Tata AIG Medicare Plan for Family

Let’s safeguard your health and assets! Keep your health in mind and don’t compromise. Prior to appearing, medical emergencies do not give notice. It’s likely that you will have a health emergency at some point in your life, no matter how cautious and healthy you strive to be. A medical emergency can stress you out emotionally and financially in addition to the actual, bodily problem.

That is precisely why it is so important to have health insurance. Choosing the proper features and coverage level is crucial to acquire all you would need from a perfect health insurance plan. With Tata AIG’s Medicare health insurance plan, you won’t need to be concerned about the expensive medical expenses linked to receiving high-quality care. Given the high expense of medical emergencies, this insurance plan was created with consideration for the crucial function that health insurance plays. Select the appropriate insurance amount, pay the required premium, and obtain coverage as soon as possible through Tata AIG Medicare Plan for Family.

A single person is intended to be covered by an individual health insurance policy. In such programs, only one person is given insurance coverage. For instance, if you purchase an individual health insurance plan for yourself, you will be able to file a claim for your medical bills, including hospitalization, doctor visits, ambulance fees, operation fees, diagnosis fees, AYUSH treatments, and more.

Your current coverage will no longer cover your children if you get married and have them. In this scenario, you will need to purchase a family health insurance policy to protect your dependents. Youth without dependent family members often benefit most from individual health insurance policies. However, as you become older and have additional obligations, you might realize that such a plan is insufficient. Family insurance policies can help in this situation.

A family’s medical insurance needs are covered by TATA AIG Health Insurance for Family under a single policy. It is a family health insurance plan offered by Tata AIG General Insurance Company Limited that provides for the urgent medical requirements of every family member. Global coverage, lifelong renewal, bariatric surgery coverage, and a solid network of more than 3,000 hospitals throughout India are just a few advantages that TATA AIG Medicare provides to its members. In addition, based on the length of the policy or another factor, the health insurance provider offers a number of premium savings.

You can look into the three following plans if you’re seeking family health insurance

Tata AIG Medicare: The family’s Tata AIG Medicare medical insurance offers sum guaranteed values starting at 3 lakhs and going up to 20 lakhs. This is a cost-effective strategy that can work for most income levels. You can choose your insured amount based on your need. You will receive all the benefits you require to manage any medical crises that may arise from this cost-effective coverage.

You receive all of the fundamental benefits, such as a global cover, consumables benefit, bariatric surgery, day-care procedures, in-patient treatment, organ donation expenses, pre-hospitalization medical expenses, post-hospitalization medical expenses, daily cash for selecting shared housing, ambulance cover, AYUSH benefit, Free health check-up, in-patient dental treatment, and more. This family health insurance plan, however, does not cover OPD care, OPD dental care, accidental death benefits, maternity coverage, etc.

Tata AIG Medicare Protect: Another cashless medical insurance plan for families is Tata AIG Medicare Protect. People who are concerned about hospitalization costs would benefit more from this plan. The best plan for people worried about the fees associated with a hospital stay is TATA AIG Medicare Protect. Because pre- and post-hospitalization costs are covered by this health insurance coverage, you may concentrate on getting better rather than worrying about paying for the hospital. This health insurance policy pays for pre-hospitalization and post-hospitalization medical costs, as well as consumables benefits, day-care procedures, inpatient treatment, organ donor charges, daily cash for selecting shared housing, ambulance coverage, AYUSH benefits, health check-ups, etc.

However, the plan excludes global coverage, bariatric surgery, emergency air ambulance, sophisticated diagnostics, accidental death benefit, maternity cover, OPD care, immunization cover, etc.

Tata AIG Medicare Premier: TATA AIG Medicare Premier is the best choice if you’re seeking improved, all-around security. Sum promised amounts under this plan can reach 50 lakhs. You may, however, choose smaller sums starting at 5 lakhs. The plan also includes extra benefits like a global cover, consumables benefit, bariatric surgery, day-care procedures, in-patient treatment, organ donor expenses, pre-hospitalization medical expenses, post-hospitalization medical expenses, daily cash for selecting shared housing, ambulance cover, AYUSH benefit, health check-up, in-patient dental treatment, bariatric surgery, emergency air ambulance, high-end diagnostics, accidental death benefit, maternity cover, and OPD coverage.

