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Tata AIG Arogya Sanjeevani Health Insurance Wordings

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Highlights
Claim SettlementDedicated Team
Claim Settlement Ratio76.04%
COVID-19 CoverYes
Network Hospitals 3,000+
Policies Sold2,20,583
RenewabilityLifelong

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Tata AIG Arogya Sanjeevani Policy Brochure

  • 966.38 KB
  • PDF Document
  • May 08, 2020

Tata AIG Health Insurance Plan List

  • Senior Citizen (1)
  • Family (5)
  • Individual (5)
  • Kids (2)
  • Maternity (1)
  • Woman (1)
  • Parents (1)
  • Critical Illness (2)
Name of PlanSum Insured
Arogya Sanjeevani PolicyMin: 3 months; Max: 65 years1 Lakh - 5 Lakh Check Premium
Corona Kavach PolicyMin: 18 years; Max: 65 years50,000 - 5 lakh Check Premium
MediCare PremierMin: 91 Days; Max; 65 Years5 Lakh Check Premium
MediCare Min: 91 Days; Max: 65 Years3 Lakh Check Premium
Wellsurance WomanMin: 18 years; Max: 65 years3 Lakh Check Premium
Wellsurance FamilyMin: 6 months; Max 65 years2 Lakh Check Premium
Wellsurance Executive Policy Min: 18 Years; Max: 65 Years3 Lakh Check Premium
Critical Illness PolicyMin: 18 Years; Max: 65 Years2.5 Lakh Check Premium
Medicare Protect PolicyMin: 91 days; Max: 65 years2 Lakh - 5 Lakh Check Premium

Tata AIG Health Insurance Top Up List

  • Individual (1)
  • Top-up (1)
Name of PlanSum Insured
Medicare Plus PolicyMin: 91 days; Max: 65 years3 Lakh - 1 Crore Check Premium

4975 Tata AIG Cashless Network Hospitals in India

FAQs on Arogya Sanjeevani Policy Health Insurance Plan

  • Is there any sub-limit applicable under Arogya Sanjeevani Policy, Tata AIG?

    Yes. A sub-limit of 2% of the sum insured subject to a maximum of Rs. 5000/- per day is applicable for room rent, boarding, nursing expenses under Arogya Sanjeevani Policy of Tata AIG Insurance Company. Besides, 5% subject to a maximum of Rs. 10,000/- per day is also applicable on ICU/ICCU. For details, click here.

  • Does Arogya Sanjeevani Policy, Tata AIG cover cataract surgery?

    Yes. Arogya Sanjeevani Policy, Tata AIG covers cataract surgery, up to 25% of the sum insured or Rs. 40,000, whichever is lower per eye under one policy year.

  • Is there any co-payment clause under the Arogya Sanjeevani Policy, Tata AIG??

    Yes. The policy is subject to a co-payment of 5% on the claim amount for every claim.

  • What are the options for AYUSH Treatment under Arogya Sanjeevani Policy offered by Tata AIG General Insurance Company?

    The insurance company will indemnify the expenses incurred for the treatment under Ayurveda, Yoga and Naturopathy, Unani, Siddha and Homeopathy (AYUSH) for every policy year sum insured limit.

  • What sum insured options does the insurer have?

    Tata AIG under Arogya Sanjeevani Policy offers different sum insured options, including Rs. 1 Lakh, 1.5 Lakh, 2 Lakh, 2.5 Lakh, 3 Lakh, 3.5 Lakh, 4 Lakh, 4.5 Lakh, 5 Lakh.

  • Can I enjoy tax benefit under Arogya Sanjeevani Policy, Tata AIG?

    Yes. You can enjoy tax saving benefits under Section 80D of the Income Tax Act.

  • What is modern treatment under the Arogya Sanjeevani Policy, Tata AIG?

    The Arogya Sanjeevani Policy, Tata AIG provides coverage for modern treatment up to 50% of the Sum Insured. The list of modern treatment procedures includes:

    1. Uterine Artery Embolization & High Intensity Focused Ultrasound (HIFU)

    2. Balloon Sinuplasty

    3. Deep Brain Stimulation

    4. Oral Chemotherapy

    5. Immunotherapy- Monoclonal Antibody to be given as injection

    6. Intra vitreal Injections

    7. Robotic Surgeries

    8. Stereotactic Radio Surgeries

    9. Bronchial Thermoplasty

    10. Vaporisation of the Prostate (Green laser treatment or holmium laser treatment)

    11. Intra Operative Neuro Monitoring (IONM)

    12. Stem Cell Therapy: Hematopoietic stem cells for bone marrow transplant for haematological conditions to be covered only

  • Is the cumulative bonus benefit available under the Arogya Sanjeevani Policy offered by Tata AIG General Insurance Company?

    Yes. You can enjoy 5% of the sum insured as the cumulative bonus in every claim-free year, which is subject to a maximum of 50% of the sum insured under the current policy year. However, you need to renew the policy with the company without a break. For details, call us at 7551196989.

  • Is the portability feature available under the plan?

    Yes. You can switch the insurer at the time of policy renewal in case you are not satisfied with the service.

  • What is not covered under Arogya Sanjeevani Policy offered by Tata AIG General Insurance Company?

    It is important to note that Arogya Sanjeevani Policy of Tata AIG comes with a waiting period of 48 months. After this period, the policy will cover pre-existing diseases. However, there are some permanent exclusions as well. To know them, click here.

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Claim Process at Tata AIG Health Insurance

  • Network Hospital
  • Non-Network Hospital
  • 1

    Claim Assistance

    For any assistance or query, call InsuranceDekho at the toll-free number 755 1196 989.
  • 2

    Claim Intimation

    Emergency hospitalisation needs intimation within 24 hours and for planned hospitalisation intimate within 48 hours prior to admission.
  • 3

    Claim Processing

    Fill in the pre-authorisation form and hand it over to hospital's insurance/TPA desk to initiate claim request.
  • 4

    Claim Settlement

    Once your request is approved, claim is settled. If not approved, claim for reimbursement after discharge.
  • 1

    Claim Assistance

    For any assistance or query, call InsuranceDekho at the toll-free number 755 1196 989.
  • 2

    Claim Intimation

    Emergency hospitalisation needs intimation within 24 hours and for planned hospitalisation intimate within 48 hours prior to admission.
  • 3

    Claim Processing

    Submit claim form with original documents such as doctor’s reports, hospital bills, diagnostic tests, etc.
  • 4

    Claim Settlement

    Once your request for reimbursement of expenses is approved, the claim will be settled.

Tata AIG Health Insurance Contact Details

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