*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
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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.
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.
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:
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.
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.
To get reimbursement for your medical expenses, here is the list of documents that you need to submit:
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 firstname.lastname@example.org.
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