SBI Critical Illness

All About SBI Critical Illness

Life does not come with a guarantee of living for a fixed number of years. You may be hale and hearty today and you might suddenly fall prey to a critical illness tomorrow. Life can become a living hell for you and your family members, not only emotionally, but also financially. With a number of cases of critical illness rising, having a critical illness policy has become a necessity. SBI critical illness policy is the solution to your worries for financial cover for critical illness. SBI critical illness policy offers coverage against 13 deadly critical illness and eases the financial burden from the insured and his/her family.

Features of SBI Critical Illness Policy


SBI Critical illness plan offers crucial cover against 13 critical illnesses

Comprehensive sum insured coverage

The plan offers adequate coverage of INR 50, 00,000 for treating critical illnesses.

Free look period

The policy offers 15 days of free look period to the policyholder.

Tax Benefits

The premium paid for the policy can be used for tax exemption under the provisions of Section 80D of the Income Tax Act, 1961.

Medical Check- Up

As per the medical history, sum insured and age, the applicant may have to undertake medical exam for enrolment. The company will reimburse 50% of medical bill if the applicant passes the medical test eligibility and enrols in the policy.

Waiting Period

There is a waiting period of 90 days before the insured can put claim under the policy.

Benefits of SBI Critical Illness Policy

Sum Insured

The minimum coverage in the policy is INR 2,00,000 and maximum is INR 50,00,000, subject to conditions. Individuals above the age of 60 years buying a policy for the first time will be entitled to a maximum coverage of INR 15,00,000.

Premium Charges

Premium charges may vary as per the age, the sum insured and plan option selected.

Plan Options

There are two plan options with regards to the policy tenure i.e. 1 year and 3 years in this SBI critical illness policy.

Tax Benefits in SBI Critical Illness Policy

The premium paid for SBI Critical Illness plan can be used for tax deduction up to a limit of INR 50,000 as per the provisions mentioned in Section 80D of the Income Tax Act, 1961. It is to be noted that tax laws are revised from time to time. The applicant should consult the financial advisor to know the current income tax deductions and benefits at the time of buying the health insurance policy.

What is Covered in SBI Critical Illness Policy?

The SBI Critical Illness Policy offers coverage to the insured against 13 critical illness as mentioned below, anytime during the course of the active policy term. The benefit is payable on the condition that the insured is alive for a period of 28 days or as specifically stated in the survival period policy.

  • Cancer of listed severity
  • Open Chest Bag
  • Aorta Graft Surgery
  • Open Heart surgery or repair of heart valves
  • Stroke Resulting in Permanent Symptoms
  • First Heart Attack of Specified Severity
  • Kidney Failure Requiring Regular Dialysis
  • Primary Pulmonary Arterial Hypertension
  • Major Organ/ Bone Marrow Transplant
  • Multiple Sclerosis with Persisting Symptoms
  • Coma of Specified Severity
  • Total Blindness
  • Permanent Paralysis of Limbs

The above list is taken from the official website of SBI General Insurance – Critical Illness Policy Page

What is Not Covered in SBI Critical Illness Policy?

The following are the exclusions applicable to this policy and no benefit amount will be paid by the insurance company for the following conditions or circumstances as mentioned below:

  • Pre- Existing disease and related complications.
  • Waiting period of 90 days from the date of commencement of the policy.
  • Any hereditary Illness or conditions.
  • Self-inflicted injury or suicide, whether mentally sane or insane
  • Sexually transmitted conditions, nervous or mental disorder, AIDS, HIV infection
  • Being under the influence of alcohol, drugs, or other intoxicants or hallucinogens unless advised by Doctor

Eligibility Criteria To Apply SBI Critical Illness Policy

Factor'sMinimum Maximum
Age of Entry18 years65 years
Sum InsuredINR 2 lakhsINR 50 lakhs

