TATA AIG Health Insurance Review 2025

TATA AIG Health Insurance Review 2025

TATA AIG Health Insurance is one of India’s most trusted private insurers, formed in 2001 as a joint venture between the Tata Group and American International Group (AIG). Since then, it has built a strong presence with a mix of comprehensive and specialized health insurance plans.

TATA AIG has an average claim settlement ratio of 89% (FY 2022–25) and an incurred claim ratio of 81% (FY 2021-24), reflecting reliable claims management and financial stability.

Its complaint volume is relatively low at 11 per 10,000 claims. Additionally, its flagship plan, Medicare Premier, offers a wide range of benefits but comes with higher-than-average premiums.

Is TATA AIG the right fit for you? Talk to a Ditto advisor today. We’ll help you compare top plans and pick one that truly fits your needs, free of charge.

Introduction

With a turnover (GWP) of over ₹3,165 crores (FY 2022-25) and more than 5 crore policies issued across its general insurance portfolio, TATA AIG has established a strong national presence. Backed by Tata’s legacy and AIG’s global expertise, the insurer offers a diverse range of health insurance plans for individuals, families, and senior citizens to strike a balance between reliability and comprehensive protection.

But here’s the real question: Can you genuinely count on TATA AIG as your health insurer?

We dug deep into its plans, claim track record, IRDAI data, and customer feedback to break down what it does well, where it falls short, and whether it actually lives up to the trust that comes with the Tata name.

Cons of TATA AIG Health Insurance

• Slightly below-average Claim Settlement Ratio (CSR): With an average CSR of 89%, TATA AIG performs reasonably well but falls slightly below the ideal industry benchmark of 90%, which may suggest occasional delays or rejections.
• High premium rates: TATA AIG’s health insurance plans tend to be more expensive than most competitors. This is because riders like maternity and global coverage, which are optional in most plans, are built into TATA AIG’s flagship health insurance plan.
• Cost-sharing and sub-limits: Some plans, such as Elder Care and Health SuperCharge, include co-payments, room rent limits, and disease-specific sub-limits, which may reduce coverage for high-value or specialized treatments.

Best Plans from TATA AIG Health Insurance

1) Medicare Premier:
The TATA AIG Medicare Premier is a comprehensive plan offering coverage from ₹5 lakh to ₹3 crore. It has no room rent or disease sub-limits, offers 100% restoration of the sum insured, and provides a bonus of 50% each year with no claims, up to a maximum of 100%. Additionally, maternity benefits are included (ranging from ₹50,000 to ₹1,20,000) after a 3-year waiting period.

2) Elder Care:
The TATA AIG Elder Care plan is a senior citizen-focused health insurance policy that offers coverage ranging from ₹5 lakh to ₹25 lakh for individuals aged 61 and above. The plan has a 2-year waiting period for pre-existing diseases, but comes with a mandatory 20% co-payment, disease-specific sub-limits, and no restoration benefit. Moreover, room rent is capped at a single private room, and there are no bonus features for claim-free years.

3) Medicare Plus:
The TATA AIG Medicare Plus Super Top-Up (STU) is a comprehensive plan offering coverage from ₹3 lakh to ₹1 crore, with deductibles ranging from ₹2 lakh to ₹ 20 lakh. It includes no room rent limits, no co-payments, and no sub-limits. The plan also offers 50% No Claim Bonus per year (up to 100%) and optional global cover for treatments abroad.

Claim Settlement Ratio of TATA AIG Health Insurance

Claim Settlement Ratio (CSR) indicates the percentage of claims an insurer settles against the total number of claims received in a financial year. It helps determine the credibility of an insurer by providing insight into how many claims are being settled by the provider.

For TATA AIG, the CSR over the last three years has been:

Key Insight: TATA AIG’s CSR of 88.72% is slightly below the industry average of 91%. This indicates that while most claims are settled efficiently, the insurer falls short of top performers like HDFC ERGO or Aditya Birla, which consistently maintain CSRs above 90%. This suggests that TATA AIG is reliable but may occasionally experience delays or rejections compared to industry leaders.

Incurred Claim Ratio of TATA AIG Health Insurance

Incurred Claim Ratio (ICR) measures the total amount an insurer pays in claims as a percentage of the total premiums collected in a financial year. It reflects the insurer’s overall claim payout efficiency and long-term sustainability.

For TATA AIG, the ICR over the last three years has been:

Key Insight: TATA AIG’s average ICR of 80.93% is below the industry average of 84%, indicating that a slightly lower portion of collected premiums is being paid out as claims. While this suggests financial stability and conservative underwriting, policyholders may experience relatively stricter claim approvals or lower claim payouts compared to peers such as National Insurance Company and United India Insurance Company.

Complaint Volume of TATA AIG Health Insurance

Complaint Volume measures the number of complaints received per 10,000 claims and reflects the insurer’s efficiency in handling claims and customer grievances.

For TATA AIG, the complaint volume over the last three years has been:

Key Insight: TATA AIG has maintained a relatively low complaint volume of 10.65 per 10,000 claims, significantly better than the industry median of 17. This suggests that policyholders generally experience smooth claim settlements and responsive customer service, making TATA AIG a reliable option in terms of operational efficiency.

TATA AIG Health Insurance: Contact Details and Address

If you purchased your policy through Ditto Insurance, you don’t have to worry about reaching out to the insurer yourself. We’ll take care of everything for you.

If you have a general query, feel free to reach out to us via email or call (080-45680003) anytime.

If you need to file a claim, simply click here, and our claims team will assist you right away — we’re available 24/7.

TATA AIG Customer Support Details

• Toll-Free Number: 1800-267-6115 (for new policy purchases)
• 24/7 Support (Charges Apply): 022-6489-8282
• Senior Citizen Helpline: 1800-267-1955
• Email: customersupport@tataaig.com
• WhatsApp: +91-9136160375
• Website: https://www.tataaig.com 
• Mobile App: Download the TATA AIG app for faster claims and policy management
• Registered Office: TATA AIG General Insurance Company Limited, Peninsula Business Park, Tower A, 15th Floor, G.K. Marg, Lower Parel, Mumbai - 400 013, Maharashtra, India.

TATA AIG Health Insurance: Premium Comparison

These are first-year premiums for a cover of 15 lakhs (with all necessary riders added) for a 25-year-old male with no pre-existing medical conditions residing in Mumbai.

Key Insight: TATA AIG’s Medicare Premier has a first-year premium of ₹14,817 for ₹15 lakh coverage, which is higher than those of HDFC ERGO, Aditya Birla, and Care Supreme. Although the premium difference may not be significant, we recommend that you carefully review the policy wordings of each before committing to a plan.

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Conclusion

Overall, TATA AIG Health Insurance stands out for its strong brand credibility, diverse plan options, and reliable customer service.

While its premiums are on the higher side and claim ratios slightly below the industry average, the insurer’s vast hospital network, low complaint volume, and comprehensive coverage make it a dependable choice for those seeking premium protection and peace of mind.

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