MORE
HOLISTIC.
MORE
PROTECTIVE.
MORE
WELLNESS.
Presenting
Choose all-round care for your health with our
Trusted Naam, Fantastic Kaam!
Being the risk experts, we know there can be no compromise in the matters of health
and making sure that starts with a robust insurance plan. Choosing the right mix of
features and coverage levels is essential to get everything you would need in an ideal
Health Insurance plan. The product is designed keeping in mind the important role that
your health insurance plays considering the cost of medical emergencies. With a legacy
built on trust be rest assured that we will not compromise on your health insurance and
neither should you.
Global Cover for Planned Hospitalization
Covers Medica
outside India, provided that the diagnosis was made in India.
*Expenses incurred towards obtaining visa for medical treatment is also covered.
Consumables
Covers expenses incurred, fo
hospitalization directly related to the insured person's medical or surgical treatment of illness/disease/injury.
Restore
We will automatically restore the basic Sum Insured to 100% upon exhaustion of the Sum Insured and
*For single premium multi-year policies, the insured can utilize maximum upto 3X Restore in a policy year. i.e
policy with tenure of 3 years, the insured is eligible for a total of 3 restorations anytime during the policy
period and 2X for a 2 years policy.
Emergency Air Ambulance
Covers expense for ambulance transportation by airplane or helicopter for emergency life threatening health
Tata AIG Medicare Premier UIN: TATHLIP23167V032223
conditions, which require immediate ambulance transportation to the hospital/medical centre for further
medical management.
New Features Added Now
Wellness Services
Provides wellness services desig
• Unlimited Teleconsultation - General/ Specialty • Ambulance Booking facility
• Health Condition Management • Emergency Help me feature
• Redeemable voucher/Discount on services
Wellness Program
Provides a wellness program d
through:
• Health risk assessment • Wellness Rewards
•
under below categories:
• OPD consultation/ treatment
• Health-check-ups/ diagnostics
• Health Supplements
• Pharmaceuticals
*Home Care Treatment
Covers expenses incurred for treatment taken at home for Dialysis/Chemotherapy/Pandemic
Care at home.
Coverages
In-Patient Treatment
Covers expenses for hospitalization due to disease/illness/lnjury during the policy period that requires an
Insured Person's admission in a hospital as an inpatient.
High End Diagnostics
Covers the insured person for the listed diagnostic provided in the policy wordings on OPD basis if required
as part of a treatment
Accidental Death
Covers 100% of the base Sum Insured, max up to `50 Lakhs in the event of death of insured person
the policy.
Maternity Cover
waiting period of 4 years of continuous coverage under this policy.
First year Vaccinations
Covers vaccination expenses for up to one year after the birth of the child provided the child is covered with us.
Organ Donor
Covers Medical and surgical Expenses of the organ donor for harvesting the organ where an Insured Person
Tata AIG Medicare Premier UIN: TATHLIP23167V032223
is the recipient.
Compassionate Travel
a. Domestic
Immediate Family Member to be at insured person's bedside during his stay in the hospital in India.
b. *Global
Covers expenses related to round trip economy class air ticket, to allow the Immediate Family Member to
accompany the Insured person for the purpose of planned treatment outside India.
OPD Dental Treatment
Covers expenses re
cumulative bonus.
*Home Physiotherapy
As a part of Post Hospitalization expenses cover, 15 physiotherapy sessions arranged at home by our
empanelled service providers within India.
