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Get Lowest Rates for Tata AIG MediPrime Policy

Mediclaim Plans starting @ Rs 250* / month

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Tata AIG MediPrime Policy

The Tata AIG MediPrime is a transparent health insurance policy that does not have any co-payment on expenses and allows both you and your savings to remain healthy.

Highlights of the plan

  • You don’t have to undergo any medical tests till the age of 50 years
  • 5% discount if you choose policy tenure option of 2 years
  • Get access to comprehensive hospitalization coverage without any sub limits
  • Gain tax benefit under the section 80D of the Income Tax Act
  • Policy offers lifelong renewability
  • Co-payment is not required
  • You can enhance your sum insured at the time of renewals as per guidelines of the policy

Scope of cover

Indivdual Plan

Entry Age

Adults :

Minimum : 5 Years

Maximum : 65 Years

Number of Members Covered

Maximum Members : 6

Maximum Adults : 4

Maximum Children : 2

Sum Insured

Wide range of Sum Insured from 2 lakhs up to 10 lakhs


discount

5% discount offered if 2-year tenure is chosen

Policy Periods Available

1 and 2 years


Pre-Policy Medical Check-up

For individuals who are 50 years and above

For individuals with sum insured up to 5 lakhs

Family Floater Plan

Entry Age

Children between 91 days – 5 years are covered provided both parents are covered in the policy

Adults :

Minimum : 5 Years

Maximum : 65 Years

Number of Members Covered

Maximum Members : 6

Maximum Adults : 4

Maximum Children : 2

Sum Insured

Wide range of Sum Insured from 2 lakhs up to 10 lakhs


discount

5% discount offered if 2-year tenure is chosen

Policy Periods Available

1 and 2 years


Pre-Policy Medical Check-up

For individuals who are 50 years and above

For individuals with sum insured up to 5 lakhs

Important Features

Day Care Treatments
Definition
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Day Care Treatments

Includes surgical processes conducted using local or general anaesthesia which requires less than 24 hours of hospitalization because of technological advancement in healthcare. Each company has a specific list of processes which are covered under this category.

Due to scientific advancement, around 140 surgical procedures/treatments do not require you to be hospitalized for a minimum of 24 hours to raise a claim.

No-Claim Benefits
Definition
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No-Claim Benefits

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In this policy, if you don't make any claim, you earn a cumulative bonus of 10% of the sum insured up to a maximum of 50%. If you make a claim then your bonus shall be reduced by 10%

Organ Donor Cover
Definition
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Organ Donor Cover

Includes coverage for in-patient hospitalization expenses, offered to an organ donor for his/her treatment on harvesting an organ for the insured.

The medical expenses that are incurred due to harvesting organ from the donor for organ transplantation

Pre Hospitalization
Definition
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Pre Hospitalization

Medical expenses incurred immediately before the insured individual is hospitalized are covered under this benefit. Usually, expenses up to 30 to 90 days before hospitalization are covered under the policy only after the in-patient hospitalization claim is accepted by the insurance company.

The insurance company will compensate you for the medical expenses related to your hospitalization 30 days before the hospitalization. However, this can be increased to 60 days if the claim is intimidated only 5 days before hospitalization.

Post Hospitalization
Definition
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Post Hospitalization

Medical expenses incurred immediately after the hospitalization are covered under this benefit.The coverage under this benefit would be available only for approved in-patient hospitalization claim is accepted by the insurance company. Usually, expenses up to 30 to 180 days post discharge are covered under the policy.

The insurance company will pay you for the medical expenses related to your hospitalization 60 days post hospitalization. However, it can be increased to 90 days if the claim is intimated only 5 days before hospitalization.

Good to Have Benefits

OPD Expense Cover
Definition
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OPD Expense Cover

Includes coverage for expenses on treatments which do not require 24 hours of hospitalization.

Outpatient vaccination is covered up to Rs. 5000 and for in-patient treatment, up to in-patient treatment sum insured

Daily Hospitalization Allowance
Definition
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Daily Hospitalization Allowance

Includes lump sum compensation offered in some plans on a daily basis after every 24 hours of hospitalization.The amount offered under this benefit could be used to cover expenses additional to hospitalization expenses.

If the insured person who is hospitalized is aged 12 years or less, a daily cash allowance will be paid for one accompanying adult for a period of 24 hours if the hospitalization exceeds 12 hours.

