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TATA AIG MediPlus – Top-up Medical Health Insurance Plan

What is the Plan all About?

Managing health is one of the major concerns when you are looking to lead a healthy life. MediPlus is a top up health insurance plan that can be taken with your current health insurance. It helps you get a higher health cover at an affordable premium. MediPlus supplements your primary health insurance cover.

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Key Features

  • Coverage at reasonable price
  • Grab premium discounts upon choosing the policy
  • Get cashless hospitalization with 3000+ hospitals across India
  • Hassle free and quick settlement of claims
  • Lifelong renewability

Policy Benefits

  • In-patient hospitalization expenses are covered, for which the insured person requires hospitalization for a minimum period of 24 hours.
  • Pre hospitalization expenses are covered for 60 days before hospitalization and post hospitalization expenses covered for 90 days after hospitalization.
  • 140 Day care procedures/surgeries are covered, for which the insured person requires hospitalization for less than 24 hours.
  • Medical expenses incurred towards domiciliary treatment are covered.
  • Organ donor expenses incurred towards harvesting the organ from the donor are covered.

Value Added Benefits

  • Ambulance Charges are covered towards insured’s transportation to the hospital for treatment of the disease/injury/illness.
  • Waiver of deductible is applicable, in case you migrate to Tata AIG’s health insurance policy with 5 Lacs sum insured.
  • No pre-policy medical check-up up to 45 years of age.
  • Avail tax benefits u/s 80D as per IT Act, 1961 for premium paid for this plan.

Sub Limits

  • No Room sub-limit is applicable under this plan.
  • Deductible is applicable for each and every hospitalization.
  • Actual expenses incurred or Rs 2000 whichever is less, is covered towards emergency Ambulance Charges.

Waiting Period Clause

  • Initial Waiting Period: Claims arising during first 30 days of the policy start date, except accidental claims.
  • Specific Waiting Period: 24 months Waiting Period will be applicable for specific illnesses.
  • Pre existing Disease Waiting Period: Any pre-existing disease until 48 months of continuous policy coverage, from date of inception of the first policy.

Who can Buy the Plan?

Factor Minimum Maximum
Age (as on last birthday) Adult: 18 Years, Children: 91 Days Adult: 65 Years, Children: 21 Years
Sum Assured 5 Lacs 5 Lacs
Deductible 1 Lac 5 Lacs
Cover Type Individual/Family -
Policy Tenure 1 Year 2 Years
Grace Period 30 Days -
Free Look Period 15 Days -
Riders Nil -

Exclusions

  • War, invasion, act of foreign enemy
  • Suicide or attempted suicide
  • Intentionally self-inflicted injury/illness
  • Obesity/ other weight control procedures
  • Pregnancy and childbirth related treatment
  • Non allopathic treatment, etc.
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