tata aig insurence : self

 Here’s a high-level summary of your TATA AIG MediCare Premier Family Floater Health Insurance Policy based on the uploaded document:


Policy Overview

  • Policyholder: Pothirxxxx Devixxxxx

  • Policy Number: 7030030261

  • Plan Type: Family Floater (3 members: self, spouse, son)

  • Coverage Period: 25-Mar-2025 to 24-Mar-2026

  • Insured Members:

    • Self (Age 42)

    • Spouse (Age 37)

    • Son (Age 3)

  • Sum Insured (Floater): ₹20,00,000

  • Gross Premium Paid: ₹30,746


🏥 Key Benefits

BenefitCoverage
In-patient HospitalizationUp to Sum Insured
Pre-hospitalization (60 days)Covered
Post-hospitalization (90 days)Covered
Day Care ProceduresCovered
AYUSH TreatmentCovered
Organ Donor ExpensesCovered
Domiciliary TreatmentCovered
Ambulance Cover₹5,000 per hospitalization
Health Check-up1% of Sum Insured (Max ₹10,000)
High-end Diagnostics₹25,000
OPD Consultations₹5,000
Dental OPD₹10,000
Maternity Cover₹50,000 (₹60,000 for girl child)
First-Year Vaccinations₹10,000 (₹15,000 for girl child)
Air Ambulance₹5,00,000
Accidental Death Benefit₹20,00,000
Restore Benefit100% of Sum Insured
Wellness ProgramTeleconsultation, Vouchers, etc.

🛑 Waiting Periods & Exclusions

  • Initial Waiting Period: 30 days (except accidents)

  • Specific Diseases: 24-month waiting period

  • Pre-existing Diseases: Covered after 24 months

  • Asthma Exclusion: Specifically excluded for policyholder for 2 years

  • General Exclusions:

    • Cosmetic, obesity surgery (unless medically required)

    • Infertility, HIV/AIDS, experimental treatments

    • Adventure sports, intentional self-harm, war injuries


📄 Tax Benefit

  • Premium paid (₹30,746) is eligible under Section 80D of the Income Tax Act.


💡 Summary Insights

  • The ₹20L sum insured with ₹30.7K premium is reasonable for a 3-member family (considering age & one exclusion).

  • Good range of OPD, diagnostics, air ambulance, and maternity benefits.

  • Offers global hospitalization cover for treatments diagnosed in India.

  • Restore, cumulative bonus, and wellness add-ons are included.

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