Tata AIG General Insurance
A joint venture between the Tata Group and American International Group (AIG), Tata AIG combines Indian market understanding with global insurance expertise. Their Medicare range has been steadily improving, with the Medicare Premier plan earning strong reviews for its feature depth and competitive pricing.
Claim Settlement
87.1%
Network Hospitals
10,800
Incurred Claim Ratio
69.5%
Claims Difficulty
Medium
Overview
Key Strengths
- Tata Group trust and AIG global insurance expertise
- Medicare Premier — strong feature set with competitive pricing
- 10,800+ network hospitals with good metro and tier-2 coverage
- Digital claims process with improving turnaround times
- Strong financial solvency backed by both parent brands
Key Weaknesses
- Health insurance market share still building — less scale than leaders
- Some plans have disease-specific sub-limits in lower variants
- Customer service infrastructure still scaling up
- Less established reputation specifically in health insurance
Top Plans
Medicare Premier
Sum Insured
5L - 1Cr
Starting Premium
7,100/yr*
*Premium for 30-year-old, individual plan, base variant
Medicare
Sum Insured
3L - 20L
Starting Premium
5,200/yr*
*Premium for 30-year-old, individual plan, base variant
Wellsurance
Sum Insured
5L - 50L
Starting Premium
8,600/yr*
*Premium for 30-year-old, individual plan, base variant
Claims Data
Claim Settlement Ratio
Some documentation requirements, occasional follow-ups
The claim settlement ratio indicates the percentage of claims settled out of total claims received. A higher ratio means the insurer pays out more claims. Industry average is approximately 85%.
Incurred Claim Ratio
69.5%
HealthyThe incurred claim ratio measures total claims paid versus premiums earned. A ratio near 60-80% is considered healthy. Above 100% means the insurer is paying more in claims than it collects in premiums.
Source: IRDAI Annual Report FY2024-25
Network Hospitals
10,800
empanelled hospitalsNetwork hospitals are where you can avail cashless treatment. A larger network means more choices and convenience across cities. The industry leader has approximately 14,000+ hospitals. Always verify if your preferred hospital is in-network before hospitalisation.
Gotcha Alerts
These are policy fine-print items that can catch you off guard at claim time. We surface them upfront so you can make informed decisions.
Pre-existing condition definition is broader than IRDAI standard
Tata AIG defines pre-existing conditions more broadly — including conditions you were 'aware of symptoms of' even without a formal diagnosis. This can lead to claim rejections based on undisclosed symptoms.
Source: Medicare Premier, Section 1.26 — Definition of Pre-existing Condition
Restore benefit excludes the same disease group
If your sum insured is exhausted and the restore benefit activates, it only covers diseases from a different disease category. Related conditions within the same ICD group are excluded from restore.
Source: Medicare Premier, Section 2.9 — Restore Benefit
Compare with other insurers
See how Tata AIG General Insurance stacks up against competitors on coverage, pricing, and claims experience.