Useful Information

Tata AIG

TPA Information

Medicare Plus Individual

Synopsis:

health insurance top-up plan designed as an economical and affordable option supplementing over and above the basic health insurance policy.

Highlight:

  • Higher sum insured options upto 1 Crore
  • Longer tenure upto 3 years
  • Deductible options available are Rs. 2 lakhs, Rs. 3 lakhs, Rs. 5 lakhs, Rs. 10 lakhs, Rs. 15 lakhs & Rs. 20 lakhs
  • Global Cover (optional)
  • No PPC, only Tele MER
  • Consumables Benefit
  • Higher Cumulative Bonus

Benefit:

Title
Description
Room Rent Limit
Covered
ICU Daily Rent Limit
Covered
Pre-Hospitalization Expenses
60 days
Post Hospitalization Expenses
90 days
Minimum Hospitalization Period
24 hours
Day Care Procedure Coverage
540+ day care procedures covered
Pre-Existing Disease / Illness coverage
Any pre-existing condition will be covered after a waiting period of 36 months.
Waiting Period for New Policy
30 days
Medical Screening
Compulsory for insured of the age of 46. For all age groups if SI is above 10 lakh.
Free Health Checkup
1% of previous year policy sum insured subject to a maximum of Rs. 10,000/-
Ambulance Expenses
Rs. 3000 per Hospitalization.
Non-Allopathic Treatments
Treatment under AYUSH is covered
Donor Expenses
Covers Medical and surgical Expenses of the organ donor for harvesting the organ where an Insured Person is the recipient.
No Claim Bonus
50% increase in cumulative bonus for every claim free (max 100%) year In case of claim 50% decrease in bonus