Other Coverages
Pre-Hospitalization expenses Second Opinion OPD Treatment
Daily Cash for choosing Ambulance Cover Health Checkup
Shared Accommodation Hearing Aid Day Care Procedure
Vaccination Cover Cumulative Bonus
Post-Hospitalization expenses Domiciliary Treatment Bariatric Surgery
Daily Cash for Accompanying an Insured Child Delivery Complications Cover
In-Patient Treatment-Dental
Pre-Policy Check-up
Age(in Years)/Sum Insured Sum Insured up to ₹50 Lakhs Sum Insured above ₹50 Lakhs
Tele MER (only if positive
Upto age 45 Tele MER
medical declaration)
46-55 Tele MER Tele MER
56 to 65 Tele MER MER, Urine Routine, CBC with ESR, LFT,
USG Abdomen & Pelvis, Hba1c, HBsAg,
X ray chest, Sonomammography
(female), PSA (male)
In case of adverse medical declaration, we may call for TeleMER/additional medical tests
Premium Chart:
ALL PREMIUM MENTIONED IS PER PERSON IN INR (EXCLUSIVE OF GST)
For the purpose of premium computation, the country is categorized into following three Zones and
premium payable under the policy will be computed based on the residential location/address as
provided by the proposer/insured person.
Tata AIG Medicare Premier UIN: TATHLIP23167V032223
Mumbai including MMR/ Thane, Delhi NCR/Faridabad/Ghaziabad, Ahmedabad, Surat and Baroda
Premium Calculations:
Calculate Your Premium
Individual Premiums Family Floater Discount Long Term Discount
Total Premium
You
20% Family Floater
for 2 members
Spouse
5% Discount
for 2yrs tenure
upto 28% Long Term
Children for 3 members
10% Discount
upto for 3yrs tenure
Dependent 32%
Parents for more than 3
Apply Apply
TOTAL TOTAL TOTAL
discount discount
Premium calculated are Exclusive of GST
General Exclusions
Medical Exclusions:
Congenital External Diseases, defects or anomalies
Alcoholic pancreatitis
Non-Medical Exclusions:
Intentional self-injury or attempted suicide while sane or insane.
Expenses for treatment directly arising from attempting to commit a breach of law with criminal intent
Treatment rendered by a Medical Practitioner which is outside his discipline
Waiting Period:
Any listed illnesses/treatments will be covered after a waiting period of 24 months.
Tata AIG Medicare Premier UIN: TATHLIP23167V032223
Any pre-existing condition will be covered after a waiting period of 24 months.
Maternity will be covered after a waiting period of 48 months of continuous coverage under
this policy with us.
continuous coverage under this policy.
Tax
Claim Procedure
claim. For any emergency situations, kindly contact Us within 24 hours of the event.
Claim Related Information: For any claim related query, intimation of claim and submission of
claim related documents, You can contact Us through:
Name: TAGIC Health Claims
Email: healthclaimsupport@tataaig.com
Toll Free:
Website: www.tataaig.com
Submit claim: Tata AIG General Insurance Company Limited, 5th and 6th Floor, Imperial
Towers, H.No 7-1-6-617/A, GHMC No - 615,616, Ameerpet,Hyderabad – 500016, Telangana,
Terms and Conditions
Policy Tenure Options-1/2/3 Years
You have a period of 15 days from the date of receipt of the policy document to review the policy
terms/conditions. In case of any policy related objections, you have the option to cancel the
policy and premium would be refunded as per free-look regulation laid down by IRDAI.
on individual's health status. Maximum overall risk loading shall not exceed 150% of premium per individual.
There will be no premium refund in case of cancellation due to non-disclosure of material facts,
mis-representation or fraud.
Grace period of 30 days from the policy expiry is available. Coverage is not available during the grace period.
Sum insured can be enhanced only at the time of renewal subject to our underwriting guidelines
In case you want to port your policy to Us, apply at least 45 days prior to policy renewal date and IRDAI
portability guidelines shall apply.
intimated to You at least 3 months in advance. In case of withdrawal, you have an option to migrate to
our similar health insurance product.
Prohibition of Rebates
out or renew or continue an insurance in respect of any kind of risk relating to lives or property in India,
any rebate of the whole or part of the commission payable or any rebate of the premium shown on the
policy, nor shall any person taking out or renewing or continuing a policy accept any rebate, except such
rebate as may be allowed in accordance with the published prospectuses or tables of the insurer.
Any person making default in complying with the provisions of this section shall be liable for a penalty
Tata AIG Medicare Premier UIN: TATHLIP23167V032223
which may extend to ten Lacs rupees.
