Medicare Premier Tata AIG Health Insurance

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Health emergencies often come unexpectedly. One moment, you're fine, and the very next moment, you're facing some medical emergency that can cost you thousands. Plus, you have to deal with the anxiety and stress that comes with it. Here comes health insurance. These are more than just a policy. Not only does it serve as your financial shield against medical emergencies, but it also provides access to quality care and helps you recover when life takes a sudden turn.

TATA AIG Medicare Premier is the ideal plan for you if you are seeking a comprehensive and enhanced plan. With features like global care, home care treatment, and emergency air ambulance, it helps you through your treatment journey. With a sum insured starting as low as ₹5 lakhs and reaching as high as ₹3 crores, Medicare Premier has something for every pocket.

To learn more about Family Floater Plans, click here.

Highlights Medicare Premier Tata AIG Health Insurance

Choose a sum insured of up to ₹3 crores.

Take advantage of wellness benefits and programs for added perks.

Gain access to teleconsultations, emergency assistance, health risk assessments, and more.

Features to restore benefits in case the sum insured and cumulative bonus aren’t enough.

Get all your insurance related queries answered

TATA AIG Medicare Premier Health Insurance Plan: Highlights:

Here are some of the highlights of the TATA AIG Medicare Premier Health Insurance Plan:

Particulars	Details
Policy Name	TATA AIG Medicare Premier
Insurance Company	TATA AIG Insurance
Sum Insured Options	₹5 lakhs ₹10 lakhs ₹15 lakhs ₹20 lakhs₹25 lakhs ₹50 lakhs ₹75 lakhs ₹1 crore ₹2 crore₹3 crore
Add-ons	Wellness services Wellness Program Home care treatment
Entry age	Minimum entry age: 91 days Maximum entry age: 65 years
Policy Tenure	1 year 2 year 3 year
Waiting period	Initial waiting period: 30 days WWaiting period for listed illnesses: 24 monthsWaiting period for pre-existing illnesses: 24 monthsWaiting period for maternity coverage: 48 monthsWaiting period for OPD, OPD- dental treatment: 24 months
Grace period	30 days post the policy expiry
Network hospital	12,000+ cashless hospitals

Wish to Enhance Your Coverage?

Take a look at the Riders Available with TATA AIG Medicare Premier Health Insurance Plan

TATA AIG Medicare Premier offers a variety of riders you may consider adding to your basic plan. This makes it more comprehensive and well-rounded. Here are some popular add-ons available with the policy that you may want to consider.

Add-On Covers	Details
Inflation Protect	This rider ensures the policyholders get an additional bonus or increase in addition to the sum insured. This is done in accordance with the prevailing inflation rate at the time of policy renewal.
Cumulative Bonus Shield	Given that the total claims made during a year do not surpass the limit mentioned in the policy, this add-on ensures the cumulative bonus is not reduced in the next policy year.
Voluntary Co-payment	With this rider, you can receive a premium discount when purchasing the policy. However, the insured individual must bear the co-payment schedule outlined in the policy.
OPD Care	This add-on ensures coverage for expenses made on diagnostic tests, medications, doctor visits, lab tests, and more.
Modification in the PED Waiting Period	This rider allows you to modify or revise the waiting period for pre-existing diseases.
Age-Linked Copayment Waiver	With this add-on, the age-linked co-payment specified in the base policy is eliminated.

TATA AIG Medicare Premier Health Insurance Plan: Eligibility Criteria

Now, before you consider buying a health insurance plan, it is important to check the eligibility criteria. And TATA AIG Medicare Premier is no different. Here are some basic eligibility requirements that you need to fulfil to buy the TATA AIG Medicare Premier health insurance plan.

The minimum entry age is 91 days.
The maximum entry age is 65 years.
It can cover up to 7 members, including self, spouse, parents, parents-in-law, and dependent children.

