Daycare treatments are medical surgeries or treatments that can be completed in less than 24 hours and do not require the insured to be hospitalised. In such cases, even though one may be hospitalised, one doesn’t have to stay in the hospital for more than 24 hours. Since these are named procedures, only these will be covered under the policy. If one avails day care treatment without 24 hour hospitalisation for any procedure not listed by the insurance company, the same will not be covered. Tata AIG currently offers coverage for 541 named day care procedures, that are listed on the company website.
Pre hospitalisation expense is as a result of tests, medication that would have to be undertaken prior to the hospitalisation for the treatment. Similarly, post hospitalisation expenses can be for recovery and medicines that need to be taken post the hospitalisation treatment. Pre and post hospitalisation are normally covered for 60 and 90 days respectively.
The deductible or Co-pay is a fixed amount that the insured has to pay at the time of claim that will not be reimbursed by the insurer. At the time of settlement, Tata AIG will pay the claim amount minus the deductible.
Pre-existing diseases are those which the insured already carries before purchasing a health insurance policy. The proposer must declare any pre-existing disease/condition at the time of buying a medical insurance plan. One of the key factors to keep in mind is that the pre-existing diseases have a waiting period (which differs from company to company) and in the case of Tata AIG, it varies from 24 months to 48 months depending on the pplan opted for. Post this waiting period, one can be sure that they will be eligible to avail full benefits of your medical insurance policy.
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