Tata AIG Wellsurance Executive Health Policy

Brief Overview

Currently, in its 20th year, Tata AIG is today one of the most prominent insurance companies in the whole of the country. A collaboration between Tata Group and American International Group (AIG) the company has launched various insurance products. In the health insurance sector also, the company has brought many well-thought products, Tata AIG Wellsurance Executive Policy being one of them.

With Tata AIG Wellsurance Executive Policy, you have the power to combat the unabated rise in healthcare costs. The policy will help you get compensated for the hospitalisation expenses that you may have to bear in case of medical urgency. Tata AIG has a collaboration with the leading hospitals all through the country, so when you need to take treatment, you can do so in the finest hospitals, that too without worrying about the expenses. 

This health insurance plan by Tata AIG would offer you a cover against various health emergencies. The plan also provides a critical illness benefit that is paid out as a lump sum in case you are diagnosed with any of the listed 9 illnesses. With Wellsurance Executive Policy you will be paid a daily allowance for each day you spend in the hospital (up to a specific number of days). This facility avoids you having to take a dig at your savings to make up for the everyday expenses.  

Best Features of Tata AIG Wellsurance Executive Policy

1. People between the age group of 18 years to 65 years can purchase this policy
2. The policy comes with the option of lifelong renewability
3. Under this policy, 9 critical illnesses are covered
4. The plan is available in 3 variants: Elite, Supreme, Classic
5. The policy offers a lump sum payout if the insured member is diagnosed with any of the listed critical illnesses
6. Offers lump-sum benefits and covers the expenses incurred on hospitalisation
7. The plan also provides a lump sum benefit for major and minor surgeries
8. The term of the policy is 1 year
9. Covers ambulance charges up to a certain limit for transportation of the insured

Benefits of Tata AIG Wellsurance Executive Policy

1. Daily Cash Benefit
   In case of hospitalisation, depending on your choice of plan variant, you would receive a daily cash allowance.
2. In Hospital Benefits
   When the insured member is hospitalised due to a sickness or an injury, the specified hospitalisation would be paid.
3. Post-Hospitalisation Expenses
   After hospitalization that is caused due to the following circumstances, a lump sum amount would be paid:
   • Postoperative physiotherapy, 2 visits
   • Chemotherapy and/or radiation, Minimum 3 visits
   • Kidney dialysis, once in a lifetime
4. Ambulance Charges
   Your health insurance policy will cover the ambulance charges (up to a specified limit) for the transportation of the insured member to the hospital, after an accident and return of the insured to his normal residence after the discharge.
5. Value-Added Services 
   You also get to avail many value-added services that include: Health Query, Health Line and various other health and wellness services.
6. Critical Illness Benefit
   A lump-sum payment will be made to the insured in case he/she is diagnosed with any of the 9 listed critical illnesses for the first time during the policy term. The list of these illnesses is given below:
   • Cancer of a specific severity
   • Coma of specified severity
   • Complete and total paralysis of any limb
   • Major Burns
   • First Heart Attack of specific severity
   • Stroke that results in permanent symptoms
   • Multiple Sclerosis
   • Kidney Failure which might require periodic dialysis
   • Total Blindness (Accidental or due to any sickness
7. Convalescence Benefit
   After 5 days of consecutive hospitalisation, a convalescence benefit will be payable.
8. Surgical Benefit
   A lump sum amount of money will be payable for specified covered major as well as minor surgery. The surgery should be necessary medically and not be because of a pre-existing condition.

Plan Details of Tata AIG Wellsurance Executive Policy

Waiting Period
There is no waiting period for hospitalisation that may be required after an accident, however, for other situations a waiting period is applicable as follows:

• A 90-day waiting period is applicable for sickness related hospitalisation and minor surgeries
• For major surgeries, the waiting period is 120 days
• There is a waiting period of 48 months for all pre-existing illnesses.
• For critical diseases, a waiting period is 90 days along with a survival period of 30 days is applicable.  

Free Look Period
When you purchase this policy, the company gives you a 1 day free-look period to review the terms and conditions. In case you feel you are not satisfied with the policy, you can return to the company within this period. You would have to write to the company mentioning the reason for returning. The premium that you have paid will be returned to you. The proportionate risk and stamp duty charges will be deducted from the amount. 

What is not Covered in Tata AIG Wellsurance Executive Policy?

