Benefits of Health Insurance
Benefits of Health Insurance
Health is the most precious asset for all of us. In India, the rising costs of quality medical care can put a serious strain on your finances if you are unprepared. This is where health insurance comes in.
Having a good health insurance plan ensures that you and your family are protected against unexpected medical expenses. It not only safeguards your savings but also gives you access to timely, quality healthcare without worry.
Here, you will explore the importance of health insurance and the numerous benefits of health insurance plans that TATA AIG offers. This guide will help you understand why the right health plan is a must-have in today’s world.
Good News for Health Insurance Buyers!
GST on individual health insurance premiums is now ZERO!
Following the 56th GST Council meeting, the 18% Goods and Services Tax (GST) on individual health insurance in India has been abolished, making health insurance significantly more affordable for everyone.
Why Health Insurance Is Important
Life is unpredictable. An illness or accident can occur at any time. Here are some key reasons why having health insurance is so important, particularly in India:**
Rising Medical Costs: Healthcare inflation in India is a real concern. Hospitalisation, surgeries, diagnostic tests and even routine doctor visits have become increasingly expensive. Without insurance, a single hospitalisation can wipe out years of savings. A health insurance policy acts as a financial safety net, covering these expenses so you don’t have to dip into your hard-earned savings or take on debt.
Changing Lifestyles and Higher Health Risks: Urban lifestyles often involve high stress, sedentary habits and exposure to pollution, all of which contribute to lifestyle diseases at younger ages. Conditions like diabetes, heart ailments, etc., are on the rise. Health insurance ensures that if such conditions strike, you can afford proper treatment and management.
Family’s Security: If you are the sole breadwinner, the health of your family members is your priority. A medical emergency in the family can be emotionally and financially draining. With a family health insurance plan, you can cover all members under one policy. This means if anyone in the family falls ill, the policy will cover the costs, ensuring your family’s well-being and financial security.
Access to Quality Healthcare: With insurance, you can choose the best hospitals and treatments, rather than compromising due to cost. In emergencies, you want the best possible care for yourself or your loved ones. Health insurance empowers you to choose quality care without hesitation.
Coping with Medical Emergencies: Health emergencies, such as heart attacks, accidents, or pandemics (e.g., COVID-19), come unannounced. During the COVID-19 wave, for instance, many families realised why health insurance is important.
The right plan today covers hospital bills for illnesses like COVID-19 and other critical treatments, which otherwise could be exorbitant. Knowing that your policy will cover even novel illnesses gives you peace of mind in uncertain times.
TATA AIG Health Insurance Plans: At a Glance!
| Features | Coverages* |
|---|---|
| Sum Insured Range | ₹5 Lakh to ₹3 Crores |
| Waiting Period | 30 days for most illnesses. Zero waiting period in case of accidents. The waiting period for specific diseases and pre-existing conditions varies. |
| Room Rent Limit | No limit - any hospital room category is covered (no cap on room rent). |
| ICU Charges | No limit - ICU charges fully covered up to the sum insured. |
| Pre-hospitalisation | Medical expenses are covered up to 60 days before hospitalisation. |
| Post-hospitalisation | 90 days after discharge (for Basic Sum Insured up to ₹50 Lakh) and follow-up expenses are covered. Also, extended to 200 days for higher sum insured options (₹75 Lakhs to ₹3 Crores). |
| Day Care Procedures | All day care treatments (procedures under 24 hours) are covered up to the sum insured. |
| Domiciliary Hospitalisation | Home treatment is covered if the illness requires care at home for more than 3 days (up to the sum insured). |
| Ambulance Cover (Road) | Yes, emergency road ambulance expenses are covered (up to ₹5,000 per hospitalisation for lower sum insured, increasing to ₹30,000 for the highest sum insured). |
| Ambulance Cover (Air) | Yes, emergency Air Ambulance cover for life-threatening situations (up to ₹5 lakh per event, and even up to the full sum insured if availing a network service for a basic sum insured between ₹75 Lakhs - ₹3 Crores). |
| AYUSH Treatment | Yes, inpatient AYUSH treatments in an AYUSH Hospital or AYUSH Day Care centre are covered up to the full sum insured. |
| Organ Donor Expenses | Yes, the surgery costs for organ donation (for harvesting an organ for the insured) are covered by the policy. |
| Annual Health Check-up | Yes, a free preventive health check-up is provided every year (covered up to 1% of the sum insured, with a maximum of ₹25,000 per policy). |
| Restoration of Sum Insured | Yes, automatic 100% reinstatement of the base sum insured once in a policy year if it gets exhausted (for future claims in the same year). |
| OPD (Outpatient) Cover | Yes, outpatient consultations and pharmacy bills are covered after 2 years of continuous coverage (limits range from ₹5,000 to ₹20,000 per year, depending on the sum insured). |
| No Claim Bonus | Yes, a 50% increase in sum insured for each claim-free year (cumulative bonus), up to a maximum of 100% addition to the base sum insured. |
| Maternity & Newborn Cover | Maternity expenses will be covered up to the limits specified in the Policy Wordings, subject to a 3-year waiting period of continuous coverage under this policy. |
| Tax Benefits | Premium qualifies for deduction under Section 80D of the Income Tax Act. |
*Disclaimer: The above details are sourced from the official TATA AIG MediCare Premier (TATHLIP26052V052526) policy documents. Coverage, limits and benefits are subject to policy terms, conditions and waiting periods. For complete information on inclusions, exclusions and additional benefits, please refer to the Policy Wordings and Brochures.
