SBI General Health Insurance Plan

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Introduction/Overview

SBI General Health insurance plan provides full protection against any illness or medical emergencies. It is a single policy for you that manages all your medical expenses and ensures quality health and happiness.

Key Features

  • The policy offers a Wide Coverage sum insured From Rs.50,000 up to Rs.500,000.
  • Individuals above 46 years need to undergo medical check-up prior to buying this policy.
  • Family Floater benefit – This feature provides wide protection to your family members under one single policy
  • Flexible Plan Options– This policy comes under 3 different plan options according to the individual needs and where an individual needs to be treated i.e. Metro Plan, Semi Metro Plan & Rest of India.
  • Renewal is assured.

Key benefits

  • Income Tax Benefit - The premium paid is exempt from Income Tax under Sec 80 D of Income Tax Act (Tax Benefits are subject to change in tax laws).
  • Coverage of Pre and Post Hospitalisation Expenses - 30 days before and 60 days after the hospitalization.
  • Free Medical check-up is provided for every 4 claim free years up to a maximum limit of Rs.2,500.

Plan Options 

 

Treatment Location A (Mumbai & Delhi)

Treatment Location B (Chennai, Kolkata, Bangalore, Ahmedabad & Hyderabad)

Treatment Location C (Rest of India)

Plan A (Mumbai & Delhi)

100%

100%

100%

Plan B (Chennai, Kolkata, Bangalore, Ahmedabad, Hyderabad)

80%

100%

100%

Plan C (Rest of India)

70%

80%

100%

Plan A - 100% of the admissible claim amount for all Locations subject to the Policy terms and conditions.

Plan B - 100% of the admissible claim amount for Locations B and C, and 80% for Location A subject to the Policy terms and conditions.

Plan C - 100% of the admissible claim amount for Locations C, 80% for Location B and 70% for Location A subject to the Policy terms and conditions.

Details About Premium

Age – 25 (Example)

Annual premium in Rupees

SI/Plans

A

B

C

50000

NA

1079

1021

100000

1666

1438

1362

200000

2694

2327

2203

300000

3254

2810

2663

400000

4776

4125

3907

500000

5753

4968

4706

 * The above premium rates may change. Please check the policy wordings for more information.

Policy Details

Minimum sum assured – Rs. 50,000.

Maximum sum assured – 5 lakhs from entry age up to 60 years and 2 lakhs for individuals above 60 years.

Minimum Sum Insured for Family Floater Policy is Rs.200,000/-

Coverage type: Individual & Family floater both.

Grace period: 15 days grace period is allowed for payment of premium. If the policyholder fails to make payment within the grace period, the policy will lapse.

Policy termination: Policyholder is allowed to terminate the policy at anytime by giving a 15 day written notice. In case no claim has been made under the policy, percentage of premium will be refunded by the company.

Free look period: If you are not happy with the coverage, and terms and conditions of the policy, you have the option of cancelling the policy within 15 days of receipt of the policy documents, provided there has been no claim.

Inclusions

  • The policy covers pre and post hospitalization expenses for 30 and 60 days respectively. 
  • Emergency ambulance charges of 1% of sum insured up to a max of Rs. 1500.
  • Coverage is given to 142 day care procedures subject to terms and conditions.

Exclusions

The company is not responsible to pay money in case of following-

  • If the insured contracts with any disease during the first 30 days of commencement of the policy.
  • If the insured suffers from diseases which do not have completed the waiting period.

Documents Required

An individual needs to fill up an ‘Application form/ proposal form’ and submit it alongwith the address proof to buy the policy. Medical examination may be required in some cases, based on the sum assured and the age of the person.

Eligibility

Entry age for the policyholder, spouse and parents is 18 years to 65 years with lifetime renewal option. Children from 3 months can also be covered under the policy subject to both parents concurrently covered with SBI General’s Health Insurance Policy.