TATA AIG Family Health Insurance with Cover worth ₹50 Lakh

A health insurance policy for a family is a comprehensive plan that covers the medical expenses of all insured family members under a single policy. Unlike individual health plans, a family floater policy shares the sum insured among all members, offering flexibility and financial security.

For example, if a ₹12 lakh family floater policy is purchased, and ₹4 lakhs are used for one member’s surgery, ₹8 lakhs remain for other medical needs during the policy year. This shared coverage ensures that multiple medical emergencies can be addressed within the same policy, making it an efficient and cost-effective option for families.

Health insurance coverage varies significantly across Indian states, reflecting differences in healthcare access and awareness. While some states boast high percentages of insured households, others still have considerable ground to cover.

The table below highlights the family medical insurance policy coverage percentages across select states:

Medical inflation in India has surged significantly over the years, impacting how people access healthcare. Rising costs for treatments, hospital stays and medications have made quality healthcare unaffordable for many.

For instance, the average cost of cardiac surgery in India ranges from ₹2 to ₹5 lakhs, while cancer treatments can exceed ₹10 lakhs. Furthermore, even routine hospitalisations for conditions like dengue or typhoid can cost ₹50,000 to ₹1 lakh.

This steep increase in medical expenses often forces families to dip into savings or take loans, creating financial strain. Medical insurance plans for a family acts as a safeguard against these challenges, covering hospitalisation, treatments and medication costs.

By sharing the financial burden, it ensures families can access timely and quality healthcare without compromising their financial stability. With medical inflation showing no signs of slowing, having a comprehensive family health insurance plan has become a necessity for every household.

A health insurance for a family of 5 or more is more than just a policy; it is a critical investment in your family's health and financial security. Here is why it is so important:

Access to Quality Healthcare: High medical expenses often force families to compromise on healthcare. With a family health insurance plan, you can ensure that your loved ones receive the best treatment without worrying about the cost, as most medical expenses are covered.

Preventive Care for Your Family: Many family health plans offer free preventive check-ups, allowing you to monitor your family’s health regularly. This proactive approach helps in early detection and prevention of diseases, ensuring long-term well-being.

Tax Savings: A family health insurance plan provides tax benefits under Section 80D, where you can claim deductions of up to ₹50,000 annually on premiums, reducing your overall tax burden.

Peace of Mind: Knowing your family is protected from unforeseen medical costs provides invaluable peace of mind, especially in the face of rising medical inflation.

Protection Against High Hospitalisation Costs: A single hospitalisation due to an accident or illness can drain your savings. Family health insurance covers most, if not all, hospitalisation expenses, reducing your out-of-pocket costs and protecting your financial future.

TATA AIG offers a range of family health insurance plans tailored to meet diverse healthcare needs. Here is an overview of their plans, along with some key features:

TATA AIG’s family health coverage plans ensure your loved ones are protected with comprehensive benefits:

Cashless Everywhere: Access 11,000+ network hospitals for cashless treatments.

Restore Benefits: Automatically reinstate 100% of the sum insured during the policy year.

Lifelong Renewals: Enjoy uninterrupted coverage with no age restrictions.

Wellness Programs: Stay healthy with rewards for fitness activities and wellness services.

Global Coverage: Get medical expenses covered for planned treatments abroad.

TATA AIG’s medical policy for a family is designed to provide comprehensive protection and peace of mind for you and your loved ones. Here are some of the standout family health insurance benefits and features:

Cashless Services at 11,000+ Network Hospitals

With TATA AIG, you can access cashless treatments across an extensive network of hospitals pan-India. This ensures you focus on recovery while we handle the financial aspects. Simply notify us 48 hours prior to planned hospitalisation or within 24 hours for emergencies.

Restore Benefits

If your sum insured is exhausted during a policy year, our plans automatically reinstate 100% of the coverage, ensuring uninterrupted financial support for medical emergencies.

Read more: What is Restore Benefit in Health Plans

Wellness Programs and Services

Our wellness programs encourage healthy living with redeemable vouchers, discounts on pharmacy and diagnostics and wellness rewards. These rewards can be used for OPD consultations, treatments, health check-ups and more.

