Network hospitals
11000+
Incurred claim ratio
96.70%
Sum insured
Up to 3 Crores
No. of Plans
1
Solvency Ratio
3.9
Pan India Presence
221+
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 family floater basis, the plan ensures you receive premium medical care with 8,000+ network hospitals available for cashless hospitalisation across the country.
Cover your parents and parents-in-law above the age of 65 years as well as dependent children as young as 91 days old.
Sum insured options available under the policy range between INR 5 Lakhs to 3 Crores ensuring availability of adequate sum insured. Tata Medicare premier policy term options vary between 1/2/3 years along with the benefit of lifetime renewability.
To keep you motivated towards living a healthy lifestyle TATA AIG Medicare Premier comes with a wellness program. Earn multiple wellness rewards by downloading the TATA AIG app on the Google Play Store and Apple Store.
When it comes to extensive coverage, Tata AIG Medicare Premier is gaining popularity with an extensive list of features like:
In this article, we aim to simplify your purchase decision by providing you with all the vital details, necessary information, features & benefits of the plan.
To understand Medicare Premier Plan Insurance in detail, take a look at the below table:
91 days to 65 years
Individual and Family Health Insurance
5 L | 10 L | 15 L | 20 L | 25 L | 50 L | 75 L | 1 Cr | 2 Cr | 3 Cr
30 Days
Lifelong
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.
Read more specifications in the brochure.
With wide coverage options available, Medicare Premier Plan Insurance Plan allows you to choose your ideal coverage as per your family’s health requirements. Take a look at the coverage under every SI option available and choose your ideal coverage:
Room Rent
Covered
ICU Charges
Covered
Pre-Hospitalization
Covered
Post-Hospitalization
Covered
Domiciliary Hospitalization
Covered
Daycare Treatment
Covered
OPD Charges
Covered
COVID-19 Treatment
Covered
Cataract
Covered
No Claim Bonus
Covered
Automatic Restoration
Covered
Daily Hospital Cash
Covered
Organ Donor
Covered
Maternity Cover
Covered
New Born Baby Cover
Covered
AYUSH Treatment
Covered
IVF Treatment
Not Covered
Modern Treatment
Not Covered
Ambulance
Covered
Air Ambulance
Covered
Compassionate Travel
Covered
Global Coverage
Covered
E-Consultation
Covered
Health Check-Up
Covered
Second Medical Opinion
Covered
Vaccination
Covered
Co-payment
Not Covered
Sub-limits
Not Covered
The room rent limit is the maximum bed charge you can claim if you are hospitalised. Common Room categories covered under room rent are all kinds of rooms including single, private and AC rooms (except suite).
It is a special hospital department where patients with serious medical conditions are treated.
Medical expenses incurred before hospitalisation of the policyholder.
Medical expenses incurred after the discharge of the policyholder from the hospital.
Domiciliary hospitalization or home care treatments are the arrangements for an insured individual due to the unavailability of medical amenities in hospitals, or in a case where an insured member can not be admitted to the hospital due to an inability. The treatment should last equal to or more than 72 hours to get financial coverage.
Treatments that can be completed within 24 hours of hospitalization like blood dialysis, cataracts, etc.
Covers the cost of doctor consultations and prescribed medical tests that may not require hospitalization. .
It includes the treatment cost for COVID-19 with a confirmative diagnosis from a government-approved centre.
A common eye condition in which your vision gets blurred due to cloudy formation in your eyes.
For every claim-free year, insurance companies reward policyholders with an increase in the sum insured amount as a no-claim bonus or cumulative bonus on policy renewal. However, in the case of a claim, this bonus amount either lapses or is reduced by a certain percentage varying from one plan to the other.
It is a benefit in which an insurance company restores the amount of sum insured completely or up to a certain percentage after it gets fully exhausted in treatments. This restoration amount may vary from one plan to the other.
Daily hospital cash or Hospicash is a cash amount that you receive each day during the time of hospitalization to cover your non-medical expenses.
It is a cover that includes the cost of the procedure for removing the damaged or malfunctioning organs from the body. In most of the cases, the insurer pays for the hospitalization and transplant expenses for both the parties i.e. the donor and the receiver.
It refers to the cover that includes expenses for normal and c-section deliveries.
It takes care of the medical expenses that arise due to the hospitalisation of the newborn baby in case of any childbirth complications, medical challenges, and so on. Some of the common treatments that are covered under the newborn cover and these common treatments can vary from plan to plan:
Refers to the cost of medicines and procedures used under AYUSH (Ayurveda, Yoga & Naturopathy, Unani, Siddha, and Homeopathy) treatment.
