Tata AIG Individual Accident & Sickness Hospital Cash
Objective
This is a standalone cash benefit policy that aims to provide daily cash for medical expenses arising due to an accident or sickness.
Our View
In the event of hospitalisation, there are various expenses that remain uncovered under basic insurance policies. These may include cost of transportation, accommodation, food of family members and relatives.
This is a useful policy as the daily cash benefit can be utilized to pay for these expenses. It can be bought as an add on to your existing basic health insurance policy for an added coverage.
Suited for
This policy can be bought as an individual or family policy covering insured member, spouse and up to 2 children.
What does it do?
If the insured member is hospitalised due to an accident or sickness, the insurance company will pay a daily cash amount up to the stated limit. Accidental medical expenses incurred without hospitalisation are also covered on reimbursement basis. The policyholder can utilize the daily cash as required by him.
Pros
It offers a 5 per cent increase in sum insured on renewal.
Premium paid towards this policy will be eligible for tax deduction under Section 80D of Income Tax Act.
Eligibility
Entry Age (years)
Minimum
18; 6 months for children
Maximum
50; 18 for children(23 in case child is financially dependent, unmarried, Full time student
in accredited Institute)
Maximum Policy Renewal Age (years)
50
Coverage Type
Individual/ Family
Sum Insured (Rs)
As stated in the Scope of Cover. Insured and spouse will be covered for 100% of the sum insured and upto 50% in case of each child for maximum upto 2 children
Policy Term (years)
1
No Claim Bonus
5% of original benefit is added to the sum insured for a maximum of 5 years
Pre Policy Medical Check Up
Not required
Policy Termination
Either of the insurer or insured member may cancel the policy. Insurer may cancel the policy by giving a 7 days notice. Insurer in such a case will refund a proportionate premium as stated in the policy document
Customer Service
Address
Registered Office:TATA AIG Insurance, 9th Floor, Piramal Towers, Peninsula Corporate Park, Ganpatrao Kadam Marg, Lower Parel, Mumbai - 400 01
Mail to
[email protected]
Call to
1800-266-7780
SMS
TAG to 5616181
Network Hospitals
Http://emeditek.co.in/Network_Provider.aspx
Additions to the Plan
| Scope of Cover | |
| Sickness Hospital Cash | pays daily cash benefit of upto Rs 5000 a day for maximum upto 180 days |
| Accidental Hospital Cash | pays upto Rs 10000 per day to cover incidental expenses for maximum upto 180 days |
| Accident Medical Expense Reimbursement | reimburses medical bills due to accidental injuries on a day to day basis |
| Exclusions and Waiting Period | |
| Pre-existing diseases | not covered |
| No claim period | 90 days since inception of the policy |
| Waiting period | 90 days for Sickness Hospital Cash |
| Deductible | 1 day for Sickness Hospital Cash5% for benefit amount for Accident Medical expenses reimbursement |
Cost Details
| Annual Premium and Benefits | |||||
| Individual Benefits (in Rs) | |||||
| Coverage | 2.75 lakh | 5.5 lakh | 10.95 lakh | 16.4 lakh | 27.25 lakh |
| Sickness Hospital | 500 per day | 1000 per day | 2000 per day | 3000 per day | 5000 per day |
| Accident Hospital | 1000 per day | 2000 per day | 4000 per day | 6000 per day | 10000 per day |
| Accident Medical Exp. Reimbursement | 5000 | 10000 | 15000 | 20000 | 25000 |
| Annual Premium (in Rs.) | |||||
| Self only | 748 | 1482 | 2822 | 4162 | 6712 |
| Family option | 2355 | 4670 | 8890 | 13110 | 21143 |
| Premium rates are inclusive of service tax and cess | |||||