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Tata AIG MediRaksha 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 MediRaksha Brochure

  • 465.62 KB
  • PDF Document
  • Oct 15, 2019

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 MediRaksha Health Insurance Plan

  • What is the sum insured amount offered under this MediRaksha Plan?

    The sum insured amount offered under this plan is Rs. 50,000, Rs. 75,000 and Rs. 1 Lakh.

  •  Who all can find the coverage under this health insurance plan with the proposer or policyholder?

    This policy allows the coverage for spouse, dependent children and dependent parents along with the policyholder or proposer.

  • What is the entry age applicable under this health insurance policy?

    This policy covers persons in the age group of 91 days onwards. The maximum entry age is 65 years. Dependent child aged between 91 days to 21 years can be covered, if unmarried. Dependent child aged between 91 days to 5 years can be insured only when both parents are covered under the same plan. 

  • Is there any coverage available for in-patient treatment?

    Yes, this policy covers in-patient treatment where hospitalisation expenses due to an illness or accident are covered. The policy will be paying for the medical expenses such as room rent; boarding and nursing expenses; intensive care unit charges; medical practitioner fees; costs of medicines, drugs and consumables; and so on. 

  • Can I get the coverage for daycare treatments under this plan?

    Yes, this MediRaksha Plan offers the coverage for medical expenses for 144 daycare procedures, which do not require 24 hours hospitalisation due to technological advancement.

  • What is the policy period or coverage term of this plan?

    This MediRaksha policy can be taken either for a 1 or 2 year period.

  • Does this MediRaksha Plan offer any discount to its customers?

    Yes, the plan offers two types of discounts to its customers which are as follows:

    A) A family discount of 10%, if 2 or more members of a family are covered under the same policy on individual sum insured basis.
    B) 7.5% discount on premium if insured person is paying a premium of 2 years in advance. 

  • Can I get the coverage related to the expenses of pre and post hospitalisation?

    Yes, this health insurance policy offers the coverage for pre and post hospitalisation as per the following terms:

    1) Pre-hospitalisation costs are offered up to 1% of admissible claim amount or actual expenses, whichever is less per hospitalisation towards medical expenses incurred in 30 days before hospitalisation
    2) Post-hospitalisation costs are provided up to 1% of admissible claim amount or actual expenses, whichever is less towards medical expenses incurred in 60 days immediately after discharge post hospitalisation

  • Does this plan offer the cover for organ donor expenses?

    Yes, the plan covers the medical expenses pertaining to an organ donor’s treatment for harvesting of the organ donated. 

  • Can I earn any tax benefit under this MediRaksha Policy?

    Yes, you can gain a tax benefit with this health plan as the premium amount paid under this policy qualifies for deduction under Section 80D of the Income Tax Act. 

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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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