Features and Benefits of the TATA AIG Medicare Premier Health Insurance Plan

When it comes to health, you need not compromise. And TATA AIG Medicare Premier is designed with the same motto in mind. A comprehensive yet simple insurance plan that helps you cover a variety of medical emergencies and helps you access quality treatment at the right time. Here are some features and benefits of Tthe ATA AIG Medicare Premier Health Insurance Plan you might need to know:

A Comprehensive Plan

Given the current era, inflation is rising daily, and so are healthcare costs. Therefore, it is essential to protect yourself with suitable health insurance that provides sufficient coverage. With coverage extending to high-end diagnostics, accidental death, maternal cover, home physiotherapy, and much more, you are financially protected against a variety of concerns.

Global Coverage

Given that the diagnosis was done in India, the insurance ensures to cover day-care and inpatient expenses of the insured even outside India. This also includes the expenses incurred in acquiring a visa for medical treatment.

Restore Benefits

TATA AIG Medicare Health Insurance also offers a unique feature of restoring benefits. This ensures that your plan benefits are automatically restored in case the cumulative bonus and basic sum insured appear insufficient to cover policy claims during a year.

Consumables Cover

The policy also ensures coverage against specific consumables used during the insured's hospitalisation period.

Multiple Options to Cater

Another amazing benefit of the TATA AIG Medicare Premier health insurance plan is that it has a variety of sum insured options to choose from. Starting from ₹5 lakhs to ₹ 3 crores, you may adjust your plan as you grow in life.

Variety of Riders

The healthcare policy also offers a variety of riders, including wellness services and wellness programs. With this feature, you may access a variety of service,s including teleconsultations, redeemable vouchers, health condition management, ambulance booking facilities, and so on.

Tax Benefits

The health premiums that you pay also qualify for tax deductions under section 80D of the Income Tax Amendment Act, 1986.

TATA AIG Medicare Premier Health Insurance Plan: What is Covered?

Here is a list of policy inclusions under TATA AIG Medicare Premier.

High-end Diagnostics

This includes coverage for diagnostics specified in the policy wording.

In-patient Treatment

Expenses incurred on the hospitalisation caused by an injury or disease that demands the insured’s admission as an inpatient, when you need to be admitted for more than 24 hours.

First-Year Vaccinations

Expenses incurred for vaccinations up to 1 year postpartum, provided the child is also insured, are covered.

Organ Donor

Expenses incurred for surgical and medical costs during the organ donor operation are also covered.

Compassionate Travel

Covers the expenses occurring during the travel of immediate family members to accompany the insured during their hospital stay.

Home Physiotherapy

This includes coverage of around 15 home physiotherapy sessions by expert providers, as part of post-hospitalisation expenses.

Maternity Cover

Maternity expenses, as per the benefits table and waiting period, are also covered.

Accidental Death Benefit

Offers accidental death benefit, including 100% of the base SI or sum insured, which can go up to ₹50 lakhs in case of the unexpected accidental demise of the insured.

OPD Dental Treatment

Expenses incurred for treatments such as tooth extractions, root canal fillings, and more are also covered.

TATA AIG Medicare Premier Health Insurance Plan: What is Not Covered?

Here is a list of policy exclusions under TATA AIG Medicare Premier that you need to be aware of.

Medical Exclusions

Expenses incurred on congenital external diseases or anomalies are not covered.
Coverage is not available for alcohol pancreatitis.

Non-Medical Exclusions

Coverage is not extended to self-inflicted injuries or self-harm.
Treatment outside a healthcare professional’s medical practice is not covered.

Pros & Cons Medicare Premier Tata AIG Health Insurance

The all-inclusive Tata AIG Medicare Premier Plan allows the insured to avail a 50% special bonus or up to 100% of sum insured for not availing insurance and staying healthy for a policy year

Another good feature of the plan is that it doesn’t require the insured to pay a single penny from his/her pocket as the policy comes with no co-pay clause where the insurer bears the entire cost of treatment

Further, the Tata AIG Medicare Premier Plan also comes with no restrictions on room rent. So, whether you pick single, deluxe or a shared room you will not find any hassle

As compared to many health insurance policies, the Tata AIG Medicare Premier Plan comes with the least waiting period for pre-existing diseases, which is just 24 months

You also get free health check-ups every year to ensure your good health at no cost paid from your pocket with the Tata AIG Medicare Premier Plan

The Tata AIG Medicare Premier Plan exclude expenses related to diagnostics and evaluation of diseases

