Process for Tata AIG Health Insurance Claim Settlement

There are different steps for different claim settlement situations:

• Planned Hospitalisation

  When you already know the date of surgery or treatment:Step 1: Send the cashless claim form by email or letter at least 5 days before admission.Step 2: Tata AIG sends a cashless claim approval letter (valid for 7 days).Step 3: On admission day, show your health card and the confirmation letter.Step 4: Then, Tata AIG pays the hospital directly.

• Emergency Hospitalisation

  For sudden cases like accidents: Step 1: Call Tata AIG within 24 hours of admission to get a Claim Intimation. Keep ready:Insurance card or policy copyPhoto ID & address proofFilled CKYC form (if claim is above ₹1 lakh)Step 2: The hospital fills and sends the cashless claim request.Step 3: Tata AIG issues an authorization letter to the hospital.Step 4: Tata AIG settles the bill directly. If rejected, you will get an SMS/email.

• Reimbursement Claim

  If cashless is not available or the hospital is outside the network:Step 1: Ensure all details on hospital bills are correct.Step 2: Collect documents such as claim form, insurance card, doctor’s certificate, test reports, discharge card, all original bills, pharmacy bills, investigation reports, FIR (if accident), NEFT bank details, CKYC form (if claim ❭ ₹1 lakh).Step 3: Some papers may take a few days. The policyholder should collect them all.Step 4: Send documents to “TAGIC Health Claims, TATA AIG General Insurance Co. Ltd., 5th-6th Floor, Imperial Towers, H.No 7-1-6-617/A, GHMC No-615,616, Ameerpet, Hyderabad - 500016, Telangana.”Step 5: Tata AIG or the TPA reviews and pays within about 21 days. You’ll be informed if more details are needed or if the claim is rejected.