Individual Health Insurance

Individual health insurance is a policy designed to cover the medical expenses of one person exclusively. Unlike family floater plans, this type of insurance ensures that the policyholder alone can utilise the benefits, making it a highly personalised and comprehensive solution.

For instance, if you purchase health insurance for a single person, such as for yourself or your spouse, only the named individual can use the coverage for medical emergencies or treatments.

This policy usually includes hospitalisation, day-care procedures, surgeries, organ donor expenses, modern treatments and critical illnesses. Its premium is determined by factors like age, medical history, gender and coverage requirements. By focusing solely on the needs of one person, it offers more tailored and diverse coverage compared to shared plans.

Choosing individual health insurance ensures financial security and peace of mind, making it a vital investment in personal health and well-being.

Healthcare inflation in India is growing at an alarming rate, outpacing general inflation and making medical treatments increasingly expensive. While savings instruments offer decent returns, they often fall short of covering medical expenses, especially during emergencies. Recognising this, people across age groups are now opting for individual health insurance to safeguard themselves from hefty medical bills.

A personal health insurance plan acts as a financial shield, covering a wide range of expenses, from diagnosis and treatment to medicines and hospitalisation. It ensures your savings remain intact, providing substantial financial assistance during medical crises.

Here is why an individual mediclaim policy is indispensable:

Protection Against Medical Emergencies

An individual health insurance plan offers financial security during unforeseen medical situations. It provides coverage for common illnesses as well as severe conditions like cancer, cardiovascular diseases and renal failure. By supplementing your existing insurance, it ensures you’re well-prepared for any health emergency without depleting your savings.

Flexible and Portable

Health insurance for a single person is flexible and can be customised to suit your needs. Furthermore, many plans offer portability, allowing you to switch insurers or upgrade your policy without losing benefits, ensuring continuous and uninterrupted coverage.

Can Be Clubbed with Government Schemes

Many individual health insurance plans can be integrated with government healthcare schemes, enhancing your coverage while keeping premiums affordable. This is particularly beneficial for those looking for comprehensive protection without straining their budget.

Access to Specialised Care

With an individual health insurance policy, you gain access to specialised treatments, advanced procedures and modern healthcare technologies. These policies often cover high-cost treatments, ensuring you receive the best care without worrying about expenses.

Family Coverage

While the policy is primarily for a single individual, you can purchase multiple plans to cover each family member. This ensures that everyone in the family has personalised coverage tailored to their unique health needs.

Choice of Providers

Individual health insurance policies allow you to choose from a wide network of hospitals and healthcare providers. This ensures you receive quality care at your preferred facility, whether for routine check-ups or critical treatments.

Tailored Benefits

These policies are highly customisable, enabling you to choose coverage based on your age, medical history and specific health requirements. Tailored benefits ensure you only pay for what you need, making the plan cost-effective and efficient.

MediCare Premium

Consumables Benefit:* Covers expenses for consumables used during hospitalisation related to treatment.

Restore Benefits:* Automatically restores the Basic Sum Insured if it is insufficient for claims during the policy year.

Emergency Air Ambulance:* Covers transportation by aeroplane or helicopter for life-threatening emergencies.

Criti MediCare

Critical Illness Coverage:* This TATA AIG health insurance offers coverage for 50 or 100 critical illnesses.

Cancer 360 Degree Indemnity Cover:* Comprehensive cancer treatment coverage.

Lifelong Renewal:* Ensures uninterrupted policy renewal without extra loadings for claims.

MediCare Plus

Global Cover:* Optional coverage for medical expenses incurred outside India.

Consumables Benefit:* Covers expenses for specified consumables during hospitalisation.

Cumulative Bonus:* Increases the sum insured by 50% for every claim-free year.

MediCare

Cumulative Bonus:* 50% bonus on the Sum Insured for every claim-free year, up to 100%.

Wellness Services:* Includes tele-consultations and ambulance booking facilities.

Vaccination Cover:* Covers HPV, Hepatitis B, anti-rabies and typhoid vaccinations.

Arogya Sanjeevani Policy

Tax Benefit:* Premium qualifies for tax deductions under Section 80D.

Flexible Premium Payment:* Options include yearly, half-yearly, quarterly or monthly modes.

Network of Hospitals:* Access to 4,000+ hospitals across India.

Also Read:* Everything You Should Know About AYUSH Benefits for Your Wellness

TATA AIG health insurance for individuals stand out for their exceptional features:

Cashless Everywhere: Enjoy cashless treatments at 7,200+ network hospitals across India.

Restore Benefits: Automatic restoration of the sum insured if exhausted during the policy year.

