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

Medicare Plus Plan

This is a health insurance top-up plan designed as an economical and a ...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 Medicare Plus 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 Plus Policy, offered by Tata AIG, is an affordable top-up policy designed to look after your and your family's healthcare needs. Medicare Plus provides comprehensive coverage and compensates the policyholder if the sum insured gets exhausted. The policy offers extensive coverage, including costs associated with in-patient hospitalization, second opinions, daycare procedures, pre- and post-hospitalization costs, AYUSH treatment, ambulance coverage, costs associated with organ donation, global cover, and more.

The plan comes into action when the total amount of covered medical costs exceeds the deductible specified in the policy contract. In addition to coverage benefits, the policy also offers tax deductions on premium payments, lifetime renewal, and cumulative bonuses.

Plan at a glance

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

Entry age
3 Months to 65 Years
Plan type
Top Up and Super Top Up
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
  • Cumulative Bonus
  • Tax Benefit
  • Family Discount

Cons

  • No gender change treatment
  • Existing disability
  • Injuries due to breach of law
  • Injuries due to aviation
  • Suicide cover not included

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 Not covered
  • Covid-19 treatment Covered
  • Cataract Not covered

Bonuses & restoration

  • No-claim bonus Covered
  • Automatic restoration of SI Covered
  • Daily hospital cash Not 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 Not 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 Covered
  • Compassionate travel Not covered
  • Global coverage Covered

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.

Tata AIG Medicare Plus Premium Illustration

Deductible Chosen: 3 Lakhs

Sum Insured (in Rs.)5 Lakhs10 Lakhs15 Lakhs50 Lakhs1 Crore
Premium Payable (in Rs.)2,2643,3334,7716,3358,047

Deductible Chosen: 5 Lakhs

Sum Insured (in Rs.)5 Lakhs10 Lakhs15 Lakhs50 Lakhs1 Crore
Premium Payable (in Rs.)1,1771,7972,5283,8004,827

Deductible Chosen: 10 Lakhs

Sum Insured (in Rs.)5 Lakhs10 Lakhs15 Lakhs50 Lakhs1 Crore
Premium Payable (in Rs.)8111,3351,9342,7553,481

Inclusions & exclusions

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

Exclusions

  • Permanent diseases or health conditions not included under TATA AIG Medicare Plus are:
  • Alcoholic/drug/substance abuse.
  • Congenital anomalies, defects, or diseases.
  • Alcoholic pancreatitis.
  • Medical expenses related to eyesight correction due to refractive error (less than 7.5 dioptres).
  • Self-inflicted injuries.
  • Attempted suicide.
  • Any policyholder attempting to commit a breach of law with criminal intent.
  • Certain diseases and treatments are covered under this plan after a specific time period:
  • Listed ailments: 24 Months
  • Pre-existing diseases: 36 Months

Who can buy this plan

Eligibility criteria pulled straight from the policy wording.

  • Minimum Entry Age: 18 years
  • Maximum Entry Age: 65 years
  • Sum Insured: ₹3 Lakhs: ₹1 Crore
  • Waiting Period: 30 days

Other features & benefits

  • Consumables Benefits
  • In-patient Dental Treatment
  • Ambulance Cover
  • AYUSH Benefits
  • Domiciliary Treatment

Medicare Plus Plan: FAQs

The 4 most-asked questions about Medicare Plus Plan, answered.

You can cancel this policy within a free look period of 15 days and then the refund is provided by the insurer. After 15 days, some amount of the premium will be deducted.
50% bonus will be provided for every claim-free year for a maximum limit up to 100%.
Yes, the plan offers up to a 32% discount if the policyholder opts for the family floater policy. Also, one can avail long term discounts wherein the policyholder will get 5% & 10% discounts for 2 & 3-year policies, respectively.
No, if you are continuously renewing your health insurance every year on time, then you do not need a pre-medical test.

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Written and reviewed by

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