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MediSenior Health Plan
Introduction/Overview The TATA AIG MediSenior plan is a comprehensive plan that is made especially for the retired senior citizens of our family. It takes care of the medical expenses incurred after the retirement of the senior citizens so that they live a stress free life thereafter without thinking much about the expenses. The plan provides comprehensive coverage against in-patient hospitalization, pre-hospitalization and post-hospitalization, daycare procedures, domiciliary and organ donor expenses, emergency ambulance. Key Features Lifelong renewal provided premium is paid without any break. Coverage amount ranging from Rs.2 lacs to Rs.5 lacs Income tax benefit on the premium paid as per Section 80D of the Income Tax Act. Family Floater Option is allowed under this plan. 5% Family discount in Individual plan if 2 family members are covered. Choice of paying the premium for 1 year or 2 years
Product Specification
Details About Premium Annual premium in Rupees *The above rates may vary. Please check the policy wordings for more details. Policy Details Minimum sum assured – 2 lakhs Maximum sum assured – 5 lakhs Coverage type: Individual/ family floater No claim bonus 5% non cumulative discount will be offered on the premium payable at each renewal after every claim free policy year provided the policy is renewed with the company without any break . Grace period: 30 days for renewing the Policy. However, coverage would not be available for the period for which no premium has been received. Policy termination: 3 months prior to the expiry of the policy Additional Features Or Riders Additional 7.5% discount by paying premium of 2 years in advance Minimum entry age under this policy is 61 years Sum Assured can be enhanced at the time of renewal Pre policy check is mandatory and must be done in a diagnostic center in the network
Benefits
Co-payment for Accommodation Type Shared Accommodation or any lower accommodation type:Insured has to pay 15% of the admissible claim amount Single Occupancy or any higher accommodation type:Insured has to pay 30% of the admissible claim amount Co-payment for Day Care Procedures Insured has to pay 15% of the admissible claim amount for expenses incurred from day care procedures Co-payment for Specific illness/surgeries For expenses incurred from treatment of the following illnesses and Surgeries, the insured has to pay 30% of the admissible claim amount. Cataract(each eye) Hysterectomy Cholecystectomy Transurethral resection of the prostate (TURP) / Benign prostate surgery Surgery of Hernia Angiography (CT Angiogram excluded) Arthroscopy PID – Discectomy Mastectomy Joint replacement PTCA (Angioplasty) Hydrocele Major organ Transplant Coronary Artery Bypass Graft (CABG)
Exclusions
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. Any illness or disease contracted due to intake of alcohol/drugs or other addictive substances will not be covered. The waiting period for specific conditions will be 24 months Any pre-existing condition will be covered after a waiting period of 48 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. Eligibility Entry age for the policyholder, spouse is 61 years with lifetime renewal option. Tata AIG General Insurance Launches Three New Health Products for Consumers Tata AIG to Double its Exposure in Health Insurance
MediSenior Health Plan
Introduction/Overview The TATA AIG MediSenior plan is a comprehensive plan that is made especially for the retired senior citizens of our family. It takes care of the medical expenses incurred after the retirement of the senior citizens so that they live a stress free life thereafter without thinking much about the expenses. The plan provides comprehensive coverage against in-patient hospitalization, pre-hospitalization and post-hospitalization, daycare procedures, domiciliary and organ donor expenses, emergency ambulance. Key Features Lifelong renewal provided premium is paid without any break. Coverage amount ranging from Rs.2 lacs to Rs.5 lacs Income tax benefit on the premium paid as per Section 80D of the Income Tax Act. Family Floater Option is allowed under this plan. 5% Family discount in Individual plan if 2 family members are covered. Choice of paying the premium for 1 year or 2 years
Product Specification
Details About Premium Annual premium in Rupees *The above rates may vary. Please check the policy wordings for more details. Policy Details Minimum sum assured – 2 lakhs Maximum sum assured – 5 lakhs Coverage type: Individual/ family floater No claim bonus 5% non cumulative discount will be offered on the premium payable at each renewal after every claim free policy year provided the policy is renewed with the company without any break . Grace period: 30 days for renewing the Policy. However, coverage would not be available for the period for which no premium has been received. Policy termination: 3 months prior to the expiry of the policy Additional Features Or Riders Additional 7.5% discount by paying premium of 2 years in advance Minimum entry age under this policy is 61 years Sum Assured can be enhanced at the time of renewal Pre policy check is mandatory and must be done in a diagnostic center in the network
Benefits
Co-payment for Accommodation Type Shared Accommodation or any lower accommodation type:Insured has to pay 15% of the admissible claim amount Single Occupancy or any higher accommodation type:Insured has to pay 30% of the admissible claim amount Co-payment for Day Care Procedures Insured has to pay 15% of the admissible claim amount for expenses incurred from day care procedures Co-payment for Specific illness/surgeries For expenses incurred from treatment of the following illnesses and Surgeries, the insured has to pay 30% of the admissible claim amount. Cataract(each eye) Hysterectomy Cholecystectomy Transurethral resection of the prostate (TURP) / Benign prostate surgery Surgery of Hernia Angiography (CT Angiogram excluded) Arthroscopy PID – Discectomy Mastectomy Joint replacement PTCA (Angioplasty) Hydrocele Major organ Transplant Coronary Artery Bypass Graft (CABG)
Exclusions
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. Any illness or disease contracted due to intake of alcohol/drugs or other addictive substances will not be covered. The waiting period for specific conditions will be 24 months Any pre-existing condition will be covered after a waiting period of 48 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. Eligibility Entry age for the policyholder, spouse is 61 years with lifetime renewal option. Tata AIG General Insurance Launches Three New Health Products for Consumers Tata AIG to Double its Exposure in Health Insurance
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