TATA AIG Health Insurance

TATA AIG Health Insurance Claim Process

There are 3 ways in which an insured individual can claim their TATA AIG health insurance benefits. 

1. If You Were Treated at a Network Hospital

To enjoy cashless claims for non-emergency hospitalizations at a network hospital, follow these steps - (a) Schedule your medical treatment at one of our network hospitals and (b) follow the claims procedure outlined by the hospital. 

Step 1 - Email or send TATA AIG officials a letter with your cashless claim form at least 48 hours before your treatment at a network hospital. 
Step 2 - TATA AIG will send a confirmation letter once they receive and verify the form. They will also inform the hospital about the claim. 
Step 3 - Submit your health card and confirmation letter at the hospital upon arrival. 
Step 4 - No more steps for you anymore! Rest and recuperate as TATA AIG handles the bill amount.

2. If You Need to Go to the Hospital for an Emergency

If you need emergency treatment at a hospital in Tata AIG’s network, the claims process will be different. Here is what you need to do if you find yourself at one of their network hospitals in an emergency and need unscheduled medical treatment.

Step 1 - Submit the claim form within 24 hours of hospitalization to claim the claim reference number along with the following list of documents -

• Health insurance policy copy
• Your insurance card;
• Your photo identification proof;
• Your proof of address;
• Filled CKYC form required for claims over 1 lakh rupees

Step 2 - After receiving your claim, TATA AIG will provide an authorization letter to the hospital and handle the bills. You just have to concentrate on getting better. 

3. If You Can’t Go to a Network Hospital

If you can’t reach a network hospital, do not worry. You can still receive treatment at a non-network hospital by following these steps. After getting medical care at a non-network hospital, you need to pay the expenses and then file a reimbursement claim with us using the steps provided below.

Step 1 - Submit the completed reimbursement form with all the required documents like:

• Health insurance card or plan copy.
• Medical certificate from a doctor.
• The relevant pathological reports.
• A copy of the hospital discharge card.
• The original hospital bills and receipts.
• The original pharmacy bills.
• The investigation report, if applicable.
• Copy of FIR for accidental claim.
• Send NEFT details for claim settlement.
• Submit CKYC form for claims above ₹1 lakh.

Step 2 - After receiving your claim form and documents, TATA AIG will verify and process the claim to award reimbursement.