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TATA AIG MediRaksha Plan

What is the Plan all About?

MediRaksha is a health insurance policy that takes care of any medical emergency for you & your family. It is a medical insurance plan, covering hospitalization and surgical treatments.

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Key Features

  • Comprehensive health cover for your family
  • Grab 7.5% discounts on buying 2 year policy term
  • No loading on renewal premium
  • Hassle free and quick settlement of claims
  • Lifelong renewability

Policy Benefits

  • In-patient hospitalization expenses are covered as mentioned in the Policy.
  • Pre hospitalization expenses are covered up to a maximum of 30 days before you are hospitalized and Post hospitalization expenses are covered up to a maximum of 60 days after you are discharged.
  • 144 day care procedures which need the insured to be hospitalized for less than 24 hours are covered.
  • Organ donor expenses incurred towards harvesting the organ are covered.

Value Added Benefits

  • Sum Insured can be enhanced upon renewal of the policy.
  • Health check-up is covered after 4 continuous claim-free policy years.
  • Pre-policy medical check-up is not required up to 55 years of age.
  • Avail cashless facility across a wide network of hospitals.
  • Avail tax benefits u/s 80D as per IT Act, 1961 for premium paid for this plan.

Sub Limits

  • Room Rent: Up to 1% of the sum insured is payable towards room rent per day basis.
  • Copayment of 15%, on each and every claim under this policy
  • 15% co-pay applies for each and every claim.
  • ICU charges per day are capped up to 2% of the sum insured.
  • 1% of the sum insured or actual expenses incurred, whichever is lower is payable for each pre & post hospitalization.
  • Health check-up is covered up to 1% of the sum insured, subject to a maximum of Rs 1000 for each insured person.

Waiting Period Clause

  • Initial Waiting Period: A waiting period of 30 days from the inception date for all hospitalization claims except in case of accidents.
  • Specific Waiting Period: 2 Years Waiting Period will be applicable for specific illnesses.
  • Pre existing Disease Waiting Period: Any pre-existing ailment/injury that was diagnosed /acquired within 4 years from the issuance 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 0.5 Lac 1 Lac
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
  • Breach of law with criminal intent
  • Participation in dangerous/adventure sports
  • Intentionally self-inflicted injury/illness
  • Obesity/ other weight control procedures
  • Pregnancy and childbirth related treatment
  • Dental treatment/surgery
  • Non allopathic treatment, etc.
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