insurance Premium?

 

Age - Health insurance premiums tend to increase with age, as older individuals are more susceptible to health issues.  

Gender - Premium may also vary based on gender, as some health conditions are more prevalent in men.

Type of Policy - The premium varies significantly depending on the health insurance policy you choose and its features.

Policy Tenure - The premium may also vary depending on the duration you have chosen for your health insurance policy.  

Sum Insured - The premium for your health insurance policy also increases with the extent of the sum insured.

Number of Insured Members - For a family health insurance policy, the premium increases with the number of members covered.

Health Condition - Your overall health condition, along with pre-existing illnesses, can significantly impact the medical insurance premium.

Family Medical History - A history of hereditary illnesses in your family can raise the health insurance premium due to increased health risks.  

 

Popular Misconceptions About Medical Insurance

 

Common Health Insurance Myths

Online health insurance is not reliable. - Purchasing online health insurance is secure and transparent, eliminates biased intermediaries and avoids unnecessary additional payments.

Health insurance can be claimed only for hospitalisation. - Medical insurance can be claimed for a wide range of medical expenses, including hospitalisation, pre-and post-hospitalisation, daycare procedures, AYUSH treatment and more.

Pre-existing diseases are not covered in health insurance. - Treatments for pre-existing diseases are covered in health insurance after the specific waiting period.  

Health insurance can cover all medical expenses. - Health insurance plans have specific inclusions and exclusions that vary based on the policy type.  

 

Reasons Why People Avoid Buying a Medical Insurance Policy

 

Health insurance offered by employers is sufficient - Employer’s health insurance may not be sufficient to cover all your medical expenses and specific requirements.

Health insurance is not required as I am young and healthy - The risk of developing complex diseases is becoming increasingly common among young individuals due to stress and lifestyle habits.  

The higher sum insured offered in health insurance may not be necessary - The cost of medical treatments has always been on the rising trend. Health insurance can cover a wide range of medical expenses.

Not aware of the benefits of health insurance in financial planning - Paying health insurance premiums can help you save on tax, avoid breaking your savings and cover various healthcare costs. 

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What is the Waiting Period in a Medical Insurance Policy?

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. The initial waiting period for TATA AIG health insurance plans is 30 days.

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. The waiting period for the treatment of pre-existing illnesses is 3 years.

Waiting Period For Specific Diseases

The treatment for certain specified diseases will also be excluded until the expiry of the waiting period applicable to the medical insurance policy.  The waiting period is generally 2 years and can vary based on the specific health insurance policy and its terms and conditions.

Waiting Period For Maternity Cover

The waiting period for maternity coverage 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.

How To Pick The Best Health Insurance in India?

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Look for Adequate Sum Insured

A health insurance plan must serve your requirement otherwise, you only end up wasting money. If you have a plan whose coverage barely covers the losses, it is time to review your policy and choose an adequate sum insured.

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Compare Health Insurance Plans

Buying an expensive policy means the premiums will be quite costly. Instead, always look for an affordable health insurance policy, and you should be able to find your pick. You can also use our health insurance premium calculator to make an informed decision.

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Good Network of Hospitals

A wide network of hospitals means you can visit your insurer’s network hospital, no matter where you are and get access to seamless cashless hospitalisation. Our network of 12,000+ hospitals all over India means you need not worry about making any hospital bill payments.

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Reliable Brand

It is important that your insurer is reputed and has a good claim settlement ratio. This figure indicates that your insurance provider will honor your health insurance claims in case such a situation arises.

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Check the Waiting Periods

Depending on the health insurance plan you choose, look for the waiting period. The waiting period for pre-existing diseases is 2-3 years, and there is also an initial waiting period of one month when you cannot file any claim other than an accidental claim.

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No Sub-Limits

Try to opt for the best health insurance policy that does not include sub-limits for room rent. With this benefit, you should be able to avail of better accommodation if you are hospitalised.