Lifelong Renewals: Renew your policy seamlessly for life without any extra loading for claims.

Flexible Coverage: Tailored benefits to meet individual health needs and preferences.

Global Coverage Options: Medical expense coverage is available even outside India.

Tax Benefits: Premiums qualify for deductions under Section 80D of the Income Tax Act.

If you choose TATA AIG’s individual health insurance plan, you are up for some amazing advantages. Here are some of the benefits of individual health insurance that TATA AIG offers:

Understanding the health insurance eligibility criteria is crucial before purchasing a policy. With TATA AIG health insurance, the eligibility requirements are designed to cater to a wide range of individuals, from dependent children to senior citizens.

Below is a detailed table outlining the health insurance eligibility requirements:

Buy Health Insurance Online with TATA AIG

Purchasing an individual health insurance plan with TATA AIG is simple and hassle-free. Follow these five Steps if you were wondering, ‘How to apply for health insurance’ with us:

Step 1: Open your preferred web browser and navigate to the official TATA AIG website.

Step 2: Click on the "Health Insurance" option to explore the available plans.

Step 3: Enter your name, phone number, age, gender, city and details about any previous surgeries or existing health conditions.

Step 4: Use TATA AIG's online health insurance premium calculator to compare plans and rates. Choose the one that best fits your needs.

Step 5: Complete the process by paying the premium online through your preferred payment gateway. Once successful, a soft copy of your policy will be emailed to you.

Renew Health Insurance Online with TATA AIG

Step 1: Visit the TATA AIG website and click on the ‘Renewal’ section on the top.

Step 2: Choose ‘Health’ from the dropdown option.

Step 3: You will be asked to put your Policy Number and click on ‘Renew’.

Step 4: Make your payment and your renewed policy will be sent to your registered email ID and phone number.

Ensure you renew before the expiry date to maintain uninterrupted coverage.

Documents Required for Renewal

• Policy details or number

• Identity proof (e.g., Aadhaar, PAN)

• Previous medical records (if required)

• Payment details for premium renewal

Purchasing personal health insurance online with TATA AIG offers numerous advantages that make the process seamless, efficient and user-friendly.

Convenience: Buying health insurance online allows you to shop and compare plans at your own pace, anytime, anywhere, without needing to visit an agent or office.

Easy Comparison Tools: TATA AIG provides intuitive tools to compare various online health insurance policy options. Assess coverage features, benefits and premiums quickly to choose the best plan for your needs.

Time-Saving Process: Skip lengthy paperwork and agent visits. Complete your application and payment process online within minutes, ensuring a hassle-free experience.

Potentially Lower Premiums: Purchasing an online health insurance policy may reduce premiums as it eliminates intermediary costs and administrative expenses for the insurer.

Paperless and Instant Policy Issuance: Enjoy an eco-friendly process with digital applications. Your policy document is emailed instantly after premium payment, saving time and effort.

Access to Wellness Services: Through TATA AIG’s mobile app, you can access your policy, book consultations, track your BMI and monitor your wellness goals—all at your fingertips.

Also Read: Importance of Preventive Care and Wellness Programs

Buying personal health insurance online from TATA AIG ensures convenience, transparency, and added value for a healthier tomorrow.

Choosing the best individual health insurance plan requires careful consideration of several factors to ensure comprehensive coverage and financial security.

Here is what to keep in mind:

Coverage Needs

Evaluate your health requirements based on age, pre-existing conditions, anticipated medical expenses and lifestyle habits. TATA AIG’s plans are tailored to adapt to your evolving health needs, making them among the best and most affordable health insurance options available.

Policy Coverage

Examine the coverage for hospitalisation, pre- and post-hospitalisation, day-care procedures, critical illnesses and maternity benefits. TATA AIG’s health insurance plans offer extensive coverage, ensuring you are protected against a wide range of medical expenses.

Sum Insured

Opt for a sum insured that accounts for inflation and rising healthcare costs. TATA AIG’s plans provide flexibility in selecting a coverage limit that suits both current and future needs.

Network Hospitals

Ensure access to TATA AIG’s vast network of hospitals offering cashless treatment. Check for reputable hospitals near you to handle emergencies conveniently.

Exclusions and Waiting Periods

Understand exclusions and waiting periods for pre-existing conditions and specific treatments. TATA AIG ensures transparency so you can plan accordingly and avoid unexpected claim denials.

Lifetime Renewability

Choose a policy with lifetime renewability to secure coverage during later years when health risks increase. TATA AIG’s plans guarantee uninterrupted protection.

