Raheja QBE Arogya Sanjeevani Policy

Finding the perfect health insurance is not an easy task. It requires time as well as an understanding of what type of and how much coverage will fulfil your medical needs in future. But it doesn’t necessarily have to be like this. To make health insurance simple and affordable, IRDAI has developed a standard health insurance policy which is the same across the industry, called Arogya Sanjeevani Policy. All health insurers are required to sell this standardized health insurance policy.

Raheja QBE Arogya Sanjeevani Policy is an inclusive protective health insurance plan that is pocket-friendly and covers all sorts of health and medical expenses, including expenses due to hospitalization, pre and post-hospitalizations, daycare procedures, and AYUSH treatment. The policy also covers specialized treatments up to 50% of the sum assured.

Below is a list of salient features of Raheja QBE Arogya Sanjeevani Policy:

• Sum Insured - There are multiple sum insured options available under this policy starting from Rs. 50,000 to Rs. 10 lakhs in multiple of Rs. 50,000.
• Coverage Type - The policy is available on both individual and floater basis. In an individual plan, a separate sum insured applies to each family member. In a floater plan, the sum insured is shared by all family members.
• Coverage for family - The policy offers coverage for family members, including spouses, dependent children, parents and parents-in-law.
• Policy Tenure - The policy term is of 1 year with a lifetime renewal facility.
• Premium Payment Options - There are multiple options to pay premiums like monthly, quarterly, and half-yearly payments.
• Eligibility - Anyone from 18 to 65 years of age can purchase this policy for themselves and their family.

• Cumulative Bonus - For every claim-free year, a policyholder gets a 5% increase in the sum insured up to a maximum of 50% of the sum insured.

• Waiting Period -

  • Initial 30 days for treatment of any illness.
  • Initial 24/48 months for any listed ailments and procedures.
  • Initial 48 months for any listed procedure or declared a pre-existing disease.

• Portability - The insured has the option to port the policy to other insurers as per IRDAI guidelines.

• Co-payment - A co-payment of 5% on all claims is applicable.

Following is a list of procedures excluded from the policy

• Hospitalisation for evaluation and investigation purposes.
• Rehabilitation care
• Treatment outside geographical limits of India
• Obesity control treatment
• Gender change surgery
• Cosmetic surgery
• Maternity expenses
• Domiciliary hospitalization and OPD Treatment

There are several reasons why you should choose a Raheja QBE Arogya Sanjeevani policy:

• The policy offers wider coverage at the lowest possible premiums.
• Raheja QBE General Insurance has a wide network of hospitals. Around 5000+ network hospitals offer cashless treatment under health insurance policies by Raheja QBE.
• The policy can be renewed annually for your life, providing you with Raheja QBE Health Insurance coverage for as long as you live.
• The policy can be purchased individually and as a floater.

The company processes claim requests in a quick and hassle-free manner:

Cashless Treatment:

A cashless facility is available only for policies serviced by Third Party Administrator (TPA) at network hospitals only.

• Treatment should be availed at a network hospitals subject to pre-authorisation by the company.

• A completed pre-authorization form is sent to the company/TPA for authorisation.

• After the verification of the cashless treatment request, an authorization letter is issued by the company.

• After discharge, the hospital sends the final bill with discharge details to the company/TPA, and the insurance company settles the claim.

Reimbursement claim:

For reimbursement, the insured should submit all the necessary documents within 30 days of discharge. These documents include a duly completed claim form, patient’s photo id proof, doctor’s prescription, original bills and receipts, discharge summary with all medical details, medical test reports, NEFT details and cancelled cheque, KYC details of the proposer, and any other relevant document required by the insurer.

If you are still considering getting health insurance for your family and looking for suitable plans, the Raheja QBE Arogya Sanjeevani policy can be your best choice offering complete protection against medical emergencies at a very reasonable cost. The policy has standard in-build benefits that rule out confusion regarding what to choose.