Tata AIG Health Insurance: Review & Plans

Quick Overview

TATA AIG Health Insurance, established in 2001 as a joint venture between the Tata Group and American International Group (AIG), is a well-known private insurer in India.

Its flagship plans, such as Medicare Premier and Medicare Select, offer comprehensive, all-in-one coverage with features like high sum insured, maternity, and global benefits. It also stands out for a wide hospital network and low complaint levels.

However, premiums are higher, and its Claim Settlement Ratio (CSR) is slightly below that of leading insurers like HDFC ERGO.

Founded in 2001, TATA AIG combines Tata’s brand trust with AIG’s global expertise. It has built a strong presence with a health insurance Gross Written Premium (GWP) of over ₹3,165 crore (FY 2022–25) and 5 crore+ policies issued. Its plans cater to individuals, families, and senior citizens, with a focus on comprehensive, feature-rich coverage.

This TATA AIG insurance review evaluates its claims performance, pricing, and product design to assess overall reliability.

TATA AIG General Insurance: Performance Metrics

Metrics	TATA AIG General Insurance (FY 2022-25)	Industry Average (FY 2022-25)
Claim Settlement Ratio (CSR)	88.72%	91.22%
Incurred Claim Ratio (ICR)	77.50%	81.88%
Average Complaints Received per 10,000 Claims	10.65	27.06
Annual Business/Gross Written Premium (in Crores)	₹3,165	₹3,969

Note: The complaint figures shown above include all products offered by TATA AIG (health, motor, and others), as the insurer does not publish product-specific complaint data. All data is sourced from IRDAI annual reports and the insurer’s public disclosures.

Key Insights

Complaints: The complaint ratio is better than the industry average, reflecting efficient service and smoother claim handling.
Incurred Claim Ratio (ICR): The ICR is lower than industry levels; however, still in the required range of 50-80%.
Claim Settlement Ratio (CSR): The CSR is below the industry average, indicating relatively weaker claim settlement performance.
Annual Business (GWP): The Gross Written Premium (GWP) is slightly below the industry average, indicating a moderate but stable market presence.

Best Plans Offered By Tata AIG Health Insurance

Plan	Coverage	Key Features
Medicare Premier	₹5 Lakh to ₹3 Crore	No room rent, no co-pay or disease sub-limits; 100% restoration of sum insured; 50% no-claim bonus (up to 100%); maternity cover (₹50,000 to ₹1.2 Lakh after 3 years)
Elder Care	₹5 Lakh to ₹25 Lakh	For 61+; 2-year wait for Pre-Existing Diseases (PED); 30/60-day pre/post hospitalization; no room rent limits, co-pay, or sub-limits; ₹2–20 Lakh deductibles; 10% No Claim Bonus (NCB) up to 100%; includes consumables, wellness, and global cover.
Medicare Plus (Super Top-Up)	₹3 Lakh to ₹1 Crore	No room rent limits, co-pay, or sub-limits; flexible deductibles (₹2–20 Lakh); 50% no-claim bonus (up to 100%); optional global cover
Medicare Select	₹5 Lakh to ₹3 Crore	Unlimited restoration of sum insured; 7+ optional riders including Maternity, Consumables, and Outpatient Department (OPD) cover

TATA AIG Health Insurance: Premium Comparison

Profile	Medicare Premier	Medicare Select
Individual (Age 25)	₹14,536	₹9,445
Family Floater 2 Adults (2A): 31, 32	₹26,302	₹16,491
Family Floater 2 Adults + 1 Child (2A 1C): 35, 34, 5	₹34,167	₹21,711
Family Floater 2 Adults (2A): 62, 63	₹69,579	₹65,552

Note: The premiums above are indicative for a ₹15 lakh cover and assume the insured individuals are based in Delhi (pin code: 110010).

For Medicare Select, riders chosen include Consumables Cover, Preventive Annual Health Checkup, and Emergency Air Ambulance. No riders have been added to Medicare Premier.

CTA

TATA AIG Health Insurance: Contact Details and Address

Customer Support Details:

Toll-Free Number: 1800-267-6115 (for new policy purchases)
24/7 Support (Chargeable): 022-6489-8282
Email: customersupport@tataaig.com
WhatsApp: +91-9136160375
Website: https://www.tataaig.com/contact-us
Mobile App: TATA AIG app for quick policy management and claims

Registered Office: TATA AIG General Insurance Company Limited, Peninsula Business Park, Tower A, 15th Floor, G.K. Marg, Lower Parel, Mumbai – 400013, Maharashtra, India.

Top 10 Health Insurance Companies in India

Rank	Insurer	5-Point Rating	Claim Settlement Ratio	Complaints Volume (Per 10,000 Claims)	Annual Business Volume (in Crores)
1	HDFC ERGO	4.99	96.71%	9.28	₹6,118
2	Bajaj General	4.99	96.78%	3.07	₹6,119
3	Aditya Birla	4.49	95.81%	18.67	₹3,290
4	Care Health	4.23	93.13%	42	₹6,775
5	Niva Bupa	4.23	91.62%	43.85	₹5,481
6	SBI General	3.79	96.14%	20.51	₹3,329
7	Go Digit	3.69	98.66%	16.88	₹1,388
8	Generali Central	3.66	91.78%	11.02	₹3,989
9	ICICI Lombard	3.65	84.50%	10.67	₹6,794
10	TATA AIG	3.43	88.72%	10.65	₹3,165

Our rating methodology evaluates multiple factors such as Claim Settlement Ratio (CSR), Gross Written Premium (GWP), complaints, and more to provide a well-rounded view of insurers. Based on this, Tata AIG ranks among the top 10 health insurers in India.

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Ditto’s Take on TATA AIG Health Insurance

TATA AIG Health Insurance stands out for its strong brand credibility, comprehensive plans, and smooth customer experience.

However, premiums are relatively higher, and its Claim Settlement Ratio (CSR) is slightly below the industry average. Other insurers like HDFC ERGO or Aditya Birla Health Insurance may offer better metrics and similar coverage at more competitive pricing, so it’s worth comparing options.

TATA AIG is best suited for those who prefer all-inclusive plans with built-in benefits such as maternity or Outpatient Department (OPD) coverage without relying heavily on add-ons.

To understand how TATA AIG compares with other insurers, you can also explore our guide to the top health insurance plans in India.

Frequently Asked Questions

Can I reduce the waiting period for pre-existing diseases under TATA AIG health insurance?

Yes, certain plans like Medicare Select allow you to reduce the waiting period for specific pre-existing conditions from 3 years to as low as 30 days, depending on the add-on chosen.

Are all daycare procedures covered under TATA AIG health insurance?

Tata AIG covers a wide range of daycare treatments. However, the exact list may vary by plan, so it’s important to review the policy document for specific inclusions.

Does TATA AIG health insurance cover maternity and newborn expenses?

Yes, plans like Medicare Premier offer maternity benefits ranging from ₹50,000 to ₹1.2 Lakh, typically after a 3-year waiting period. Some plans, such as Elder Care, do not include maternity cover, while others, like Medicare Select, offer it as an add-on.