Health Insurance 1626 views October 20, 2020

Tata AIG is one of the known and famous insurance companies. It offers various insurance plans that will help you to secure yourself from health problems. There is a health insurance plan known as the Tata AIG Medical Plus plan which covers various hospitalization expenses. It reimburses all the expenses that occurred during a health issue. On the other hand, if you are going for an ayurvedic treatment then it is also covered in this health plan. There are many more benefits of this health plan and it is available at an affordable premium. So, you must first explore the key features of this insurance plan and then go through the benefits.

Health Insurance

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Key Features of Medicare Plus Plan

  1. This plan covers the expenses of Pre-Hospitalization and Post hospitalization.
  2. Expenses for the organ donor are covered in this insurance plan.
  3. There are more than 4000 network hospitals present across India.
  4. You can renew this health insurance plan lifelong.
  5. If you are taking the domiciliary treatment then they are also covered in this plan.
  6. The company will give you an Ambulance Cover and AYUSH Treatment Cover in this plan.
  7. You can take a second opinion if you aren’t satisfied with the current one.
  8. Get Tax benefits under section 80D of the Income Tax Act 1961.
  9. You are free to choose the Sum Assured and the Policy term.

Benefits of Medicare Plus Policy

You can see the various risks and expenses that are covered in this policy. You must go through all the benefits in order to understand this plan better.

In-Patient Treatment

This insurance plan covers the expenses incurred during hospitalization. If in case you are hospitalized then the company will pay the medical expenses incurred for the treatment. The company will reimburse only those expenses that are directly related to the hospitalization.

Pre and Post Hospitalization Cover

You will get a cover for the pre-hospitalization expenses prior to 60 days to hospitalization. On the other hand, you will get reimbursement for the
post-hospitalization expenses for up to 90 days after discharge from the hospital.

Day Care Treatment Cover

Treatments received within a day without being hospitalized is known as the day care treatment. So, you will get the reimbursement for the day care treatment expenses in the Tata AIG Medicare Plus Plan.

Organ Donor Cover

If in case you are going for the organ transplant surgery then those expenses are covered in this insurance plan. All the medical and surgical expenses incurred will be reimbursed by the company.

Home Treatment Cover

Sometimes the doctor advises the patient to stay at home and continue the treatment. So, the expenses for home treatment are covered in this health insurance plan. These expenses are also known as domiciliary expenses.

AYUSH Treatment Cover

Sometimes the insured prefer ayurvedic treatment for a specific disease. So, the cost of AYUSH treatment is also covered in this plan. AYUSH Treatment includes the following treatments:-

  1. Ayurveda
  2. Unani
  3. Siddha
  4. Homeopathy

Ambulance Cover

An ambulance is needed to take the patient from one place to another and it involves certain expenses. So, the ambulance charges are also covered in this plan. The maximum reimbursement for the ambulance expenses is up to Rs.3000 per hospitalization.

Free Health Check-up

The expense for the Preventive Health Check-up is covered up to 1% of the previous sum insured and it will be a maximum of Rs. 10,000/- per policy. This benefit will be only be given to the insured after the 2 claim-free years.

Second Opinion

You can take a second opinion from the company if you are diagnosed with the following illnesses:-

  1. Cancer
  2. Kidney Failure
  3. Myocardial Infarction
  4. Angina
  5. Coronary bypass surgery
  6. Stroke/Cerebral Haemorrhage
  7. Organ failure requiring a transplant
  8. Heart Valve replacement
  9. Brain Tumours

Global Coverage

This is an optional benefit that you can add to this policy. In this benefit, you are allowed to receive treatments outside India. If you are diagnosed with a disease in India and going for the treatment abroad than those expenses are covered in this plan.

No Claim Bonus

You will get 50% of the Sum Assured as a cumulative bonus and it will be applied to the Sum Insured for the next policy year under the Policy after every claim-free year. The maximum cumulative bonus is allowed up to 100% of the Sum Insured in any Policy Year

Exclusions of Tata AIG Medicare Plus Plan

  1. There is 30 days of waiting period in this policy.
  2. The specified diseases include a waiting period of 24 months.
  3. Treatment for, Alcoholism, drug or substance abuse, or any addictive condition and consequences are excluded from the policy.
  4. War or any act of war, invasion, the act of foreign enemy, civil war, public defence, rebellion, revolution, insurrection, military or usurped acts,
    nuclear weapons/materials, chemical and biological weapons, ionizing radiation.
  5. Any Insured Person’s participation or involvement in naval, military, or air force operation.
  6. Hazardous or Adventure Sports.
  7. Expenses for treatment directly arising from or consequent upon any Insured Person committing or attempting to commit a breach of law with criminal
  8. Intentional self-injury or attempted suicide while sane or insane.
  9. Treatment rendered by a Medical Practitioner who is outside his discipline.

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