SBI Health Insurance

SBI General Health Insurance Overview

SBI General Insurance Company Limited is a joint venture between the State Bank of India and Insurance Australia Group (IAG). SBI owns around 74% of the total capital and IAG the remaining 26%.

SBI takes immense pride to confirm that during the year 2013-14, SBI General in association with State Bank of India covered over 1.5 crore Saving Bank Account holders of SBI with a Personal Accident Insurance cover. SBI General has also established its presence in nearly 14,000 branches of State Bank of India.

SBI General follows a very efficient distribution model encompassing Bancassurance, Agency and Broking Channels& Retail Direct Channels. SBI General's current geographical coverage extends to 56 cities pan India and presence in another 350+ locations through satellite resources, it has tried and worked very hard in making its presence feel across the globe. SBI General is currently serving three major customer segments 1.Retail Segment (Individual & Families), 2.Corporate Segment (mid to large size Companies) and 3.SME Segment.

Why SBI Health Insurance Plans?

Health Insurance plans have become very important in the modern age due to the rising cost of medical expenses and the treatment costs of various ailments. Moreover, the current lifestyle of individuals has made them more prone to diseases and ailments which require medical attention. Medical costs are spiralling upwards and there is no relative growth in the income of the common man who eventually faces a financial crisis when faced with a medical emergency. Thus, it is prudent to insure oneself against any medical contingencies that may arise so that the financial aspect of the crisis is at least handled by the insurance company and the medical costs do not become a burden on the average middle-class man

List of Health Insurance Plans Offered by SBI Mediclaim Policies

Let us take a look at each of them in detail:

SBI Health Insurance:

As we all know that every unique person has varying kinds of health with different controls over them. SBI General has always tried tailor making its plans suiting the requirement of every individual giving them greater sense of security and better health. Listed below are the essential features of the plan:

• Wide coverage – from 50000/- to 5,00,000/-.
• No medical test for upto the age of 45 for people without any medical history.
• Family Floater benefit given in a very comprehensive manner by providing them protection under single plan.
• Flexible Plan options – Metro PLAN, Semi Metro Plan & Rest of India.
• Pre and post hospitalization expenses covered for 60 and 90 days respectively
• Free Medical checkup for every 4 claim free years upto a maximum limit of Rs.2500/-
• Cashless facility available across SBI’s Network of hospitals

SBI General firmly believes in providing you with flexible options.

In case you are living in a Metro or in a Semi Metro, and you would like to get treated there only, the Policy provides you with an option to choose a Plan. This way it helps you to choose a plan which is more appropriate to your need and hence priced accordingly.

The three available plans are:

• The percentage of amount shown in the above table is with respect to the admissible claim amount. The Company will make payments only after being satisfied, with the necessary bills and documents.

Health Insurance Plan by SBI

Since SBI very strongly believes in promoting the needs of the insurer, hereby it constantly tries to provide better health and sense of security. In present days medical costs go up so high that they always leave a big hole in our pockets. SBI’s General’s Group Health Insurance Plans aims at making medical treatment more manageable. Listed below are the essential features of the plan:

• Wide coverage – from 1,00,000/- to 5,00,000/-.
• No medical test for upto the age of 65 for people without any medical history.
• Multiple Coverage Options - Family Floater benefit given in a very comprehensive manner by providing them protection under single plan.
• Pre and post hospitalization expenses covered for 30 and 60 days respectively.
• Cashless facility available across SBI’s Network of hospitals.
• 1 year waiting for specified disease.
• Covers Day care surgery where less than 24 hours of hospitalization is required.
• Provides ambulance charges of a 1% of Sum Insured subject to a maximum of Rs. 1,500.
• Room boarding and nursing charges is provided up to 1% of Sum Assured per day for non-ICU rooms and 2% of Sum Assured per day for ICU related charges

SBI Critical Illness Insurance Policy:

As we all know life is very unexpected and at times turn of events are not always favourable for us. Critical Illness is certainly one of those events which not only devastate one emotionally but also financially. The patients and their family members at times are unable to incur such high costs. This particular plan covers against at least 13 critical diseases. This plan provides a fixed sum, irrespective to your actual medical expenses and helps you bear high cost thus keeping you financially stable. Listed below are the essential features of the plan:

• Upto 50,00,000/- Sum Assured.
• Pre and post hospitalization expenses covered for 30 and 60 days respectively
• Cashless facility available across SBI’s Network of hospitals.
• Minimum Entry age is 18 years whereas Maximum Entry age is 65 years.
• Illness covered under this plan is namely Cancer, Kidney Failure, coronary artery bypass surgery, kidney failure, first heart attack, major organ transplant, stroke, aorta graft surgery, primary pulmonary arterial hypertension, multiple sclerosis and permanent paralysis of the limbs.
• Only one critical illness shall be covered in one lifetime in this plan.
• Insurance benefit is payable only if the insured is alive for a period of more than equal to 28 days from the day of 1st diagnosis.