It also excludes expenses associated with surgical treatment of obesity which are not under the purview of the Tata AIG Medicare Premier Plan

The Tata AIG Medicare Premier Health policy doesn’t offer coverage for expenses related to infertility and sterility

Expenses of treatment required due to participation in hazardous adventure sports etc. are also excluded from the plan

Further, the plan excludes any existing disease that are specifically mentioned as permanent exclusion in the policy schedule

Any injury done intentionally or any suicide attempt done while under sane or insane condition is also not covered under the Tata AIG Medicare Premier plan

Our verdict

TATA AIG health insurance has been a popular and reliable option among individuals and families for ages now. The reason behind this is simple: they are affordable without compromising on quality. With features such as automatic restoration, worldwide coverage, and online claim processes, they have made health insurance easier and more accessible. Furthermore, with a vast network of cashless hospitals and a customer support team available around the clock, you can stay at ease and have reliable assistance by your side at all times. Having the right policy at the right time can make a huge difference. Investing in health insurance and selecting a suitable option can seem overwhelming at first. However, with TATA AIG Medicare Premier, you ensure long-term financial protection.

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Tata AIG Health
Insurance Company

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. 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 center for learning and gaining knowledge in the general insurance domain.

Founded in

2001

Number of Claims

98.35%

Number of Policies

124+ Lakhs

Turnover (GWP)

Rs. 13448+ Crores

JV Partners

Tata Group and American International Group (AIG)

Claims Experience

Claims Experience Rating 4.7

% of claims settled in less than 30 days
Reflects on the speed of settling valid claims

84.95%

% of Complaints received on overall claims
% customers unhappy with claims experience

0.12%

Claims Incurred Ratio

76.13%

Claim Settlement Ratio (No. of claims)
What % of the claims received were paid?

96.70%

No. of Cashless Hospitals

10,000+

Benefits of Medicare Premier Tata AIG Health Insurance

In-patient Hospitalization
ICU Rent Limit	As specified in the policy schedule
Room Rent Limit	As specified in the policy schedule
Pre & Post Hospitalization
Post-hospitalization expenses covered up to	Sum Insured
Post-hospitalization expenses covered for	45 to 90 Days
Pre-hospitalization expenses covered up to	Sum Insured
Pre-hospitalization expenses covered for	30 to 60 Days
Day Care Treatment
Financial Limit	Reimbursement basis up to SI
No. of treatments covered	540+ treatments covered

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Ask Anything as We Have Answers to Everything in Insurance

Yes, Tata AIG Medicare Premier plan allows discount on Family Floater Plans that ranges between 20 to 32%. Further, if the policyholder buys the plan for 2 to 3 years, the policy allows a discount of 5 to 10% respectively.

No, the Medicare Premier lets you stay in any room available in the hospital including Single Private Room, Shared Room, Deluxe Room, etc. with no cap on room rent.

Yes, the Medicare Premier plan does offer a restoration benefit where you can get up to 100% of the cover restored. Thus, you can use this benefit in case you have to go through multiple hospitalizations, in a policy year.

Yes, policyholders of Medicare Premier plan can have coverage for AYUSH Treatment.

Yes, you can avail a no-claim bonus for every claim free year under which your sum insured grows by 50% up and up to a maximum of 100% of the sum insured.

Yes, the Tata AIG Medicare Premier plan offers maternity benefits of up to INR 50,000 and INR 60,000 (if the baby born is a girl child).

Some popular features covered under the wellness program of the TATA AIG Medicare Premier health insurance plan include healthcare assessment and wellness rewards that can be utilised on payments for OPD treatments, pharmaceuticals, health supplements, and more.

Under TATA AIG Medicare Premier, you can choose from a variety of sum insured options that start from as low as ₹5 lakhs and go up to a maximum of ₹3 crore.

Disclaimer

* 50% cumulative bonus will be applied on the Sum Insured for next policy year for every claim free year. The maximum cumulative bonus shall not exceed 100% of the Sum Insured in any Policy Year.
# Expenses related to the treatment of a pre-existing Disease (PED) and its direct complications shall be excluded until the expiry of 24 months of continuous coverage after the date of inception of the first policy with the insurer.

(For More Information Refer to Policy Wording)