Steps to Use TATA AIG Health Insurance Premium Calculator

By now, we’re sure you’ve understood the importance of getting a good health insurance policy for yourself and your family members. But how do you understand if you’re paying the right premium?  

Check our Health Insurance Premium Calculator and follow these simple steps to compare and determine the most affordable health insurance plan.

Also Read: GST on Health Insurance

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Choose Who You Want to Include in the Coverage

The first step to computing your health insurance premium is to provide us with information about how many people you want health insurance coverage for. If you are opting for individual health insurance, select the icon for Self.  

On the other hand, if you want to include your spouse, parents and/or children in the health insurance plan, select the relevant icons and click on Proceed or Next. 

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Submit the Necessary Personal Particulars

Secondly, you must enter the required personal information, including your mobile number and date of birth. This information needs to be submitted for every person you want to include in the health insurance plan. 

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Choose A Health Insurance Plan

The next, and perhaps the most critical step, in the process is the selection of a suitable health insurance plan. This entails choosing the sum insured, plan tenure and the required add-ons.  

You can enhance the coverage of the selected plan by adding riders such as high-end diagnostics, emergency air ambulance, and the cost of consumables. Remember that any such selection shall have a bearing on your health insurance premium. 

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Answer Some of Our Basic Queries

In the next step of the process, you shall be required to answer some basic questions about your health condition and lifestyle habits. We request you to be as honest as possible while responding to these questions

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Get Your Health Insurance Quote

The last step is entering your name and email address and your health insurance quote shall be on the screen and in your WhatsApp inbox.

How To Reduce Health Insurance Premium?

Paying a high health insurance premium can become a nightmare if your expenses go out of control. Sometimes, it is the health insurance plan and the coverage that increase your premium payments, and at other times, it could be a potential health risk that is responsible. Either way, it is essential to have affordable health insurance to ensure you can manage ongoing expenses while your policy continues to protect you and your family! Hence, here are some tips to ensure low-premium health insurance:

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Buy your health policy early

As you may know, your age plays an important role in determining your premium amount. And so if you wait till you get older before buying health insurance, your premiums will also increase. Therefore, purchase a health policy soon and enjoy paying lower premiums.

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Manage your health insurance plan

Choose the optimum sum insured that matches your health insurance needs perfectly. Consider the health conditions, family medical history, nature of medical expenses, medical inflation and quality of health care necessary for your family. Based on that, choose the right sum insured. Use a health insurance calculator to get the right premium.

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Compare health insurance plans

Always compare all your options before you purchase your health policy. Buying the first health plan means you have not explored your options and can lose out on a chance to pay an affordable medical insurance premium. Hence, always compare health insurance to get the cheapest health insurance that suits your medical needs.

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Choose the cover wisely

It is always better to first understand your health insurance needs before buying a policy. Suppose you have dependent family members, then an individual health insurance plan is not only impractical but also more expensive than a family floater health insurance plan.

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Go for Top Ups

Top-up plans like the TATA AIG Medicare Plus Super Top Up Health Insurance help you boost your insurance coverage so that you can always be prepared for medical emergencies without breaking the bank and keep your health insurance coverage and health insurance premium in check.

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How to File a Health Insurance Claim?

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Steps for Cashless Health Insurance - Non-Emergency Scenarios
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Steps for Cashless Health Insurance - Emergency Scenarios
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Steps for Health Insurance Reimbursement - Emergency Scenarios

If you’ve received treatment at a network hospital or non-network hospital, you can enjoy quick and easy cashless claims by following these steps for non-emergency hospitalisations: 

Step 1 - Inform Us: Email us your cashless claim form at least 48 hours before your scheduled treatment at the hospital. You can also send us a letter intimating this information.

Step 2 - Wait For Our Confirmation Letter: Upon the receipt and verification of the aforementioned form, we shall send you a confirmation letter and intimate the hospital about the claim.

Step 3 - Submit The Letter at the Hospital: On your arrival at the hospital, you must submit your health card, and the confirmation letter received from TATA AIG.