Despite its wide coverage, Tata AIG Wellsurance Executive Policy does not cover a few situations. Listed below are some of the major exclusions in the policy. In case you wish to read the detailed list, it is recommended that you go through the Policy Document. The following conditions are not covered:

1. The medical condition that existed before the inception of the policy or any complication that arises because of that condition
2. Injuries that are self-inflicted
3. STD (Sexually transmitted diseases)
4. Cosmetic surgery unless required after a covered injury or accident
5. Pregnancy and related conditions
6. Hospitalisation that is caused because of the following:
   • While serving in Armed Forces
   • War
   • Professional or hazardous activities
   • Alcohol or drug abuse

Renewal Process of Tata AIG Wellsurance Executive Policy

With Tata AIG Wellsurance Executive Policy, you have the option of a lifelong renewal when you pay all the due premiums on time. The process of renewing the policy is easy-to-understand and it does not take very long. Visit the company website, go to “Renewal” and enter your policy details. You will be redirected to a new page, check all the details once and when satisfied make the payment online. You can pay via net banking, credit or debit card, UPI payment or mobile wallet. 
You also have the option to renew the policy by visiting a branch office personally. You would have to fill in the renewal form and pay the premium via credit/debit card or through a cheque or Demand draft. 

Remember: 

• The company is not liable to send you reminder notices for paying the renewal premium
• Once the policy expires, it would enter a 30-day grace period. After these 30 days, the policy will be terminated
• Claims made during the grace period are not accepted

Tata AIG Wellsurance Executive Policy - Claim Process

Tata AIG has a team of claim experts that try and make all claim procedures very basic and easy to follow. If you follow all the instructions and guidelines carefully, the claim procedure can be smooth and quick. The first thing to be done when a claim is to be made is to notify the company as early as possible. In case of planned hospitalisation, ensure that you raise a claim at least 48 hours before the admission in the hospitals and in case of an emergency, the notification has to be done within the first 24 hours of admission. For making a claim you can follow any of the following steps. You can:

1. Write to - Tata AIG General Insurance company Ltd. Health Claims Department A-501, 5th Floor, Building No. 4, Infinity Park, Gen. A. K. Vaidya Marg, Dindoshi, Malad (E), Mumbai, India - 400 097
2. Write an email to general.claims@tata-aig.com
3. Visit the company website and register the claim online
4. Speak to the customer care on 1800 266 7780
5. SMS “CLAIMS” to 5616181
6. In case you are a Senior citizen, you can call 1800 22 9966

Tata AIG Wellsurance Executive Policy Cashless Claim Process 

With Tata AIG Wellsurance Executive Policy, you will get the advantage of a cashless health treatment if you seek hospitalisation at a network hospital. When you reach the hospital, submit the Health Card and Photo ID Card at the hospital Help Desk. you would also have to submit the claim form along with any other treatment-related document that is asked for. The executives will then authenticate and verify all the paperwork. Post verification your hospitalisation expenses and bills would be settled by Tata AIG. Remember that you would have to pay for the uncovered expenses. 

Tata AIG Wellsurance Executive Policy Reimbursement Claim Process 

Due to some reasons, if you do not go to a network hospital for treatment, you would not be able to use the cashless facility, however, you can still make a reimbursement claim. Inform the company 48 hours before the admission in the hospital in case of a planned hospitalisation. In case of an emergency admission, remembers to notify the company within the first 24 hours. Post hospitalisation, along with the Claim Form and KYC documents, you would also have to submit a list of other documents with the company.  Once all paperwork is authenticated, the reimbursement amount would be put into your bank account.

Required Documents
When making a claim for Tata AIG Wellsurance Executive Policy, the following documents need to be submitted with the company:

1. Claim Form
2. Copy of policy document
3. All treatment-related bills in original
4. All medical and diagnostic reports
5. Discharge summary
6. Diagnosis report of the treatment undertaken
7. Identity and Age proof of the insured
8. Bank account details of the policyholder for the money to be credited

Tata AIG Policy Network Hospitals

When you invest in a Tata AIG health insurance policy, you also get associated with over 6,200 hospitals all over the country. As these hospitals are empanelled with the company, you can avail a cashless treatment facility here. In case of a medical emergency or a planned hospitalisation, you will have the peace of mind that you will not have to worry about the otherwise high treatment cost. Your Wellsurance Executive Policy will cover you against many expenses, however, the costs not covered will have to be paid by you.

Review of Tata AIG Wellsurance Executive Policy

Tata AIG Wellsurance Executive Policy is a combination of two major benefits. It offers lump-sum benefits on the diagnosis of the listed critical illnesses and covers the expenses that you have to incur on hospitalisation. In a policy term of 1 year, you will also be covered for specific major and minor surgeries. Along with ambulance charges, the plan also offers various value-added services that help you keep a track on your everyday health and keep you updated about all the innovations in the medical field. 

If you are looking for an individual health insurance policy for yourself, then Tata AIG Wellsurance Executive Policy is indeed a great option. 

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