TATA AIG Health Insurance Claim Settlement Ratio

(39 Reviews)
Insurer Highlights

*All savings are provided by the insurer as per the IRDAI approved insurance plan. Standard T&C Apply

*Tax benefit is subject to changes in tax laws. Standard T&C Apply

Back
Get insured from the comfort of your home
Get insured from the comfort of your home
  • 1
  • 2
  • 3
  • 4

Who would you like to insure?

  • Previous step
    Continue
    By clicking on “Continue”, you agree to our Privacy Policy and Terms of use
    Previous step
    Continue

      Popular Cities

      Previous step
      Continue
      Previous step
      Continue

      Do you have an existing illness or medical history?

      This helps us find plans that cover your condition and avoid claim rejection

      Get updates on WhatsApp

      Previous step

      When did you recover from Covid-19?

      Some plans are available only after a certain time

      Previous step
      Advantages of
      entering a valid number
      You save time, money and effort,
      Our experts will help you choose the right plan in less than 20 minutes & save you upto 80% on your premium

      TATA AIG Health Insurance Claim Settlement Ratio

      Tata AIG General Insurance Company earned an impressive claim settlement ratio of 86.5% in FY 2021-22, which indicates the insurer's ability to settle most of the claims it receives. Claim Settlement Ratio or CSR is the ratio of the total claims paid by the insurer versus the total claims received in a financial year. Since a CSR above 85% is considered good, it brings enough confidence to customers to buy Tata AIG health insurance plans.

      Read More

      The insurer also has a team of experienced claim settlement professionals who ensure timely settlement. Moreover, the company has established a user-friendly claim settlement process that ensures easy claim registration and settlement.

      Claim Process of TATA AIG Health Insurance

      Tata AIG General Insurance Company provides two types of claim facilities, i.e. cashless claims and reimbursement claims. The claim process for both are given below:

      Claim Process for Cashless Treatment:

      For cashless claim requests, the insured needs to get admitted at a network hospital of the insurance company. The claim process for cashless treatment is given below:

      Step 1: Inform the Health Insurance Company

      Notify Tata AIG General Insurance Company about your planned hospitalization at least 48 hours in advance and emergency hospitalization within 24 hours.

      Step 2: Submit Cashless Claim Form

      Submit the filled-out cashless claim form to the insurance company via post or email.

      Step 3: Wait for the Approval Letter

      The insurance company will verify all the details after receiving your cashless claim form. If approved, the hospital will be notified, and you will get a confirmation letter. The confirmation letter for cashless claims remains valid for seven days from the date of issuance.

      Step 4: Submit the Letter to the Network Hospital

      Once you get admitted to the hospital, you can submit the confirmation letter and the health card.

      Step 5: Claim Settlement

      Once you are discharged, the insurance company will pay all the bills directly to the hospital.

      Claim Process for Reimbursement Treatment:

      To get reimbursement for your medical expenses, you need to adhere to the following steps:

      Step 1: Pay All the Hospital Bills

      Before leaving the hospital after your treatment, crosscheck all the details and pay all the bills.

      Step 2: Submit All the Documents

      Soon after getting discharged from the hospital, you must submit all the required documents to the insurance company or the designated TPA along with the filled-out claim form.

      Step 5: Claim Payment

      Once the TPA or the insurance company receives all your documents, they will be verified and the claim payment will be processed within 21 days from document submission.

      Documents Required for TATA AIG Health Insurance Claim

      To get reimbursement for your medical expenses, here is the list of documents that you need to submit:

      • Duly filled and signed the claim form
      • Copy of your Tata AIG health insurance policy or health card
      • Medical certificate signed by the consulting doctor
      • Original hospital bills and payment receipts
      • X-ray and pathological reports
      • Copy of the hospital discharge card
      • Original pharmacy bills
      • Copy of the FIR in case of accidental claims
      • NEFT details of the policyholder
      • Duly filled CKYC form for claims above Rs 1 lakh
      • Disability certificate, if any

      To know more details related to Tata AIG health insurance claim, you can speak to Policybazaar’s customer care team at 1800-208-8787 or write to us at care@policybazaar.com.

      Policybazaar exclusive benefits
      • 30 minutes claim support*(In 120+ cities)
      • Relationship manager For every customer
      • 24*7 claims assistance In 30 mins. guaranteed*
      • Instant policy issuance No medical tests*
      book-home-visit
      Disclaimer: Policybazaar does not endorse, rate or recommend any particular insurer or insurance product offered by an insurer.

      Health insurance articles

      Recent Articles
      Popular Articles
      Does HDFC ERGO Health Insurance Cover Dental Treatments?

      22 May 2024

      HDFC ERGO General Insurance Company offers various health
      Read more
      Does Aditya Birla Health Insurance Cover Dental Treatments?

      17 May 2024

      Dental insurance is vital in maintaining oral health by covering
      Read more
      Does Niva Bupa Health Insurance Cover Dental Treatments?

      06 May 2024

      Dental insurance covers regular dental check-ups and treatments to
      Read more
      Surgeries Covered by TATA AIG Health Insurance Plans

      26 Apr 2024

      Amidst the escalating healthcare costs nationwide, managing the
      Read more
      Surgeries Covered by Liberty Health Insurance Plans

      26 Apr 2024

      Liberty General Insurance Limited offers a range of comprehensive
      Read more
      How to Apply for Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (PM-JAY)?
      Ayushman Bharat Yojana is a flagship health insurance scheme launched by the Government of India to offer universal
      Read more
      Best Health Insurance Plans for Senior Citizens
      Senior citizens are the most prone to diseases. Considering the medical inflation in India, buying health insurance
      Read more
      Does Health Insurance Provide Coverage for LASIK Eye Surgery?
      A vast majority of the Indian population is suffering from vision problems. For some of them, LASIK eye surgery is
      Read more
      Zero Waiting Period in Health Insurance Plans
      Every medical insurance plan comes with a few terms & conditions, and the waiting period is one of them. A
      Read more
      Heart Surgery Cost in India
      Heart diseases are the leading cause of death across the globe. As per a survey by the World Health Organisation
      Read more

      top
      Close
      Download the Policybazaar app
      to manage all your insurance needs.
      INSTALL