TATA AIG Claim Settlement Ratio
  • Importance of CSR
  • 93.55% claims settled by TATA AIG
  • Explore the Cashless Claim Process
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TATA AIG Claim Settlement Ratio

Checking the claim settlement ratio before buying health insurance is an important factor that cannot be neglected. Just like when you buy a house, you verify each and every detail like, checking the history of the builder, the projects they had delivered and much more. Likewise, when buying Health Insurance it is imperative for you to check all the details including the claim settlement ratio.

Buying Health insurance from a company that is not able to settle your claims on time is not good for anything. You and your loved ones might face the financial burden, along with the medical strain if your insurance company is unable to settle the claims on time. Thus, before buying health insurance, ensure to check the company thoroughly, evaluate its past performance and then make your final decision.

In the article below, we will be elaborately discussing the TATA AIG Health Insurance claim settlement ratio and its benefits.

Claim Settlement Ratio determines the claim settling ability of an insurance company and is used to rate the company on the basis of its claim settlement. The higher the percentage, the better the company’s ability to settle claims. As per the IRDAI, the claim settlement ratio of TATA AIG Health Insurance is 93.55%

Take a look at the below table that will give you a better idea of the TATA AIG Health Insurance claim settlement ratio from the financial year 2028 to 2021

Health Insurance Claim Settlement Ratio

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Status of TATA AIG Health Insurance Claim Settlement Ratio

Financial Year 2021-22
Age Analysis of Number of Claims Paid (%) < 3 months 3 months to 6 months 6 months to <1 year 1 year to <3 year 3 years to <5 years 5 years
Claims Settled 93.55 3.97 1.9 0.45 0.07 0.06

Claim Process of TATA AIG Health Insurance Plans

Now, as you have understood what is CSR and what is the TATA AIG claim settlement ratio 2021, you also need to understand the claim settling process. There are two types of claim processes: Cashless and Reimbursement.

Read below to understand them better.

Cashless Claims:

The cashless claim process is as follows:

  • In case of the need of a treatment, get admitted to one of the network hospitals empanelled with Tata AIG. You can check the list of network hospitals on the company’s website.
  • Validate your identity with the network hospital, after which the hospital will submit the pre-authorization request form to the company.
  • Then the company will review your request and confirm the network hospital by email and a copy of the same will also be shared with you.
  • The company will settle the claim with the hospital after the completion of all the formalities.

Note- In case of emergency hospitalization, you need to inform the insurer within 24 hours. In case of planned hospitalization, you need to inform the insurer at least 5 days in advance.

Reimbursement Claim

In the reimbursement claim process, you need to pay all the treatment bills to the hospital and then get the amount reimbursed from your insurance provider.

Tata AIG Health Insurance Network Hospital List

Tata AIG Health Insurance Network Hospitals are present in 31 states nationwide. With a wide network of hospitals, Tata AIG Health Insurance ensures that you are medically secured, irrespective of the city you reside in.

  • You can file for reimbursement under TATA AIG health insurance. To do that, the insured must collect all bills, and prescriptions related to the treatment and submit the same along with the claim form to the insurance company or TPA.
  • The insurer will analyze your claim and might ask for additional documents (if required).
  • If it gets approved, the company will transfer the amount directly into your account and in case of rejection, you will receive the reason for the same.

Explore other TATA AIG Health Plans

TATA AIG health offers a wide range of health insurance plans to fulfil the medical needs of individuals, families, and senior citizens.

A top-up plan that comes with comprehensive coverage. This plan compensates the insured when the basic sum insured gets exhausted.

Unique Benefits

  • Cumulative Bonus up to 100%
  • Lifetime renewability
  • Optional Global Coverage

TATA AIG Critical Illness Policy is designed to offer coverage against a wide gamut of illnesses and medical emergencies.

Unique Benefits

  • Second opinion Benefit
  • Tax benefits
  • Option to add beneficiaries

Tata AIG Corporate Health Insurance

Tata AIG Corporate Health Insurance offers coverage to employees and offers coverage for hospitalization, disability, and deaths resulting from accidents.

Unique Benefits

  • 24*7 worldwide coverage
  • Daily Cash Benefits
  • SI based on Salary or Category

A comprehensive plan which comes in 3 variants and is light on the pocket with SI ranging from 3 lakhs to 20 lakhs.

Unique Benefits

  • Global Coverage
  • 540+Day care treatments
  • Compassionate Travel up to 20K

TATA AIG Arogya Sanjeevani Health Insurance

A standard health plan designed to cover basic medical needs and keep you and your family protected in case of medical contingencies.

Unique Benefits

  • Cataract Treatment covered
  • AYUSH Coverage
  • Flexible Premium Payment

A unique policy that goes beyond health insurance by providing wellness programs. Provides services like consultation, discounts and newsletters on wellness.

Unique Benefits

  • Convalescence benefit
  • Critical illness benefit
  • Value added benefits

Tata AIG Corporate Health Insurance

Tata AIG Corporate Health Insurance offers coverage to employees and offers coverage for hospitalization, disability, and deaths resulting from accidents.

Unique Benefits

  • 24*7 worldwide coverage
  • Daily Cash Benefits
  • SI based on Salary or Category

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Tata AIG Health Insurance Reviews

Customer Review Image

Manik Seth

Pune

May 26, 2022

As per my experience, TATA AIG is one of the best health companies to rely on. I am so glad that I choose this insurance company for protecting my healthcare needs.

Customer Review Image

Abhishek Dhawan

Bhopal

November 17, 2021

Good company with great health plans, amazing customer care team as they explained the plans very briefly and helped me to find the best suitable plan for myself.

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vaibhav devgan

Chandigarh

October 12, 2021

Very fast claim settlement ratio. tata aig always stand with its customers and always support their customer

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Satyam

Chennai

October 7, 2021

TATA aig has been serving my requests for a long time...i m never disappointed...wheter its renewal, buying, claim you can trust them 100%

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Ravi Sharma

Bengaluru

October 6, 2021

Plans of TATA has great features... and the customer support team is very polite and helpful, I really love this company. Thanks for everything

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Satendra Kumar

Jaipur

August 31, 2021

customer support is amazing! also, the kind of features with my tata health plan is what really got me to buy the plan from them

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Neena Koul

Bengaluru

August 12, 2021

Last year, I took the health insurance plan from TATA AIG. I must say that the company offers very good plans and is very good at their customer service. Also, I wanna appreciate the team of P...

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Shreya Sharma

Delhi

August 12, 2021

As per my experience, TATA AIG is one of the best health companies to rely on. I am so glad that I choose this insurance company for protecting my and my family s healthcare needs.

View All Tata AIG Health Insurance Reviews

Naval Goel

Reviewed By : Naval Goel

Naval Goel is the CEO & founder of PolicyX.com. Naval has an expertise in the insurance sector and has professional experience of more than a decade in the Industry and has worked in companies like AIG, New York doing valuation of insurance subsidiaries. He is also an Associate Member of the Indian Institute of Insurance, Pune. He has been authorized by IRDAI to act as a Principal Officer of PolicyX.com Insurance Web Aggregator.