TATA AIG Critical Illness Policy

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Introduction/Overview

This is a special health insurance policy that offers a lump sum payment on diagnosis of certain critical illnesses so that the policy holder can use the money for treatment of the disease. This policy aims to cover major illnesses which can otherwise become a drain on a family's finances. It can be bought along with the basic health policy for an enhanced coverage in worst situation.

Key Features

  • Cashless hospitalization at 5000+ hospitals
  • Lifelong renewal provided premium is paid without any break.
  • Coverage for 11 specified critical illness
  • No medical test or examination required to enroll into the policy
  • Can be purchased in addition to any basic mediclaim or health insurance policy
  • Lumpsum benefit is given to the policyholder if diagnosed with any of the 11 critical illness
  • Coverage amount ranging from Rs.2.5 lacs to Rs.15 lacs
  • Income tax benefit on the premium paid as per Section 80D of the Income Tax Act.
  • Free Look Period of 15 days from the date of receipt of the Policy document to review the terms and conditions of this Policy

Details About Premium

Annual premium in Rupees

 


Sum Insured (in Rs)

 

Age (in years)

2.5 lakh

3.5 lakh

5 lakh

7.5 lakh

10 lakh

15 lakh

18-24

936

1270

1777

2581

3366

4880

25-29

1263

1714

2581

3483

4543

6587

30-34

1704

2314

3237

4702

6133

8892

35-39

2471

3355

4694

6818

8892

12894

40-44

4345

6038

8448

12271

16006

23209

45-49

7781

10566

14783

21474

28009

40613

50-54

12449

16905

23652

34357

44814

64980

55-59

19918

27048

37843

54971

71702

103967

60-64

38639

54094

77277

115914

154552

231828

 

Policy Details

Minimum sum assured – 2.5 lakhs

Maximum sum assured – 15 lakhs

Coverage type: Individual

No claim bonus: none

Grace period: 30 days for renewing the Policy. However, coverage would not be available for the period for which no premium has been received.

Policy termination: 3 months prior to the expiry of the policy

Additional Features Or Riders

  • Sum Assured can be enhanced at the time of  renewal
  • Wellsurance Health Perks -  Discounts on selected health check up packages at our wide range of network hospitals
  • Policyholders can get a second opinion from Tata AIG’s empanelled doctor’s in the US for free of cost
  • Option to choose coverage of 6 different levels
  • Critical illness plan provides world-wide protection cover for 365 days of the year

Exclusions

  • Pre existing diseases are not covered for the first 4 years
  • Treatment done in the first 30 days from the commencement of the policy, unless the treatment is done as a result of accident or emergency. This is referred to as a waiting period.
  • Any illness or disease contracted due to intake of alcohol/drugs or other addictive substances will not be covered.
  • The waiting period for specific conditions will be 24 months Any pre-existing condition will be covered after a waiting period of 48 months
  • Any treatment which begins during waiting periods except Accident related / War / Intentional self injury or attempted suicide / Abuse of drugs and alcohol and nicotine addiction/ Sleep Apnoea / Treatment of Obesity / Maternity / Psychiatric or mental disorders / Congenital diseases / Conditions which arise out of HIV/AIDS / etc.

Documents Required

A policyholder has to fill up an ‘Application form/ proposal form’ with accurate medical history along with the address proof. Medical examination may be required in some cases, based on the sum assured and the age of the person.

Eligibility

Entry age for the policyholder, spouse and parents is 18 years to 65 years with lifetime renewal option.