That's it! There are no more steps. You just rest and recuperate, and we'll take care of the bills.

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Turnaround time:  

Cashless Pre-authorisation | 1 Hour

Final Authorisation for Discharge | 3 Hours 

How to File a Health Insurance Claim?

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Steps for Cashless Health Insurance - Non-Emergency Scenarios

If you’ve received treatment at a network hospital or non-network hospital, you can enjoy quick and easy cashless claims by following these steps for non-emergency hospitalisations: 

Step 1 - Inform Us: Email us your cashless claim form at least 48 hours before your scheduled treatment at the hospital. You can also send us a letter intimating this information.

Step 2 - Wait For Our Confirmation Letter: Upon the receipt and verification of the aforementioned form, we shall send you a confirmation letter and intimate the hospital about the claim.

Step 3 - Submit The Letter at the Hospital: On your arrival at the hospital, you must submit your health card, and the confirmation letter received from TATA AIG.

That's it! There are no more steps. You just rest and recuperate, and we'll take care of the bills.

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Turnaround time:  

Cashless Pre-authorisation | 1 Hour

Final Authorisation for Discharge | 3 Hours 

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Steps for Cashless Health Insurance - Emergency Scenarios

In case you have to visit the hospital for emergency treatment, the claims process is slightly different:

Here is what you need to do if you have found yourself at one of our network or non-network hospitals during an emergency and require unscheduled medical treatment.

Step 1 - Submit The Claim Form At the Hospital: Send us your cashless claim form no later than 24 hours after being hospitalised so that we may generate the Claim Intimation/ Reference Number. Here are the documents that need to be submitted to utilise the cashless claims benefit:

A copy of your health insurance policy;

Your insurance card;

Your photo identification proof;

Your proof of address;

Duly filled CKYC form in case the claim amount exceeds ₹1 lakh.

Step 2 - Await Our Authorisation Letter: Once we receive your cashless claim from the concerned hospital, we shall issue an authorisation letter to the hospital and settle the bills with them. All you need to do then is focus on your recovery.

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Turnaround time:

Cashless Pre-authorisation: 1 Hour

Final Authorisation for Discharge: 3 Hours 

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Steps for Health Insurance Reimbursement - Emergency Scenarios

If you opt for health insurance reimbursement, you have to pay the medical bills and then later file a reimbursement claims with us by following the steps mentioned below.

Step 1 - Fill And Submit The Reimbursement Claim Form: Submit the duly filled reimbursement form to us along with the following documents.

  • A copy of your health insurance plan or insurance card;
  • A Medical Certificate signed by a registered doctor;
  • The relevant pathological reports;
  • A copy of the hospital discharge card;
  • The original hospital bills and receipts;
  • The original pharmacy bills;
  • The investigation report, if applicable;
  • A copy of the First Information Report in case of an accidental claim;
  • Your NEFT details for the settlement of the claim;
  • Duly filled CKYC form if the amount of the claim is above ₹1 lakh.

Step 2 - Await claim settlement: Once we receive your requirement claim form and the required documents, we shall verify them then process the claim and award the reimbursement to you.

Note: The claim will be settled within 15 working days upon receipt of all necessary documents. 

Documents Required for Health Insurance Claim

Medical emergencies come unannounced, and the only economical way of dealing with them is with medical insurance plans. However, such emergencies can only be covered if you file a claim or choose at the right time. And for that, you should have all of your documents in place so that we can help you with a seamless claim settlement. In health insurance plans, the documents needed for filing a claim are,

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In-patient hospitalisation bills attested by the insured under the medical insurance.

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The discharge card signed by the authority at the hospital/network hospital.

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Claim form containing the insured’s signature.

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A valid medical investigation report.

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The medical store receipts and the doctor’s prescription.

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List of hospital consumables prescribed by the doctor with all details.

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The present year’s copy of the third-party administrator’s (TPA) ID card.

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Copies of the health insurance policy from the previous year.

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Any other document as required by TPA.

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Bills and receipts of doctor’s consultation.

