Health Insurance

Arogya Sanjeevani Policy

  Arogya Sanjeevni Health Insurance Policy is a standard health insurance plan introduced by the Insurance Regulatory and Development Authority of India (IRDAI) on April 1st, 2020.  It is…

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Arogya Sanjeevni Health Insurance Policy is a standard health insurance plan introduced by the Insurance Regulatory and Development Authority of India (IRDAI) on April 1st, 2020.  It is mandatory for all health insurance companies to come up with this basic health insurance policy for both individuals and families. It is a basic health insurance policy that offers coverage for your medical expenses in case of your hospitalization. It covers pre and post-hospitalization, cataract treatment, etc.

Types of Arogya Sanjeevani Policy

Following are the types of plans offered under the Arogya Sanjeevani health policy:

  • Individual Plan: This type of plan permits only one policyholder to be the beneficiary.
  • Family Floater plan: Under this type of plan, the whole family can avail of the benefits of the policy. the policyholder can include dependents such as a spouse, children, parents, and parents-in-law in a single policy.

Arogya Sanjeevani Policy Specifications

  • Sum Insured: 50K INR to 5 Lakhs
  • Plan Type: Individual and Family Floater
  • Renewability: Lifelong
  • Entry age (adults): 18 years to 65 years
  • Entry age (dependent children): 3 months to 25 years
  • Policy term: 1 year only
  • Free Look Period: 15 Days
  • Waiting period for pre-existing diseases: 4 years
  • Initial Waiting period: 30 days

Coverage Benefits of Arogya Sanjeevani Policy

Arogya Sanjeevni Policy comes in a two-plan type: Individual and Family floater. Arogya Sanjeevni policy is packed with incredible benefits at no additional cost. Take a look at the coverages offered under both the plan type (Individual and family).

Coverage offered under Arogya Sanjeevani Health Insurance Policy

Benefits

Coverage

Hospitalization Expenses

Up to Sum Insured

Pre-Hospitalization

30 Days

Post-Hospitalization

60 Days

Cataract Treatment

Up to 25% of SI or INR 40K per eye

AYUSH Treatment

Up to Sum Insured

No Claim Bonus

5% of Sum Insured 

Ambulance Cover

INR 2K per Hospitalization

Co-payment

5% on every claim

ICU Charges

5% of Sum Insured up to INR 10K per day.

Daycare Procedures

All Daycare treatment

Modern Treatment

50% of Sum Insured

List of Modern Treatments Covered Under Arogya Sanjeevani Policy

Below mentioned are the modern treatments that are covered under Arogya Sanjeevani Policy:

S.no

Treatment

Coverage

  1.  

Uterine Artery Embolization and HIFU

Up to 50% of SI

  1.  

Balloon Sinuplasty

Up to 50% of SI

  1.  

Oral chemotherapy

Up to 50% of SI

  1.  

Deep Brain stimulation

Up to 50% of SI

  1.  

immunotherapy- Monoclonal Antibody to be given as injection

Up to 50% of SI

  1.  

Oral chemotherapy

Up to 50% of SI

  1.  

Robotic surgeries

Up to 50% of SI

  1.  

Intra vitreal injections

Up to 50% of SI

  1.  

Stereotactic radio surgeries

Up to 50% of SI

  1.  

Vaporization of the prostrate 

Up to 50% of SI

  1.  

BronchicalThermoplasty

Up to 50% of SI

  1.  

ION M - (antra Operative Neuro Monitoring)

Up to 50% of SI

  1.  

Stern cell therapy

Up to 50% of SI

Arogya Sanjeevani Policy vs Other Health Insurance Policy

Arogya Sanjeevani policy is very much similar to any other health insurance plan. But, the difference is just that the Arogya Sanjeevani policy is quite economical and the premiums are also affordable for the general public. Arogya Sanjeevani health Insurance plan is a standard health insurance plan that covers the basic healthcare expenses of the insured in case of hospitalization.

Features of Arogya Sanjeevani Policy

Below mentioned are some of the most attractive features of the Arogya Sanjeevani policy:

  • Low Premiums
  • Offered by every standalone health insurance company and general insurance company
  • Available as both individual and family-floater plan types
  • Covers expenses related to COVID-19 treatment

Health Insurance Companies Offering Arogya Sanjeevani Policy

Here is the list of health insurance companies offering Arogya Sanjeevani policy. 