For a variety of demands, finances, and health conditions, Tata AIG offers the best family health insurance coverage. Make sure to choose a plan that meets your needs if you want to take advantage of all the features and perks.

Eligibility for Tata AIG Medicare Plan for Family

TATA AIG Medicare is an easy-to-understand and complete health insurance program that was created with the rising cost of medical bills in mind. People who are 5 years old and older are covered by the policy (dependent children between 91 days and 5 years can be insured only when both parents are getting insured). The age requirement for entry is as follows:

  • Minimum entry age for adults is 18 years and for a child is 91 days- 6 months.

  • Maximum entry age for adults is 65 years and children are 25 years.

  • Number of family members covered is self, spouse, dependent children, parents, and parents-in-law.

  • Renewability is lifelong.

Benefits of Tata AIG Medicare Plan for Family

The following are the main advantages of family Tata AIG health insurance:

  • Health insurance covers the cost of hospitalizations: Hospitalization expenses are covered by health insurance since they can result in expensive bills that are challenging to pay with a pay check. A family’s cashless Mediclaim policy makes it easier to seamlessly pay for hospital expenses.

  • Health insurance offers quality medical attention: Health insurance provides high-quality medical care: Family insurance plans make sure you get high-quality care without sacrificing anything. You can seek the greatest medical care and recover swiftly when money is no longer an obstacle.

  • Health insurance offers peace of mind: One family health insurance coverage can simultaneously cover numerous individuals, providing peace of mind. You may live stress-free thanks to the assurance that comes with such thorough security.

  • Preventive health check-ups are covered by health insurance: Preventive health check-up costs are covered by family medical insurance plans. These regular check-ups improve general health and enable you to identify medical issues early on.

  • Health insurance lowers expenses: To lower the overall costs associated with buying a plan, you can take advantage of discounts like the No Claim Bonus (NCB).

  • ICU costs are covered by health insurance: The finest family health insurance includes coverage for ICU costs in addition to normal hospitalization costs.

  • Ambulance fees are covered by health insurance. A solid family floater insurance plan can also cover supplemental and unforeseen expenses like ambulance fees.

  • Health insurance covers AYUSH treatments: Ayurveda, yoga, naturopathy, Unani, Siddha, Sowa-rigpa, and homeopathy are among the alternative treatments that are covered by the finest cashless Mediclaim policies for families in India.

  • Preventive health check-ups are covered by health insurance: Preventive health check-up costs are covered by family medical insurance plans. These regular check-ups improve general health and enable you to identify medical issues early on.

  • Health insurance covers day-care procedures: Services provided in day-care facilities are covered by health insurance. Therefore, you do not need to be admitted to a hospital in order to file a claim.

  • Health insurance helps you beat inflation: Medical inflation might make it difficult to budget for or save for your future medical bills. Health insurance helps you beat inflation. To combat the escalating costs, the best family medical insurance plan gives large sums assured amounts.

  • Tax benefits: Premiums are eligible for tax benefits under Section 80D of the Income Tax Act.

Features of Tata AIG Medicare Plan for Family

The major features of Tata AIG Medicare Plan for Family are stated below:

  • Numerous possibilities for sums insured, ranging from Rs. 2 lakhs to Rs. 1 crore.

  • After a block of years with no claims, the cost of a preventative health examination is paid.

  • Choice to restore insurance coverage up to 100%.

  • Bonus payable cumulatively if no claims were made during the previous policy year.

  • For those under 45, there is no pre-policy health check-up required.

  • 10% off premium if you choose the type of shared rooms.

  • Round-the-Clock Support: It is the insurance company’s goal to anticipate all of your needs. Always putting your needs before their own, they strive to go above and beyond your expectations. They provide customer service around-the-clock, so if you have an emergency in the middle of the night, phone them and the company will be there for you!