For sum insured of 2 – 4 lakhs: Daily cash of Rs. 300 per day and maximum of Rs. 900 per day is provided

For sum insured of 5 -10 lakhs: Daily cash of Rs. 500 per day and maximum of Rs. 15,000 per day is provided

Health Check-up
Definition
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Health Check-up

Includes complimentary health check-up provided by the insurance companies for certain health insurance plans.

You can get up to 1% of sum insured up to Rs. 5000 for a health check for consecutive 4 claim-free years.

Home Hospitalization/ Domiciliary Hospitalization
Definition
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Home Hospitalization/ Domiciliary Hospitalization

Includes coverage for expenses borne when active treatment is provided to the insured (especially older patients) by health care professionals in the patient's home.

You can avail medical treatment at home up on the advice of a physician up to sum insured

Non- Allopathic Treatment Expense Cover
Definition
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Non- Allopathic Treatment Expense Cover

Includes coverage for expenses on treatment which do not use allopathic methods like Aurveda, Homeopathy, etc. The terms and conditions are different for different policies. This benefit is also refered to as Ayush benefit or Alternative treatment by some the insurers.

Pays for expenses for in-patient treatment that is taken under Homeopathy, Ayurveda, Unani and Sidha. For sum insured of 2-4 lakhs up to Rs. 20,000 is covered and for sum insured of 5-10 lakhs up to Rs. 25,000 is paid.

Emergency Ambulance
Definition
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Emergency Ambulance

Includes coverage for expenses on ambulance for hospitalization of the insured.

Supposing medical services are not available at the particular hospital. Then this plan provides reimbursement of expenses of Rs. 2500 incurred on emergency ambulance service provider in case of transporting patient from one hospital to another.

ORGAN DONOR COVER
Definition
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ORGAN DONOR COVER

Includes coverage for in-patient hospitalization expenses, offered to an organ donor for his/her treatment on harvesting an organ for the insured.

It covers expenses incurred in event of organ transplantation

Value Adds

FREE LOOK PERIOD
Definition
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FREE LOOK PERIOD

For any reason, should you decide not to proceed with the policy, you can return the same and request for a refund within 15 days from the date of receipt of the policy document.

Terms & Conditions

Room Rent / Room Category
Definition
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Room Rent / Room Category

Hospitals have a fixed tariff or rate chart for all rooms. Mediclaim depends on the amount of room rent limit specified in the policy document. The amount varies depending on the type of room category chosen.

No limit

Sub-Limits
Definition
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Sub-Limits

Includes the limits up to which specific conditions are covered under your policy. These limits are applicable for packaged treatments or some specific ailments listed in the policy.

No sub-limits on room rent, doctor fees, and hospitalization expenses

Waiting Period

Cooling Off Period
Definition
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Cooling Off Period

The period begins right after commencement of the policy within which you cannot claim for any illness except claims related to accident. This period is not applicable for subsequent renewals.

A 30 days cooling off period for all claims except any arising out of accidental injuries.

Specific Illnesses
Definition
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Specific Illness

The ailments of specific severity listed in the policy document are included under this category.

The policy covers some specific diseases/treatments only after 24 months. These include Cataract, Arthritis, Hernia, Kidney Stone, and so forth.

Pre-Existing Illnesses
Definition
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Pre-Existing Illnesses

The ailments that the insured was already diagnosed with before taking the policy.

You can claim for any pre-existing conditions after 48 months from the policy start date.

Permanent Exclusions

The Plan will not cover any liabilities towards the treatments of following conditions-

  • Intentional self-injury
  • Mental illness
  • Cosmetic, aesthetic treatment
  • Dental surgery
  • AIDS
  • Pregnancy, childbirth, miscarriage, and abortion
  • Congenital disease
  • Infertility and in vitro fertilization.
  • Hospitalization out of war, riot, strike and nuclear weapons

Review of Tata AIG MediPrime Policy

This Tata AIG MediPrime policy is an ideal comprehensive plan that you can buy. Its wide range of sum insured gives you more flexibility. Also, since there are no sub-limits on hospital room rent, hospital charges, and doctor fees, it gives you wider scope of coverage. The 5% discount on a tenure of 2 years is another highlight of this plan.

**Reviews and ratings are based only on Benefits and Conditions. Things like Claim Settlement Ratio, Hospital Network have not been covered under product ratings. These are covered under Company ratings.

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