TATA AIG Claim Process
- TATA AIG Complete Claim Process
- Cashless Claims
- Reimbursement Claims
Raising a claim can be a tedious task, so to make the process effortless insurance companies design user-friendly platforms such as websites and mobile applications. In terms of claim filling procedure, TATA AIG Health Insurance has crafted a hassle-free process to raise a claim. The claim settlement ratio of the company is 95.46 %(FY 2022-23), which gives us a clear indication that the process of filling and settling the claim with TATA AIG is very easy and seamless. Let us discuss all TATA AIG health insurance claim procedures through this article.
The company’s claims are classified into two categories, based on the settlement and payment process, lets us examine each type one by one:
This type of claim enables the policyholder to avail of the treatment without paying for the medical expenses upfront and then the insurance company will settle down the bill directly with the hospital.
Cashless Claims can be divided into two categories based on the situation of hospitalization and they are:
Reimbursement claims let the insured receive medical care outside of the network hospitals of the insurance company. The policyholder pays the bill upfront and later requests for reimbursement from the insurer. Reimbursement claims can be filed for 21 days after the hospitalization along with the submission of all the necessary details.
If all the paperwork is aligned, cashless claims are a very straightforward process that goes quickly. Let’s see the steps :
Step 1: The hospital’s Help Desk Staff or TPA fills out the cashless claim request and submits it to the insurance company. TPA coordinates with the hospital to complete all the paperwork easily. The TPA also helps the policyholder to fill out the ’Pre-Authorization’ form.
Step 2: After reviewing all the documents and pre-authorization forms, the company issues an ’Authorization Letter’ to the hospital. And the company will complete the rest of the steps of settling the claim.
Follow these steps for a smooth reimbursement claim filing process:
Later, the company will verify the documents and will send the amount to your bank account.
Many additional documents may be asked by the company for better verification of the claim. Here is the list for the document:
Filing the claims is extremely easy TATA AIG. Policyholders can choose between cashless or reimbursement claims depending on their convenience. Cashless claims are settled directly with the hospital whereas reimbursement claims provide the customer flexibility in choosing the health care facility of their choice. The company’s customer services are readily available to help the policyholders in case of any confusion. You can find the details of customer care services on their official website.
TATA AIG Health Insurance Company Network Hospitals are present in 31 states nationwide. With a wide network of hospitals, TATA AIG Health Insurance Company ensures that you are medically secured, irrespective of the city you reside in.
To cater to the different medical needs of an individual & their family, TATA AIG Health Insurance Company offers several Health Plans ranging from senior citizen plans to specialized plans for autistic children, to health insurance for cardiac patients, and many more.Take a look below to TATA AIG Health Insurance Company plans explore more:
Accident Health Insurance
Life is very uncertain, you never know what will happen to you in the next second. Are you prepared for that? Nonetheless, to make you ready for life&...
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Individual and Family Health Insurance
TATA AIG medicare premier is an all-around health insurance plan offering you the latest and best health care features. Available on an individual and...
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Critical Illness Health Insurance
Be ready for future health complications that may chew down all your wealth and health! Or choose Tata AIG Criti MediCare which has your back. Tata AI...
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Senior Citizen Health Insurance
Trusted Naam, Fantastic Kaam! Choose all-around care for your health with the Tata AIG Elder Care plan. Tata AIG Elder Care is tailored to offer high-...
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Top Up and Super Top Up
TATA AIG Medicare Policy offered by Tata AIG is an affordable top-up policy that is designed to look after your and your family's healthcare needs. Me...
Unique Features
Individual and Family Health Insurance
TATA AIG Medicare is a comprehensive health insurance plan that is specifically designed by keeping in mind the increasing cost of medical expenses. T...
Unique Features
Individual
To ensure total health coverage for women, Tata AIG Health Insurance has introduced the Wellsurance Women Policy. This plan is specially designed to p...
Unique Features
Family
TATA AIG's Health Supercharge plan offers a fivefold enhancement in your health insurance coverage. This new plan opens the availability to different...
Unique Features
Know More About Health Insurance Companies
The name of the mobile application of TATA AIG Health Insurance Company is ’TATA AIG Insurance’.
In most cases, it takes 15 days to settle the claim, but this duration can be extended depending on the authentication of the documents and the claims raised.
The policyholder can report the claim 5 days in advance in the case of planned hospitalization.
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Bindiya is a seasoned content writer specializing in keeping readers acquainted with the insurance industry, term insurance developments, and life insurance sector shifts. With an experience of 3 years in insurance, Bindiya ensures that her readers stay well informed with the insurance developments and factually correct information.
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