PLAN DETAILS |
![]() Medicare Plan |
![]() Group Mediclaim Insurance Policy |
Premium Including GST | ||
Product Type | Individual and Family Health Insurance | Group Health Insurance |
Key Features (Key features of the plan) |
|
|
OPD Details (In some policies, OPD (Out patient department) expenses are also covered.) |
Not Covered | - |
Room Rent (A limit of room rent cover during hospitalization if any) |
Covered | - |
Domicillary Hospitalization (It is the expenses incurred on treatment of the patient at home) |
Covered | - |
Pre-hospitalization (Expenses before the insured is hospitalized) |
Covered | - |
Post-hospitalization (Expenses after discharge from the hospital) |
Covered | - |
Day Care Treatment Covered (Day care treatments refers to the treatments that do not necessarily require 24hrs of hospitalization like MRI.) |
Covered | - |
Hospital_network (Number of Hospital Network in city) |
11000 | 9100 |
Organ Donor Expenses (Expenses incurred on organ donor in case of organ transplants) |
Covered | - |
Hospital Daily Allowance (Some plans offer daily allowance to take care of expenses like food, etc) |
Covered | - |
Ambulance Charges (Expenses incurred on ambulance charges) |
Covered | - |
Maternity Benefits (All Hospitalization cost covered at the time of pregnancy.) |
Not Covered | - |
New Born Baby Covered (Newborn babies can be covered under the insurance plan after a certain period) |
Not Covered | - |
Health Checkup (An added benefit of one time full health checkup of policy holder.) |
Covered | - |
Sub Limit (Sub-limit is a monetary capping that applies on specific diseases like cataract) |
Not Covered | - |
Co-pay (Mentioned %, if any is to be borne by Insured and rest will be borne by insurer) |
Not Covered | - |
Plan Entry Age | 90 days - No limit | 18 to 65 years |
Plan Premium Entry Age and S/A | 3762 | NA |
Plan Waiting Period | 30 | 30 |
Plan Coverage | - | Group medical cover |
Plan Sample Premium | 3762 | NA |
Plan Brochure | Brochure URL | Brochure URL |
Policy Term | 1, 2, 3, years | 1 year |
ICU Charges | Covered | - |
Covid-19 Treatment | Covered | - |
Cataract | Not Covered | - |
Automatic Restoration | Covered | - |
Ayush Treatment | Covered | - |
Modern Treatment | Not Covered | - |
E Consultation | Not Covered | - |
Air Ambulance | Not Covered | - |
Global Coverage | Covered | - |
Claim Ratio | 96.70 | 87.50 |
Solvency Ratio | 3.9 | 1.5 |
TATA AIG Medicare is a comprehensive health insurance plan that is specifically designed by keeping in mind the increasing cost of medical expenses. This upgraded and simplified plan covers persons from the age of 5 years to the age of 65 years.
TATA AIG Medicare plan offers several benefits such as lifelong renewal, restore benefits, global cover, and a strong tie-up with 7,200+ network hospitals across India. Along with several benefits, the plan offers three variants to choose from that are- Medicare, Medicare Protect & Medicare Premier. Let's understand this plan in more detail for better understanding.
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