Guaranteed Cumulative Bonus

Earn up to a 100% cumulative bonus on your sum insured for consecutive claim-free years. This bonus ensures higher coverage without increased premiums.

Lifelong Renewals

With TATA AIG’s Family Health Insurance plans, you never have to worry about your coverage expiring. Our policies come with the benefit of lifelong renewability, ensuring that you and your family remain protected regardless of age or changing health needs.

Global Coverage

Healthcare knows no boundaries, and neither do TATA AIG’s Family Health Insurance plans. Selected plans provide coverage for planned medical treatments abroad, ensuring that you and your loved ones can access world-class healthcare facilities outside India when needed.

Tax Benefits

TATA AIG’s Family Health Insurance plans not only safeguard your health but also help you save money. Under Section 80D of the Income Tax Act, you can claim deductions on the premiums paid for your policy. These deductions apply to premiums paid for yourself, your spouse, dependent children and even your parents.

TATA AIG’s family health insurance plans cover individuals from all age groups. For children, coverage starts as early as 15 days and extends up to 18 years. Adults can enter the plan between 18 and 65 years. Age significantly impacts the premium, with lower costs for younger policyholders. Experts recommend securing health insurance early, ideally in your 20s, when premiums are affordable.

Furthermore, your health status plays a role. Applicants above 45 may need a medical examination, while younger individuals might only need a doctor’s certificate as proof of good health, simplifying the process for early buyers.

How to Buy

Purchasing a family health insurance policy from Tata AIG online is quick and hassle-free. Follow these steps:

• Visit the Tata AIG official website.

• Navigate to the “Personal” section and select “Tata AIG MediCare.”

• Choose the family members to be included in the plan and click “Get Plan.”

• Provide the required details and click “See Plan” to view options.

• Fill out the application form and upload the necessary documents.

• Submit your application. An insurance agent will contact you to finalise the process.

How to Renew

If you wish to renew family health insurance with us, follow these simple steps:

• Go to the TATA AIG’s Family Health Insurance page and click on “Renewal”.

• From the Drop-Down button, choose “Health”.

• Now, fill in the blank space with your policy number.

• Update any necessary details and review the premium.

• Make the payment to renew your policy instantly.

Documents Needed

• To purchase or renew a policy, keep these documents handy:

• Policy papers for the exact Policy Number.

• Identity proof (Aadhar, PAN, Passport)

• Address proof (Utility bills, Passport, Aadhar)

• Medical reports (if applicable)

• Passport-size photographs

Here are some compelling reasons to consider purchasing a family health insurance plan online with TATA AIG:

Unmatched Convenience

With TATA AIG, buying a family health insurance plan online is seamless and hassle-free. You can explore and compare various plans, access expert advice and make informed decisions—all from the comfort of your home. Say goodbye to lengthy paperwork and standing in queues; everything is just a few clicks away.

Instant Quotes and Easy Comparisons

TATA AIG’s online platform provides instant family health insurance cost options, allowing you to compare plans effortlessly. This helps you find the best plan that fits your family’s needs and budget without any delays.

Secure Payment Options

Safety is our priority. TATA AIG offers multiple secure digital payment methods, including debit cards, credit cards, net banking and e-wallets. Our robust payment gateways ensure a smooth and risk-free transaction every time.

Quick Policy Issuance

Forget the long wait times of traditional insurance processes. When you purchase health insurance plans for a family online with TATA AIG, your policy document is issued within hours, ensuring immediate coverage for your loved ones.

TATA AIG’s family health insurance coverage offers a wide range of benefits to protect your loved ones' health and finances. Here is a detailed look at the inclusions:**

In-patient Hospitalisation Expenses: This covers medical expenses for hospital stays exceeding 24 hours due to illnesses or accidental injuries. It includes costs like room rent, doctor fees, medication and other associated treatments.

Day Care Procedures: Treatments that require hospitalisation for less than 24 hours, such as cataract surgery or chemotherapy, are covered. This ensures you receive necessary care without the need for prolonged hospital stays.

Ambulance Charges: Covers the cost of ambulance services to transport the patient to the hospital during a medical emergency. This ensures timely access to healthcare facilities without financial stress.

