SBI Arogya Premier Policy: An Overview

SBI Arogya Premier Policy is considered one of the beneficial and considerate health insurance policies from SBI General Insurance Company Ltd. that covers all your hospitalization expenses and others. Some of the attractive features of this policy includes- no medical check-ups until the age 55 years, tax benefits, cumulative bonus etc.

SBI Arogya Premier Policy: Key Highlights

Type of Coverage

Individual & Family Floater

Tenure

1 year

Day Care Coverage

141 procedures

Cumulative Bonus

10% of the SI every year, up to a maximum of 50%

Sum Insured

Rs 10,00,000-Rs 30,00,000

Coverage Offered

To buy the SBI Arogya Premier Policy plan, one can opt for the Individual option with assured sums as per one's convenience. Some of the basic coverage that the policy includes are as follows:

  • In-patient Treatment - This includes every hospitalization expenses like room rent, boarding expenses, doctor fees, operating theatre, intensive care unit or ICU expenses, nursing charges, medicines that are consumed during the hospital stay.
  • Pre-hospitalization Cover- Pre-hospital expenses are incurred up to 60 days till the date of admission to the hospital.
  • Post- hospitalization Cover- Post-hospital expenses are incurred up to 90 days, starting from the date of discharge from the hospital.
  • Organ Donor Cover- Allthe medical expenses for an organ donor street meant for the harvesting of the organ donated are all covered.
  • Daycare Treatment- Procedure requiring less than 24 hours hospitalisation are covered for 141 different categories.
  • AYUSH Treatment Cover-AYUSH treatment or alternative treatments like Ayurvedic, homeopathic, Unani are also covered.
  • Domiciliary Hospitalization Cover- Domiciliary treatment or treatments are given at home are covered, which are up to reasonable and customary expenses.
  • Restoration of Sum Insured-Up to 100% off the basic sum insured will automatically be reinstated when it gets exhausted due to a claim.

Inclusions of the SBI Arogya Premier Policy

Some of the inclusions other than the basic coverage offered are as follows:

  • Emergency Ambulance Charges-Ambulance charges are covered up to Rs 1 lakh or the actual price, whichever is lower, including air ambulance.
  • Maternity and Newborn Coverage- Maternity and newborn coverage are given up to 9 months from the date of initiation of the policy.
  • HIV/AIDS Cover: The policy also supports a cover-up to a maximum of Rs.1 lakh, excluding cover for conditions specified in the policy document.

Exclusions of the Plan

There are some diseases, illnesses, and conditions that have been excluded from this SBI health insurance. They are as follows:

  • Any treatment taking place outside of the Indian periphery will not be covered in the policy plan.
  • Treatments for gender change are also excluded.
  • Cosmetic surgery or plastic surgery are not covered
  • Any injury or illness as a result of nuclear weapons or nuclear war will not be covered.
  • Rest care, rehabilitation, or rejuvenation care treatments are excluded
  • Sterility or infertility are not covered
  • Unproven scientific treatments
  • Any outpatient Department treatments will not be considered.

Please refer to the policy document for a detailed list of exclusions.

Features and Benefits of the SBI Arogya Premier Health Insurance Policy

Given below are the main features and benefits of the SBI Arogya Premier Health Insurance Policy:

  • For pre-existing diseases, a waiting period of 48 months is provided. For other specifies diseases, it's 30 days, and for some specific kind of illness and conditions, it is 12 months and 90 days.
  • Mental illness is covered up to Rs.1, 00,000.
  • Genetic disorders and conditions are covered up to Rs.1, 00,000.
  • Human immunodeficiency virus syndrome and conditions are covered up to Rs. 1, 00,000.
  • This premium paid under this policy is eligible for tax rebate under section 80D of the Income Tax Act 1961.*

*Tax benefit is subject to changes in tax laws

Eligibility Criteria

To buy this plan, one has to fulfill the following eligibility conditions:

Minimum Entry Age

3 months

Maximum Entry Age

65 years

No limit for policy renewal

Number of people covered

Individual, spouse, children, dependent parents, parents in law

Residential Status

Residents and Citizens of India

Cancellation of the Policy

Given below are the conditions in which the company, SBI General Insurance Company, will cancel the SBI Arogya Premier Health Insurance Policy:

A 15-day notice will be given from the company before the policy ceases. This will only happen if the policyholder has committed fraud with the company, has misrepresented any kind of information only.

FAQs

Written By: PolicyBazaar - Updated: 26 February 2021
Disclaimer: Policybazaar does not endorse, rate or recommend any particular insurer or insurance product offered by an insurer.

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