What we love?
Provides Global Cover upto Sum Insured
Cover amount: ₹5 Lakh
Cashless hospitals: 288
Premium:₹662/month (₹7934 paid annually)
Claim Settlement Ratio: 97%
What we love?
Provides Global Cover upto Sum Insured
Cover amount: ₹5 Lakh
Cashless hospitals: 288
Premium:₹662/month (₹7934 paid annually)
Claim Settlement Ratio: 97%
97% Claim Settlement Ratio
This is explained as (Number of Claims Settled / Number of Claims) by the Insurance Company.
Source: Public Disclosures (NL25 for 2018-19).
Claim Settlement ratio for Covid-19 is 89.19% as per Insurer.
Total Covid claims paid – ₹303 Cr., Total number of Covid claims – 27,388 (approved + paid), Total number of cashless Covid claims – 32,000 (approved + paid).
Bonus on No Claim
50% increase in cumulative bonus for every claim free year, upto a maximum of 100%. In the case a claim is made during the policy year, the cumulative bonus would reduce by 50% in the following year
Worldwide Emergency
Covers Medical Expenses related to inpatient & Day Care Hospitalization of the Insured Person incurred outside India, provided that the diagnosis was made in India.
Vaccination Cover
Covers expenses related to Human Papilloma Virus (HPV) vaccine & Hepatitis B Vaccine after 2 years of continuous coverage and Anti-rabies vaccine & Typhoid vaccination without any waiting period( Day 1 cover ).
Consumables cover
Covers expenses incurred, for specified consumables, which are consumed during the period of hospitalization directly related to the insured person’s medical or surgical treatment of illness /disease/injury.
Why is it Important
Most people infected with the virus will experience mild to moderate respiratory illness and recover without requiring special treatment. However, some will become seriously ill and require medical attention
Why is it Important
A lower cap is better as room rent eats into the claim amount which should be spent on treatment cost.
Why is it Important
It helps at the time of second hospitalization in the same year
Since the medical expenses are rising every year, this benefit ensures you have sufficient funds for any medical emergency.
Why is it Important
Health checks ensure you are treated before your medical condition gets serious.
Full claim paid by Insurer
Why is it Important
The shorter waiting period, the better as the cost of your current illness can be expensive
Why is it Important
Most people infected with the virus will experience mild to moderate respiratory illness and recover without requiring special treatment. However, some will become seriously ill and require medical attention
Why is it Important
The higher the number of network hospitals the better as you can avail cashless treatment at more places.
Typically there is a period of OPD and diagnostics before one is discharged. Longer the Pre-Hospitalisation cover period, better it is
Why is it Important
There are usually expenses on medicines and treatments even after hospitalization. This benefit helps to cover the same.
Why is it Important
The number of day care treatments are increasing every day and it is important that your insurance covers the same.
Why is it Important
The higher the cover amount, the better as sometimes — especially during seasonal outbreaks like dengue — hospitals may not have accomodation.
This benefit covers you for alternative treatment options which are becoming more and more popular.
It ensures that expenses of the donor are covered, and the insured gets the organ that is required in time
Why is it Important
The money can be used for meeting additional expenses that are not covered by health insurance
Why is it Important
The money can be used for meeting additional expenses that are not covered by health insurance
Why is it Important
This add-on is beneficial as stray animals are everywhere and you can’t predict when one might bite you.
Why is it Important
Higher the maternity cover and a shorter waiting period is better. This allows you to avail the best hospitals and doctors for your new born.
No cover for emergency evacuation services
Why is it Important
It is a value-added service and you get a convenient second opinion.
No wellness factors are included
Why is it Important
The higher the coverage the better as most treatments do not require hospitalization.
Tata AIG General Insurance commenced its operations in India in early 2001 and is a joint venture between Tata Group and American International Group (AIG) which is a leading international insurance organization with operations in more than 130 countries and jurisdictions. AIG companies serve commercial, institutional, and individual customers through one of the most extensive worldwide property-casualty networks of any insurer. In addition, AIG companies are leading providers of life insurance and retirement services around the world. Tata AIG offers a range of general insurance covers for businesses and individuals and has a comprehensive range of general insurance products for Liability, Marine Cargo, Personal Accident, Travel, Rural-Agriculture Insurance, Extended Warranty etc. The company has an asset base of approximate 0.6 billion USD, a workforce of 2523 employees and 9446 agents and is present in 98 locations across India.
Are PPE kits and other consumable items covered in Health Insurance policies?
Mostly policies don’t cover it by default, however you can buy some very low cost riders and get consumables like PPE kits covered. These include riders such as Care Shield with Care Health Products, or Safeguard with Max Bupa products.
Is HomeCare treatment covered in my Health Insurance policy?
Many Comprehensive health plans provide Home Care treatment where Hospitalisation was required, but patients couldn’t be hospitalised because beds weren’t available. This will include the cost of treatment, diagnosis, medication, oxygen, etc. Check with your advisor for options where HomeCare for Covid-19 is also covered
Will my Health policies cover Black Fungus or any other complications of Covid-19?
Absolutely, Health Insurance covers Covid-19 and all its related complications such as Black Fungus.
In cashless process the hospital expenses are settled directly between the insurance company and the network hospital. No cash has to be paid by the insurance policy holder.
Click here to view the list of Cashless Hospitals
There can be 2 types of hospitalisation.
Hospital will share all the necessary documents with insurer / TPA for approval.
Insurer will scrutinize the shared documents and give the authorization on the final bill amount in case of approved transactions.Any inadmissible expenses,copayments,deductions will have to be paid by you.
Pro Tip – Once your cashless claim is approved, you can also reimburse your pre and post hospitalization expenses through the reimbursement process.
In case of hospitalization in non calshless network hospital you can still take an advantage of your health insurance policy by making a Reimbursement claim where you can pay the medical bills directly to the hospital and then gets expenses reimbursed from the insurance company.
There can be 2 types of hospitalisation.
The insurer needs to provide complete details including hospital name, diagnostic and treatment details, date of admission, etc.
The insurer will provide a reference ID for all future communication pertaining to the claim request.
Insurer will scrutinize the shared documents and give the authorization on the final bill amount in case of approved transactions.Any inadmissible expenses,copayments,deductions will have to be paid by you.