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
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Policyholder: Pothirxxxx Devixxxxx
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Policy Number: 7030030261
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Plan Type: Family Floater (3 members: self, spouse, son)
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Coverage Period: 25-Mar-2025 to 24-Mar-2026
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Insured Members:
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Self (Age 42)
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Spouse (Age 37)
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Son (Age 3)
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Sum Insured (Floater): ₹20,00,000
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Gross Premium Paid: ₹30,746
🏥 Key Benefits
Benefit | Coverage |
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In-patient Hospitalization | Up to Sum Insured |
Pre-hospitalization (60 days) | Covered |
Post-hospitalization (90 days) | Covered |
Day Care Procedures | Covered |
AYUSH Treatment | Covered |
Organ Donor Expenses | Covered |
Domiciliary Treatment | Covered |
Ambulance Cover | ₹5,000 per hospitalization |
Health Check-up | 1% 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 Benefit | 100% of Sum Insured |
Wellness Program | Teleconsultation, Vouchers, etc. |
🛑 Waiting Periods & Exclusions
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Initial Waiting Period: 30 days (except accidents)
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Specific Diseases: 24-month waiting period
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Pre-existing Diseases: Covered after 24 months
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Asthma Exclusion: Specifically excluded for policyholder for 2 years
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General Exclusions:
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Cosmetic, obesity surgery (unless medically required)
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Infertility, HIV/AIDS, experimental treatments
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Adventure sports, intentional self-harm, war injuries
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📄 Tax Benefit
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Premium paid (₹30,746) is eligible under Section 80D of the Income Tax Act.
💡 Summary Insights
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The ₹20L sum insured with ₹30.7K premium is reasonable for a 3-member family (considering age & one exclusion).
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Good range of OPD, diagnostics, air ambulance, and maternity benefits.
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Offers global hospitalization cover for treatments diagnosed in India.
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Restore, cumulative bonus, and wellness add-ons are included.