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TATA AIG Medicare is a comprehensive health insurance plan specifically designed to address the increasing cost of medical expenses. This upgraded and simplified plan covers individuals aged 5 to 65 years.
The TATA AIG Medicare plan offers several benefits such as lifelong renewal, restore benefits, global cover, and a strong tie-up with over 7,200 network hospitals across India. Along with these benefits, the plan offers three variants to choose from: Medicare, Medicare Protect, and Medicare Premier. Let's understand this plan in more detail.
| PLAN DETAILS |
Medicare Plan |
Niva Bupa Group Health Insurance |
| 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.) |
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 | 10000 |
| 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 | Flexible eligibility |
| Plan Premium Entry Age and S/A | 3762 | NA |
| Plan Waiting Period | 30 days | NA |
| Plan Coverage | - | Group Health |
| Plan Sample Premium | 3762 | - |
| Plan Brochure | Brochure URL | Brochure URL |
| Policy Term | 1, 2, 3, years | NA |
| ICU Charges | Covered | - |
| Covid-19 Treatment | Covered | - |
| Cataract | Not Covered | - |
| Automatic Restoration | Covered | - |
| Ayush Treatment | Covered | - |
| Modern Treatment | Covered | - |
| E Consultation | Not Covered | - |
| Air Ambulance | Not Covered | - |
| Global Coverage | Covered | - |
| Claim Ratio | - | 94.4 |
| Solvency Ratio | 1.81 | 3.03 |
|
Tata AIG Health Insurance Niva Bupa Group Health Insurance Explained | Benefits & Coverage |
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