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Tata AIG General Insurance Company Limited was formed as a joint venture between American International Group and Tata Group. It commenced its operations in 2001 and has completed 20 years of service in the insurance industry of India in 2021. Tata AIG General Insurance Company is amongst the most preferred and reported private general insurance providers in India.
The company offers a wide variety of general insurance products for individuals and businesses. It offers comprehensive plans for travel, rural, agriculture insurance, marine cargo, liability, personal accident, extended warranty, etc. Tata AIG General Insurance has also established Tata AIG Academy to provide a centre for learning and gaining knowledge in the general insurance domain.
Some key highlights of Tata AIG General Insurance Company are stated as follows:
| Asset under management | INR 14,295 Cr as on September 30, 2020 |
| Total customers | 5 Cr + customers served since its Inception |
| Network hospitals | 7200 + network hospitals across the country |
| Policies issued | 1 crore+ policy issued in the previous year |
| branches | 200 branches across India |
| Licensed agents and brokers | 437 + licensed brokers and 40,000 + licensed agents |
| Employees | 6 220 + employees |
Tata AIG General insurance Company is one of the oldest general insurance providers in India. The company has received various awards and accolades during its period of service. Let us have a look at a few of them:
Here are some of the common coverage benefits that you can find in most of the available TATA AIG health insurance plans –
| Coverage benefit | Description |
| Hospitalisation cover | The cost of room rent, nursing fee, doctor’s fee, etc. are covered when you are hospitalised for 24 hours or more for treating an illness or an injury |
| Pre hospitalisation cover | Before you are hospitalised, the medical costs incurred on diagnosing the illness are covered under the pre hospitalisation cover. This cover is available for a specific number of days before hospitalisation |
| Post hospitalisation cover | After you get hospitalised, there might be medical costs incurred when you are recovering. Such costs are covered under the post hospitalisation cover which is available for a specific number of days |
| Ambulance cover | The cost of hiring an ambulance is covered under this benefit. The coverage might either be allowed up to the actual expenses incurred or a specific limit |
| Daycare cover | In some treatments, you get discharged from the hospital within a few hours. Such treatments are called daycare treatments and they are covered under TATA AIG health insurance plans |
| Organ donor cover | Under this cover, the cost of an organ donor’s hospitalisation and the consequent cost of harvesting the organ is covered |
| Domiciliary cover | Domiciliary hospitalisation means hospitalisation at your own home. This hospitalisation is covered if there are no hospital beds for admission or if you cannot be moved to a hospital given your critical condition |
| Free health check-ups | TATA AIG allows free health check-ups in its health insurance plans so that you can monitor your health. These check-ups are allowed at specified intervals |
| AYUSH cover | AYUSH cover provides coverage for non-allopathic treatments taken through Ayurveda, Homeopathy, Unani, and Siddha. Under many TATA AIG plans coverage for AYUSH treatments is allowed |
Exclusions are instances that are not covered under TATA AIG health insurance plans. Though the plans have a comprehensive scope, there are common exclusions in them. The actual list of exclusions is plan specific and can be found in the policy wordings. Common exclusions, on the other hand, are as follows –
TATA AIG offers different types of health insurance policies. The popular plans offered by the company and available at PayBima are as follows –
A comprehensive health insurance policy, Medicare offers you a score of coverage benefits, inbuilt as well as optional. Some of the highlights of the plan are as follows –
This benefit refills the sum insured if you use it on a previous claim which occurred in the same policy year. So, if a previous claim utilized the sum insured and you suffer another claim in the same year, the plan would reinstate 100% of the sum insured so that the next claim can be met.
The plan allows coverage for treatments taken abroad even if you have been diagnosed in India and you want to avail of treatments in a foreign country.
The cost of consumables incurred on treatments and hospitalisation are covered under the policy.
If you are suffering from morbid obesity and bariatric surgery is required, the costs incurred on such surgery would be covered under the policy.
The plan covers the cost of typhoid, anti-rabies, HPV, and Hepatitis-B vaccines. For the first two vaccines, no waiting period is applicable. However, for the last two vaccines, there is a waiting period of 2 years from the policy start date.
If you have been hospitalised for 5 days or more in a city away from your home, the plan would cover the cost of travel for your immediate family member.
If a hearing aid is required, the plan would cover its costs up to specified limits and after every 2 completed policy years.
If you suffer an accident, illness or injury due to which you have to be hospitalised to avail of dental treatments, the cost of such treatments would be covered by the plan.
If you suffer from an illness or injury which is covered under the policy, the cost of a medical second opinion would be covered. You can avail of the opinion from a networked hospital or a medical practitioner and the insurer would pay for the consultation costs.
Medicare Protect is another variant in the Medicare plan series. This plan provides a range of coverage benefits some of which are mentioned below –
Like the previous policy, this policy also refills the sum insured back to its original amount if you suffer multiple claims in the same policy year. If the first claim uses up the sum insured, you get an additional sum insured for any subsequent claim.
Consumables are one-time use medical items that form a part of your treatment costs. The plan covers these consumables cost to allow an all-around coverage.
