Tata AIG
MediCare Premier
Plan & insurer snapshot
Incurred Claim Ratio
80.65%
Claims paid vs premium collected.
Claims Settled
81.42%
Approved by number of claims.
Settled < 30 Days
80.55%
How quickly claims are paid.
Complaints
0.10%
On overall claims — lower is better.
Expert Verdict
MediCare Premier is an individual health insurance plan from Tata AIG. It stands out for no room-rent cap, no co-payment and no disease sub-limits. On the downside, the premium sits at the higher end — worth weighing before you buy. On the insurer side, it reports 81.42% of claims settled by count and a 12,000+ cashless hospital network.
Pros
- No room-rent cap — you can be admitted to any room category without a proportionate deduction on the rest of your bill.Standout
- No co-payment — the insurer pays the full approved claim, with nothing deducted as your share.
- No disease-wise sub-limits — covered treatments are paid up to your full sum insured rather than a smaller per-illness cap.
- Restoration is included — the sum insured refills unlimited times in a policy year (add-on), triggered on partial exhaustion of sum insured, for a unrelated illness (available after 45 days for related illness).
- Cover grows by 50% for each claim-free year, up to 100% of the base sum insured.
- Modern treatments such as robotic surgery and other advanced procedures are covered, usually up to a specified limit.
Cons
- Premium positioning is on the expensive side of the market.
Key Features
Room Rent
No limit — you can pick any room category without a proportionate cut on the rest of your bill.
ICU Charges
No separate cap on ICU charges.
Co-Payment
None — the insurer bears the full approved claim.
Disease Sub-limit
None — treatments are paid up to your full sum insured.
Restoration of CoverStandout
The sum insured refills unlimited times in a policy year (add-on), triggered on partial exhaustion of sum insured, for a unrelated illness (available after 45 days for related illness).
No-Claim Bonus
Cover grows by 50% for each claim-free year, up to 100% of the base sum insured.
Pre & Post Hospitalisation
Pre-hospitalisation 60 days (up to 60 days before hospitalization) and post-hospitalisation 90 days (up to 90 days after hospitalization) of connected medical costs are covered.
Day Care Treatment
Procedures under 24 hours, such as cataract and dialysis, are covered.
Modern Treatments
Advanced procedures like robotic and laser surgery are covered, usually up to a limit.
Consumables
Non-medical items like gloves, syringes and PPE are paid, not deducted.
Organ Donor
Donor hospitalisation costs are covered (Yes).
Domiciliary Cover
At-home treatment is covered when hospital admission is not possible.
Waiting Periods
Initial Waiting: 30
No cover in this window except for accidental hospitalisation.
Specific Illness: 2
Named conditions such as cataract, hernia and joint replacements wait this long.
Common Exclusions
Typical across most Indian health plans — always confirm the exact exclusions in MediCare Premier's policy wording.
Cosmetic or aesthetic treatment, unless needed to reconstruct after an accident or burns.
Self-inflicted injuries and conditions arising from alcohol or substance abuse.
Treatment arising from war, nuclear or allied perils.
Admissions purely for investigation, evaluation or bed rest with no active treatment.
Unproven or experimental treatments not backed by established medical practice.
Frequently Asked Questions
Does MediCare Premier have a co-pay?
No. MediCare Premier does not require a co-payment under the base cover.
Is there a room rent limit on MediCare Premier?
No. MediCare Premier has no room rent cap for standard hospitalisation, so you can choose any room without a proportionate cut.
Does MediCare Premier restore the cover if it runs out?
Yes. MediCare Premier refills the sum insured after it is exhausted (unlimited times in a policy year (add-on)).
Are day care treatments covered under MediCare Premier?
Yes. MediCare Premier covers day care procedures that take under 24 hours, such as cataract surgery or dialysis.
How many cashless hospitals does MediCare Premier offer?
12,000+ cashless network hospitals are reported for MediCare Premier, where the insurer settles bills directly.
Does MediCare Premier cover modern treatments?
Yes. MediCare Premier covers modern treatments such as robotic surgery, usually up to a specified limit.