Pre and Post-Hospitalisation Expenses: Medical expenses incurred before hospitalisation, such as diagnostic tests and consultations, are covered for a specific period. Post-hospitalisation expenses, like follow-ups and medications, are also included.

Maternity Cover: This one covers pregnancy-related expenses, including delivery charges and pre- and post-natal care. It also provides coverage for the newborn baby’s healthcare needs.

Organ Donor Expenses: Includes the cost of harvesting an organ from a donor for a transplant. This ensures financial support during critical medical procedures.

AYUSH Benefit: Covers expenses for alternative treatments like Ayurveda, Yoga, Siddha, Unani and Homeopathy. This benefit promotes holistic healthcare options for your family.

Domiciliary Treatment: Pays for medical treatment administered at home on a doctor’s advice. This is particularly helpful for patients who cannot be moved to a hospital.

OPD Cover: Includes outpatient consultations, diagnostic tests and prescribed medications. It ensures coverage for minor health concerns that don’t require hospitalisation.

Daily Cash Allowance: Provides a fixed daily allowance to cover incidental expenses during hospitalisation. This helps manage non-medical costs like transportation or meals.

Mental Illness Cover: Covers treatments for mental health conditions like depression, anxiety and schizophrenia. This benefit highlights the importance of mental well-being alongside physical health.

Consumables Cover: Includes costs for non-medical items like gloves, syringes and cotton used during treatment. This reduces out-of-pocket expenses for essential medical supplies.

Health Check-ups: Covers preventive health check-ups at network hospitals to monitor and maintain your family’s overall health. Early detection of health issues can save costs and ensure timely treatment.

Second Opinion: Offers the option to seek a second medical opinion from a network of specialists. This ensures you make informed decisions about critical treatments.

Wellness Services: Provides access to wellness programs, fitness tracking and health consultations to encourage a healthier lifestyle. These services are designed to enhance your overall well-being.

While health insurance plans for a family offer extensive coverage, certain treatments and expenses are excluded to ensure clarity and transparency. Below are the common exclusions under TATA AIG’s family health insurance plans:

Addictive Conditions: Treatments for alcoholism, drug abuse or any other substance addiction, along with their consequences, are not covered.

Obesity Treatment: Surgical treatments for obesity are excluded unless they meet specific conditions, such as medical advice, clinical protocols and severe comorbidities like sleep apnoea or uncontrolled diabetes.

Diagnostic and Evaluation Expenses: Admissions solely for diagnostics or evaluations unrelated to the current treatment are excluded.

Sterility and Infertility Treatments: Expenses for contraception, assisted reproductive technologies like IVF, surrogacy or sterilisation reversal are not covered.

Refractive Error Treatment: Correction of eyesight for refractive errors below 7.5 dioptres is excluded.

Change-of-Gender Treatments: Expenses related to gender transition surgeries or associated treatments are not covered.

Cosmetic or Plastic Surgery: Cosmetic procedures for aesthetic purposes are excluded unless medically necessary due to an accident, burns or cancer.

Rehabilitation and Respite Care: Costs for custodial care, rest cures or terminal illness care addressing non-medical needs are excluded.

Unproven Treatments: Treatments lacking significant medical documentation or evidence of effectiveness are not covered.

Maternity Expenses: Childbirth-related expenses, except ectopic pregnancy or accidental miscarriage, are excluded.

Filing a claim with Tata AIG for your family health insurance is straightforward and hassle-free. Here is a **Step-by-Step guide for both reimbursement and cashless claim processes:

Reimbursement Claims Process

Step 1: Go to the TATA AIG website.

Step 2: Click on the 'Claims' tab at the top of the page.

Step 3: Select 'Initiate Claim' and choose the product category as 'Health.'

Step 4: Use your registered credentials to log in.

Step 5: Complete the claims form and upload all required documents.

Step 6: After submission, a TATA AIG representative will contact you to assist with the process.

Cashless Health Insurance Plans for Family Claims Process

• You need to notify the TATA AIG team in advance:

• For planned hospitalisations, notify TATA AIG or the TPA at least 48 hours before admission.

• For emergency treatments, inform us within 24 hours of hospitalisation.

