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Get Lowest Rates for TATA AIG MediSenior Policy

Mediclaim Plans starting @ Rs 250* / month

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TATA AIG MediSenior Policy

Tata AIG General Insurance Company is a joint venture between the Tata Group and American International Group.

The Tata AIG MediSenior is a transparent health insurance policy that focusses on senior citizens. After retirement, you can focus on your good health without any financial stress.

Highlights of the Plan

  • If you are under any health insurance policy, you can still get it ported to this MediSenior policy
  • Get access to comprehensive hospitalization coverage without any sub limits
  • Gain tax benefit under the section 80D of the Income Tax Act
  • Enjoy lifelong renewals with this policy
  • You can enhance your sum insured at the time of renewals as per guidelines of the policy

Scope of cover

Indivdual Plan

Entry Age

Minimum : 61 years

Maximum : No Limit

Number of Members Covered

Maximum Members : 2

Maximum Adults : 2

Maximum Children : 0

Sum Insured

2/3/5 lakhs


discount

5% non-cumulative discount offered on the premium at renewal after each claim-free year

Policy Periods Available

1 and 2 years


Pre-Policy Medical Check-up

50% of expenses incurred by insured will be reimbursed on acceptance of proposal.

Validity of reports is 90 days from date of pre-policy check-up

Family Floater Plan

Entry Age

Minimum : 61 years

Maximum : No Limit

Number of Members Covered

Maximum Members : 2

Maximum Adults : 2

Maximum Children : 0

Sum Insured

2/3/5 lakhs


discount

5% non-cumulative discount offered on the premium at renewal after each claim-free year

Policy Periods Available

1 and 2 years


Pre-Policy Medical Check-up

50% of expenses incurred by insured will be reimbursed on acceptance of proposal.

Validity of reports is 90 days from date of pre-policy check-up

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 5% of the sum insured.

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.

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.

Good to Have Benefits

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

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.

Emergency Ambulance
Definition
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Emergency Ambulance

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

This plan provides reimbursement of expenses of Rs. 2000 incurred per hospitalization on emergency ambulance service provider.

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

Co-Payment
Definition
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Co-Payment

The fixed amount the policyholder has to pay for covered services when they get the service. When both insured and insurer pay part of the medical expenses, it is called as cost sharing. This is applicable based on the policy you choose.

On shared accommodation or any lower accommodation type, 15% copayment is applicable and that has to be borne by you.

On single occupancy or any higher accommodation type, 30% copayment is applicable and that has to be borne by you.

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 MediSenior Policy

This Tata AIG MediSenior policy takes care of your health problems without eating into your savings. It’s designed for Senior Citizens of 61 years and above as people in this category are prone to ailments. You can choose from the range of sum insured amount as per your requirement. And the best part is that you can enjoy lifelong renewals with this policy.

**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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