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Tata AIG Mediprime

Tata AIG MediPrime Plan is a comprehensive health insurance policy which will reimburse the cost of medical treatment done by a person for any injury, illness or accident. It covers hospitalisation costs and expenses incurred to undergo day-care treatments which do not require the person to be admitted in the hospital. This plan can be renewed for life and it has no sub limits across hospitalization benefits.  It also provides for Accidental Dental Treatment and Non-allopathic in-patient treatments like Ayurvedic, Unani or Homeopathy.

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Domiciliary Treatment
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Pre-Post Hospitalisation
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Pre-existing Diseases
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Key Features

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Wide range of coverage amount ranging from Rs.2 lacs to Rs.10 lacs
No sub limits for treatments and hospitalization benefits
Assured renewal of policy for life
No loading on renewal in case of a claim
No use of third party administrators (TPA) to process claims. The company has a direct claim service team
Inpatient and outpatient coverage for Accidental Dental treatment
Coverage for Non-allopathic in-patient treatments like Ayurvedic, Unani or Homeopathy
Provides coverage for most day care procedures

140 different Day Care procedures which do not require 24 hours hospitalization due to technological advancement.

No medical check-up up to 45 years and up to Sum Insured of Rs 5 lacs.
Treatment expenses during hospitalisation which includes pre and post hospitalization care

Pre and post hospitalisation expenses which include doctor’s consultation, medicines, drugs, other consumables and diagnostic tests

Domiciliary Treatment

For availing medical treatment at his home which would otherwise have required hospitalization.

Benefits

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Emergency ambulance cost covered
Expenses for organ donor of transplant
Health check-up expenses on every 4 years of continuous renewal
Coverage for Non-allopathic in-patient treatments like Ayurvedic, Unani or Homeopathy
Provides for Cash Benefit for accompanying on hospitalization of an Insured Child
Pre-existing Diseases will be covered after a waiting period of 48 months
Cumulative Bonus of 10% increase of the annual Sum Assured for every claim free year
Sum Assured can be enhanced at the time of renewal
Family floater policy will cover

Family Floater Option is allowed under this plan. 10% Family discount in Individual plan if 3 or more family members are covered.

Tax Benefit

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Health Insurance premiums paid up to Rs. 15,000 in case of individuals and Rs 20,000 for senior citizens are allowed as a deduction from the taxable income each year under section 80D of the Income Tax Act.

Eligibility

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  Minimum Maximum
Coverage Amount (in Rs.) 2,00,000 10,00,000
Policy Term (in years) 1 1
Entry Age (in years) 18 65
Renewable till Age (in years) - Life long

Exclusions

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  • Pre existing diseases will not be covered for the first 4 policy years given there has been continuous renewal from the policy start date
  • Treatment done in the first 30 days from the commencement of the policy, unless the treatment is done as a result of accident or emergency. This is referred to as a waiting period.
  • The waiting period for specific conditions will be 24 months
  • Any treatment which begins during waiting periods except Accident related / War / Intentional self injury or attempted suicide / Abuse of drugs and alcohol and nicotine addiction / Treatment of Obesity / Sleep Apnoea / Maternity / Psychiatric or mental disorders / Congenital diseases / Conditions related to or arising out of HIV/AIDS / etc.