Add-On Riders

Enhance your policy with riders like critical illness or accidental cover. These customisations make TATA AIG’s plans some of the best individual health insurance solutions for unique needs.

Customer Support and Reviews

TATA AIG’s dedicated customer support and positive reviews ensure a seamless experience, from policy purchase to claims assistance.

By considering these factors, you can confidently select the best and cheapest health insurance plan with TATA AIG.

Here’s a detailed breakdown of what is typically included and excluded in TATA AIG’s individual medical insurance coverage:

What is covered

• Hospitalisation

• Pre and Post-Hospitalisation

• COVID-19 Cover

• Day-Care Procedures

• Domiciliary Hospitalisation

• Preventive Health Check-Ups

• Organ Donor Expenses

What is covered

• Vision, hearing and dental-related expenses. Pregnancy and associated conditions

• Conditions diagnosed before policy issuance (subject to waiting periods)

• Abuse of drugs or alcohol

• Cosmetic surgery and alternative therapies

• Infertility and obesity treatments

• HIV/AIDS and illnesses resulting from nuclear perils

• Injuries caused intentionally

Determining the right coverage for your medical insurance plans for individuals depends on several factors. The ideal coverage ensures that your medical expenses are adequately covered without overburdening you financially.

Here are a few factors to consider before buying a minimum premium health insurance plan:

Age: Younger individuals typically require lower coverage, while older individuals may need higher coverage due to increased health risks.

Lifestyle: Sedentary lifestyles or high-risk activities may demand higher coverage.

Family Medical History: If your family has a history of critical illnesses, opt for comprehensive coverage.

Healthcare Costs in Your Area: Urban areas often have higher medical expenses than rural ones.

Financial Capacity: Strike a balance between sufficient coverage and affordability to get the minimum premium health insurance.

A health insurance premium calculator is a simple online tool designed to estimate your health insurance plan prices based on your specific needs. TATA AIG's premium calculator helps you determine the right plan by comparing coverage options and costs, ensuring affordability and comprehensive protection.

Steps to Use TATA AIG’s Premium Calculator:

Step 1: Visit the TATA AIG Health Insurance Premium Calculator.

Step 2: Select who you wish to buy the plan for.

Step 3: Enter the age, gender and location.

Step 4: Provide details about pre-existing conditions or medical history.

Step 5: Select the desired coverage amount and additional benefits.

Step 6: Instantly view and compare health insurance plan prices tailored to your needs!

Filing a health insurance claim with TATA AIG is straightforward, and claims are categorised into cashless claims and reimbursement claims. Here is how each works:**

Cashless Claims

The cashless health insurance process allows you to receive treatment at network and non-network hospitals without paying upfront.

Step 1: Select a hospital.

Step 2: Inform the hospital’s insurance desk about your policy. The hospital will request approval from TATA AIG for the estimated expenses.

Step 3: TATA AIG reviews the treatment plan and issues pre-authorisation for approved expenses.

Step 4: Undergo treatment and the hospital bills TATA AIG directly.

Step 5: TATA AIG settles the approved amount with the hospital, and you pay for non-covered expenses if applicable.

Reimbursement Claims

You can also use the health insurance reimbursement process:

Step 1: Get treated at any hospital and pay the bills upfront.

Step 2: Save all bills, medical reports and prescriptions.

Step 3: Fill out the claim form and submit it with supporting documents via TATA AIG’s portal or office.

Step 4: TATA AIG verifies the documents and assesses the claim.

Step 5: Upon approval, the eligible amount is reimbursed to your bank account.

Claiming Individual Health Insurance Policy: Documents Required**

• Duly filled and signed health insurance claim form

• Medical reports, investigation results and case history

• Hospital discharge summary and treatment documents

• Precise diagnosis of the treatment claimed

• Bills and receipts for medical expenses

• Prescriptions for medications or treatments

• Any additional documents requested by the claims department

Ensure all health insurance documents are submitted within the stipulated time to expedite the claims process. TATA AIG will process and settle approved claims within 30 days of receiving complete documentation.

Also Read: 4 Simple Steps to File a Mediclaim in India

Under Section 80D of the Income Tax Act, health insurance plans for individuals provide substantial tax benefits. Here is a breakdown of the permissible deductions based on the age of the assessee and beneficiaries:

By investing in health insurance plans for individuals, you not only secure your health but also enjoy significant health insurance tax benefits, reducing your overall tax liability.

Understanding the difference between group and individual insurance is crucial when selecting the right policy for your needs. Below is a detailed comparison:

Choosing between the two depends on your personal requirements, with health insurance for individuals offering greater flexibility and long-term security.