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SBI Health Insurance Plans

SBI health insurance offers 7 health insurance plans. The premium of these plans starts from Rs. 219/yr. The sum insured ranges from Rs. 500 - 30 Lakh. Details of the comprehensive coverage provided by the following 7 SBI health insurance plans are listed below:

SBI Arogya Supreme Health Insurance Policy

Starting Premium- ₹ 4,297/yr

The Arogya Supreme Health Insurance policy by SBI is a comprehensive health insurance plan that can help you in all kinds of medical urgencies that can arise anywhere and at any time. Along with wide coverage, the policy allows you to be confident about the future, as you know that in the case of hospitalisation, the sky-high treatment costs will not be out of your reach.

The salient features of the policy are discussed below:

  1. SBI Arogya Supreme Health Insurance policy offers you a wide range of 20 covers along with 8 optional benefits
  2. Apart from self and your spouse, you can cover your children, parents as well as in-laws
  3. In-patient hospitalsaition includes: Nursing,ICU,Doctors’ fee ,Diagnostic procedures etc
  4. You can opt for a policy tenure of up to 3 years
  5. The policy offers coverage for Covid-19
  6. 100% refil in case of full or partial use of your sum insured
  7. Alternate treatments, such as Ayurveda, Yoga, Unani, Sidha and Homeopathy are covered
  8. Benefits such as air ambulance, recovery benefit, compassionate benefit etc. make the plan very practical
  9. Preventive Health Check-ups are available
  10. The policy also offers a number of discounts that make it all the more affordable
  11. There is an HIV/ AIDS cover offered with the plan
  12. Coverage for mental health is also provided

Eligible Age

91 days - 65 years

PED Waiting Period

4 years

Coverage

3 Lakh - 5 Lakh

NCB

15% increase in cover; max upto 100%

SBI General’s Arogya Plus Policy

Starting Premium- ₹ 7,000/yr

SBI General’s Arogya Plus Policy provides financial protection against rising out-patient (OPD) medical expenses and hospitalisation expenses. This SBI health insurance policy provides amazing benefits to manage your healthcare expenses. The coverage under the plan can be availed on both individual and family floater basis.

Features of SBI General’s Arogya Plus Policy

  1. The policy mainly covers OPD consultation and treatments expenses along with coverage offered for in-patient care, pre and post hospitalisation expenses, 142 daycare procedures, ambulance expenses, domiciliary hospitalisation, maternity expenses and alternative treatment
  2. Flexibility to choose the coverage term – 1 year, 2 years or 3 years
  3. Discounts on availing long-term cover

Eligible Age

91 days - 65 years

PED Waiting Period

4 years

Coverage

1 Lakh - 3 Lakh

NCB

NA

SBI General’s Arogya Premier Policy

Starting Premium- ₹ 7,433/yr

SBI General’s Arogya Premier Policy is a comprehensive healthcare plan that is exclusively designed to provide wider medical coverage with many attractive features. The plan aims to provide complete financial security and peace of mind during health emergencies. The coverage under the policy can be availed on both individual and family floater basis

Features of SBI General’s Arogya Premier Policy

  1. Coverage offered by the policy includes in-patient hospitalisation, pre and post hospitalisation, 142-day care procedures, ambulance expenses, alternative treatments, domiciliary hospitalisation, organ donor expenses, maternity expenses and health check-ups
  2. Auto reinstatement of 100% sum insured when the base cover gets exhausted
  3. Cumulative bonus of 10% every year up to a maximum of 50%
  4. Reimbursement of health check-up up to INR 5,000 in a block of four consecutive claim-free years
  5. Flexibility to choose the policy term – 1 year/2 year or 3 years

Eligible Age

91 days - 65 years

PED Waiting Period

4 years

Coverage

10 Lakh - 30 Lakh

NCB

10% increase in cover;max upto 50%

SBI Top-up Plans

SBI health insurance provides 1 top-up plan. The premium of these top-up plans start from Rs. 2,109/yr. The sum insured ranges from Rs. 1 Lakh - 50 Lakh. SBI top-up plans provide enhanced coverage and added protection for your well-being. Explore the details of each SBI top-up insurance policy below:

SBI General’s Arogya Top Up Policy

Starting Premium- ₹ 2,109/yr

SBI General’s Arogya Top-up Policy is a great supplement to avail extra financial protection at a reasonable cost on top of the basic health insurance plan

