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Managing medical expenses can seem like a challenging task, considering that medical inflation is moving up rather quickly. SBI General’s Arogya Plus Policy is a comprehensive health insurance product that provides financial protection against rising OPD and hospitalization expenses. This allows the policyholder to completely focus on the treatment and recover without having to worry about the medical expenses.
(Note: All the information in this article has been sourced from the official website of SBI General Insurance.)
Following are the features and benefits of SBI General’s Arogya Plus Policy:
SBI General Arogya Plus Policy covers the following: Eligible Hospital Expenses:
Benefits shall not be payable for the following circumstances:
Following are the documents one needs to submit for making a claim:
A policyholder can easily renew his or her SBI General Arogya Plus Policy online through the website of the insurance company. The individual will have to input certain details like Last Name, Date of Birth and Email ID on the renewal page of SBI General Insurance.
Once this is done, the user needs to click on ‘Continue to Get Quote’ and proceed to renew health insurance cover. The renewal premium has to be paid to SBI General Insurance on or before the date of expiry of the policy or of the subsequent renewal thereof. A grace period of 30 days is allowed for policy renewal. This will be counted from the day immediately after the premium due date during which payment can be made to renew or continue Arogya Plus Policy without losing continuity benefits, like waiting periods and coverage of pre-existing ailments. The continuity of coverage for all the covers under the expiring policy will be subject to premiums being paid in full for the same. Coverage is not provided for the period for which no premium is received.
Cashless hospitalization is a facility available in the SBI General Arogya Plus Policy. If a policyholder wishes to avail medical treatment at a network hospital, he or she must contact the insurer and request pre-authorization in writing. If the insurer is satisfied with the claim, an authorization letter will be sent to the insured individual or the hospital facility. The individual must make sure to provide his or her ID card along with the policy documents, and any other documents necessary (identified in the pre-authorisation letter) at the network hospital before being admitted.
In case of a reimbursement claim, the insured is required to provide intimation to SBI General Insurance right away and in any event within 48 hours from the date of hospitalization. The insured individual must then file a claim with all required documents within 15 days of discharge from the hospital. If the claim is not filed on time and the insured is unable to provide a justified cause for delaying claim submission, the company has the right to not consider the claim for reimbursement. For post hospitalization claims, the insured must lodge the claim within 15 days from the completion of post hospitalization treatment, subject to a maximum of 105 days following the date of discharge from hospital.
Through its Arogya Plus Policy, SBI General Insurance aims to make medical treatments more affordable for its customers. In times of rising healthcare costs, a sudden injury or illness can leave one financially devastated. SBI General’s Arogya Plus Policy helps ensure that such an instance does not arise - giving individuals and families the much-needed financial security in trying times.
Arogya Plus Policy makes it easy to afford quality treatments at some of the top hospitals in the country. It provides users the much-needed financial protection against rising OPD and hospitalization expenses. Lastly, it is a comprehensive medical policy and comes with a range of features.
Is portability allowed under SBI General Arogya Plus Policy?
Yes, this policy is portable as per Insurance Regulatory And Development Authority of India (Health Insurance) Regulation, 2013. The insured has to initiate action to approach another insurance company well before the renewal date so as to avoid any break in the coverage on account of delay in acceptance of the proposal by the other company.
Does this policy cover treatment by Ayurvedic method?
Yes, this policy covers treatment by Ayurvedic method. The alternative treatment has to be taken in a government hospital or in any institute that is recognized by the government and/or accredited by quality council of India/national accreditation board on health.
Is there any grace period for renewal of the SBI General Arogya Plus Policy?
Yes, a grace period of 30 days is allowed for renewal of the policy
Does SBI General Arogya Plus Policy cover smoking, alcohol and tobacco habits?
Yes. However, there is a loading of 5% in the premium for each of the habits
Is there any discount for long term policy?
Yes. A discount of 5% is provided for a 2-year term and 7.5% for a three-year term.
Is the policy available for long term?
Yes, the policy can be availed for up to 3 years.
Is there any pre-medical check-up required?
Pre-acceptance health check is not compulsory for individuals who are less than 55 years of age, without any history of illness.
Is maternity hospitalisation covered under the SBI General Arogya Plus Policy?
No, expenses related to maternity hospitalization are not covered under the policy. However, the OPD limit covers the maternity expenses.
Are ambulance charges payable under the SBI General Arogya Plus Policy?
Yes. An insured individual will be reimbursed the actual ambulance expenses or Rs. 1,500, whichever is lower, for per valid hospitalization claim. This must be for transferring the insured to or between hospitals in the hospital’s ambulance or in an ambulance that has been provided by an ambulance service provider.
What are the types of payment option available?
Individuals looking to avail SBI General’s Arogya Plus Policy can make premium payments online or by visiting one of the insurance company’s branches.