Tata AIG offers two types of claim settlements – cashless and reimbursement. Follow the steps to raise a claim:
- Find the nearest network hospital of Tata AIG
- Get admitted to the hospital
- Notify the insurance company about the hospitalization
- In case of pre-planned hospitalization, intimate the insurer before hospital admission.
- Fill up the pre-authorization form and submit it to the hospital staff
- The pre-authorization form will be sent to Tata AIG for approval.
- Once approved, obtain medical treatment.
- At the time of discharge, sign all the medical documents.
- Pay for the items/services not covered under the Tata AIG policy
- The network hospital will send the hospital bill to Tata AIG.
- After review, the insurance company will pay the bill amount directly to the network hospital.
- Intimate Tata AIG about the hospitalization
- In case of planned hospitalization, inform the insurance provider before hospital admission.
- Obtain medical treatment
- During discharge, pay the hospital bill in full.
- Collect all the medical documents, hospital bills and receipts
Our Claim specialists in below cities will reach your hospital or home in 30 minutes to support your health insurance claim
About Tata AIG Health Insurance
Tata AIG Health Insurance plans are offered by the Tata AIG General Insurance Company. The company was started as a combined venture between India's Tata group and the American International Group (AIG) in January 2001. The company offers a variety of health insurance plans with customized plans for COVID-19, critical illnesses and maternity coverage.
Types of Tata AIG Insurance Plans
The Tata AIG Medicare plan offers all-round medical coverage to individuals and families.
Features and Benefits:
- Both in-patient treatment and day care procedures are covered within India and abroad
- Restore benefits as well as consumables benefits are available
- Cost of bariatric surgery and a second medical opinion are also covered
- Compassionate travel and vaccination covers are also available
- No pre-policy medical check-up is required for up to 45 years
- 50% cumulative bonus for up to 100% available for every claim-free year
- Preventive health check-up facilities available after every two claim-free years
The Tata AIG Medicare Premier plan provides the right mix of coverage benefits to ensure comprehensive coverage for all medical needs.
Features and Benefits:
- Coverage for in-patient treatment and high-end diagnostics are available
- Maternity expenses and OPD treatment are covered after a waiting period
- Compassionate travel and global cover are also available
- Air ambulance service and accidental death benefits are also available
- No pre-policy check-up is required for up to 45 years
- 100% automatic restoration of the sum insured is available
- 50% cumulative bonus for up to 100% is granted for every claim-free year
The Tata AIG Medicare Protect plan is a basic health insurance policy that covers the insured against planned and emergency hospitalization.
Features and Benefits:
- Coverage for in-patient treatment and domiciliary treatment are available
- Preventive health check-up facility is available after every 3 claim-free year
- Consumables benefit and AYUSH benefit are also available
- No pre-policy check-up is required for up to 45 years
- 100% restoration of the sum insured available under the restore benefit
- 10% cumulative bonus for every claim-free year is available
- Optional accidental death rider can also be purchased
The Tata AIG Medicare Plus plan provides comprehensive coverage to the insured along with deductible options.
Features & Benefits:
- Cost of in-patient treatment and day care procedures are covered
- Coverage for both pre and post-hospitalization expenses are covered
- Preventive health check-up facility available after every two claim-free year
- Second opinion and consumables benefits are also available
- Pre-policy medical check-up is not required for up to 45 years
- 50% cumulative bonus granted for every claim-free year
- Option to choose global cover is also available
The Tata AIG Criti Medicare plan is a critical illness insurance policy designed to provide coverage for up to 100 critical illnesses. The plan is available in five sections – Critical Illness, Cancer 360 Degree Indemnity Cover, Hospital Cash, Wellsurance Benefit (Optional) and Personal Accident.
Features and Benefits:
- Sum insured amount ranges from Rs 5 lakh to Rs 2 crore
- Coverage for chemotherapy and radiotherapy are available
- Second medical opinion cover is also available
- Global cover under Cancer 360 Degree is also available
- Annual health check-up facility available for every claim-free year
- Hospital cash benefit for in-patient hospitalization and ICU is available
- Option to choose zero survival period, 7 days or 15 days
The Tata AIG Maternal Care policy- Sakhi is a maternity insurance plan that offers coverage for delivery expenses and other pregnancy-related procedures. The policy comes with a waiting period of 90 days.
