Tata AIA Life Pro - Fit Solution

What is Tata AIA Life Pro-Fit Solution Plan?

Tata AIA Life Pro-Fit Solution Plan is a comprehensive life insurance plan designed to address your financial needs in case of medical emergencies. You get the benefit of Unit-Linked Insurance Plan (ULIP) that aids in increasing your healthcare savings with returns linked to market performance, while also preparing you for unforeseen medical emergencies. It combines three different plans to offer you a well-rounded health and wealth management solution:

• Tata AIA Smart Health: This is the core component, acting as a Unit-Linked, Non-Participating, Individual Health Insurance Plan. It provides financial coverage for hospitalization expenses arising from accidents, illnesses, or critical illnesses.

• Tata AIA Sampoorna Health: This is a Non-Linked, Non-Participating Individual Health rider that can be attached to the core plan for additional benefits. It typically offers coverage for hospitalization expenses exceeding the limits set in the core plan.

• TATA AIA OPD Care: This is another optional rider, a Linked, Non-Participating Individual Health rider. It can be added to the core plan to cover Out-Patient Department (OPD) expenses, including consultations, diagnostics, and medications.

What are the Features of Tata AIA Life Pro-Fit Solution Plan?

The features and benefits of Tata AIA Life Pro-Fit Solution Plan are:

• Worldwide Treatment Cover (subject to policy terms and conditions): This plan offers flexibility in seeking medical treatment. In case of a medical emergency, you can get treatment at any hospital around the world, depending on the specific terms and conditions of your policy.

• Market-Linked Returns: This plan functions as a Unit-Linked Insurance Plan (ULIP). A portion of your premium is invested in market-linked funds, allowing you to potentially grow your wealth over the long term. The returns are linked to the performance of the chosen investment funds. This feature helps you achieve your long-term financial goals alongside having health security.

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What are the Benefits of Tata AIA Life Pro-Fit Solution Plan?

Benefits of Tata AIA Life Pro-Fit Solution Plan are:

• Surgical Cover: The plan provides financial assistance for a variety of medical procedures. It covers 133 listed surgeries with fixed benefit payouts, and there's also coverage for any unforeseen surgeries not on the list.

• Daycare Cover: This plan goes beyond hospitalization. It covers daycare procedures as well, including 136 listed procedures and any non-listed daycare surgeries.

• Hospital Daily Cash: The plan offers daily cash benefits during hospitalization, helping you manage additional expenses beyond medical bills. The benefit amount varies depending on the plan option you choose, going up to Rs. 40,000 per day for hospitalization and Rs. 80,000 per day for ICU stays.

• Disability Cover: In case of an unfortunate accident leading to total and permanent disability, the plan provides a lump-sum payout to help you manage financially.

• Death Cover: The plan offers a death benefit to your loved ones, ensuring they are financially secure in your absence.

• Whole of Life Cover: This plan provides coverage up to the age of 100, giving you long-term peace of mind.

• Family Coverage: Extend the plan's benefits to your family members by including them under the same policy, ensuring their healthcare needs are also covered.

• Critical Illness Cover: The plan offers a financial payout upon diagnosis of any of the 57 covered critical illnesses. This helps manage the financial burden associated with critical illness treatment.

• OPD Care Cover: Get coverage for outpatient consultations, physiotherapy, medicines, diagnostics, and more, extending the plan's benefits to your family's well-being.

• Global Coverage: Access high-quality medical care anywhere in the world if needed.

• Overseas Treatment Booster: Receive an additional 10% of the sum assured to cover extra expenses when undergoing treatment abroad with a companion.

  

• Cashless Claims: Enjoy a hassle-free experience with cashless claim settlements at network hospitals.

• Click & Claim: Submit claims easily by uploading scanned reports online.

• Monthly Income Assurance: In case of a critical illness diagnosis, receive a monthly income for 3 years to manage financial setbacks.

• Waiver of Premium: Upon major surgery or critical illness diagnosis, your policy premiums will be waived off for the next 3 years, ensuring continued coverage.

• Free Annual Health Checkup: Get a free annual health checkup with Tata AIA Vitality to monitor your health proactively.

• Market-Linked Returns: Grow your health corpus through a variety of market-linked investment funds, potentially building wealth for future medical needs.

• Tax-Free Withdrawals: Use your accumulated health corpus for future medical expenses tax-free.

• Vitality Discounts: Enjoy discounts on premiums based on your healthy lifestyle choices through the Tata AIA Vitality program.

• No Claim Reward: Receive additional premium discounts for claim-free years.

• Smart Lady Benefits (For Women/Girl Child Life Assured): Get a discount on the first-year premium and an extra allocation towards the fund value.

• Super 30 Discount: Young adults (age 30 or below) qualify for a discounted premium in the first year.

• Transgender Discount: Receive a discount on the first-year premium.

• Auto-Debit Discount: Benefit from additional units allocated to your fund value through auto-debit.

• Income Tax Benefits: Take advantage of tax deductions on premiums paid, as per applicable tax laws.

• Digital Discount: Get a discount on the first-year premium for online purchases.

• Existing Customer Discount: Existing Tata AIA Life Insurance customers qualify for a discount on the first year.

• Return of Mortality Charges & Premium Allocation Charges: Starting from the 11th policy year, a portion of deducted charges is added back to your fund value, boosting your returns.

• Worksite Discount: Get a discount if your plan is purchased through workplace campaigns or similar events.

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Claim Settlement Included Under Tata AIA Life Pro-Fit Solution Plan

Tata AIA Life Pro-Fit Solution Plan offers multiple claim settlement options to ensure you receive timely financial assistance during medical emergencies:

• Cashless Claims: Enjoy a hassle-free experience where the insurer directly settles your medical bills with network hospitals within the policy coverage limits.

• Reimbursement Claims: Pay for medical expenses upfront and then file a claim for reimbursement. Submit the necessary documents, and the insurer will reimburse you as per the plan's terms.

• Death Claims: In case of the policyholder's unfortunate demise, the nominee receives a lump sum payout as per the plan's terms.

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Exclusions Under the Tata AIA Life Pro-Fit Solution Plan

1. Accidental Total & Permanent Disability (ATPD):

   • Pre-existing conditions.

   • Disability not lasting for at least 180 days.

   • Self-inflicted injury, substance abuse.

   • War, aviation (except as passenger).

   • Hazardous activities (racing, rock climbing, etc.).

   • Criminal acts.

   • Nuclear, chemical, and biological incidents.

   

2. Cancer Care:

   • Pre-existing diseases.

   • Conditions within the waiting period.

   • Self-inflicted injury, substance abuse.

   • Congenital defects.

   • Hazardous sports/activities.

   • Aviation (except as a passenger).

   • War, civil unrest.

   • Organ donor treatment.

   • Nuclear, biological, and chemical contamination.

   • Treatment outside India.

   • Non-allopathic treatment.

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