Tata AIG Medicare Premier Plan: Benefits & Coverage | PolicyX
TATA AIG Health Insurance Company TATA AIG Health Insurance Company ★ 4.4

Medicare Premier Plan

This health insurance plan covers your parents and parents-in-law abov ...Read More

Up to 3 Crores
Sum insured
1
No. of plans
221+
Pan India presence
-%
Claim settlement ratio
🛡️ IRDAI Approved
4.4/5 · 2,712 reviews
🏥 11,000+ hospitals
📊 1.81 solvency ratio
-% claim settlement

About Medicare Premier Plan

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

The Tata AIG Medicare Premier is a comprehensive health insurance plan offering advanced healthcare features. Available on an individual and family floater basis, the plan provides access to premium medical care with over 8,000 network hospitals for cashless hospitalisation across India.

It covers parents and parents-in-law above 65 years of age, as well as dependent children as young as 91 days old.

Sum insured options range from ₹5 Lakh to ₹3 Crore, ensuring adequate sum insured. Policy terms are available for 1, 2, or 3 years, with the benefit of lifetime renewability.

To encourage a healthy lifestyle, Tata AIG Medicare Premier includes a wellness program. Policyholders can earn wellness rewards by downloading the Tata AIG app from the Google Play Store and Apple Store.

The Tata AIG Medicare Premier is popular for its extensive coverage, which includes features such as:

  • Global cover for planned hospitalisation
  • Consumables benefit
  • Restoration benefits
  • Emergency air ambulance
  • Wellness services
  • Home care treatment
  • High-end diagnostics, and more

Plan at a glance

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

Entry age
91 days to 65 years
Plan type
Individual and Family Health Insurance
Sum insured options
₹5 L, ₹10 L, ₹15 L, ₹20 L, ₹25 L, ₹50 L, ₹75 L, ₹1 L, ₹2 L, ₹3 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

  • Wellness service
  • Compassionate travel
  • Home care
  • Restore benefit

Cons

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

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 Covered

Bonuses & restoration

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

Family & special care

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

Modern & preventive care

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

Conditions & global

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

Benefits of Tata AIG Medicare Premier Plan

Investing in the Tata AIG Medicare Premier plan offers a range of benefits, ensuring premium healthcare for you and your family.

  • Flexible Room Selection

    With the Tata AIG Medicare Premier plan, you can opt for a single, deluxe, or shared room without worrying about sub-limits on room rent, even if the rent exceeds your policy's room rent limit.

  • OPD Dental Treatments

    Unlike many other health plans, Tata AIG Medicare Premier covers expenses for dental treatments like root canals, extractions, and fillings. This coverage becomes active after a continuous waiting period of 2 years.

  • Global Coverage

    If you are diagnosed with an illness in India and wish to seek treatment abroad, Tata AIG Medicare Premier will cover your expenses. The plan also covers visa application fees for such treatments.

  • Covers Hearing Aid Expenses

    If a specialized medical practitioner prescribes a hearing aid, Tata AIG Medicare Premier will cover the expenses. This benefit is available every third year, with a maximum payable amount of 50% of the actual cost or ₹10,000 per policy, whichever is less.

  • High-End Diagnostics Cover

    Tata AIG Medicare Premier provides financial support for high-end diagnostic tests, covering up to ₹50,000 for listed tests per policy year.

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.

Premium Illustration for Tata AIG Medicare Premier Plan

The premium illustration is for individual cover, exclusive of GST. The premium payable under the policy will be computed based on the residential location/address provided by the proposer/insured person.

Zone A

Sum Insured (₹)10 Lakh25 Lakh50 Lakh1 Crore3 Crore
Premium (₹)11,57914,57517,21822,68134,942

Zone B

Sum Insured (₹)10 Lakh25 Lakh50 Lakh1 Crore3 Crore
Premium (₹)10,09212,79715,23920,10530,724

Zone C

Sum Insured (₹)10 Lakh25 Lakh50 Lakh1 Crore3 Crore
Premium (₹)8,61710,99613,70317,46026,382

Inclusions & exclusions

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

Exclusions

  • 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 outside their discipline

Who can buy this plan

Eligibility criteria pulled straight from the policy wording.

  • Entry Age: 18 years
  • Maximum Entry Age: 65 years
  • Sum Insured (SI): ₹5 Lakh to ₹3 Crore
  • Waiting Period: 30 days

Other features & benefits

Additional Benefits

Wellness ProgramHealth Risk Assessment, Reward Earning, Reward utilization (towards OPD Consultation/Treatment, Pharmaceuticals, Health Check-Ups/Diagnostics, etc.)
Wellness ServicesUnlimited General Teleconsultation, Unlimited Specialist Teleconsultation, 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 BenefitCovered Up to Sum Insured (SI)

Medicare Premier Plan: FAQs

The 5 most-asked questions about Medicare Premier Plan, answered.

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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