TATA AIG Health Insurance Plans

TATA AIG MediPlus Insurance

Tata AIG MediPlus insurance quotes

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 Coverage type
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Date of Birth
  OR age      years
Policy duration
Start Date
End Date

Key highlights of MediPlus Insurance

MediPlus is a top up health insurance plan to enhance your current health insurance with a higher total coverage at an affordable premium. It is the perfect health protection for you and your family which supplements your primary health insurance cover.

TATA AIG Health Insurance Review

TATA AIG Health Insurance
TATA AIG Health Insurance sum insured
3 lacs − 20 lacs options available
Incurred Claims Ratio *
78.00%
TATA AIG Health Insurance tenure options
1, 2 or 3 years options available
Claims Settlement Ratio **
80.61%
List of network hospitals
4,000+ hospitals
Number of policies issued *
220,583
Maximum family floater coverage
Self, Spouse + 3 dependent children + 2 dependent parents
Number of lives covered *
2,248,000
* As per IRDAI report for 2018-19   |   ** As per NL25 data published on the Insurance Company website

Tata AIG MediPlus Insurance benefits

  • Key Features
  • Benefits
  • Eligibility of MediPlus health Plan
  • Claims
  • Exclusions

Key features of Tata AIG MediPlus Insurance

  • Room Rent:NIL Room Rent restrictions
  • Co-pay : NIL co-pay for all treatment
  • Restoration Benefit :NIL Restoration Benefit

Benefits of Tata AIG MediPlus Insurance

  • In – patient hospitalization including room rent ,ICU, nursing, medicines drugs & consumables covered.
  • Pre and Post Hospitalization medical expenses Expenses incurred upto 60 days immediately before hospitalization and upto 90 days immediately after discharge are covered.
  • Day Care Procedures Covers 140 day care treatments.
  • Domiciliary Treatment The policy covers for the medical expenses incurred for availing medical treatment at home which would otherwise have required Hospitalization.
  • Organ Donor The policy covers inpatient medical expenses incurred on the insured (i.e recipient) and the organ donor for harvesting.
  • Emergency Ambulance Actual expenses incurred or Rs. 2000/- whichever is lower per hospitalisation for utilizing ambulance service
  • Portability A policy holder desirous of porting (shifting) his policy to us shall apply at least 45 days before the premium renewal date of his existing policy.
  • Settlement of your claims We settle your claims hassle free and quickly
  • Network of Hospitals network of 3000+ hospitals across India
  • Lifelong Renewal We offer you a lifelong renewal for your policy
  • Deductible We are not liable for any payment unless the Medical Expenses exceed the Deductible.
  • Waiver of Deductible We will offer the Insured Person to migrate to our indemnity health insurance Policy

Eligibility of MediPlus health Plan

  • Entry age is 18 years to 65 years for the proposer.
  • you can insure yourself, your spouse, upto 3 dependent children and your dependent parents. Child between 91 days to 5 years can be insured only when either parent is getting insured under this policy.

Tata AIG health insurance claims

Claim Related Information:
For any claim related query, intimation of claim and submission of claim related documents, you can contact Your TPA through:
  • Name of TPA : Family Health Plan Insurance TPA Ltd (FHPL)
  • Website : www.fhpl.net
  • Email
  • Toll Free
    • 1800-425-4033
    • 040- 23552899 (for Senior Citizens)
  • Fax : +91-40-23541400
  • Submit claim
    • Claims Department, Family Health Plan Insurance (TPA) Ltd, Srinilaya – Cyber Spazio Suite # 101,102,109 & 110, Ground Floor, Road No. 2, Banjara Hills, Hyderabad, 500 034.
Procedure for Reimbursement of Medical Expenses
  • The TPA (Third Party Administrator) must be informed no later than 7 days of completion of such treatment, consultation or procedure using the Claim Intimation Form.
  • Please send the duly signed claim form and all the information/documents mentioned therein to your designated TPA within 15 days of the occurrence of the Incident. Please refer to claim form for complete documentation.
  • If there is any deficiency in the documents/information submitted by the insured, the TPA will send the deficiency letter within 7 days of receipt of the claim documents.
  • On receipt of the complete set of claim documents, Tata AIG will send the payment for the admissible amount, along with a settlement statement within 30 days.
  • The payment will be sent in the name of the proposer.
(Note: Payment will only be made for items covered under your policy and upto the limits therein.)
Procedure to avail Cashless Treatment
  • For any emergency Hospitalisation, the designated TPA must be informed no later than 24 hours after hospitalization.
  • For any planned hospitalization, kindly seek cashless authorization from the designated TPA atleast 48 hours prior to the hospitalization.
  • TPA will check your coverage as per the eligibility and send an authorization letter to the provider. In case there is any deficiency in the documents sent, the same shall be communicated to the hospital within 6 hours of receipt of documents.
  • Please pay the non-medical and expenses not covered to the hospital prior to the discharge.
  • In case the ailment /treatment is not covered under the policy a rejection letter would be sent to the provider within 6 hours.
(Note: n Insured person is entitled for cashless coverage only in our empanelled hospitals.)
Grievance Redressal Procedure
Tata AIG is committed to extend the best possible services to the insured. However, if you are not satisfied with our services and wish to lodge a complaint, please call our 24X7 Toll free number 1800266-7780 or 022-66939500 (toll number) or 1800 22 9966 (For Senior Citizens) or you may email to the customer service desk at customersupport@tataaig.com.

After examining the issue and subsequent closure, Tata AIG will send our response within 10 days from the date of receipt of the complaint by them. In case the resolution is likely to take a longer time, we will inform you of the same through an interim reply.

Escalation Level 1
In case you do not receive a resolution within 10 days or if the resolution still does not meet your expectations, you can write to manager.customersupport@tataaig.com . After analysing the matter internally and subsequent closure, we will send our response within a period of 8 days from the date of receipt at this email id.

Escalation Level 2
In case you do not receive a resolution within 8 days or if the resolution still does not meet your expectations, you can write to Head - Customer Services at head.customerservices@tataaig.com . After examining the matter, we will send you our final response within 7 days from the date of receipt of your complaint on this email id.

Exclusions under the MediPlus Health product

  • Intentionally self-inflicted Injury or illness;
  • Conditions related to or arising out of HIV;
  • AIDS; War; Congenital anomalies;
  • Pregnancy and all related conditions; Abuse of drugs and alcohol and addiction or overdose etc.
Note: Please refer to policy wordings for the list of exclusions. ebsite or Call Center.

Brochure

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Proposal form

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Policy wordings

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  • Address
  • InstantCover Insurance Web Aggregator Private limited
    710, 6th B Cross, 16th Main Road, Koramangala 3rd Block,
    Bangalore - 560 034.
CIN: U66000KA2018PTC117713 | IRDAI Web aggregator License Code Number: IRDAI / INT / WBA /53/ 2018, Valid till 07/08/2022
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