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Arogya Premier Policy

SBI Arogya Premier Policy

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SBI General Arogya Premier Policy designed to meet special health requirements of individual with best medical coverage

SBI Arogya Premier Health Insurance - Eligibility

Minimum Entry age is 3 months
Maximum Entry Age is 65 years

SBI General Health Insurance Review

SBI General Health Insurance sum insured
1 lac − 30 lacs options available

Incurred Claims Ratio *
77.00%

SBI General Health Insurance tenure options
1 and 3 years options available

Claims Settlement Ratio **
75.20%

List of network hospitals
6,000+ hospitals

Number of policies issued *
637,615

Maximum family floater coverage
Self, Spouse + 2 dependent children (upto age of 23 yrs)

Number of lives covered *
4,654,150

* As per IRDAI report for 2020-21 | ** As per NL25 data published on the Insurance Company website

SBI General Arogya Premier health insurance review

Benefits
Key Features

Benefits of SBI General Arogya Premier health insurance

Broad coverage from Rs. 10 lac to Rs. 30 lac.
No pre-medical test for people without medical history up to the age of 55.
142 day care expenses covered.
Maternity expenditure covered after the first 9 months of waiting.
Save tax in accordance with Section 80D.

Key Features of SBI General Arogya Premier mediclaim insurance

Sum Insured	The plan provides a wide coverage of Rs. 10 lac to Rs. 30 lacs.
In-patient hospitalisation	The plan covers hospitalization: Room rent & boarding expenses, Medical practitioners fees, Intensive care unit, Nursing expenses, Anesthesia, blood, oxygen, operation theatre expenses, surgical appliances, medicines & consumables, diagnostic expenses and x-ray, dialysis, chemotherapy, radiotherapy, cost of pacemaker, prosthesis/internal implants and any medical expenses incurred which is integral part of the operation, Physiotherapy as inpatient care and being part of the treatment, Drugs, medicines and consumables consumed during hospitalization period, Diagnostic procedures, Dressing, ordinary splints and plaster casts
Pre-hospitalisation	The plan provides 60 days coverage for pre-hospitalization
Post-hospitalization	The plan provides 90 days coverage for post-hospitalization
Ambulance Cover	This plan covers ambulance expenses up to Rs. 1 lac, including air ambulance.
Health Check up	Health Check up reimbursement to Rs. 5,000 insured after 4 consecutive years free of charge.
Alternative treatment	This plan covers Alternative treatment such as Ayurveda, Unani, Siddha and Homeopathy.
Organ Donor Cover	This policy covers the costs for organ donor’s treatment.
Cumulative bonus	Cumulative bonus at a rate of 10 percent of the insured amount for each claim free renewal up to 50 percent.

SBI General Health Insurance FAQ’s

What is a waiting period?

A waiting period is the length of time you, the insured, will have to wait before the benefits under the health policy can be utilised.

What is a ‘Free Look Period’?

A ‘Free Look Period’ is a period of 15 days from the date of receipt of the policy that a policyholder, in this case you, have to review the entire health insurance plan. If you disagree with any of the terms or conditions mentioned in the policy, you have the option of returning the policy by stating the reasons for the objection. Following this, you are entitled to a refund of the premium paid, provided no claim has been made under this mediclaim insurance policy (subject only to a deduction of the expenses incurred by the company on medical examination and the stamp duty charges). Please note that this facility is not applicable on renewal and portability cases.

What is the grace time to renew the health insurance policy online?

A grace period refers to a period of 30 days immediately following the premium due date of the medical insurance policy. During this period you can pay the premium of your expired policy and avail continuity benefits such as waiting periods and coverage of pre-existing disease.

What all KYC documents are required in cases of reimbursement?

The following KYC documents are required from the insured person/proposer in cases of reimbursement-

If claim amount is below 1 lakh- Photo Id proof & address proof
If claim amount is above 1 lakh- Photo Id proof, address proof and a recent photograph

What is a deductible?

A deductible is a cost-sharing requirement. It states that the insurer will not be liable for a specified amount in case of indemnity policies. This is applicable for a specified number of days/hours in case of hospital cash policies which apply before any benefits are payable by the insurer. Remember that a deductible does not reduce your sum insured.