SBI Hospital Daily Cash Insurance Policy:

The greatest wealth that every human can equally possess is Health. There is no surety and most of the times we are completely unaware of the short comings with regards to health. It leaves an individual devastated both financially and mentally. The level of stress is completely unimaginable. SBI Hospital Daily Cash Insurance Policy helps you overcome and deal with such situations in a better way.

The plan provides you with fixed benefit for each day hospitalization expenses. Thus the plan covers the miscellaneous expenses which are usually not covered by the Traditional Policies. Listed below are the essential features of the plan:

• Daily cash benefit of up to Rs.2,000 per day of hospitalization
• Daily cash benefit of up to Rs.4,000 per day of ICU hospitalization
• Daily cash benefit of up to Rs.4,000 per day of accidental hospitalization
• Pre and post hospitalization expenses covered for 30 and 60 days respectively
• Minimum Entry age is 18 years whereas Maximum Entry age is 65 years.

Arogya Premier Policy

The SBI Arogya Premier Policy is designed for high net worth individuals. It offers a much wider medical coverage option that lets these individuals from top medical experts. In addition to standard western medicine, it also offers coverage against the traditional AYUSH (Ayurveda, Yoga, Unani, Siddha and Homeopathy) forms of medical treatment. These alternative treatments have to be undertaken in a government hospital or one accredited by the Quality Council of India or the National Accreditation Board on Health that was set up by the Quality Council accreditation and related programmes for the healthcare sector.

The Arogya Premier Policy offers guaranteed security and peace of mind to the individual as he can take the policy for himself as well as his family. SBI has gone ahead and loaded the policy with numerous benefits such as a hassle-free buying process, a relaxed age limit, health checkups at regular intervals, tax savings, accumulated bonus option, and coverage over a large number of illnesses and diseases. Listed below are the essential features of the plan:

• Widest coverage in policies starting from Rs. 10,00,000 and going up to Rs. 30,00,000
• Comes in Individual / Family and Floater options. Family includes the insured, his or her spouse, children, parents and parents-in-law for the family plan. Family floater includes the self, the spouse and dependent children up to the age of 23 years
• Minimum and maximum age of entry are 3 months and 65 years
• No medical tests are required for people aged 55 years or below and who have no medical history
• Can be taken for a tenure of 1, 2 or 3 years. Offers a discount of 5% for the 2 year cover and 7.5% for the 3 year term
• Pre and post hospitalization expenses covered for 60 and 90 days respectively
• Maternity expenses are covered after the initial period of 9 months after taking the policy
• Insures against 142 day care expenses and even organ donor expenses
• An SBI health insurance claim covers ambulance costs (including air ambulance) up to Rs. 1,00,000
• Cumulative bonus of 10% of Sum Assured for each claim-free year, subject to a maximum of 50%
• Reimbursement of health check-up benefits up to Rs. 5,000 if no claims are made for 4 years
• Automatically reinstates the full Sum Assured without the need for additional premium if the amount is any way reduced due to a claim
• Provides tax deduction under section 80D of the Income Tax Act
• Has a grace period of 30 days from end of policy term for renewing the cover

Arogya Plus Policy

The cover helps tide against rising costs of OPD and hospitalisation expenses, and ensures the policyholders do not spend too much of their money on hospital bills. These medical bills can be crippling and make a huge dent on people’s current and future financials. In addition, most of the policies in the market offer a limited cover against expenses. Moreover, these covers do not protect against day OPD expenses and the individual is left fending against all these expenses on their own. This is where SBI General Arogya Plus Policy helps people to tide over expenses. Listed below are the essential features of the plan:

• SBI General offers two plan options: Individual and Family with Sum Insured for dependents being equal or less than the Sum Insured for the primary party
• Minimum and Maximum subscription to the plan can be made at 3 months and 65 years respectively
• Offers Sum Insured options of Rs. 1,00,000, Rs. 2,00,000 and Rs. 3,00,000 for hospitalisation of the insured; OPD reimbursement depends on factors such as age, premium and family type
• Has a flat premium that remains same for all ages. The per annum premiums are Rs. 8,900, Rs. 13,350 or Rs. 17,800 for Sum Insured of Rs. 1 lakh, Rs. 2 lakh and Rs. 3 lakh respectively
• Provides three tenure options – 1 year, 2 years and 3 years
• Has no sublimit on maternity expenses, covering them for the full sum of the policy. It also treats maternity expenses under OPD benefit, provided the maternity expenses were incurred after 9 months of taking the policy
• Does not cover pre-existing illnesses for the first 4 years of the plan and certain specified illnesses for the first year of the cover
• Does not require any medical tests for people aged 55 years or below if they have no medical history
• Covers pre and post hospitalization expenses for 60 and 90 days respectively
• Safeguards against 142 OPD (day care) procedures
• Provides ambulance expenses reimbursement benefits up to Rs. 1,500
• Insured can claim tax benefit under section 80D of the Income Tax Act