Benefits of Health Insurance by TATA AIG
- First and foremost, let us consider a situation: Imagine being in the middle of a health emergency and worrying, “Is this hospital in my insurer’s network?”
With the Cashless Everywhere initiative, that worry ends. Backed by the General Insurance Council (GIC) since 24th January, 2024, you can now walk into any hospital of your choice in India and get cashless treatment without second thoughts.
This means your recovery comes first, while we take care of the bills, anytime, anywhere.
At TATA AIG, we have always aimed to make healthcare accessible, affordable and stress-free. When paired with the benefits of the Cashless Everywhere Initiative, it ensures that you are never alone in managing medical expenses.
Let’s look at how this initiative amplifies the key benefits of health insurance in India by TATA AIG:
- Wider Hospital Choice & Cashless Access
With TATA AIG, you already have access to a strong network of 12,000+ cashless hospitals across India. Now, thanks to Cashless Everywhere, that network essentially extends to all hospitals. Whether it’s a top-tier metro facility or a trusted local hospital, you can focus on treatment while we take care of the bills.
- Direct Bill Settlement for Peace of Mind
In a medical emergency, every minute counts. Instead of worrying about deposits and payments, TATA AIG directly settles bills with the hospital once your claim is approved. This feature, already part of our cashless promise, is now available everywhere. For you, it means faster admissions and less stress on your family.
- Reduced Out-of-Pocket Costs
Medical costs are rising every year. With TATA AIG health insurance, you are already covered for hospitalisation, day-care procedures, ambulance expenses and more. The Cashless Everywhere initiative reduces the one place where out-of-pocket expenses were common, non-network hospitals. Now, wherever you go, you enjoy the same financial protection.
- Seamless Claims with Transparency
We know how intimidating insurance paperwork can feel. That’s why TATA AIG simplifies claims with digital tools, easy documentation and 24x7 assistance. Under Cashless Everywhere, this process becomes even smoother as we settle directly with the hospital, while keeping you updated at every step.
Here are a few more things that you can continue to enjoy with your TATA AIG health insurance plan:
High Claim Settlement Ratio: TATA AIG consistently achieves a high claim settlement ratio in the general insurance sector, reflecting our reputation for fair and timely claims processing. This means when you need to raise a claim, there’s a stronger likelihood it will be honoured without undue delays.
Comprehensive COVID-19 Treatment Coverage: With TATA AIG health plans, treatment for COVID-19 is fully covered under hospitalisation benefits, including medical expenses, ICU charges, diagnostic tests, and pre- and post-hospitalisation costs (within allowed limits).
High Sum Insured Options: Choose coverage from ₹5 lakh up to ₹3 crore, ensuring protection for everything from routine hospitalisations to critical surgeries.
No Room Rent Capping: Stay in the hospital room that makes you comfortable. Choose from private to deluxe without worrying about restrictions.
Day Care & OPD Coverage: Modern treatments, including dialysis, chemotherapy, cataract surgeries, and select outpatient expenses, are included.
Domiciliary & Global Treatment: Get treated at home if required, or even abroad (for planned procedures), as your TATA AIG policy supports both.
Restoration & No Claim Bonus: If your sum insured gets exhausted, it is automatically restored. Additionally, claim-free years can increase your coverage by up to 100%.