Grievance Redressal Procedure:
Section 64 VB of the Insurance Act, 1938:
Commencement of risk cover under the policy is subject to receipt of premium by Tata AIG General Insurance
Company Limited.
24x7 Helpline 24x7 Claims Helpline
1800 266 7780 Write to us
For Senior Citizens 1800 266 7780 customersupport@tataaig.com
1800 229 966
Disclaimer:
Insurance is the subject matter of solicitation.
wordings carefully, before concluding a sale.
Coverage
Cover / Sum
Insured (in `) `75
Upto `50 Lakhs `100 Lakhs `200 Lakhs `300 Lakhs
Lakhs
In-patient
Upto Sum Insured
Treatment
Pre-
Hospitalization Upto 60 days
expenses
Post-
Hospitalization Upto 90 days Upto 200 days
expenses
Day Care
procedures
Organ Donor
Domiciliary Upto Sum Insured
Treatment
Ambulance
Upto Upto
cover (per Upto `5000 Upto `20000 Upto `30000
`7500 `10000
hospitalization)
Maximum Maximum
Upto 1% of Sum Maximum Maximum
upto upto
Health Check-up Insured; maximum upto `25,000 upto `25,000
`15,000 `20,000 per
`10,000 per policy per policy per policy
per policy policy
Compassionate
Upto Upto
travel (per policy Upto `20,000 Upto `50,000 Upto `50,000
`50,000 `50,000
Tata AIG Medicare Premier UIN: TATHLIP23167V032223
year)
Consumables
Global Cover
for Planned
Hospitalization
Bariatric Surgery Upto Sum Insured
Cover
In-patient
Treatment -
Dental
Vaccination cover
Hearing Aid 50% of actuals; maximum `10,000 per policy
Daily cash for
choosing shared 0.25% of base Sum Insured; maximum `2000 per day
accommodation
Daily cash for
accompanying an 0.25% of base Sum Insured; maximum `2000 per day
insured child
Second Opinion Covered
`50,000 (` 60,000
Maternity Cover for birth of girl `1,00,000 (`1,20,000 for birth of girl child)
child)
Delivery
Complications Up to `10000 Up to `25000
Cover
First year
Upto `10000 (`15000 for girl child)
Vaccinations
Prolonged
Hospitalization 1% of Sum Insured
High End
Diagnostics (per Upto `25,000 Upto `50,000
policy year)
Upto Upto
OPD Treatment Upto `5,000 Upto `15,000 Upto `20,000
`7500 `10,000
OPD Treatment - Upto Upto
Upto `10,000 Upto `20,000 Upto `25,000
Dental `12,500 `15,000
Emergency Air Up to `500,000 for out of Network
Upto `5,00,000
Ambulance Cover Upto Sum Insured within our Network
Accidental Death 100% of base Sum
`50,00,000
Insured
Upto Sum Insured for
Home care a) Dialysis at home b) Chemotherapy at home
Not Available
treatment cover c) Up to 25% of Sum Insured for Pandemic Care
at home, max up to 15 days in a policy year
Tata AIG Medicare Premier UIN: TATHLIP23167V032223
50% increase in cumulative bonus for every claim free year. In the case a claim is
Cumulative
made during the policy year, the cumulative bonus would reduce by 50% in the
Bonus
following year.
i. Unlimited Teleconsultation General
ii. Unlimited Teleconsultation – Specialist
iii. Health Condition Management
a. Diet & Weight Management Program
Wellness Services
b. Stress Management Program
iv. Redeemable voucher/Discount on services
v. Ambulance Booking facility
vi. Emergency Help me feature
i. Health Risk Assessment
Wellness ii. Reward Earning
Program iii. Reward utilization (towards OPD Consultation/ Treatment, Pharmaceuticals,
Health Check-Ups/ Diagnostics, etc.)
Email: customersupport@tataaig.com | Website: www.tataaig.com | IRDA of India Registration No: 108
CIN: U85110MH2000PLC128425 | Tata AIG Medicare Premier UIN: TATHLIP23167V032223
TAGIC/B/TGMCPRE/Feb 23/01 Ver 1/All 0165
