TATA AIG Medicare Plan: Compare Premiums & Renew | PolicyX
TATA AIG Health Insurance Company TATA AIG Health Insurance Company ★ 4.4

Tata AIG Medicare Plan

TATA AIG Medicare is a comprehensive health insurance plan specificall ...Read More

Up to 3 Crores
Sum insured
1
No. of plans
221+
Pan India presence
-%
Claim settlement ratio
🛡️ IRDAI Approved
4.4/5 · 2,710 reviews
🏥 11,000+ hospitals
📊 1.81 solvency ratio
-% claim settlement

About Tata AIG Medicare Plan

A quick read on what this TATA AIG Health Insurance Company plan covers and why it might be a fit for you.

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 at a glance

Eligibility, sum insured options and policy mechanics — pulled straight from the policy wording.

Entry age
90 days - No limit
Plan type
Individual and Family Health Insurance
Sum insured options
₹3 L, ₹5 L, ₹10 L, ₹15 L, ₹20 L
Waiting period
30 days
Renewability
Lifelong
Policy term
1, 2, 3, years

*Initial Waiting Period is the time period between the issuance of the policy and the time it starts actively. During this period, a policyholder has to wait to avail of the benefits offered under a health insurance plan.

Pros & cons

A quick honest summary — the strengths and the trade-offs.

Pros

  • Global coverage
  • 540+ day care treatments
  • Qualified nurse
  • Room rent
  • Organ donor

Cons

  • Injury due to suicide attempt
  • Death due to drugs
  • STDs
  • Injuries due to breach of law

What's covered

Every CMS-driven coverage flag from the plan wording — only items with a published value render below.

Hospitalization

  • Room rent Covered
  • ICU charges Covered
  • Pre-hospitalization Covered
  • Post-hospitalization Covered
  • Domiciliary hospitalization Covered
  • Day-care treatment Covered
  • OPD charges Covered
  • Covid-19 treatment Covered
  • Cataract Not covered

Bonuses & restoration

  • No-claim bonus Covered
  • Automatic restoration of SI Covered
  • Daily hospital cash Covered

Family & special care

  • Maternity cover Not covered
  • New-born baby cover Not covered
  • IVF treatment Not covered
  • AYUSH treatment Covered
  • Organ donor expenses Covered

Modern & preventive care

  • Modern treatment Covered
  • Road ambulance Covered
  • Air ambulance Not covered
  • E-consultation Not covered
  • Health check-up Covered
  • Second medical opinion Covered
  • Vaccination Not covered

Conditions & global

  • Co-payment Not covered
  • Sub-limits Not covered
  • Compassionate travel Covered
  • Global coverage Covered

Video reviews

Walkthroughs from the PolicyX team — pros, cons, real claim experiences and who should buy.

Tata AIG Health Insurance

Tata AIG Health Insurance

This video explains Tata AIG Health Insurance in detail.

Benefits of TATA AIG Medicare

The TATA AIG Medicare policy is a comprehensive health insurance plan that offers numerous key features and benefits to its customers. Let's look at some important key features of the TATA Medicare plan:

  • Bariatric Surgery

    Get coverage for expenses incurred on Bariatric Surgery treatment related to weight and obesity control.

  • Consumable Benefit

    Covers expenses incurred on certain listed consumables used during hospitalization.

  • Tax Benefits

    The plan offers tax-saving benefits on paid premiums under Section 80D of the Income Tax Act.

  • Prolonged Hospitalization Benefits

    A predetermined amount of 1% of the insured sum will be given if the insured person stays in the hospital for more than 10 days due to a covered illness or accident.

  • Coverage for Vaccination

    Covers expenses incurred on HPV (Human Papilloma Virus) and Hepatitis B vaccinations after 2 years of continuous coverage under this plan. Anti-rabies and typhoid vaccinations are also covered without any waiting period.

TATA AIG Health Insurance Company Network Hospital List

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.

Know More About Network Hospitals →

Sample premium

Indicative premium examples — your actual quote depends on age, declared medical history, sum insured and add-ons.

Sample Premium Rates of TATA AIG Medicare

We have illustrated the sample premiums for all three variants of the TATA AIG Medicare policy with different family sizes. The details below illustrate the premium payable by an individual for a sum insured of INR 5 lakh.

Medicare

Family Size: 1 Adult | 2 Adults | 2 Adults + 1 Child

Annual Premium (in Rs.): 7,934 | 12,695 | 15,888

Medicare Premier

Family Size: 1 Adult | 2 Adults | 2 Adults + 1 Child

Annual Premium (in Rs.): 10,156 | 12,710 | 15,376

Medicare Protect

Family Size: 2 Adults | 2 Adults + 1 Child | 2 Adults + 2 Kids

Annual Premium (in Rs.): 10,156 | 12,710 | 15,376

Inclusions & exclusions

What the plan pays for, and what it doesn't.

Exclusions

  • This section outlines permanent exclusions and coverage after a waiting period.
  • Permanent diseases or health conditions not covered under the TATA AIG Medicare plan include:
  • Intentional self-injury
  • Suicide
  • Cosmetic & aesthetic treatment
  • Hospitalization due to war, riot, strike, and nuclear weapons
  • AIDS
  • Congenital disease
  • Infertility and in vitro fertilization
  • Certain diseases and treatments are covered under this plan after a specific time period:
  • 24 Months
  • 36 Months

Who can buy this plan

Eligibility criteria pulled straight from the policy wording.

  • Entry age: 18 years
  • Maximum entry age: 65 years
  • Sum Insured: ₹3 Lakh: ₹20 Lakh
  • Waiting period: 30 days

Other features & benefits

  • AYUSH benefit
  • Health checkup
  • Bariatric surgery cover
  • Vaccination cover

Tata AIG Medicare Plan: FAQs

The 9 most-asked questions about Tata AIG Medicare Plan, answered.

No medical/No Tele- tele-medical examination Report is required for up to 45 years.
Yes, the plan offers a Family floater discount wherein one can avail 20% discount for 2 members, 28% discount for 3 members & 32% discount for more than 3 members. Also, one can avail Policy tenure discount wherein the plan offers a 5% long-term discount on 2-year tenure & 10% long-term discount on 3-year tenure.
The plan will pay for the expenses incurred for consumables that are listed in ‘Items for which optional cover may be offered by insurers’ under ‘Guidelines on Standardization in Health Insurance, 2016’.
There are no waiting periods for rabies and typhoid vaccines. Hepatitis B and HPV vaccines are available after a waiting period of 24 months.
No, the Tata Medicare plan does not provide coverage during the grace period.
Yes, more than 540 daycare treatments are covered under the TATA Medicare policy.
One Family Floater Policy can cover up to 7 members of a family (the self, spouse, three dependent children (under the age of 25), and two dependent parents).
Anyone aged 5 or more (dependent children between 91 days and 5 years can be insured only when both parents are insured).
The maximum entry age for the TATA AIG Medicare policy is 65 years.

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