SBI Arogya Premier Policy

SBI Arogya Premier Policy

  • 142 Daycare Treatment Covered
  • No Pre-Medical Test
  • Pre & Post-Hospitalization Cover

SBI Arogya Premier Policy

SBI Arogya Premier Policy from SBI health insurance is a comprehensive health insurance plan designed to cater for the healthcare needs of individuals and families. It is a family floater health plan that comes with the option of customizing the plan as per the needs. Customers do not need to undergo a pre-medical screening test to buy the SBI Arogya Premier plan upto the age of 55 years.

SBI Arogya Premier Policy offers its policyholders a wide range of coverage benefits, such as pre and post-hospitalization, daycare treatment, AYUSH treatment, maternity cover, genetic disorder, mental illness cover, etc.

Now, let us explore this plan page in detail.

Highlights of SBI Arogya Premier Policy

Below mentioned are the highlights of the SBI Arogya Premier Insurance Policy:

  • Entry Age

    3 months to 65 Years

  • Renewability

    Lifelong

  • Policy Type

    Individual and Family Floater

  • Sum Insured

    10 Lakhs to 30 Lakhs

  • Policy Term

    1, 2, 3 Years

  • Waiting Period for PED

    3 years

Eligibility to Buy SBI Arogya Premier Policy

Below mentioned is the eligibility of the SBI Arogya Premier Policy:

  • Individual
  • Family Floater

Entry Age: 3 months to 65 months

Entry Age: 3 months to 65 months

Policy Term: 1,2,3 Years

No. of Members Covered: 6 Members

Coverage Benefits Offered Under SBI Arogya Premier Insurance Policy

SBI Arogya Premier Policy offers various types of coverage benefits to its customers so that they can take advantage of these benefits in a time of medical emergency. Below mentioned are the coverage benefits offered under SBI Arogya Premier Insurance Policy:

  • 3L to 1 Crore

Room Rent

Up to Sum Insured

ICU Charges

Up to Sum Insured

Pre-Hospitalization

Covered up to 60 Days

Post-Hospitalization

Covered up to 90 Days

Domiciliary Hospitalization

Covered up to the Sum Insured

Home Care Treatment

Covered up to Sum Insured

Daycare Treatments

142 Daycare Treatment Covered

No Claim Bonus

up to 10% of SI every claim-free year

Automatic Restoration

Up to 100% of SI

Organ Donor

Covered

AYUSH Treatment

Covered

Maternity Expenses

Covered after the waiting period

Modern Treatment

12 treatments are covered up to 50% of SI

Ambulance Cover

Covered

Air Ambulance

Covered up to INR 1 Lakh

Health Checkup

Covered up to INR 5K

Sub-Limit

Applicable on mental illnesses

Coverage after Waiting Period

Given below are the coverage benefits offered under the SBI Arogya Premier policy after a certain waiting period:

Coverage Benefits Waiting Period
Initial Waiting Period 30 Days
Specific Diseases 24 Months
Pre-Existing Diseases 48 Months
Maternity Expenses 9 Months

SBI Arogya Premier Health Insurance Plan Exclusion

Below mentioned is the list of diseases and conditions that are not covered under SBI Arogya Premier Plan:

  • Unproven Treatments
  • Out-patient treatments
  • Unrecognized Physician or Hospital
  • Breach of the law
  • Conflict & Disaster
  • Treatment has taken outside India
  • Hazardous or Adventure sports
  • Change-of-Gender treatments
  • Hormone Replacement Therapy
  • Cosmetic or plastic Surgery
  • Sleep disorders
  • Treatment for alcoholism
  • Drug or substance abuse or any addictive condition
  • Dental/oral treatment
  • Sterility and Infertility
  • Maternity Expenses
  • Sterility and Infertility
  • Maternity Expenses
  • Circumcision
  • External Congenital Anomaly
  • Sexually transmitted Infections & diseases(STIs & STDs)
  • HIV / AIDS
  • Intentional self-inflicted Injury or attempted suicide

SBI Arogya Premier Policy Additional Benefits

SBI Arogya Premier Policy offers various types of additional benefits apart from the coverage benefits. Below mentioned are some of the additional benefits offered under the SBI Arogya Premier Policy:

  • No Pre-Medical Test: If the buyer is less than 55 years old and has no pre-medical condition, then there is no need to undergo a pre-medical checkup to buy SBI Arogya Premier Policy.
  • Mental Illness Coverage: SBI Arogya Premier Policy covers the expenses incurred due to the treatment of mental illness. Mental illness is covered if a physician prescribes hospitalization. Mental illness is covered by the plan up to the sum insured (sub-limit INR 100K whichever is less).
  • HIV/AIDS:SBI Arogya Premier Policy covers the expenses incurred due to hospitalization due to any condition of HIV/AIDS.
  • Genetic Disorder: SBI Arogya Premier policy covers the treatment cost arising against genetic disorders and internal congenital diseases up to INR 100K or 10% of the sum insured.

Explore More About SBI Arogya Premier policy

Check the below section to learn more about the SBI Health Insurance buying process, SBI health insurance claim settlement process, SBI health insurance renewal process.