In today’s fast-paced life, there is always a threat of sudden diseases and health related problems. In such a situation, it is very important to choose a reliable health insurance plan. TATA AIG Medicare Premier Health Insurance Plan comes with some special features that can prove helpful in safeguarding the health of you and your family.
Key Features of TATA AIG Medicare Premier Health Insurance Plan
1. Cashless Hospitalization
TATA AIG Medicare Premier plan offers the facility of cashless hospitalization in more than 7,200 network hospitals in India. This means that you get immediate treatment on admission to the hospital without any prior payment.
2. OPD and High-end Diagnostics Coverage
In this plan, the expenses of OPD (Outpatient Department) and high-end diagnostics like MRI, CT scan etc. are also covered. This feature saves you the expense of routine check-ups and advanced diagnostic tests.
3. No Room Rent Limit
There is no limit on room rent during hospitalization, giving you the freedom to choose the room as per your convenience.
4. No Claim Bonus
After every claim-free year, you get a no claim bonus of up to ₹5 lakh, which increases your coverage amount.
5. Restoration of Cover
If your coverage amount is fully utilized, this plan restores 100% of the sum insured once in a year, so that you can get treatment without any worries.
6. Global Cover
This plan also covers inpatient and day care hospitalization expenses in India, if the diagnosis is made in India.
7. Bariatric Surgery Coverage
This plan also covers the cost of bariatric surgery for the treatment of obesity and weight control.
8. Emergency Air Ambulance
In case of emergency, this plan also covers the expenses for transportation to hospital or medical center by air ambulance.
9. Consumables Benefit
This plan also covers the expenses of consumables used during hospitalization like PPE kits, masks, gloves etc.
Coverage Amount and Premium
TATA AIG Medicare Premier plan provides sum insured ranging from ₹5 lakh to ₹50 lakh. The premium amount is based on your chosen sum insured, age, and medical history.
Eligibility
- Entry Age: 91 days to 65 years.
- Policy Tenure: 1, 2, or 3 years.
- Family Floater Option: You can cover your entire family in one policy.
Discounts
- Family Discount: Family floater offers 20% discount for two members, 28% discount for teen membership, and 32% discount for members above teen.
- Long-term Policy Discount: 5% discount is given on policy tenure of two years and 10% discount is given on tenure of ten years.
Claim Process
- Cashless Claims: For planned hospitalization, obtain cashless authorization from the TPA (Third Party Administrator) at least 48 hours before hospitalization. In case of emergency hospitalization, inform the TPA immediately after admission from the hospital. TPA will verify your coverage and send authorization letter to the hospital. If there is any discrepancy in the documents, the TPA will inform the hospital within 6 hours. Before discharge, pay non-medical and unnecessary expenses to the hospital. If the treatment is not covered under the treatment policy, the TPA will send a rejection letter to the hospital within 6 hours. Keep in mind, the insured person gets cashless coverage only in empaneled hospitals.
- Reimbursement Claims: If you are not using the cashless facility, inform the TPA through the claim intimation form within 7 days of the treatment. Duly signed claim form and all required documents should be sent to TPA within 15 days of the incident. If there is any discrepancy in the documents, TPA will inform you within 7 days. After receiving the complete documents, Tata AIG will make the payment of the admissible amount along with the settlement statement within 30 days.
Conclusion
TATA AIG Medicare Premier Health Insurance Plan with its special features and comprehensive coverage is a great option for those who want to protect the health of themselves and their family. Through this plan, you can not only avoid hospitalization expenses but can also cover OPD, diagnostics, and other medical expenses. If you are looking for a comprehensive health insurance plan, it would be wise to consider TATA AIG Medicare Premier.
