Tata AIG has an extensive network of 4000+ network hospitals across India and this number has been growing steadily over the years. While seeking cashless settlement, one must get treated/admitted to a network hospital only. One can get the hospital in their city by reaching the Tata AIG network hospital list available on https://www.eindiainsurance.com/india-health-insurance/tata-aig-health-insurance.asp
Health Insurance is an insurance plan that provides coverage against medical expenses, following an accident or sickness to the insured and his/her family members. It also covers expenses incurred by the insured before and after hospitalisation under the pre and post hospitalisation coverage. Some of the other features include treatment for Day Care procedures, Maternity, Organ Donation, AYUSH treatment etc.
Yes, off course, Tata AIG Health offers Cashless treatment for inpatient hospitalisation across its network hospitals in India which number 4000+.Subject to the claim being admissible under the policy, Tata AIG will offer cashless settlement upto the policy limits of the insured’s policy.
Firstly Life insurance and Health Insurance are two different policies offering two different types of coverage. Most importantly, Life insurance covers the unfortunate mortality of the life assured but will not pay for medical expenses incurred by the individual if this hospitalisation occurred prior to his/her demise. Secondly Life insurance can also be used as an investment which provides both investment returns and life cover, whereas Health Insurance provides only coverage for medical treatment. It is strongly recommended that every individual has both policies, since they are complimentary in nature.
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.
Your coverage amount depends on your lifestyle, medical background, pre-existing diseases, members of your family, annual income, residential address and age.
Under the Tata AIG Medicare Health insurance policy, the sum insured ranges from ₹2 lacs to a maximum SI of ₹50 lacs. One can decide on the SI based on their age, lifestyle, family history and number of dependents.
While applying for a health insurance plan with Tata AIG, the following documents will be required to be submitted as part of KYC (Know Your Customer) process.
Yes, you can cancel your Health Insurance policy. We provide a free look period of 15 days from the date of policy issuance within that you can cancel the policy and avail a refund if you are not satisfied with it. However, your refund will be adjusted against any expenses incurred such as underwriting costs, medical check-ups and so on. If the policy is to be cancelled after this 15 day period, there is a slab based refund that Tata AIG will provide to the insured.
No, the policy does not lapse, but continues to remain in force with a reduced sum insured (SI). After your claim is filed and settled, your insurance cover (SI) will be reduced by the claim amount that has already been settled to you. For example, if your policy was issued in January with a ₹5 lac coverage and if you claimed an amount of ₹2 lacs in July, then the balance SI of ₹3 lacs will be available to you between August-December during that policy year. There are some plans of Tata AIG which offer a Restore Benefit, which means that the SI gets restored back to the original SI after the claim is paid. SO in this same case, the SI available to the insured between August – December will be ₹5 lacs.
Some of the key reasons for investing in a Tata AIG Health insurance policy are:
There is no upper limit on the number of claims during the policy period. However, the total cumulative claim amount cannot exceed the Policy Sum Insured, unless the insured has the Sum Insured Restoration benefit as part of their plan coverage.
In a cashless claim/hospitalisation, the insured/hospital intimates us regarding the hospitalization and submits a pre-authorization request. On authorization, the claim is directly settled with the network hospital and the insured is not required to pay any charges except for expenses not covered under the policy. Cashless facility can only be availed at a Tata AIG Health Insurance network hospital.
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