Frequently Asked Questions

Policy Related

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What is the need for health insurance cover?

People need health insurance to cover medical emergencies that can be very expensive. Given our busy schedules, lifestyle diseases, rising medical costs and expenses, and the very recent COVID-19 pandemic, it is necessary to have a suitable health insurance policy. Tata AIG’s health insurance policies are designed to provide extensive coverage against medical contingencies. You can also customise the coverage of our plans to suit your needs as well as your budget.

When is the best time to buy health insurance?

Honestly, there’s never a bad time to buy health insurance. Ideally, the younger you are, the better it is for you and your finances. Young individuals are able to purchase health insurance plans that offer a high sum insured for a very affordable premium. Additionally, when you’re young, it’s easy for you to get over the health insurance waiting period without having to worry about too many out-of-pocket expenses.

What is the difference between health insurance and life insurance?

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Does TATA AIG offer 24x7customer support?

Yes, at TATA AIG, we’re committed to looking after you and your needs. Our health insurance customer service executives are available round the clock. To get in touch, you can call 1 800 266 7780.

Is there any way to get a discount on my premium?

Absolutely! If you’d like to get the same cover at a lower cost, you should explore switching from an individual policy to a family floater. Or, if you’d still like to purchase an individual policy, check if you can get a longer tenure. Single-year health insurance policies cost slightly more than 2- or 3-year policies. Finally, if you do not make any claims against your medical insurance plan for a whole year, you can enjoy a cumulative bonus the following year. Essentially, you’ll get a higher cover without having to pay a higher premium!

Is the health insurance policy valid across the country?

Yes! You can enjoy the same cover no matter where you are in India. We’ve tied up with over 6,200 hospitals across the country, so you can enjoy cashless claims even when you’re out of town.

Will I be covered outside the country?

Our products – Tata AIG MediCare and Tata AIG MediCare Premier offer global cover in case of planned hospitalization abroad which is in built cover in the product. Whereas, Tata AIG MediCare Plus offers this cover on optional basis as “Global Cover” rider.

Can I make a claim if I am hospitalised for less than 24 hours?

Many treatments today can be completed within just a few hours. Our health insurance plans cover more than 541 daycare procedures. This means that you can make claims against covered daycare procedures even if you do not have to be hospitalised for more than 24 hours.

Can I cover my family under a single policy?

If you’d like to cover multiple people under a single policy, you can opt for our ,[object Object], option.

What is a pre-existing illness?

A pre-existing illness or disease refers to any illness, health condition, injury or related issue for which you have been diagnosed or experienced symptoms and medical advice for before purchasing our health insurance policy.

Are pre-existing illnesses covered under my TATA AIG health insurance policy?

We do cover pre-existing illnesses, but only after the waiting period. You can check your health insurance policy documents for the exact duration of the waiting period depending on the medical insurance policy you have purchased.

Can I increase my sum insured in the middle of a policy year?

No, you cannot increase your sum insured in the middle of a policy year. Instead, you will have to wait until you renew your health insurance policy to increase your cover. Alternatively, you can opt for our health insurance super top-up plan to increase your cover at the time of renewal.

Is a medical check-up necessary to purchase health insurance?

A medical check-up is only required in certain circumstances. For the most part, you will be able to purchase your health insurance policy online without worrying about any tests or visits to the doctor. If we need some more information before issuing your health insurance policy, a tele-underwriter will get in touch with you. In some instances, we may require you to do a few tests before we issue you a policy.

Will I have to undergo a medical check-up every year?

Generally, if you renew your health insurance policy on time every year and there’s no break in your cover, we will not require you to take a check-up every year. But, we may take a call based on your medical history and your age.

Why should one buy health insurance at a young age?

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Can I have more than one health insurance policy?

Yes, you can have more than one health insurance policy, but that will mean more premium payments for you. If you purchase a health insurance plan from Tata AIG, you can customise the plan to receive comprehensive cover. Our MediCare, MediCare Premier, and MediCare Protect plans offer coverage for an extensive range of treatments and procedures and can be enhanced with additional rider options.

