Objective

This policy aims to provide financial assistance to the insured in event of a health emergency.

Suited for

It can be bought as individual or family floater cover. Under the family cover, the sum insured can be utilized by any of the insured members in case of need.

What does it do?

Apart from inpatient hospitalisation treatment, it covers two outpatient treatments including accident related dental treatment and vaccination expenses after animal bite. It covers non-allopathic treatments like Ayurvedic, Unani and homeopathy, with a condition that the treatment iss availed as an inpatient. There are other benefits for treatments that do not require an overnight stay in a hospital, treatments taken at home, organ donor expenses in case of a transplant and daily cash allowance for accompanying an insured child.

Pros

There are no sub-limits under inpatient benefit and the policy allows lifelong renewal.
It covers non-allopathic treatments and provides OPD benefits.
Premium paid towards this policy is deductible under Section 80D of Income Tax Act.

Our View

This is a good policy offering wide medical coverage at nominal premium rates. Absence of sub-limits and lifetime renewal are major advantages. Outpatient treatment cover is another valuable benefit. If you are looking to buy health insurance up to Rs 10 lakh for self or family, this policy is recommended.

Eligibility

Entry Age (years)

Minimum

18; 91 days for children

Maximum

65; 21 years for children

Maximum Policy Renewal Age (years)

Life long renewal

Coverage Type

Individual/ family floater

Policy Term (years)

1 or 2

Sum Insured (Rs)

Maximum

10 lakh

Minimum

2 lakh

Discount

5% on premium for choosing a 2 years policy term.
Family discount of 10% if 3 or more family members are covered under the same policy.

No Claim Bonus

10% increase in annual inpatient sum insured for every claim free year subject to a maximum of 50%. If a claim is made, the cumulative bonus would reduce by 20% in the following year

Pre Policy Medical Check Up

Required for person above 45 years of age and Sum Insured greater than 5 lakhs. l50% of medical costs will be reimbursed upon proposal acceptance

Grace Period for Policy Renewal

15 days

Policy Termination

Insurer may cancel the policy by giving a 30 days notice period. Policyholder is also allowed to cancel the policy at anytime. If no claim has been made, insurer would refund a proportionate premium as agreed in the policy document

Customer Service

Address

Registered Office:TATA AIG Insurance, 9th Floor, Piramal Towers, Peninsula Corporate Park, Ganpatrao Kadam Marg, Lower Parel, Mumbai - 400 01

Mail to

customersupport@tata-aig.com

Call to

1800-266-7780

SMS

TAG to 5616181

Scope of Cover

Sum Insured (in Rs.)

Benefits (per policy year)

2 lakh/ 3 lakh/ 4 lakh

5 lakh/ 7.5 lakh/ 10 lakh

Cashless facility

available if treatment taken in a network hospital

Reimbursement facility

available if treatment availed in a non-network hospital

Pre & post hospitalisation

covers expenses incurred during 30 days prior to hospitalisation and 60 days after discharge. Number of days can be increased to 60 for pre hospitalisation and 90 post discharge if insured member informs insurer 5 or more days in advance of hospitalisation date.

Inpatient treatment

covered without sub-limits

Other benefits

Day Care Procedures

covers 140 day care treatments

Domiciliary treatment

covered

Organ donor expenses

Ayush benefit

covers inpatient Non-allopathic in-patient treatments like Ayurvedic, Unani or Homeopathy maximum upto Rs 20000

covers inpatient Non-allopathic in-patient treatments like Ayurvedic, Unani or Homeopathy maximum upto Rs 25000

Health check up (once after 4 continuous renewal)

pays upto 1% of sum insured per policy subject to maximum of Rs 5000 per insured person

Ambulance expenses

covered upto maximum of Rs 2500 per hospitalisation

Daily cash benefit for accompanying an insured child aged 12 years or less

pays Rs 300 per day maximum upto Rs 9000 per hospitalisation

pays Rs 500 per day maximum upto Rs 15000 per hospitalisation

Outpatient cover

Outpatient Vaccination (post bite treatment of animal bite)

pays upto Rs 5000

Accident related Dental Treatment

covered upto Rs 5000

covered upto Rs 7500

Exclusions and Waiting Period

Pre-existing diseases

covered after 48 months of continuous renewal

No claim period

30 days from inception of the policy

Waiting period

2 years for certain illnesses such as arthritis, sinusitis, joint replacement etc. as stated in the policy document