Step 1: TATA AIG will verify your coverage and send an authorisation letter to the hospital.

Step 2: Present your TATA AIG ID card and any requested documents to the hospital.

Step 3: Once approved, TATA AIG will settle the bill directly with the hospital.

If the cashless claim is denied, you can still file for reimbursement. A rejection of the cashless claim does not mean the claim itself is rejected.

Documents Required for Family Health Insurance Claims

• Below is the list of all health insurance claim documents required to file the family health insurance claims.

• Original TATA AIG health insurance policy documents.

• All medical reports, case histories, investigation reports, indoor case papers/treatment papers, etc.

• Documents to prove your identity, such as Aadhar cards, passports, etc.

• Documents such as ration cards and other documents to prove your address are needed.

• Any additional documents, like the health insurance claim form, as needed by our representatives.

When purchasing the best health insurance plans for family, keep the following essential points in mind to make an informed decision:

Coverage for Pre-Existing Diseases (PED) & Sum Insured Enhancement: Most family health insurance plans cover pre-existing diseases after a waiting period of up to three years, as mandated by IRDAI guidelines. Some plans even provide PED coverage from day one.

However, the waiting period and conditions vary, so review the policy details carefully. If you add new members, especially parents, consider increasing the sum insured to provide adequate coverage for everyone in the family.

Adding New Members: Family health plans allow you to add new members, such as a spouse or newborn, by paying an additional premium. Ensure you update your policy to include all eligible family members as needed.

Dependent Child Coverage: The policy will stop covering dependent children once they exceed the maximum age limit specified in the policy document.

Senior Citizens: Avoid adding senior citizen parents to your existing family plan, as it may lead to higher premiums and insufficient coverage for their specific health needs. Opt for a separate senior citizen health plan instead.

Also Read: Think Twice Before Including Your Parents in Your Existing Health Insurance Plan

Lifetime Renewability: The best medical insurance for family plans comes with the benefit of lifetime renewability, ensuring continuous coverage for your family without age restrictions.

Also Read: Health Insurance for Parents

A family health insurance policy not only safeguards your loved ones during medical emergencies but also helps you reduce your tax liability. Under Section 80D of the Income Tax Act, 1961, you can claim deductions on the premiums paid for health insurance policies.

Here is a detailed breakdown of the medical insurance for family tax exemptions:

Tax Benefits on Single Premium Health Insurance Plans

If you opt for a single premium health insurance policy, you can claim deductions proportionately over the policy term, subject to the annual limits mentioned above.

Higher Tax Benefits for Senior Citizen Health Insurance

Premiums paid for senior citizen health insurance policies offer higher deductions, allowing you to claim up to ₹50,000 for their coverage.

Preventive Health Check-ups

Expenses incurred for preventive health check-ups are eligible for a deduction of up to ₹5,000 within the overall limit, encouraging proactive healthcare.

Sum Insured: This is the amount of money you are provided access to by your insurer on policy purchase, which is used to cover your medical expenses.

Health Insurance Premium: A premium is a regular payment made to your insurer in exchange for the health insurance coverage they provide. This amount can vary depending on your policy type, your age and the sum insured.

Restoration Benefit: This is a feature included in our health insurance plan that recovers your full sum insured upon exhaustion during the policy term. For example, if you have a sum insured amount of ₹10 lakhs and it has been exhausted due to a medical emergency, then we will restore the amount up to the base sum insured (₹10 lakhs) upon exhaustion.

Cumulative Bonus: This is a benefit offered to policyholders on renewal if they have not filed any claims in the previous policy year. It increases your sum insured amount by a certain percentage without the need for an extra premium.

Critical Illness Insurance: This is a separate health insurance plan or add-on cover that provides coverage for critical illnesses like cancer. These plans have higher sum insured amounts and higher premiums as well.

Waiting Period: This is a time frame within which you can not claim coverage under your health insurance plan. The waiting period is only waived in case of accidents or emergencies. Most health insurance plans have a waiting period of 30 days from policy inception, after which you can claim medical coverage.

Network Hospital: This is a hospital that has a tie-up with the insurance provider to provide cashless claim facilities and lower fee rates to policyholders. Every health insurance provider has a list of network hospitals.