What does my Tata AIG health insurance cover?

The coverage of your Tata AIG health insurance plan will depend on the type of policy you have bought. For example, our Critical Illness plan offers coverage for the treatment of 12 critical illnesses, while the Tata AIG MediCare Health Insurance provides coverage for a wider range of medical emergencies and offers optional benefits like the Global Cover.

Can my health insurance cover my overseas treatment?

Your Tata AIG health insurance policy can cover overseas treatment if you add an optional Global Cover rider to your policy. So, while your base health plan covers treatments within India, the Global Cover rider will help if you have been diagnosed with a condition or illness in India and choose to receive treatment abroad.

Will my health insurance premiums be expensive?

Your health insurance premiums will depend on the coverage of your policy. With the help of the Tata AIG health insurance calculator, you can avail of instant quotes and choose a plan whose coverage and premiums are suitable for you. And more importantly, it is always better to compare all health insurance plans so that you don’t end up paying for any coverage that you don’t receive.

How do I calculate my health insurance premiums?

You can easily calculate your health insurance premiums on the Tata AIG website using our health insurance calculator.

What are pre-existing diseases? Can my health insurance cover pre-existing diseases?

Pre-existing diseases are ailments, conditions, or injuries that you already have at the time of buying the health insurance policy. Your health insurance plan can cover these conditions or ailments, depending on the type of plan you choose; however, there is a waiting period before the policy can start providing coverage for these conditions.

When can I increase my health coverage during the policy year?

You can increase the health insurance coverage of your policy at the time of policy renewal or while buying a new health insurance plan. Tata AIG’s Medicare Plus Super Top-up Health Insurance Plan lets you increase your policy coverage along with providing additional benefits once you have exhausted the claims on your base health plan.

What is the domiciliary treatment? Do Tata AIG health insurance plans offer this feature?

Domiciliary treatment is the medical treatment you receive at home due to your inability to get to the hospital for valid reasons. Yes, Tata AIG's MediCare, MediCare Premier, and MediCare Protect plans cover domiciliary treatment expenses.

Can I get cashless benefits in a non-network hospital?

No, you can get cashless benefits only at our network hospitals across the country. However, if you choose a hospital of your choice for treatment, you can file a reimbursement claim by sending us the medical bills, your health card, and other relevant medical documents. Once we verify the information and the bills, we will reimburse you for the medical expenses incurred.

What are the waiting periods in Tata AIG health insurance plans?

Our health insurance plans outline a few different waiting periods – the initial waiting period, the waiting period for pre-existing diseases, a waiting period for specific illnesses, and one for maternity cover. The waiting period for pre-existing diseases is between two to five years, while the waiting period for specific illnesses is generally two years. For the maternity cover, the waiting period is usually four years.

How to buy Tata AIG’s health insurance plan online?

To buy our health insurance plans, you can follow a few simple steps – - Visit the health insurance page on our official website. - On the health insurance calculator, pick the members you want to cover under one plan. If you are looking for an individual health insurance plan, then choose “Self”. - Then click on “Get Plan” to go to the next page. - Fill in your date of birth, your mobile number and email address to proceed and click on “See Plan.” - You can check the instant policy quote and purchase the plan online. - We will also send you the quote and the policy document on WhatsApp.

What is the process to renew my health insurance plan online?

To renew your Tata AIG health insurance plan, you can follow a few simple steps – - Visit our health insurance page on the Tata AIG website. - On the health insurance calculator, pick the members insured under the existing plan and then click on “Renew”. - On the next page, enter your existing health policy number to renew your health insurance plan.

Is a health check-up compulsory for getting a health insurance plan?

No, a health check-up is not mandatory for getting our online health insurance plans. However, if there is a need for a health check-up, one of our experienced tele-underwriters will get in touch with you and advise you on the same. In certain situations, you may have to undergo a medical test or two before getting the policy.

What is Tata AIG’s MediCare Super Top-up Plan?