Features and Benefits:
- Coverage for in-patient hospitalization is available
- Cost of institutional delivery is covered
- ICU daily cash and high-risk pregnancy check-up benefits are also available
- Maternal complications, including septic shock, epilepsy, etc. are covered
- Surgical complications, including ectopic pregnancy, are covered
- Coverage for congenital anomalies are also available
- Family transportation benefit is also provided
The Tata AIG Personal Accident and Loss of Job plan provides financial coverage in case of unforeseen events like accidents and loss of job.
Features and Benefits:
- Coverage for the accidental death of the insured is available
- Sudden disappearance of the insured is also covered
- Employment resignation due to permanent/temporary disability is covered
- Comes with lifelong renewability
Tata AIG Home Guard Plus is a unique plan that offers coverage for critical illnesses, personal accidents, fire, burglary and theft.
Features and Benefits:
- 9 critical illnesses, including cancer, are covered
- Coverage for accidental death and permanent total disability are covered
- Education benefit is also provided for the insured's children
- Involuntary loss of employment cover is also available
- Coverage for fire and natural calamities available for the insured's house
- Burglary and theft cover is available for the contents of the insured's house
- No pre-policy medical check-up is required for up to 55 years
Key Benefits of Tata AIG Health Insurance
or select from popular citiess In case of emergency we are just a call away. Take care of your family, we will do the rest. Our claim specialists will reach your location & complete the formalties from filing the claim to documentation to coordinating with insurer, TPA & hospital. Available in New Delhi and 114+ cities View cities list ›Search Tata AIG Cashless Network Hospital list
Policybazaar Claim Process
Here is the list of documents required to file a Tata AIG health insurance claim:
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Claim FormDuly filled and signed Tata AIG health insurance claim form
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Health Card/Policy CopyHealth card or a copy of Tata AIG health insurance policy
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Medical DocumentsHospital discharge card, doctor’s prescriptions, test reports, etc.
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Medical Bills & Payment ReceiptsMedical test and investigation reports with payment receipts, Surgeon's bills and payment receipts
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KYC DocumentsNEFT and KYC details
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Legal DocumentsFIR/Self-declaration/ Medico Legal Certificate (MLC) in case of an accidental hospitalization
Note: The exact list of claim documents varies from case to case. Contact the customer support team for the complete list.
The process to buy a Tata AIG Health Insurance plan is given below:
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Visit the Health Insurance SectionGo to the ‘Health insurance’ section on Policybazaar.com
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Fill in Personal DetailsProvide necessary details like age, mobile number, city, medical history, gender, etc.
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Pay the Premium OnlineChoose your preferred Tata AIG health insurance policy and pay the premium online
The process to renew a Tata AIG Health Insurance plan is given below:
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Go to the Renewal SectionNavigate to the ‘Renew Your Policy’ tab on Policybazaar.com and select ‘Health Renewal’
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Verify Your IdentityEnter your registered mobile number and the OTP sent to your device
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Pay the Renewal Premium OnlineSelect the Tata AIG health insurance policy you want to renew and pay the premium online
Take a look at the Tata AIG Health Insurance contact number below:
| Categories | Contact Details |
|---|---|
| Toll-free No. | 1800-266-7780 |
| WhatsApp No | +91 91361 60375 |
| Email Id | customersupport@tataaig.com |
Tata AIG Health Insurance: FAQs
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Q1. Is Tata AIG health Insurance cashless?
Ans: Yes. Tata AIG health insurance plans provide cashless hospitalization facilities at all the empanelled hospitals across India within its network.
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Q2. Which plan covers OPD treatment in Tata AIG?
Ans: The Tata AIG Medicare Premier plan offers OPD treatment cover after a waiting period of 2 years.
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Q3. Does Tata AIG cover pre-existing diseases?
Ans: Yes. Tata AIG health insurance plans provide coverage for pre-existing diseases after a waiting period of 2 years.
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Q. What is the advantage of selecting a policy with a duration of more than 1 year?
Ans: If one buys Aditya Birla Health Insurance for more than a year, one can save 7.5 % and 10% on the 2 and 3 years premium, respectively.
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Q. How is an Individual cover different from a Floater cover?
Ans: In an Individual cover, coverage is offered to each individual in the family separately. In a Family Floater health insurance plan, each family member is covered based on a floater sum insured.
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Q. How is an Individual cover different from a Floater cover?
Ans: In an Individual cover, coverage is offered to each individual in the family separately. In a Family Floater health insurance plan, each family member is covered based on a floater sum insured.
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Q. What is a waiver of a mandatory co-pay cover?
Ans: This benefit is covered on payment of an additional premium. Therefore, any mandatory co-payment that is applicable under the Aditya Birla Activ Health Essential Plan will be waived off.
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