Arogya Top Up Policy

The top up health plan from SBI General is ideal to meet the expenses of unexpected critical events like accidents or illnesses over and above the basic insurance plan. With a large top up cover, the policy helps the individual and the family (under the floater plan), meet the large costs of hospitalisation and recovery nowadays. Listed below are the essential features of the plan:

• The plan comes in Individual / Family and Family Floater options with the Family plan also including the parents and parents-in-law in addition to the insured, his or her spouse and dependent children. The Family Floater plan does not include the parents or the parents-in-law
• No medical tests are required for people upto the age of 55 years
• Offers a large coverage starting from Rs. 1,00,000 and up to Rs. 50,00,000 with deductible option of Rs. 1,00,000 to Rs. 10,00,000. The deductible option comes in multiples of 1 lakh
• Has a policy term of 1, 2 or 3 years, with a 5% discount in premium for 2 year policy and 7.5% for a 3 year plan
• Provides an SBI health insurance claim cover of 60 days and 90 days for pre hospitalisation and post hospitalisation respectively
• Covers over 142 day care expenses, maternity expenses (after the first 9 months of taking the policy), and even organ donor expenses
• Offers a reimbursement up to Rs. 5,000 for ambulance charges
• Covers alternative treatments such as Ayurveda, Yoga, Unani, Siddha and Homeopathy (AYUSH)
• Provides tax deduction under section 80D of the Income Tax Act
• Has a grace period of 30 days from the last day of the policy tenure for SBI Health Insurance renewal

SBI Group Health Insurance

I am sure we all know that our life follows no fixed pattern of well being. We might be hale and hearty and after few days we might be. At times, this sickness can result to critical illness or disease. Insurance policy or Plans help you control the unexpected turn of events. This ensures your safety both financially and mentally, leaving you less stressed out. SBI General’s Group Health Insurance Policy helps you protecting you and your family and making the medical treatment hence ensuring quality health and making the process stress free. Listed below are the essential features of the plan:

• Medical Practitioner and Specialists Fees shall be covered in this plan.
• Anaesthesia, Blood, Oxygen, Operation Theatre charges, Surgical Appliances, Medicines & Drugs, Diagnostic Materials and X-ray, Dialysis, Chemotherapy, Radiotherapy, Cost of Pacemaker, prosthesis/internal implants and any medical expenses incurred which is integral part of the operation.
• Room, Board & Nursing Charges, ICU charges to be covered.
• Up to Rs.7,50, 000/- Sum Assured is allowed under the plan
• Minimum Entry Age is 3 months

Some additional facilities provided are as follows:

• Ambulance charges, Maternity Cover with Nine months waiting period and without 9 months waiting period.
• Infant Covered from day one under the Family Floater Cover Plans.
• Pre-existing Diseases are covered in this plan from Day One.
• Waiver for waiting period for first 30 Days & and specific diseases for First year.

Applying for SBI Health Insurance Plans

Health insurance plans offered by the company can be applied to through multiple channels like:

• Individuals desirous of availing any plan can simply call the Sales helpline of the company and speak to the customer service representative.
• They can provide their name, mobile number and email id on the website of the company and request for a call back
• Online health insurance plans can be simply applied to by clicking the ‘Buy Now’ tab mentioned against the relevant plans. They also provide easy access to renew the plans online.
• Lastly, customers may also visit the company’s branches or get in touch with an agent to buy the plans required.

SBI General Health Insurance- FAQs

1. How to pay a premium? What are the modes of payment available?

The SBI General Insurance company Ltd. offers a few modes of premium payment namely:

• Cash payment at the branch
• Online Payment

For the online payment mode, the policyholder can pay via:

• Credit Card
• Debit Card
• Net banking

2. How can I check policy status for SBI general health insurance?

For registered SBI Health Insurance online users, login to the website with your policy details and check the status. The information in the SBI Health Insurance online site will show you the status of your policy.

3. What is the policy renewal process for SBI general health insurance?

You can visit the website to renew your policy

Step 1: Login with your policy details on the e-Portal

Step 2: Select the policy and payment mode (Net Banking, Debit/Credit Card)

Step 3: Print/save cyber receipt of your payment to confirm your renewal

Alternatively, pay via cheque/debit at the nearest branch for your SBI Health Insurance renewal.

4. What is the company’s process to settle claim for SBI general health insurance?

You need to intimate the company on the toll free number or you can send the i-claim on company’s mail id. Upon successful completion of the documentation, the claim is settled within 30 days.

5. What is the policy cancellation process for SBI general health insurance?

If the vehicle is liability covered you can ask for the cancellation of the policy. For the cancellation of the policy, just visit the nearest branch.