Quick Overview

The Tata AIG health insurance claim process is possible through cashless and reimbursement. For cashless claims, you must inform the insurer within the required timelines (i.e. within 24 hours for emergencies, 48 hours before for planned admissions), submit a pre-authorization form through the hospital, provide your ID/KYC, and settle approved bills directly with the network hospital.

As for reimbursement claims, you pay all bills upfront, inform Tata AIG Health within 24 hours, collect all original medical documents, fill out the claim form, and submit everything online or at a branch. After verification, the approved amount is transferred to your bank account.

Finding it hard to understand how to claim your Tata AIG health insurance? Many people feel unsure about opting for cashless treatment or filing a reimbursement claim. At Ditto, we explain every step easily so you know what to do when you or your family needs medical help. 

This guide helps you understand how to claim your Tata AIG health insurance:

    • On a cashless basis
    • On a reimbursement basis, and
    • Documents required for your claim procedure with key tips

Did You Know?

As per IRDAI Guidelines, if your claims are not settled within 45 days after document submission, your insurance company must pay interest at 2% above the bank rate from the date the last required document is received. 

How to Claim Tata AIG Health Insurance?

  1. Cashless Claim Process

Planned hospitalization

    • Inform the insurer by submitting the cashless claim form at least 2-5 days before admission.
    • Receive the cashless claim confirmation letter, which is valid for 7 days.
    • Submit your health card and confirmation letter at the hospital during admission.

Emergency hospitalization

    • Inform the insurer or third party administrator (TPA) within 24 hours of hospitalisation to get a claim reference number.
    • Submit required documents such as insurance card, policy copy, ID and address proof, and CKYC (if applicable).
    • Get the cashless request form filled by the hospital and submitted to the insurer.
      • Receive the authorization letter issued directly to the hospital by the insurer.

Once approved, the insurer settles the medical bills directly with the hospital. In case of rejection,an  intimation is sent to the registered mobile number and email ID.

  1. Reimbursement Claim Process
    • Verify all bill details carefully before signing and paying to avoid discrepancies during claim processing.
    • Collect all required documents, including claim form, policy copy, medical reports, discharge summary, original bills, and bank details.
    • Follow up with the hospital to obtain any pending documents not available at discharge.
    • Submit the complete set of documents to Tata AIG Health or designated TPA immediately after discharge.
    • Wait for claim review and payment processing, which takes up to 21 days from document receipt.

If the claim is rejected or additional clarification is required, the insurer or TPA will notify you. For grievances, customers can contact Tata AIG via email or 24×7 customer support, with a dedicated helpline available for senior citizens.

CTA

How to Check TATA AIG Health Insurance Claim Status?

You can track your Tata AIG Health Insurance claim status on their website through the following steps-

Step 1: Navigate to Tata AIG’s claim process page and click on ‘Track Claim’

Step 2: Select ‘Health’ as your product

Step 3: Enter your registered phone number

Step 4: Enter the OTP sent to you

You claim status should now be displayed on your screen. If you are not comfortable with online claim status checks, you can do so through the following offline means.

CategoryContact Details
Toll-free number 1800-266-7780
For senior citizens1800-22-9966
Email healthclaimsupport@tataaig.com

Documents Required to File a Tata AIG Health Insurance Claim

  1. For Cashless Claims
    • Insurance card
    • Policy copy
    • Customer ID Proof with photo
    • Customer address proof.

Duly filled CKYC form if claimed amount is above ₹ 1 lakh.

  1. For Reimbursement Claims
    • Duly filled and signed claim form 
    • Insurance card or policy copy
    • Medical certificate signed by the doctor
    • Pathological reports like X-ray reports
    • Hospital discharge card
    • Original bills and receipts
    • Original pharmacy bills
    • Investigation report, if any
    • FIR / MLC copy (in case of an accidental claim)
    • NEFT details to credit claim settlement
    • Duly filled CKYC form if claimed amount is above ₹1 lakh. 

Things to Keep in Mind

Make copies of all documents for your records before submitting the originals to the insurer, as proper organization is important for a quick Tata AIG health insurance claim process/form/reimbursement. We strongly recommend keeping a digital backup as well.

Why Talk to Ditto for Your Health Insurance?

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TATA AIG Health Insurance Claim Process/Form/Reimbursement
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You can book a FREE consultation. Slots are running out, so make sure you book a call now!

Ditto’s Take on Tata AIG Health Insurance Claim Process/Form/Reimbursement

Tata AIG has a claim settlement ratio of 89% (Avg 2022-2025), meaning it has settled most claims without delays. It also has 11,000+ network hospitals and a lower complaint volume (11 per 10k claims). However, there are other insurers in the market, such as HDFC Ergo or Care that perform better in terms of claim settlement processes, network hospitals, and other key metrics. Ultimately, the insurer you choose depends on your respective needs. 

If your Tata AIG health claim is rejected, talk to your insurer and ask if you can submit it again. Collect any missing papers and reapply. If that still doesn’t work, you can reach out to the Ombudsman for help.

For more details on Tata AIG health insurance, you can read this detailed review

Disclaimer: TATA AIG is not a partner company with Ditto. All information gathered for this guide is based on the insurer’s official website and policy wordings. 

Frequently Asked Questions

How can I track the status of my health insurance claim?

You can visit the official website of Tata AIG health insurance and click on the ‘claims’ section. Click on the initial claim or track claim, enter the insurance type. Then, you can access all details instantly by entering your registered mobile number. Alternatively, you can also use the Tata AIG insurance app (Android or iOS) to track your cashless or reimbursement claims. 

How long does it take for TATA AIG health claim to settle?

Once all the necessary documents have been submitted to Tata AIG, you can relax and wait for the claim to be settled. The insurer’s website says that it may take up to 21 days to settle the claim.

How do I contact Tata AIG health insurance about my claim?

Tata AIG’s call center is fully operational, and you can call them on 022-6489-8282 to intimate the authorities of any claim. You can also send an email on customersupport@tataaig.com. 

Can I use the cashless facility in any hospital?

Yes, the Cashless Anywhere initiative allows you to request cashless treatment even at non-network hospitals. However, cashless approval is not automatic and depends on Tata’s evaluation and the hospital authority’s willingness to accept the terms. Remember, cashless claims are not allowed at excluded hospitals. In a genuine emergency, it may be allowed only until stabilization, not for full treatment.

How long does a reimbursement claim take to process?

Once Tata AIG receives all the correct and complete documents, the verification and approval process takes around 7-14 working days. Any delay in the process may happen due to missing information or incorrect forms. Timely and complete submission is the only way to ensure repayment. 

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