Features of SBI General’s Arogya Top Up Policy

  1. The coverage offered by this SBI health insurance policy includes in-patient hospitalisation cover, pre and post hospitalisation cover, daycare expenses, ambulance expenses, domiciliary hospitalisation, alternative treatments and maternity expenses
  2. Alternative treatment cover includes treatments like Ayurvedic, Homeopathy, Siddha and Unani treatments taken in a government hospital or in any institute recognised by the government and/or accredited by the quality council of India/ national accreditation board on health
  3. The policy offers the benefit of reinstatement of sum insured on payment of additional premium
  4. Family discount of up to 20% is offered by the policy
  5. A long-term discount of up to 7.5% is offered by the policy
  6. Flexibility to choose the coverage term – 1 year, 2 years or 3 years

Eligible Age

91 days - 70 years

PED Waiting Period

4 years

Coverage

1 Lakh - 50 Lakh

NCB

NA

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FAQs

Following are the major and important 13 critical illnesses covered under SBI General’s critical illness insurance plan

  • Open Chest CABG
  • Cancer of specified severity
  • Open heart replacement and repair of heart valves
  • Aorta graft surgery
  • Stroke resulting in permanent symptoms
  • Kidney failure requiring regular dialysis
  • First heart attack of specified severity
  • Major organ/bone marrow transplant
  • Primary pulmonary arterial hypertension
  • Coma of specified severity
  • Multiple sclerosis with persisting symptoms
  • Permanent paralysis of limbs
  • Total blindness

Health insurance portability refers to the shifting of health insurance plans from one insurance provider to another insurance provider with all the existing benefits carried along. Portability gives the benefit of selecting the suitable plan of your choice with the existing benefits like no claim bonus accumulated and waiting period etc continued

SBI health insurance plans come with a free look period of 15 days during which the policyholder can decide whether to continue with the policy or not. In case, insured is not satisfied with the terms and conditions of the policy, he/she can cancel it without any charges within this free look period of 15 days. However, it’s important and mandatory to state the reason for the cancellation of the policy

Premiums for SBI health insurance plans can be paid online or also through offline mode. Following are the modes through which online payments can be made

  • Net banking
  • Credit card
  • Debit card

However, payment can also be done offline through the below ways

  • Cash/cheque at nearby SBI bank branches
  • Electronic Clearing System (ECS)
  • Drop boxes

Co-payment is a system of cost-sharing in health insurance plans wherein the insured is required to bear a fixed out-of-pocket cost for covered services. This can also be in a fixed percentage. A fixed percentage of the claim amount needs to be paid by the insured and the remaining will be paid to the insurance company

Yes. SBI health insurance plans come with a 30 days grace period. In case you fail to make a premium payment within the due date for premium payment, you can still make the payment within 30 days from the due date. The benefits will continue during the grace period

Below are the treatments and illnesses that are excluded from domiciliary treatment cover

  • Asthma
  • Diarrhoea and all types of Dysenteries and Gastroenteritis
  • Insipidus and Diabetes Mellitus
  • Influenza, Cough and cold
  • Bronchitis
  • Nephritic Syndrome and Chronic Nephritis
  • Epilepsy
  • Hypertension
  • Arthritis, Rheumatism and Gout
  • All Psychiatric and Psychosomatic disorders
  • Pyrexia of unknown origin for less than 10 days
  • Tonsillitis and Upper Respiratory Tract infection including Laryngitis and pharyngitis

SBI health insurance is quite beneficial as the plans offered by the company offer a range of comprehensive coverage benefits which ensure that most medical costs get covered. Moreover, the company offers a range of health insurance plans so that you can choose a plan as per your coverage needs. The claim process of SBI health insurance plans is simple ensuring that you get cashless assistance in emergencies for a smoother experience

You can make a claim under your SBI health insurance policy in a cashless manner or through reimbursement. Cashless claims are available if you get admitted to a networked hospital. In case of a non-networked hospital or if your cashless claim is not approved, you can opt for reimbursement claims wherein you bear the medical expenses initially and then get them reimbursed by the company. The claim process for each of these types of claims has been explained earlier above

SBI believes in a quick and easy claim settlement process and allows you to get your claims settled in the easiest possible manner. In case of claims, you can contact the toll-free number of the company 1800 102 1111 and register your claim. You can also send a SMS to 561612 by writing ‘CLAIMS’ in the message text. You can send an email to customer.care@sbigeneral.in to intimate the company about your claim or simply intimate it online at the link https://www.sbigeneral.in/portal/claim/claims-intimation. Once your claim is intimated, the company would get in touch with you and guide you with the claim settlement process.
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