In Vitro Fertilization (IVF) is a method of assisted reproductive technology. The common expenses incurred under IVF and infertility treatments are settled or reimbursed for:
Medical treatments that demand the use of modern technology and advanced machinery such as robotic surgeries, stem cell therapy, etc.
An ambulance is used to move the patient from home to the hospital, transfer them to another hospital, and take them for different tests outside the hospital.
Air ambulances are specially prepared planes that transfer the patient from one place to another in case of a health emergency.
Refers to the travelling expenses of a family member who’s visiting the hospital to look after the patient when the policyholder gets admitted to a hospital outside his/her residential city.
Any kind of medical/health emergency when you are outside of India is covered for hospitalization expenses, modern and specific treatments, etc.
If a policy offers e-consultation it allows policyholders to connect with a doctor for medical consultation through video chat, audio call, or chatbot.
A facility where the policyholder can avail of free health check-ups after fulfilling the company's eligibility criteria. In most cases, the insured member/s gets an annual health check-up cover.
If the policyholder wants, they may opt for a second medical opinion wherein the policyholder can consult another doctor within the company’s network of medical practitioners.
Coverage against the expenses incurred on vaccinations of either the newborn baby, for an animal bite, etc is provided by the insurance companies.
In the co-payment clause, policyholders have to pay a preset amount (either compulsorily or voluntarily) of the hospitalisation expense on their own and the insurer will pay the rest of the medical bill amount.
Sub limit is a condition in which the insurer will have to pay the medical expense up to a certain percentage and the remaining amount will have to be paid by the policyholder. For instance, if your policy covers room rent for upto 20% of the sum insured, but the expense of the same is more than 25%, you will have to pay the rest amount, i.e. 5%, for your room rent.
Investing in the TATA AIG Medicare premier plan comes with a list of benefits that ensures premium healthcare for you and your family
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.
Premium illustration mentioned for individual cover exclusive of GST. The premium payable under the policy will be computed based on the residential location/address as provided by the proposer/insured person.
Zone A
SI (In Rs.) | 10 L | 25 L | 50 L | 1 Cr | 3 Cr |
Premium (In Rs.) | 11,579 | 14,575 | 17,218 | 22,681 | 34,942 |
Zone B
SI (In Rs.) | 10 L | 25 L | 50 L | 1 Cr | 3 Cr |
Premium (In Rs.) | 10,092 | 12,797 | 15,239 | 20,105 | 30,724 |
Zone C
SI (In Rs.) | 10 L | 25 L | 50 L | 1 Cr | 3 Cr |
Premium (In Rs.) | 8,617 | 10,996 | 13,703 | 17,460 | 26,382 |
The policy schedule has some exclusions that are mentioned below:
Congenital External Diseases, defects, or anomalies
Alcoholic pancreatitis
Intentional self-injury or attempted suicide while sane or insane
Expenses for treatment directly arising from attempting to commit a breach of law with criminal intent
Treatment rendered by a medical practitioner which is outside his discipline
Wellness Program | Health Risk Assessment Reward Earning Reward utilization (towards OPD Consultation/ Treatment, Pharmaceuticals, Health Check-Ups/ Diagnostics, etc.) |
Wellness Services | Unlimited Teleconsultation General Unlimited Teleconsultation - Specialist Health Condition Management (Diet & Weight Management Program and Stress Management Program) Redeemable voucher/Discount on services Ambulance Booking facility Emergency Help Me features |
Accidental Death Benefit | Covered Up to SI |
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
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Individual and Family Health Insurance
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Critical Illness Health Insurance
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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-...
Unique Features
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...
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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...
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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
Tata AIG Medicare premier plan is an individual and family floater health plan offering a wide range of sum insured options between 5 Lakhs and 3 Crores.
The sum insured options available to customers are 5 L | 10 L | 15 L | 20 L | 25 L | 50 L | 75 L | 1 Cr | 2 Cr | and 3 Cr.
Yes, the international cover is available under the plan up to the sum insured.
The sub-limits available are: For SI selected up to INR 50 L - Coverage up to INR 60,000 is available For SI 75 L to 3 Crores - Coverage Up to INR 1.2 L is available
No, the co-pay clause does not apply to the TATA AIG Medicare premier health plan.
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Simran is an insurance expert with more than 4 years of experience in the industry. An expert with previous experience in BFSI, Ed-tech, and insurance, she proactively helps her readers stay on par with all the latest Insurance industry developments.
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February 5, 2023
Asia/Kolkata
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