If you are hospitalised away from home and your hospitalisation exceeds 5 days, the plan would allow your family member to travel to be with you.
Under the policy, if you don’t claim in the first policy year, you earn a cumulative bonus of 50% of the sum insured. This cumulative bonus allows additional coverage. After two successive claim-free years, you can double your sum insured through the high cumulative bonus that the plan offers.
An all-inclusive plan, Medicare Premier is the premium variant of the Medicare Plan. In addition to the coverage benefits available under the Medicare variant, Medicare Premier offers the following additional benefits too –
In a medical emergency, if you need air assistance to be transported to a hospital or medical centre, the plan would cover the cost of hiring an air ambulance.
Some medical tests and diagnostics are quite expensive and are required in severe illnesses or injuries. The Medicare Premier plan covers the costs of such high-end diagnostics if required.
There is an optional rider that covers accidental death. If you opt for this rider, you get 100% of the sum insured in the case of the accidental death of the insured member.
You get an inbuilt maternity cover that covers pregnancy and childbirth. The coverage is available after a waiting period of 4 years.
The cost of the first year vaccinations of the child is also covered under the policy.
If you avail of dental treatments on an OPD basis, the cost of such treatments would be covered under the plan up to specified limits.
The plan pays a daily cash allowance if you choose a shared accommodation when being admitted to the hospital. Moreover, if a minor child, aged below 12 years, is hospitalised, the plan pays a daily allowance for meeting the costs of the accompanying person.
Coverage for medical expenses that you incur on an outpatient basis is allowed under the policy. Outpatient basis means the costs incurred without being hospitalised.
Besides allowing claims for maternity-related expenses, if the newborn baby suffers from any medical complications, coverage for treating such complications would be allowed.
If you are hospitalised for 10 days or more, a lump sum benefit of 1% of the sum insured would be paid to meet your ancillary costs.
| Features | Medicare | Medicare Protect | Medicare Premier |
| Sum insured restoration | Available
Up to 100% of the sum insured |
Available
Up to 100% of the sum insured |
Available
Up to 100% of the sum insured |
| Global coverage | Available | Not available | Available |
| Consumables cover | Available | Available | Available |
| Bariatric surgery | Covered | Not available | Available |
| Daycare treatments | 540+ treatments covered | 540+ treatments covered | 540+ treatments covered |
| Emergency air ambulance | Not covered | Not covered | Covered |
| Hospitalisation cover | Available | Available | Available |
| High-end diagnostics cover | Not available | Not available | Covered
Up to Rs.25,000 |
| Accidental death benefit | Not available | Not available | Available as an add-on
100% of the sum insured |
| Maternity cover | Not available | Not available | Available
Up to Rs.50,000 for a boy child and Rs.60,000 for a girl child |
| Newborn baby cover | Not available | Not available | Available
Up to Rs.10,000 |
| First-year vaccinations | Not available | Not available | Available
Boy child – up to Rs.10,000 Girl child – Up to Rs.15,000 |
| Organ donor cover | Available | Available | Available |
| Vaccination cover | Available | Not available | Available |
| Compassionate travel | Available
Up to Rs.20,000 |
Available
Up to Rs.20,000 |
Available
Up to Rs.20,000 |
| OPD dental treatment | Not covered | Not covered | Available
Up to Rs.10,000 |
| Pre and post hospitalisation cover | 60 and 90 days respectively | 30 and 60 days respectively | 60 and 90 days respectively |
| Daily cash for shared accommodation | Available
Up to Rs.2000/day |
Not available | Available
Up to Rs.2000/day |
| Daily cash for accompanying a minor child | Available
Up to Rs.2000/day |
Not available | Available
Up to Rs.2000/day |
| OPD treatment | Not covered | Not covered | Covered
Up to Rs.5000 |
| Domiciliary treatment | Covered | Covered | Covered |
| Second opinion | Available | Not available | Available |
| Ambulance cover | Available
Up to Rs.3000 |
Available
Up to Rs.1000 |
Available
Up to Rs.5000 |
| Prolonged hospitalisation cover | Not available | Not available | Available
1% of the sum insured |
| AYUSH cover | Available | Available | Available |
| Health check-ups | Available
1% of the sum insured up to Rs.10,000 |
Available
1% of the sum insured up to Rs.10,000 |
Available
1% of the sum insured up to Rs.10,000 |
| Hearing aid cover | Available
Lower of 50% of the incurred cost or Rs.10,000 |
Not available | Available
Lower of 50% of the incurred cost or Rs.10,000 |
| Inpatient dental treatments | Available | Not available | Available |
| No claim bonus | 50% increase in the sum insured up to a maximum of 100% | 50% increase in the sum insured up to a maximum of 100% | 50% increase in the sum insured up to a maximum of 100% |
| Sum insured | Rs.3 lakhs to Rs.20 lakhs | ||
| Entry age | 91 days onwards | ||
| Policy term | 1,2 or 3 years | ||
| Premium paying frequency | Lump-sum premium
Annually Half-yearly Quarterly Monthly |
||
| Pre-existing waiting period | 36 months | ||
Tata AIG General Insurance has a digital platform for easy online purchases. You can also buy a Tata AIG health insurance policy quickly and easily through paybima.com. The process is as follows:
Start the process by visiting PayBima’s website and selecting ‘Health Insurance’
Once you select health insurance, you will be asked to fill in certain medical and personal details to calculate the premium based on your eligibility and coverage requirements. Premiums are calculated based on the sum assured, gender, number of dependents, location, age, etc. Also, provide your contact details to enable PayBima to provide your personalized consultation.