Documents Required To Buy SBI Critical Illness Policy

Following are the documents required to buy SBI Critical Illness Policy

  • Proof of Age: The applicant has to provide the age proof of all the persons who will be getting covered with the health insurance policy. Below are the acceptable documents for this:

    • Birth certificate
    • 10th or 12th mark sheet
    • Passport
    • Aadhaar card
    • Voting ID
    • Driving license
    • PAN card etc.
  • Identity Proof: The applicant can provide any of the following identity proof:

    • Aadhaar card
    • Passport
    • Voting ID
    • Driving license
    • PAN card
  • Address Proof: The applicant will be required to submit his/her permanent proof of address. You can submit any of the following documents for the same:

    • Electricity bill
    • Telephone bill
    • Ration card
    • Passport
    • Aadhaar card
    • Driving license
    • Voters ID
  • Passport Size Photos

  • The applicant will be required to go for a medical in the following circumstances

    • If the individual buying the SBI critical illness plan has adverse medical history as mentioned in the application form.
    • If the individual is above the age of 45 years, irrespective of sum insured availed in the plan.

Easy Procedure to Renew SBI Critical Illness Policy

Critical illness policy can either be issued for a period of 1 Year or 3 Years as per the plan option selected. The policy with 3 year duration can be renewed till the age of 57 years only. Beyond the age of 57 years of age, all renewals will be allowed for 1 year duration only.

The policy can be renewed online on the official website of SBI General Insurance or by visiting any of the branches of SBI general insurance. The nearest branch’s location details can be found on the website of SBI General Insurance.

What Is Claim Procedure For SBI Critical Illness Policy

The claim will be successful only if the insured survives the survival period, which is 28 days or more from the date of first diagnosis.

Sr No.Types of Critical IllnessMin. Assessment PeriodSurvival PeriodMin. Assessment PeriodSurvival Period
1Cancer28 days28 days
2Kidney Failure (End Stage Renal Failure)28 days28 days
3Primary Pulmonary Arterial Hypertension28 days28 days
4Multiple Sclerosis28 days180 days
5Major Organ Transplant28 days180 days
6Coronary artery by-pass grafts (with surgery to divide the breastbone)28 days28 days
7Aorta Graft Surgery28 days28 days
8Heart Valve Surgery28 days28 days
9Stroke28 days90 days
10Myocardial Infarction (First Heart Attack)28 days28 days
11Coma28 days30 days
12Total Blindness28 days28 days
13Paralysis28 days90 days

The above list is taken from the official website of SBI General Insurance – Critical Illness Policy Page

  • The insured or the claimant needs to inform SBI general insurance company of the claim through the website, calling customer service or visiting a local SBI General Insurance Branch.
  • The SBI Claim Manager or Executive will get in touch within 24 hours of registering the claim.
  • The claimant will be required to fill the claim process and submit the relevant documents supporting the claim like Doctor’s report, Diagnosis report, original policy document etc.
  • The insurance company will verify the document and accordingly pass the claim as per the terms and conditions of the claim process.
  • SBI General Insurance Company will start the claim process and all valid claims shall be settled within 30 days of receipt of final survey report or the last relevant document submitted, as the case may be under the provisions of IRDAI policyholder’s interest regulation, 2017.

Documents Required To Claim SBI Critical Illness Policy

Following documents are required to raise a claim with SBI Critical Illness Policy

  • Doctor’s report
  • Diagnosis report
  • Properly filled claim form
  • Original copy of the policy document
  • Any other document which the company may require to pass the claim

Conclusion & Reviews Of SBI Critical Illness Policy


SBI General Insurance Critical Illness policy offers comprehensive coverage against 13 critical illnesses. The flexibility to choose the sum insured of up to INR 50 lakhs will appeal to different needs of the individual. The plan also offers short term and long term plan options. The eligibility age of 18 years to 65 years ensures all the members in the family can avail the benefit of this policy. The policy also has a low survival period of only 28 days on diagnosis to be eligible for the claim. The terms and conditions of the policy are laid out in a very simple language for a layman to understand properly. In addition to financially securing yourself and your family against critical illness, the policy also offers tax savings on premiums. The strong brand name of SBI and important features/benefits makes SBI Critical Illness policy one of the best critical illness policies available in the market today.

