Tata AIG is a trusted brand known to offer some of the best health insurance services, and other insurance products. They also offer a faster claim settlement process to the policyholders. Still, a policyholder must submit a request to their insurer through the health insurance claim settlement process to use the medical treatments covered by their health plan. The policyholder can either obtain a cashless treatment or file a reimbursement claim for already-used medical services.
Here, we will talk about Tata AIG claim status. Before that, let’s get to the basics.
What is Claim Settlement Ratio?
The percentage of claims settled to claims filed with an insurer is known as the Claim Settlement Ratio or CSR, in a health insurance policy. It is a typical metric for rating insurance providers. You can also consider this factor when selecting an insurer.
CSR = Total no. of claims settled/Total no. of claims received X 100
The Insurance Regulatory and Development Authority of India determines the CSR for every insurance company and releases yearly data including their claim settlement ratios.
Tata AIG Health Insurance Claim Settlement Ratio
As per the IRDAI report 2022-23, the CSR of Tata AIG Insurance is 95.46%. This data is subject to change over time.
| Status of Tata AIG Health Claim Settlement ratio- 2021-22 | ||||||
|---|---|---|---|---|---|---|
| Age Analysis of Number of Claims Paid (%) | <<> 3 months | three months to 6 months | six months to <<>1 year | 1 year to <<>3 year | 3 years to <<>5 years | five years |
| Claims Settled | 93.55 | 3.97 | 1.90 | 0.45 | 0.07 | 0.06 |
Network Hospitals
Tata AIG Health Insurance Claim Settlement Process
Tata AIG health insurance offers two simple ways to file claims. Below we have explained both the claim processes of Tata AIG health insurance in detail:
Cashless Claim Process
Filing a cashless claim under your Tata AIG health insurance policy is easy. If you want to file a claim, email healthclaimsupport@tataaig.com or use the 24-hour toll-free number 1800 266 7780. You can also follow the steps given below:
- Visit Tata Health Insurance's official website.
- Select the ‘Claim’ tab.
- Follow the given steps and submit required details.
- Their claim support team will guide you through the process.
Reimbursement Claim Process
To file a reimbursement claim, you must pay the hospital costs in full at the time of admission if the insurer does not offer a cashless claim option or you have chosen a non-network hospital. The insurance company will subsequently pay you back for the medical expenses.
You can also follow the steps given below to file a claim:
- Provide all the relevant documents to Tata AIG health insurance company.
- Wait for document assessment.
- Wait for the payment processing. Once it is done, you will be reimbursed for the costs incurred as per policy terms.
Disclaimer:
The details, facts, or figures given here are intended solely for the reader's informational purposes and should not be relied upon for personal, medical, legal, or financial decisions. Please visit the insurer's website for the latest updates. We do not endorse any particular insurance company or insurance product provided by any insurer.
