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TATA AIG Medi-Prime Cashless Health Insurance Policy

What is the Plan all About?

MediPrime from Tata AIG is a cashless health insurance policy with no co-payment on health expenses. This health plan helps you get financial cover against all hospitalization expenses. This health plan offers you cashless mediclaim in 4 hours.

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Key Features

  • Comprehensive health cover
  • No sub-limits on room rent
  • Premium discount on choosing 2 year policy term
  • No loading on renewal premium
  • Lifelong renewal of policy
  • Avail cashless hospitalization across 3000+ hospitals

Policy Benefits

  • In-patient hospitalization expenses are covered as mentioned in the Policy.
  • Pre hospitalization expenses are covered up to a maximum of 60 days before you are hospitalized and Post hospitalization expenses are covered up to a maximum of 90 days after you are discharged.
  • 140 day care procedures which need the insured to be hospitalized for less than 24 hours are covered.
  • Domiciliary treatment expenses are covered under this plan.
  • Organ donor expenses incurred towards harvesting the organ are covered.
  • In-patient & Out-patient Dental treatment due to accident is covered.
  • Daily cash amount is paid towards accompanying person expenses, provided the insured is child aged 12 or below.
  • Vaccination, in case of animal post-bite treatment is covered for both in-patient & out-patient treatment.

Value Added Benefits

  • With Cumulative Bonus, the sum insured is increased by 10% on renewal of every claim-free policy year, up to a maximum of 50%.
  • Sum Insured can be enhanced at the policy renewal.
  • Ambulance Charges are covered under this plan.
  • Medical expenses incurred under AYUSH treatment are reimbursed.
  • Health check-up is covered after 4 continuous claim-free policy years.
  • Avail tax benefits u/s 80D as per IT Act, 1961 for premium paid for this plan.

Sub Limits

  • No room rent limit is applicable.
  • Ambulance charges are payable up to Rs 2,500 per hospitalization.
  • In-patient Dental treatment is covered up to Inpatient Sum Insured and Out-patient Dental treatment is covered up to Rs 7,500.
  • In-patient vaccination is covered up to Inpatient Sum Insured and Out-patient vaccination is covered up to Rs 5,000.
  • Health check-up is covered up to 1% of sum insured, subject to a maximum of Rs 5,000 per 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 65 Years
Sum Assured 2 Lacs 10 Lacs
Cover Type Individual/Family Floater -
Policy Tenure 1 Year 2 Years
Grace Period 30 Days -
Free Look Period 15 Days -
Riders Nil -

Exclusions

  • War, invasion, act of foreign enemy
  • Abuse of intoxicants or hallucinogenic substances
  • Non allopathic treatment
  • Mental disorders
  • Maternity expenses
  • Experimental/Unproven treatment, etc.
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