TATA AIG MediCare Select
Quotation Worksheet
Quote Reference No. Date
QPR/BT/28572/7332241108 28/05/2025 12:30 PM
Offer stands valid for today only
Proposed Insured Details:
Name Chintala Shivani
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Email
Contact No. 6301837658
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PIN Code 500062 Download now
TATA AIG App OR
Zone B https://taig.in/551c26a
Policy Tenure Opted 1 Year
Cover Start Date 28/05/2025 12:29 hrs You can also visit our website WhatsApp us
www.tataaig.com +91 9136160375
Business Type New Business
Intermediary Name DIRECT AGENCY HEALTH
Plan Type Individual
Product Name TATA AIG Medicare Select
Infinite Advantage Yes No
Consumables Benefit Yes No
Maternity Care Yes No
Reduction of Maternity Care Waiting Period Yes No
Early Access Yes No
Aggregate Deductible No
Room Category Select No
Proposed Insured Details:
Relationship Age(in years) Sum Insured (₹)
Self 32 500000
Commencement of risk cover under the Policy is subject to receipt of premium by TATA AIG General Insurance Company Limited.
Rider Package(s) for Tata AIG Medicare Select((Please Tick (√) the Rider Package)):
Rider Package Name Rider Names Cover/Benefit Name Coverage Limit
Supercharge Bonus Flexi Shield UIN: Supercharge Bonus 100% increase in base Sum Insured of the expiring policy year, max up to 300%,
Rider TATHLIA25039V012425 Rider irrespective of Claims
Accidental Death Flexi Shield UIN: Accidental Death 100% of the base Sum Insured or ₹50,00,000 whichever is lower
Benefit Rider TATHLIA25039V012425 Benefit Rider
Premium in ₹ (Inclusive of 18% GST):
Premium Details Amount (₹)
Pre-tax rates ₹ 6,962.77
GST@18% ₹ 1,253.30
Post-tax rates ₹ 8,216.00
Registered office : Peninsula Business Park, Tower A, 15th Floor, G.K Marg, Lower Parel, Mumbai - 400013, Maharashtra, India.
24x7 Toll Free No.: 1800 266 7780 or 1800 22 9966 (For Senior Citizens) • Email: customersupport@tataaig.com • Website: www.tataaig.com
IRDA of India Registration No: 108 • CIN: U85110MH2000PLC128425 • TATA AIG Medicare Select • UIN: TATHLIP25051V012425
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TATA AIG MediCare Select
Annexure to Customer Information Sheet (CIS) - Benefit Illustration in Respect of Policies Offered on Individual and Family Floater Basis
Age of Coverage opted on individual basis covering
Coverage opted on individual basis covering Coverage opted on family floater basis with
the multiple members of the family under a single
each member of the family separately (at a overall Sum Insured (only one sum insured
members policy (Sum insured available for each member
single point of time) available for entire family)
insured of the family)
#Premium(₹) Sum Discount #Premium #Premium(₹) Discount #Premium Sum #Premium Floater #Premium Sum
Insured(₹) if any after if any after Insured(₹) or discount after Insured(₹)
Discount(₹) Discount(₹) consolidated if any discount(₹)
premium for
all members
of the
family(₹)
32 8323.00 500000 0% 8323.00
#Total Premium for all members of the family is #Total Premium for all members of the family is #Total Premium when policy is opted on floater
₹8323.00 when each member is covered ₹________ when they are covered under a single basis is ₹________
separately policy
Sum Insured available for each individual is Sum Insured available for each family member is Sum Insured of ₹________ is available for the entire
₹500000.00 ₹________ family
#Note: Premium rates specified in the above illustration shall be standard premium rates without considering any loading. Also, the Premium rates shall be exclusive of taxes applicable
Disclaimer: This Quote has been generated based on bare minimum details & for basic cover. Quote & Premium is liable to change with any change in information / coverage / medical status & subject to underwriting.
Insurance is the subject matter of solicitation. For more details on benefits, optional benefits, exclusions, limitations, terms & conditions, please refer Sales Brochure/Policy Wordings on www.tataaig.com carefully,
before concluding a sale. The trade logo displayed above belongs to TATA Sons Private Limited and AIG and is used by TATA AIG General Insurance Company Limited under License.
Registered office : Peninsula Business Park, Tower A, 15th Floor, G.K Marg, Lower Parel, Mumbai - 400013, Maharashtra, India.
24x7 Toll Free No.: 1800 266 7780 or 1800 22 9966 (For Senior Citizens) • Email: customersupport@tataaig.com • Website: www.tataaig.com
IRDA of India Registration No: 108 • CIN: U85110MH2000PLC128425 • TATA AIG Medicare Select • UIN: TATHLIP25051V012425
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