When thinking of health, DON'T Compromise!
Being the risk experts, we know there can be no compromise in the matters of health and making sure that starts with a robust insurance plan. Choosing the right mix of features and coverage levels is essential to get everything you would need in an ideal health insurance plan. Tata AIG Medicare Protect is a simplified and comprehensive Health Insurance plan. The product is designed keeping in mind the important role that your health insurance plays considering the cost of medical emergencies. Tata AIG General Insurance has been accredited with iAAA rating by ICRA for highest claims paying ability. With a legacy built on trust, rest assured that we will not compromise on your health insurance and neither should you. Think Ahead!
ADVT: TAGIC/WebApp/TGMCPRO/Nov 18/7 Ver 1 / All 1289
Features that make it the #RightInsurance
Day Care Procedures: Covers expenses for 540+ Day Care Treatment due to disease/illness/injury during the policy period taken at a hospital or a Day Care Centre.
Restore Benefit: It automatically restores your sum insured to 100% for you and your family members.
Cumulative Bonus: 10% increase in cumulative bonus for every claim free year, upto a maximum of 100% provided policy is renewed with us without a break. In the case a claim is made during the policy year, the cumulative bonus would reduce by 10% in the following year
Consumables Benefit: Covers expenses incurred, for consumables which are consumed during the period of hospitalization directly related to the insured person's medical or surgical treatment of illness/ disease/injury.
In-Patient Treatment: Covers expenses for hospitalization due to disease/illness/Injury during the policy period that requires an Insured Person’s admission in a hospital as an inpatient. Medical expenses directly related to the hospitalization would be payable.
Organ Donor: Covers Medical and surgical Expenses of the organ donor for harvesting the organ where an Insured Person is the recipient.
Ambulance Cover: Covers expenses, upto Rs 1,000 per hospitalization, on transportation of Insured Person in an ambulance to a Hospital for admission in case of an Emergency or from one hospital to another for better treatment
Domiciliary Treatment: Covers for expenses related to Domiciliary Hospitalization of the insured person if the treatment exceeds beyond three days. The treatment must be for management of an illness and not for enteral feedings or end of life care.
Compassionate Travel: Covers expenses upto Rs. 20,000 related to a round trip economy class air ticket, or first-class railway ticket, to allow the Immediate Family Member to be at insured person's bedside during his stay in the hospital.
Accidental Death Benefits (optional cover): Covers 100% of sum insured in the event of death of insured person due to accident. This benefit is not applicable for dependent children covered in the policy.
Pre-Hospitalization Medical Expenses: Medical Expenses incurred in 30 days before the date of admission to the hospital.
Post-Hospitalization Medical Expenses: Medical Expenses incurred in 60 days after the date of discharge from the hospital.
AYUSH benefit: Medical Expenses incurred for In-patient treatment taken under Ayurveda, Unani, Sidha or Homeopathy.
Health Checkup: Expenses for a Preventive Health Check-up up to 1% of policy sum insured subject to a maximum of Rs. 10,000/- per policy.
The above mentioned benefits are subject to terms and conditions apply.
Room Category available under this policy is Shared Accommodation. In the event insured person gets admitted in a room category higher than shared accommodation, then 10% of admissible claim amount will be borne by the insured person.
For complete list of detailed benefits, please refer policy wordings.
Benefits to make the policy stronger
Tax Benefit: The premium amount paid under this policy qualifies for deduction under 80D of Income Tax (Amendment) Act, 1986. This benefit is not applicable for premium amount paid towards accidental death benefit if opted and for premium paid in cash/ or by demand draft.Tax benefits are subject to changes in Income Tax Law.
Settlement of your claims: We settle your claims hassle-free and quickly so that you can focus on quality and timely recovery rather than managing the funding of the treatment, subject to submission of all required documents.
Network of hospitals: We are equipped to offer you quality health care in your city with our strong network of hospitals across India. Kindly carry original photo identity proof along with cashless card to avail cashless hospitalization in network hospitals.
Lifelong renewal: We offer you a lifelong renewal for your policy provided premium is paid without any break Your premiums will be basis the age and coverage. Your renewal premium will be basis your revised age band and there will be no extra loading's based on your individual claim.
Disclaimer: Insurance is the subject matter of solicitation. For more details on benefits, exclusions, limitations, terms & conditions, please refer sales brochure/policy wordings carefully, before concluding a sale.
Situations where your policy won’t work
This policy will not apply if:
- Abuse of intoxicants or hallucinogenic substances such as intoxicating drugs and alcohol
- Congenital External Diseases, defects or anomalies
- Parkinsons and Alzheimer’s disease
- General debility or exhaustion or run-down condition
- Congenital External Diseases, defects or anomalies;;
- Stem cell implantation or surgery; or growth hormone therapy;
- War or any act of war, act of foreign enemy or war like operations.
- Intentional self-injury or attempted suicide while sane or insane.
- Any Insured Person attempting to commit a breach of law with criminal intent.
- Treatment rendered by a Medical Practitioner which is outside his discipline
- Doctor’s fees charged by the Medical Practitioner sharing the same residence as an Insured Person or who is an immediate relative of an Insured Person’s family.
Please refer to policy wordings for complete list of Benefits and Exclusions.
- Policy coverage starts 30 days from the first inception of the policy (except accident).
- Any listed illnesses/treatments will be covered after a waiting period of 24 months.
- Any pre-existing condition will be covered after a waiting period of 48 months.
- Claims under this policy will be administered by a specified Third Party Administrator (TPA) duly
- licensed by IRDAI. Intimation & Assistance: Please contact our designated TPA/Us atleast 48 hours prior to an event
- which might give rise to a claim. For any emergency situations, kindly contact our TPA within 24 hours of the event.
Claim Related Information: For any claim related query, intimation of claim and submission of claim related documents, You can contact TPA through:
Name of TPA: Family Health Plan Insurance TPA Ltd (FHPL)
Email: firstname.lastname@example.org, email@example.com (for Senior Citizens)
Toll Free: 1800-425-4033, 040- 23552899 (for Senior Citizens)
Fax: +91 40 23541400
Submit claim: Claims Department, Family Health Plan Insurance (TPA) Ltd,
Srinilaya – Cyber Spazio, Suite # 101,102,109 & 110,
Ground Floor, Road No. 2, Banjara Hills, Hyderabad, 500 034
For list of network hospitals, please visit our/TPA website.
Please refer to policy wordings for complete list of Benefits and Exclusions