  • Discounts based on the number of participants and the number of years: You can get a few discounts from Tata AIG to help you save money. By converting from an individual health plan to a family floater plan, you can have the same coverage for less money. If you don’t file any insurance claims throughout the year, Tata AIG also provides a No Claim Bonus (NCB). The NCB can be used to reduce your policy’s premium in the following year. 5% and 10% off, respectively, depending on whether you choose a 2- or 3-year insurance term.

  • High ratio of claims settled: Tata AIG is dedicated to giving its clients an unrivaled service. The company’s claim settlement ratio in FY 2020–21 was 98%. You can immediately access funds and relax knowing that your claim will be settled quickly and painlessly.

  • Paperless Regulations:  The company recognizes the importance of having access to all of your papers on the go because we live in a fast-paced, digital world. They will email you a soft copy of your health insurance policy as soon as it is issued. They start the procedure for filing your health insurance claim as soon as you present the digital copy to the TPA at the hospital. You don’t need to take any documentation with you to show that you’ve purchased their health insurance policy!

What are the inclusions in Tata AIG Medicare Plan for Family?

  • Organ Donor: The organ donor’s medical and surgical costs associated with obtaining the organ.

  • Day-care procedures: Day-care expenses resulting from a condition, injury, or illness within the coverage period.

  • Post-hospitalization expenses: post-hospitalization 90 days right away following the covered person’s release.

  • Pre-hospitalization expenses: Pre-hospitalization 60 days before the covered person is admitted to the hospital.

  • In-patient Treatment: Payment would be required for in-patient care directly connected to the hospital stay.

  • AYUSH Benefit

  • Ambulance Cover and Compassionate Travel

  • In-patient Dental Treatment

  • Bariatric Surgery Cover, Vaccination Cover, Hearing Aid, Daily Cash for Choosing Shared Accommodation, Daily Cash for Accompanying an Insured Child, and global cover (excluded under Medicare Protect and Plus plans).

  • Accidental death benefits, high-end diagnostics, emergency air ambulance cover, maternity cover, and OPD treatment are covered in the Medicare Premier plan.

  • Global coverage is covered under the Medicare Premier plan.

  • Accidental death benefit is excluded from the Medicare Premier plan.

What are the exclusions in Tata AIG Medicare Plan for Family?

  • Any approach for weight loss and obesity treatment.

  • Treatment provided by a medical professional that is not within his field of expertise.

  • “Run-down condition” refers to general weakness or fatigue.

  • Mental and psychiatric conditions (including mental health treatments)

  • After a 36-month waiting period, pre-existing conditions are covered.

  • Congenital external diseases/ anomalies/ defects.

  • Intentional self-injury.

  • Alcoholic pancreatitis

  • Sexually transmitted diseases.

  • Treatment of drug abuse or alcohol addiction.

  • Cosmetic or plastic surgery.

Sum insures and the waiting period for Tata AIG Medicare Plan for Family

  • For Tata AIG Medicare Plan, the sum insured is Rs 3-20 lakhs, and the pre-existing diseases waiting period is 36 months.

  • For Tata AIG Medicare Protect Plan, the sum insured is Rs 2-5 lakhs, and the pre-existing diseases waiting period is 48 months.

  • For Tata AIG Medicare Premier Plan, the sum insured is Rs 5-50 lakhs, and the pre-existing diseases waiting period is 24 months.

  • For Tata AIG Medicare Plus Plan, the sum insured is Rs 3 lakh-1 crore, and the pre-existing diseases waiting period is 36 months.

Take Away

The Tata AIG Medicare, a comprehensive health plan offered by Tata AIG Health Insurance, gives customers the choice between individual health insurance and a family floater plan. You can also benefit from personal accident insurance, COVID-19 hospitalization insurance, a large network of 7200+ cashless hospitals, a high claim settlement percentage, and round-the-clock support. Consequently, make an investment in a plan that meets your specific needs and offers your family members suitable security.