Tata AIG MediPrime

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Tata AIG MediPrime

Objective		This policy aims to provide financial assistance to the insured in event of a health emergency.
Suited for		It can be bought as individual or family floater cover. Under the family cover, the sum insured can be utilized by any of the insured members in case of need.
What does it do?		Apart from inpatient hospitalisation treatment, it covers two outpatient treatments including accident related dental treatment and vaccination expenses after animal bite. It covers non-allopathic treatments like Ayurvedic, Unani and homeopathy, with a condition that the treatment iss availed as an inpatient. There are other benefits for treatments that do not require an overnight stay in a hospital, treatments taken at home, organ donor expenses in case of a transplant and daily cash allowance for accompanying an insured child.
Pros		There are no sub-limits under inpatient benefit and the policy allows lifelong renewal. It covers non-allopathic treatments and provides OPD benefits. Premium paid towards this policy is deductible under Section 80D of Income Tax Act.
Our View		This is a good policy offering wide medical coverage at nominal premium rates. Absence of sub-limits and lifetime renewal are major advantages. Outpatient treatment cover is another valuable benefit. If you are looking to buy health insurance up to Rs 10 lakh for self or family, this policy is recommended.
Eligibility
Entry Age (years)
Minimum	18; 91 days for children
Maximum	65; 21 years for children
Maximum Policy Renewal Age (years)	Life long renewal
Coverage Type	Individual/ family floater
Policy Term (years)	1 or 2
Sum Insured (Rs)
Maximum	10 lakh
Minimum	2 lakh
Discount	5% on premium for choosing a 2 years policy term. Family discount of 10% if 3 or more family members are covered under the same policy.
No Claim Bonus	10% increase in annual inpatient sum insured for every claim free year subject to a maximum of 50%. If a claim is made, the cumulative bonus would reduce by 20% in the following year
Pre Policy Medical Check Up	Required for person above 45 years of age and Sum Insured greater than 5 lakhs. l50% of medical costs will be reimbursed upon proposal acceptance
Grace Period for Policy Renewal	15 days
Policy Termination	Insurer may cancel the policy by giving a 30 days notice period. Policyholder is also allowed to cancel the policy at anytime. If no claim has been made, insurer would refund a proportionate premium as agreed in the policy document
Customer Service
Address	Registered Office:TATA AIG Insurance, 9th Floor, Piramal Towers, Peninsula Corporate Park, Ganpatrao Kadam Marg, Lower Parel, Mumbai - 400 01
Mail to	customersupport@tata-aig.com
Call to	1800-266-7780
SMS	TAG to 5616181

 

Scope of Cover
	Sum Insured (in Rs.)
Benefits (per policy year)	2 lakh/ 3 lakh/ 4 lakh	5 lakh/ 7.5 lakh/ 10 lakh
Cashless facility	available if treatment taken in a network hospital
Reimbursement facility	available if treatment availed in a non-network hospital
Pre & post hospitalisation	covers expenses incurred during 30 days prior to hospitalisation and 60 days after discharge. Number of days can be increased to 60 for pre hospitalisation and 90 post discharge if insured member informs insurer 5 or more days in advance of hospitalisation date.
Inpatient treatment	covered without sub-limits
Other benefits
Day Care Procedures	covers 140 day care treatments
Domiciliary treatment	covered
Organ donor expenses
Ayush benefit	covers inpatient Non-allopathic in-patient treatments like Ayurvedic, Unani or Homeopathy maximum upto Rs 20000	covers inpatient Non-allopathic in-patient treatments like Ayurvedic, Unani or Homeopathy maximum upto Rs 25000
Health check up (once after 4 continuous renewal)	pays upto 1% of sum insured per policy subject to maximum of Rs 5000 per insured person
Ambulance expenses	covered upto maximum of Rs 2500 per hospitalisation
Daily cash benefit for accompanying an insured child aged 12 years or less	pays Rs 300 per day maximum upto Rs 9000 per hospitalisation	pays Rs 500 per day maximum upto Rs 15000 per hospitalisation
Outpatient cover
Outpatient Vaccination (post bite treatment of animal bite)	pays upto Rs 5000
Accident related Dental Treatment	covered upto Rs 5000	covered upto Rs 7500

 

Exclusions and Waiting Period
Pre-existing diseases	covered after 48 months of continuous renewal
No claim period	30 days from inception of the policy
Waiting period	2 years for certain illnesses such as arthritis, sinusitis, joint replacement etc. as stated in the policy document

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