Types of Health Insurance Plans Offered by TATA AIG
TATA AIG offers a wide range of health insurance plans to suit different needs and life stages. Here’s an overview of the key types of health insurance plans available with us:
| Plan Type | Description | Our Product |
|---|---|---|
| Individual Plans | Cover one person under a health policy, ideal for individuals (e.g. young professionals or sole earners). These plans provide comprehensive coverage, including hospitalisation, pre- and post-hospitalisation and day-care treatments, tailored to a single person’s needs. | TATA AIG MediCare advantage plans (available in variants like MediCare Select, MediCare Premier, etc., which can be bought as a personal health plan). |
| Family Floater Plans | Such plans ensure that the entire family is covered under one policy with a shared sum insured. A single floater plan covers multiple family members (such as yourself, your spouse, children, and dependent parents), making it cost-effective and convenient. | TATA AIG MediCare plan can be taken as a family floater policy to cover your loved ones in one plan. |
| Women-specific Health Plans | Plans or add-on covers designed to address women’s specific health insurance needs. These may include benefits like maternity coverage, preventive screenings (e.g. cervical/breast cancer screenings), and wellness programs. This ensures female policyholders have support for women-centric medical needs (like pregnancy or hormone-related conditions). | Instead of a separate standalone plan, TATA AIG offers the EmpowerHer add-on, which can be purchased with a Base Plan, such as MediCare Premier or Select, for an additional premium. |
| Senior Citizen Plans | These are health insurance plans specifically designed for older adults (typically those aged 60 and above). These plans focus on coverage for age-related illnesses, frequent medical care and higher health risks that seniors face. Premiums paid for senior plans can also yield higher tax benefits on health insurance (up to ₹50,000 or ₹75,000 under Section 80D) due to the insured's age. | TATA AIG Elder Care is a dedicated senior citizen health insurance plan that offers specialised coverage for elderly individuals, including features such as mandatory pre-policy health check-ups and coverage for common ailments affecting senior citizens. |
| Critical Illness Plans | These are the plans that provide financial protection against serious illnesses like cancer, heart attack, kidney failure, etc. These policies typically pay a lump sum or cover extensive treatment costs upon diagnosis of listed critical illnesses, helping the patient fund expensive care. Such plans ensure that in the event of a major illness, the insured gets a financial cushion to focus on recovery. | TATA AIG Criti MediCare is a critical illness insurance policy that offers comprehensive protection for a wide range of serious illnesses (covering around 100 conditions) and provides lump-sum payouts or specialised benefits when a critical illness is diagnosed. Additionally, our CanCare rider can be added to a Base Policy as solid protection against the treatment of cancer. |
| Group Medical Plans | Health insurance plans are offered to a defined group of people, usually by an employer for its employees (and sometimes their families). Group health plans cover all members under a master policy with uniform benefits. Such plans typically start coverage from day one without waiting periods for specified ailments or pre-existing conditions, providing immediate health cover to members. | TATA AIG Group MediCare is a group health insurance product for organisations that provides medical coverage to employees (and optionally their spouses, children, and parents) under one policy, with features such as cashless treatment, coverage for employees’ families and no waiting period for enrolment. |
| Super Top-Up / Rider Plans | These are supplemental plans or add-ons that enhance your base health insurance coverage. A Super top-up plan provides additional coverage after your regular policy’s coverage is exhausted or a certain deductible is crossed. It’s a cost-effective way to increase coverage for large bills. Riders are optional add-on benefits you can attach to a base health policy to customise it. TATA AIG offers a variety of add-on covers that can be bought for more comprehensive protection. | Tata AIG MediCare Plus is one of our Super Top-Up plans that extends coverage beyond the base plan’s limit. Additionally, we offer optional riders, such as maternity benefits or hospital cash, that policyholders can purchase along with the main plan to broaden their coverage. |
Tips to Choose the Right Health Insurance Plan with TATA AIG
Choosing the right health insurance can be overwhelming, but a few tips can help. Whether you are a first-time buyer or switching insurers, here’s how to find the right TATA AIG plan:
Assess Your Needs: Consider your age, family health history and lifestyle to decide how much coverage you need. TATA AIG offers coverage from ₹5 lakh to ₹3 crore, so you can select a sum insured that suits you.
Compare Plans: TATA AIG provides health plans from basic to comprehensive. Some even include global treatment and air ambulance benefits. Choose the plan that best suits your needs.
Customise Your Cover: Tailor your policy with add-ons or riders. For example, TATA AIG lets you add critical illness cover, super top-ups or hospital cash benefits to enhance your plan.
Check Network & Support: Ensure your insurer has a wide network of hospitals and good support. TATA AIG offers 12,000+ cashless hospitals and 24/7 customer service for hassle-free care.
Use Digital Tools: Use TATA AIG’s digital tools. Our app on Google Play and App Store, as well as our website, lets you compare plans, manage your policy, track claims, and do much more in real-time. Try it!
Also Read: Tips to Choose the Best Health Insurance
Steps to Buy a TATA AIG Health Insurance in Minutes!
Now that you know why TATA AIG could be the right choice when looking for health insurance online in India, here’s how you can buy a plan quickly and easily:
| Visit Our Website | Enter Your Details | Compare & Calculate | Select Your Plan | Upload Documents Digitally | Complete Payment |
|---|---|---|---|---|---|
| Click on the Health Insurance section to get started. | Provide your name, age, contact number, city, and the number of members to be covered. | Use the premium calculator to compare plans and check costs based on your sum insured and needs. | Choose the one that fits your lifestyle and meets your coverage needs. | Submit your ID, age, and address proof securely online. | Pay securely online and get your digital policy document instantly via email. |
And that’s it! With just a few simple steps, your TATA AIG online health insurance plan is activated, providing you with peace of mind and protection right away.
Conclusion
Choosing the best health insurance policy is about being prepared for life’s uncertainties while making healthcare more accessible and affordable. With TATA AIG health insurance, you gain more than just coverage. You gain flexibility, trusted claim support, and benefits that adapt to your stage of life. From everyday care to advanced treatments, our plans are designed to keep you and your loved ones supported at every turn.
Take the step today and explore TATA AIG health insurance online and secure a healthier, more confident tomorrow.
Disclaimer / TnC
Your policy is subjected to terms and conditions & inclusions and exclusions mentioned in your policy wording. Please go through the documents carefully.


