SBI General Health Insurance - Compare plans, reviews & renew online

A joint venture between the Insurance Australia Group and the State Bank of India, SBI General Insurance Company Limited offers various insurance products such as motor, personal accident, travel, home, fire, marine, etc. SBI General Health Insurance is one of their product offerings.

SBI General Health Insurance Highlights_{Updated on 27 Sep 2023}

 

Features & Benefits of SBI General Health Insurance

• Good coverage options - SBI offers customers attractive coverage options. A prospective buyer can choose a sum insured amount as per his/her personal needs and financial limitations without any hassles.
• Flexible and comprehensive plans- The best part about SBI General Health Insurance is that it offers a wide range of plan options that give policyholders the flexibility to make choices as per personal preferences and other factors such as the the city they live in, etc.
• Wide range of add-ons- SBI gives policyholders the benefit of a wide range range of cover options. Some of the riders include ICU charges, consultancy charges, ambulance fee, operation theatre fee, etc.
• 24/7 customer support- A well-trained customer service team works on a 24/7 basis to resolve issues, clear doubts, answer claim queries and other issues related to insurance.
• Free- medical check-up- Policyholders will be eligible for a complimentary health check-up upon the completion of at least 4 claim-free years.
• Easy online purchase and renewal- Purchasing a health insurance policy from SBI is just a click away. All purchases and renewals can be done online without any hassles just by following a few simple steps.

Plans provided by SBI General Health Insurance

*Premiums may vary depending upon factors like age, location, term of the plan and prevailing taxes/GST.

Arogya Premier

Specifically designed for high net-worth individuals, Arogya Premier policy offers good coverage and comes with a good set of benefits and add-ons.

Unique Features of Arogya Premier Policy

• This policy offers the benefit of air ambulance services that can be availed up to a maximum of Rs.1 lakh
• Coverage is offered to daycare expenses, organ donor expenses and other treatments such as Homeopathy, Siddha, Unani and Ayurveda
• Expenses related to maternity will be taken care of under the policy after completion of a waiting period of 9 months
• Pre and post-hospitalization expenses will be provided
• Tax benefit applicable
• Operation related expenses

Arogya Premier Plan Details

Arogya Plus

The Arogya Plus plan is an enhanced health insurance option that provides multiple coverage options.

Unique Features of Arogya Plus Policy

• OPD related expenses will be taken care of as mandated in the policy terms and conditions
• Tax benefit can be availed under section 80D
• Maternity benefit offered
• Daycare, pre and post-hospitalization expenses covered
• Other benefits include cover for nursing expenses, ICU, diagnosis, operation and hospitalization related expenses

Arogya Plus Plan Details

Arogya Topup

The Arogya Topup policy is designed to provide added protection at a comparatively low premium rate.

Unique Features of Arogya Topup

• AYUSH related expenses will be covered
• Tax exemption can be claimed
• Organ expenses, pre and post-hospitalization cost and other fees related to surgeons, maternity, ambulance services and day care expenses
• Hospitalization expenses such as room rent, blood and oxygen, etc

Arogya Topup Plan Details

Health Insurance SBI

This is a comprehensive health insurance policy that has a wide scope of coverage.

Unique Features of Health Insurance SBI

• Tax exemption applicable
• Policyholders can avail cashless network services from the 3,000 odd empanelled network hospitals across the country
• Coverage is also provided to certain specified pre-existing diseases after a waiting period of 1 year
• The policy also covers ambulance charges, domiciliary hospitalization, day care expenses, ICU charges, specialist fees and other hospitalization expenses as mandated in the policy document

Health Insurance SBI Plan Details

Critical Illness

The SBI Critical Illness plan is specially designed to cover certain specified serious illnesses. This is an individual policy.

Unique Features of Critical Illness plan

• This policy provides coverage against 13 serious illnesses such as paralysis, blindness, coma, first heart attack, stroke, heart valve surgery, aorta graft surgery, coronary artery bypass grafts, major organ transplant, multiple, primary pulmonary arterial hypertension, kidney failure, cancer
• Tax exemption can be claimed

Critical Illness Plan Details

Hospital Daily Cash

The Hospital Daily Cash policy is specifically designed to take care of the day-to-day expenses at the time of hospitalization.

Unique Features of Hospital Daily Cash

• During the time of hospitalization, a daily cash benefit of Rs.2,000 will be provided
• ICU allowance of Rs.4,000 will be provided on a daily basis
• Accidental hospitalization allowance of Rs.4,000 will be given on a daily basis and convalescence expenses of Rs.5,000 per day will be given

Hospital Daily Cash Plan Details

SBI Group Health Insurance Policy

The SBI Group Health Insurance policy offers hospitalisation cover for individuals and families as well. The sum assured is between Rs.1 lakh and Rs.5 lakh.