Best Reviews Of SBI Critical Illness Policy

I am 40 years old and I purchased this policy to ensure that my lifelong savings are protected against the high cost treatment for critical illnesses. - (Amit Tondon – Delhi )

I drink alcohol and smoke on a regular basis. I was looking for a critical illnesses policy that would cover me against any future critical illness. After a medical check-up, it was easy to enrol in the SBI critical illness policy. - (Nishant Bajwa – Mumbai )

My father had purchased a SBI critical illness plan for himself. He was diagnosed with cancer 7 months after buying the plan. We got the lumpsum amount of INR 35,00,000 to get my father treated. The claim amount ensured we could get the best medical treatment which saved his life and we did not have to dig in our savings. I also recommended this policy to family and friends. - (Ravi Salwani – Indore )

FAQ's On SBI Critical Illness Policy

Is portability allowed under SBI Critical Illness Policy?

Portability is allowed only within similar health insurance products. In the case of SBI Critical Illness Policy, the insured can port this policy to other similar critical illness policy.

Does this policy cover treatment by Ayurvedic method?

On diagnosis of any of the critical illness, the insurance company pays the sum insured amount, irrespective of what form of treatment the insured wants to undertake against the critical illness.

Is there any grace period for renewal of the SBI Critical Illness Policy?

There is a grace period of 30 days for renewal of the SBI Critical Illness policy. The grace period starts immediately after the premium due date and all the benefits and waiting period will stay intact if the SBI critical illness policy is renewed with the grace period.

Does SBI Critical Illness Policy Cover Smoking, Alcohol and Tobacco Habits?

Yes, the SBI critical illness policy does cover smoking and alcohol and tobacco habits up to a certain limit with applicable loading.

CigarettesLoading applicable
Less than 40 cigarettes a day with no signs of health issues10% loading
Less than 40 cigarettes a day with signs of health issues50% loading
More than 40 cigarettes a dayDecline
AlcoholLoading applicable
Social Drinker No Loading
Regular Alcohol Consumption50% Loading
Alcohol Abuse Decline

Is there any discount for long term policy?

The benefit of taking long term policy of 3 years is that the premium amount stays the same for 3 years, irrespective of an increase in premium and there is no hassle of renewal every year.

Is the policy available for the long term?

Yes, SBI Critical Illness policy is available for a term of 3 years.

Is there any pre-medical check-up required?

A pre-medical check-up is required for individuals who have a poor medical history. Any applicant above the age of 45 years has to necessarily take the medical test, irrespective of the sum insured availed. If the applicant passes the medical test and buys the policy, the company will reimburse 50% of the pre-medical check-up bill as it was undertaken on the advice of the insurance company.

Is Maternity hospitalisation covered under the SBI Critical Illness Policy?

SBI Critical illness policy offers coverage for 13 critical illnesses as mentioned in the policy document. It does not offer coverage for maternity hospitalisation.

Is there any Cumulative bonus applicable under the SBI Critical Illness Policy?

There is no cumulative bonus applicable under the SBI critical illness policy.

Is Ambulance charge payable under the SBI Critical Illness Policy?

No; The claim amount is paid in a lump sum under the SBI critical illness policy which the insured can use to take treatment of his/her critical illness or for any other purpose.

How to pay a premium? What Are The Types Of Payment Option Available?

The premium of SBI critical illness policy needs to be paid as per the plan selected by the individual, 1 year plan or 3 year plan.

The SBI General Insurance offers premium payment online as well as offline. Online payment can be made through the official website of the company and offline payment can be made by simply visiting the nearest branch of SBI General Insurance Company.