Our MediCare Super Top-up Health Insurance Plan is affordable and has additional coverage that you can add to your base health insurance policy. This plan helps restore or enhance your health insurance sum insured if you have exhausted all the claims for the policy year.

What types of health insurance plans does Tata AIG have?

Tata AIG offers individual health insurance, family floater health plans, super top-up health insurance, critical illness plans, personal accident insurance, and coronavirus health cover.

How do I file a claim on my health insurance policy?

You can file a claim on your Tata AIG health insurance policy in the following ways – **If you have received treatment at a network hospital,** - Send us an email with your cashless claim form at least 48 hours before you get hospitalised for a scheduled treatment. - We will verify the details on the form, get in touch with the hospital, and send you a confirmation letter. - When you are admitted to the hospital, show the authorities there your health card and the confirmation letter received from us. - We will settle the payment with the hospital, and you need not worry about anything but your recovery. **If you have to go to a network hospital for an emergency,** - Send us your claim form within 24 hours of being hospitalised along with the required documents, including your insurance card, photo identification and address proof, a copy of your health insurance plan, and a duly filled CKYC form if the claim amount is northwards of ₹1 lakh. - We'll send the authorisation letter after reviewing the aforementioned claim form and documents. Thereafter, we'll make the full payment of your medical bills. **If you receive treatment at a hospital of your choice that is outside our network,** - After your treatment, verify all the medical bills and make the payment to the hospital. - Be sure that your treatment is covered under your health insurance policy. - Send us the reimbursement claim form, along with the required documents, including but not limited to a copy of your health insurance card, the original hospital and pharmacy bills, a certificate issued by a registered Medical Practitioner, and your NEFT details. - Once we verify the claim, we will settle the reimbursement and transfer the money to your account.

How do I get my health insurance concerns and queries resolved?

To raise any queries or concerns regarding your Tata AIG health insurance policy, you can visit our support page and contact us so that we can reach out and help you. You can also reach out to us via phone (1800-266-7780), email, or WhatsApp (+91-9136160375).

Will my existing health insurance policy cover hospitalisation expenses for COVID-19?

Yes, your Tata AIG health insurance policy will cover hospitalisation expenses for COVID-19, as per the terms and conditions of your policy.

Will the policy cover expenses due to quarantine?

The expenses incurred due to a self-quarantine at home will not be covered; however, if the quarantine is in a hospital or has been recommended by a doctor, then the expenses will be covered by your health insurance policy.

Are the consultations with a medical practitioner and diagnostic tests in relation to COVID-19 covered under my health insurance policy?

Your Tata AIG health insurance policy will cover the OPD consultation charges and tests as prescribed by your doctor for COVID-19. If you need to be hospitalised for the infection, the hospitalisation is covered under the COVID-19 coverage for the duration, as mentioned in your policy.

Are any waiting periods applicable to claims under COVID-19?

Yes, a waiting period of 30 days will be applicable if you want to file a claim for a new Tata AIG policy. However, if you have renewed your existing Tata AIG health insurance policy, the waiting period is not applicable.

Which is the best insurance policy that covers COVID-19 treatment?

To ensure that you find the best health insurance policy that offers extensive COVID-19 coverage, be sure to calculate your health insurance premiums and compare different plans with the help of our health insurance premium calculator. Once you determine the extent of coverage needed, you will be able to find a suitable plan.

Is there any vaccine for COVID-19?

Yes, as of now there are three vaccines available for COVID-19 in India. While Bharat Biotech’s Covaxin and Serum Institute of India’s Covishield are two widely administered vaccines, Sputnik V is also being introduced to the country.

Does TATA AIG offer cashless claims?

We have tied up with over 7,200+ network hospitals across India. When you get a covered treatment at a network hospital, you can enjoy going completely cashless!

What documents do I need to provide while making a health insurance claim?

If you’re making a cashless claim, we don’t need too many documents. But, for reimbursement claims, we would require all your medical invoices along with the claim form.

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