Based on the details provided by you, PayBima will show you a list of plans with their features and premium. You will find all the leading health insurance plans on the list including TATA AIG’s plans. Compare the plans on their coverage vis-a-vis the premium and select one which best suits your coverage requirements and eligibility.
After finalizing your plan, fill in the online proposal form. The proposal form is the basis of the insurance contract so provide correct and complete details before submitting it. You can submit the form online or at any branch office of the insurance company.
Pay the premium online and your policy will be provided there are no adverse medical declarations made in the proposal form. PayBima offers secured payment modes for payment of online premiums.
Based on your medical history, age, lifestyle habits and coverage, you might have to take a pre-entrance health check-up. You can avail of the health check-up at the insurer’s network hospital.
Besides the facility to buy a Tata AIG health insurance plan, PayBima also offers you the facility to renew online. Health insurance policies can be renewed throughout life. As such, to enjoy uninterrupted coverage, you will have to renew your health plan within the due date.
You can renew your policy instantly by providing your policy number and other policy details. You can also check your health plan details at the time of renewal and make changes to the plan before renewal, if required. You can add top-ups or riders with your plan or increase or decrease its coverage. For any help or assistant in renewing your Tata AIG health insurance policy, you can contact PayBima through email at paybima.care@mahindra.com or call 1800 267 67 67.
Claiming your Tata AIG health insurance plan is very easy and simple. You can initiate the claim process online through paybima.com. The claim process is discussed as follows:
Tata AIG offers both cashless and reimbursement claim facilities. To avail of cashless claims, you would have to locate the nearest network hospital and get admitted to it. You can locate the nearest network hospital by visiting the official website of the insurance company. If you get admitted to a non-network hospital, then your claim will be settled on a reimbursement basis.
If you are availing of the cashless facility, you can get yourself admitted to the hospital by showing your identity proof and your health card provided by the insurance company.
Before beginning the treatment, the network hospital takes approval from the insurance company for a valid cashless claim. For the approval of cashless claims, submit a pre-authorisation claim form. The form can be taken from the insurance desk of the hospital or can be downloaded from the website of the insurance company. The cashless claim form has to be submitted at least five days before planned admission. In case of emergency, you can submit the authorisation form to the insurance company within 24 hours of hospitalization.
Once the hospital has received the authorisation form, it will notify the network hospital and provide a confirmation letter. The hospital would then proceed with your treatment and all the bills would be directly settled by the insurer.
You can avail reimbursement facility if you are admitted to a hospital that does not have a tie-up with your insurance provider or if your insurer has rejected your cashless claim application. In such a case, you would be required to register the claim with the insurance company before admission. You can inform the insurance company after your admission but before discharge in case of emergencies. You will have to settle all the bills and the treatment cost which would later be reimbursed on submission of the claim form and original bills.
You can seek the help of PayBima’s executive for a hassle-free claim settlement experience. You can send an email to paybima.care@mahindra.com or call 1800 267 67 67 and we will assist you with your claim.
The list of the documents required to be submitted for the claim is:
Tata AIG General Insurance offers a wide variety of health insurance policies to cater to your requirements. Other highlights include the following:
Browse Mahindra Mahindra Paybima Blogs to read interesting posts related to Health Insurance, Car Insurance, Bike Insurance, Term Life Insurance and Investment section. You can visit Mahindra Paybima to Buy Insurance Online.
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Yes, all Medicare plans allow two types of premium discounts. The first discount is allowed if you cover family members on an individual basis. The discount is 20% for covering 2 family members, 28% for 3 members and 32% if you cover more than 3 family members under the plan.
Medicare policies allow you to cover up to 7 family members. The members include yourself, your spouse, up to 3 dependent children, up to 2 dependent parents, and up to 2 dependent parents-in-law.
If you are aged up to 45 years, no pre-policy health check-ups would be needed if you declare that you are healthy. For any adverse medical declaration, however, the insurance company might require a pre-entrance health check-up.
Yes, the accidental death benefit coverage is an optional rider. If you choose the rider, you would have to pay an additional premium for the same.
Yes, the policy has a free-look period of 15 days from the date that it is issued. During this free-look period, you have the option to cancel the coverage and avail of a refund of your premium if you are not satisfied.
PayBima Team
PayBima is an Indian insurance aggregator on a mission to make insurance simple for people. PayBima is the Digital arm of the already established and trusted Mahindra Insurance Brokers Ltd., a reputed name in the insurance broking industry with 17 years of experience. PayBima promises you the easy-to-access online platform to buy insurance policies, and also extend their unrelented assistance with all your policy related queries and services.
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