Unique Features of the SBI Group Health Insurance Policy

• No pre-policy medical screening for applicants below the age of 65 years old.
• Policyholders can choose a sum assured of Rs.1 lakh, Rs.2 lakh, Rs.3 lakh, Rs.4 lakh or Rs.5 lakh.
• Policyholders can avail the benefit of the cashless claim settlement at 3,000 network hospitals of SBI General Insurance.
• Choice of an individual plan or a family floater plan.
• Coverage for room and nursing charges, ambulance charges, etc.

Plan details

SBI Loan Insurance Policy

Customers who have availed a loan from SBI can opt for this packaged policy which will cover hospitalisation expenses if the policyholder is faced with an eventuality.

Unique features of the SBI Loan Insurance Policy

• No medical screening if the policy applicant is less than 55 years old or has chosen a sum assured that is less than Rs.1 crore.
• Policyholders can choose a sum assured that is fixed or on a reducing basis as the loan amount gets cleared.
• Coverage for 13 critical illnesses.
• Loss of job cover.
• Personal accident cover.

Plan details

Checklist before Buying SBI General Health Insurance

• Before making a purchase, look into your personal and family needs and choose a plan accordingly
• Consider all the factors such as premium range, sum insured amount, policy tenure and compare all benefits in the various plans
• Keep all documents ready

Documents Required for Purchasing SBI General Health Insurance

• ID proof and residential proof
• Medical certificate, if required

Incurred Claim Ratio of SBI Health Insurance

Incurred claim ratio basically refers to percentage of claims that are successfully solved by the insurance company in a given financial year.

Extra Benefits from SBI General Health Insurance

SBI General Health Insurance Renewal

Log on to the SBI General Insurance and click on the ‘Renew’ option to complete the renewal process online. Just follow a few simple steps and make payment online.

SBI General Health Insurance Network Hospitals for Cashless Treatment

SBI General Health Insurance is equipped with over 3,000 cashless network hospitals where customers can avail good quality services. To locate the nearest network hospital, log on to the SBI General Insurance website and click on the ‘Hospital Network’ option.

Claim Procedure in SBI General Health Insurance

Cashless claim procedure:

• Get prior approval from the insurance provider and contact the TPA
• The health insurance card should be presented at the time of hospitalization
• Bills to be paid by the insurance company to the network hospital

Reimbursement claim procedure:

• Fill out the duly signed claim form
• Bills, invoices and discharge summary should be submitted along with the claim form
• Reimbursements will be made in 7 working days

Terms and Conditions of the Insurer

• The policyholder must ensure that all information furnished at the time of purchase of the policy is accurate. In case of any misrepresentation of facts, the insurance provider has the right to cancel the policy at any point of time
• Reimbursement claims will not be processed by the insurance provider unless documentary evidence is provided in terms of bills, invoices or discharge summary

FAQs

1. Can you tell me what exactly is a family floater policy?

A family floater policy is basically a health insurance policy that covers the dependents of the policyholder such as parents, spouse, and children. The sum assured is not divided by each member listed in the health insurance policy, rather the sum assured is aggregated between the members listed in the policy.

2. What exactly is health insurance co-payment? Are there any benefits of opting for co-payment?

Co-payment basically means that the policyholder is agreeing to share the claim amount to cover the hospitalisation expenses. Policyholders can choose co-payment between 10% and 30% of the claim amount. Policyholders can opt for the co-payment option if they wish to reduce the premium of the health insurance policy.

3. Does the sum assured increase if I am admitted in a hospital due to an accident?

Yes, as per the terms and conditions set by State Bank of India, if the policyholder is admitted in hospital due to an accident, then the sum assured increases to 125% subject to a maximum of Rs.1 lakh.

4. Can I request for a premium refund if I have not made a claim during the period of the policy?

No, you will not get a premium refund if you have had a claim-free year, however, as a bonus for not making a claim the entire policy period, the sum assured will increase by 5% every policy year, subject to a maximum increase of 25%.

5. Is it better to port my health insurance policy or just get a fresh policy with another insurer?

If you have held the health insurance policy for a certain number of years, it is better to port the policy rather than opt for a fresh policy with another insurer as this will prevent discontinuance of your health insurance cover. In addition, treatment for certain diseases and pre-existing diseases have a waiting period and with a fresh policy you will have to wait out the years before you can claim coverage for those diseases. In short, porting your existing policy at the time of renewal makes the most sense.