Health Insurance Company

Star Health Insurance

Care Health Insurance

Acko Health Insurance

Aditya Birla Health Insurance

HDFC Ergo Health Insurance

Bajaj Allianz Health Insurance

Bharti AXA Health Insurance

Cholamandalam Health Insurance

Edelweiss Health Insurance

Future Generali Health Insurance

Go Digit Health Insurance

ICICI Lombard Health Insurance

IFFCO Tokio Health Insurance

Liberty Health Insurance

Magma HDI Health Insurance

ManipalCigna Health Insurance

Max Bupa Health Insurance

National Health Insurance

Navi Health Insurance

Raheja Health Insurance

Royal Sundaram Health Insurance

SBI Health Insurance

TATA AIG Health Insurance

New India Health Insurance

Oriental Health Insurance

United India Health Insurance

Universal Sompo Health Insurance

Sample Premiums of Arogya Sanjeevani Policy

To give you a better idea about the premiums of the Arogya Sanjeevani policy, we RenewBuy have shown the sample premiums which are to be paid by a 30-year-old male at the Sum insured amount of INR 5 lakhs (for different companies).

Company Name

Sum Insured

Age (Male)

Policy Type

Premium Amount

Star Health Insurance

5 Lakhs

30

Individual

INR 4921

ICICI Lombard

5 Lakhs

30

Individual

INR 5449

Care Health Insurance

5 Lakhs

30

Individual

INR 6013

Bajaj Allianz Health Insurance

5 Lakhs

30

Individual

INR 5320

SBI Health Insurance

5 Lakhs

30

Individual

INR 4501

Chart

Exclusions of Arogya Sanjeevani Health Insurance policy

Below mentioned is the list of exclusions that are not covered under Arogya Sanjeevani Health policy:

  • Change of gender treatments
  • Cosmetic or plastic surgery
  • Injury due to participation adventure sports
  • Treatment outside India
  • Maternity expenses
  • Alcohol, drug or substance abuse, or any addictive condition.
  • Injuries due to war
  • Nuclear, chemical, or biological weapons attack
  • Domiciliary hospitalization
  • OPD treatment
  • Purchase of dietary supplement without a prescription

Buying Process of Arogya Sanjeevani Policy

Customers can buy Arogya Sanjeevani policy directly through the insurer website. Below mentioned are the steps to purchase the Arogya Sanjeevani policy:

  • Visit the website of the insurer
  • Select the Arogya Sanjeevani policy from the health insurance section
  • Fill in the required information
  • Pay the premium online
  • Insurer will send your policy document to your registered email address.

Note: Buying process of the Arogya Sanjeevani Policy varies from insurer to insurer.

Claim Process

Customers can file their claim in two ways: 

  • Cashless 
  • Reimbursement

Cashless claim process

  • Intimate the insurer about the hospitalization.
  • Submit the required documents such as ID proof, Health card, at the hospital desk.
  • After approval, the insurance company will directly settle the bill with the hospital.

Reimbursement claim process

  • Inform the insurer about the hospitalization.
  • Submit the original copies of the bill within 15 days.
  • After approval, claim will be transferred to your bank account.

Arogya Sanjeevani Refund and Cancellation policy

The 15-day free-look period is offered to the policyholders of the Arogya Sanjeevani Policy. It simply means that the policyholder can cancel their policy within the first 15 days without having to pay any cancellation charges. Moreover, if the 15-day free-look period ends, the policyholder still has the option to cancel his or her Arogya Sanjeevani policy. For this, the insured must inform the insurance company with the written notice for canceling the policy. The policyholder's premium will be refunded based on the following rates:

Cancellation Time

Refund Percentage

Up to 30 days

75%

31 days to 90 days

50%

3 months to 6 months

25%

6 months to12 months

0%

FAQs

  1. What is the policy tenure of the Arogya Sanjeevani Policy?

Ans. The policy tenure of the Arogya Sanjeevani policy is 1 year.

  1. Can NRIs buy Arogya Sanjeevani Policy?

Ans. Yes. The Arogya Sanjeevani Health Insurance Policy is available to NRIs (non-resident Indians). The customer must be in India at the time of purchase and pay the premium in Indian currency through an Indian bank account.

  1. Can I port my existing health insurance policy to Arogya Sanjeevani Policy?

Ans. Yes, you can port your existing health insurance policy to Arogya Sanjeevani Policy.

  1. Did Arogya Sanjeevani Policy covered pre-existing disease?

Ans. Yes, pre-existing diseases are covered after the waiting period of 48 months.

  1. Did Arogya Sanjeevani Policy covered maternity expenses?

Ans. No, maternity expenses are not covered under the Arogya Sanjeevani Policy.

6. Does the Arogya Sanjeevani Policy cover Covid-19 hospitalization?

Ans. Yes, hospitalization due to Covid-19 is covered under the Arogya Sanjeevani Policy.

7. Who is eligible to buy the Arogya Sanjeevani Policy?

Ans. Any individual between the age of 18 to 65 is eligible for the Arogya Sanjeevani Policy.

8. What is the maximum sum insured under the policy?

Ans. The maximum sum insured that one can avail is Rs 5 lakh.

9. What is the premium for Arogya Sanjeevani Policy?

Ans. The premium for Arogya Sanjeevani policy is different for different age groups, and it also depends upon the sum insured that you wish to purchase.