Your health cover, explained.
What Myra found for you
From your documents · each figure opens its findingSix questions, answered
Tap an answer for the detail01What's in this check
- PolicyTapti Health Plus
- InsurerTapti General Insurance Ltd
- KindFamily floater health policy
- People insuredYou (41), Spouse (39)
- Insured without a break since10 Feb 2025
- This policy year10 Feb 2026 to 9 Feb 2027
- DocumentsPolicy schedule · Customer Information Sheet
02In short
₹5,00,000 shared by You (41), Spouse (39), ₹21,800 a year. 4 conditions decide what's paid. On the example bill of ₹2,28,000, the policy would pay about ₹1,40,000. The insurer decides what's admissible on a real claim.
03Key numbers
Policy held04Important findings
Most important first · tap to expandAt a network hospital, the insurer must decide on cashless within 1 hour of the hospital's request, and give final approval within 3 hours of the discharge request; any extra charge from a delay is the insurer's. A reimbursement claim must be settled within 15 days of submitting it; if late, with interest at the bank rate + 2%. The insurer or TPA collects the documents from the hospital. A claim can be rejected only with the insurer's claims review committee's approval, and a part rejection has to cite the clause. With more than one policy, you choose which pays first.
08What Myra could not verify
0Nothing essential is missing.
09Suggested questions
05What you're committing to
- A premium every year to keep the cover
- Renew without a break: waiting periods and the moratorium count from the first policy
- Everything disclosed in the proposal; non-disclosure can be questioned until the moratorium
06What can change
- PremiumAt renewal, by age band and the insurer's revision
- Cover availableA bonus adds to it; claims in the year use it up
- RulesIRDAI's, by the policy's dates
07Getting out
- Free look30 days from receiving the policy
- PortingTo another insurer, keeping the credit earned
- Not renewingThe cover and waiting-period credit end