• SBI General Hospital Daily Cash Insurance Policy

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    Hospitalisation expenses can be a nightmare for anyone unprepared to tackle them. Having a comprehensive health insurance is one of the best ways to secure oneself from unexpected hospitalisation. No matter how comprehensive a health insurance policy is, it can only protect an insured from actual medical expenses. However, most hospitalisation events are accompanied by a range of additional expenses related to food, comfort, and travel. With regard to these expenses, a daily cash insurance policy will be handy. SBI General Hospital Daily Cash Insurance Policy provides this cover for the insured. Irrespective of the actual medical expenses, this policy provides a fixed cash benefit everyday when the insured is hospitalised for a specific period of time.

    Eligibility For SBI General Hospital Daily Cash Insurance Policy

    This coverage is available for children from the age of 3 months provided that their parents are concurrently enrolled in this policy. Some of the key eligibility criteria for this policy are as follows.

    • It has a minimum entry age of 18 years and a maximum entry age of 65 years.
    • Pre-insurance medical check up is not required for people who are less than 45 years of age subject to the condition that they have no medical history.
    • The medical examination for people above 45 years of age must follow the company‚Äôs requirements.

    Features Of SBI General Hospital Daily Cash Insurance Policy

    This is a flexible cover that allows the insured to choose the daily benefit amount and the days of coverage. Most importantly, SBI General Hospital Daily Cash Insurance Policy offers a range of benefits for policyholders:

    • It covers various medical conditions provided that the insured is hospitalised for at least 24 hours.
    • For intensive care unit (ICU) stay and accident hospitalisation, the daily cash benefit offered under this policy is doubled.
    • There is a fixed lump sum payment available under this policy for convalescence benefit provided that the insured spends at least 10 consecutive days in hospitalisation.
    • The insured can choose the coverage either for 30 days or 60 days.
    • There is a free-look period of 15 days during which policyholders can opt out of the cover if they want.
    • The premium amount paid for this policy is exempt from income tax under Section 80D of the Income Tax Act.

    Benefits Of SBI General Hospital Daily Cash Insurance Policy

    The daily cash benefit available under this policy comes in four different plans - Plan A (Rs.500), Plan B (Rs.1,000), Plan C (Rs.1,500), and Plan D (Rs.2,000). For people with entry age of 60 years and above, the maximum benefit offered under this policy is restricted to Rs.500 for a maximum of 30 days. The following benefits apply to both 30 days coverage and 60 days coverage.

    Benefits Plans A Plan B Plan C Plan D
    Daily hospitalisation cash benefit for illnesses Rs.500 Rs.1,000 Rs.1,500 Rs.2,000
    Daily hospitalisation benefit for stay in ICU subject to a maximum of 7 days per illness or injury and 15 days per policy period Rs.1,000 Rs.2,000 Rs.3,000 Rs.4,000
    Hospitalisation due to accident Rs.1,000 Rs.2,000 Rs.3,000 Rs.4,000
    Convalescence benefit for hospital stay exceeding 10 consecutive days A lump sum of 3 times the daily hospitalisation benefit or Rs.5,000 (whichever is less)

    Based on the benefits provided in this table, an appropriate plan can be chosen by the customer.

    Exclusions From SBI General Hospital Daily Cash Insurance Policy

    SBI General is not liable for providing compensation under the Hospital Daily Cash Insurance Policy for certain conditions. Some of these conditions are as follows:

    • Any condition that existed prior to the inception of the policy
    • Any illness contracted within the first 30 days of the inception of the policy cover
    • Certain conditions such as hernia and hydrocele for the first one year of the policy
    • Certain conditions such as cataract and hysterectomy for the first two years of the policy
    • Joint replacement surgery for the first three years of the policy unless required following an accident
    • Treatments related to pregnancy, childbirth, and other associated conditions
    • Treatments related to mental illness or any other psychiatric disorders
    • Treatments related to AIDS and other venereal diseases
    • Treatment related to obesity, weight reduction, and weight management
    • Injuries caused by war or warlike activities
    • Injuries caused while under the influence of alcohol or drugs
    • Hospitalisation associated with donation of organs by an insured
    • Injuries caused by nuclear radiation
    • Intentional self-injury, suicide, and attempt to suicide
    • Genetic disorders and congenital internal diseases
    • Cosmetic and aesthetic treatments of all kinds

    Claim Process For SBI General Hospital Daily Cash Insurance Policy

    The claim process for SBI General Hospital Daily Cash Insurance Policy begins with a notification to the insurer. Notification must be provided immediately in writing following the occurrence of an event. In any case, the insurer must be notified within 48 hours of discharge from the hospital. Payment of compensation is subject to the submission of a range of documents related to hospitalisation. Some of the documents required by the insurer include:

    • Claim form with all the required details about the insured
    • Copy of hospital summary and discharge summary
    • Original bills, medical reports, and records
    • Certificate from the physician
    • Valid photo identity card
    • Any other documents requested by the insurer

    Once the documents are submitted, the insurer will assess the validity of the claim. If the claim is not valid, the insurer may reject the application. In case of rejection, the insurer will notify the claimant in writing with the reason for repudiation. If the claim is found to be valid, the insurer will process the claim and compensate the claimant.

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