SBI Health Insurance FAQs
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Choose required Coverage for yourself?
Cancer
Who is eligible for SBI Health Insurance Cancer Plans?
The eligibility for purchasing an SBI cancer plan is 18-70 years for adults in an individual plan and 91-day-old children to 70-year-old adults in a family floater-based plan.
Can I avail of cashless treatment for cancer-related expenses under SBI Health Insurance?
Yes, SBI Health Insurance provides cashless treatment for cancer-related expenses.
Are chemotherapy and radiation therapy covered under SBI Health Insurance cancer plans?
Yes, the SBI Health Insurance cancer plan provides coverage for chemotherapy and radiation therapy for cancer diagnosed after purchasing the plan. Pre-existing cancer is not covered under SBI Health Insurance plans.
Are there any exclusions to be aware of in SBI Health Insurance's cancer plans?
The only exclusion in SBI Health Insurance’s cancer plan is that it does not provide coverage for advanced-stage cancer and pre-existing cancer diagnosis.
Claim Settlement
How long does it take for SBI Health Insurance to settle a claim?
Claims are resolved by SBI Health Insurance in 30 days or less.
Can I track the status of my claim online through SBI Health Insurance's website?
Yes, you can track your claim status on SBI Health Insurance's official website.
What documents are required to file a claim with SBI Health Insurance?
The following documents are required to file a claim, a copy of the claim intimation, original hospital bills, payment receipts, detailed hospital bill breakdown, and pharmacy bills.
What steps should I take if my claim with SBI Health Insurance is denied or delayed?
If your claim is delayed, the first step you need to take is to get in touch with your insurance provider for a follow-up regarding your claim request.
Critical Illness
Can I purchase SBI Health critical illness insurance as a standalone policy?
Yes, you can purchase an SBI Critical Illness plan as a standalone policy.
Are there any age restrictions for enrolling in SBI Health critical illness insurance?
The SBI Health Critical Illness plan has an age restriction of 18 to 65 years old.
Can I pay an extra premium to waive the waiting period for SBI Health critical illness claims?
Yes, you can pay an extra premium to waive the waiting period for SBI Health Critical Illness claims.
Can I add family members to my critical illness insurance policy with SBI Health Insurance?
No, SBI Health Insurance offers a critical illness plan as an individual plan and not as a family floater plan.
Diabetes
Are there any specific eligibility criteria for enrolling in SBI Health diabetes insurance plans?
A kid must be three months old and an adult must be eighteen years old to qualify for an SBI Health diabetes plan. The age to exit is sixty-five.
Are there any waiting periods for coverage of diabetes-related expenses under SBI Health plans?
SBI Health Insurance offers diabetes coverage after a 90-day waiting period to their policyholders.
Can I receive coverage for insulin and other diabetes medications under SBI Health's diabetes insurance plans?
Yes, under SBI Health's diabetes-related insurance plans, the policyholder will receive coverage for insulin and other medications.
Are routine check-ups and screenings for diabetes covered under SBI Health plans?
Yes, routine check-ups and screenings for diabetes are covered under the SBI Health plan.
Family
Who all can be included under a family floater health insurance plan offered by SBI General Insurance?
The Proposer, spouse, dependent children and dependent parents can be covered under the family floater plan offered by SBI General Insurance.
What are the benefits of purchasing a family floater health insurance plan from SBI General Insurance?
Given below are some of the benefits of purchasing family floater health insurance plan from SBI General Insurance-
- Cover for ambulance charges including air ambulance up to Rs. 1 Lakh
- Expenses for up to 142 daycare procedures
- Cover for organ donor expenses
- Cover for up to 60 days of pre-hospitalisation expenses
- Cover for up to 90 days of post-hospitalisation expenses
- Automatic reinstatement of the sum insured
- Cover for AYUSH treatments
- Tax benefits
What are the sum insured options offered under family floater health insurance plans by SBI General Insurance?
SBI General’s family floater health insurance plan i.e. Arogya Premier Policy offers sum insured options between Rs. 10 lakh and Rs. 30 lakh.
Feature
What is the free look period provided under health insurance policies offered by SBI General Insurance?
SBI General Insurance provides a free look period of 15 days to the policyholders.
What are the policy tenure options available under SBI General Insurance policies?
Most of the health insurance plans offered by SBI General Insurance are available for a tenure of 1 year, 2 years, or 3 years.
General Information
Why should I invest in health insurance policy from SBI General Insurance?
SBI General Insurance is a great option to buy a health insurance policy. The insurer not only ensures financial protection of an individual, but an entire family and provides them with the much-desired peace of mind. By investing in SBI General health insurance policy, you can benefit from wide health coverage, direct & hassle-free claim settlement, lifetime policy renewal and numerous other benefits. Overall, you won’t be disappointed with SBI General Health Insurance in any which way.
How many network hospitals does SBI General Insurance cover?
There are 6,000+ well-equipped network hospitals covered under SBI General Insurance.
Help to Buy
How can I buy and apply for SBI General health insurance policy?
SBI General health insurance policy is easy to apply and buy online. You can either visit the official website of SBI General Insurance or InsuranceDekho to apply and purchase the SBI General's health insurance policy that suits your specific needs the best.
What is the toll-free customer care number of SBI General Insurance?
The toll-free number of SBI General Insurance is 1800 221 111.
Individual
Does SBI General Insurance offer any health insurance plan specially designed for individuals?
Yes. SBI General Insurance offers Arogya Plus Policy which is specially designed for individuals. Though, this policy is also available on a floater basis, but because of lower and accessible sum insured options, it is most desired as an individual policy.
What are the sum insured options available under individual health insurance policy offered by SBI General Insurance?
The individual health insurance policy offered by SBI General Insurance is available in sum insured options ranging from Rs. 1 lakh to Rs. 3 lakh.
Kids
Are pre and post-hospitalisation expenses covered under health insurance policies for kids?
Yes. 30 days pre-hospitalisation cover and 60 days post-hospitalisation cover is provided to kids under health insurance plans offered by SBI General Insurance.
What are the sum insured options for kids under health insurance plans offered by SBI General Insurance?
The sum insured options under SBI General Health Insurance - Retail Policy range from Rs. 50,000 to Rs. 5 lakh.
Maternity
Is there a waiting period for maternity coverage to become effective under the SBI Health plan?
Yes, SBI Health’s maternity plan has a waiting period ranging from 9 months to 4 years.
Can I purchase SBI Health’s maternity health insurance if I am pregnant?
Yes, you can purchase a maternity plan if you are already pregnant, however, the coverage will only be available after the waiting period.
Are prenatal check-ups, delivery, and postnatal care covered under SBI Health’s maternity insurance?
Yes, the SBI Health Insurance maternity plan covers prenatal, delivery, and postnatal care coverage to their policyholders.
Does SBI Health Maternity Insurance cover newborn baby expenses?
Yes, the SBI Health Insurance maternity plan covers newborn baby treatment costs.
Does SBI Health Maternity Insurance cover normal and cesarean deliveries?
Yes, SBI Health Insurance’s maternity plan provides both normal and cesarean deliveries under their coverage.
Parents
What is the maximum age limit to purchase health insurance cover for parents from SBI General Insurance?
Parents can purchase a health insurance policy from SBI General Insurance up to the age of 65 years.
What are the benefits of purchasing health insurance for parents from SBI General Insurance?
Listed below are the benefits of purchasing health insurance plans for parents from SBI General Insurance-
- Cover for domiciliary
hospitalisation - Cover for selected daycare procedures
- Ambulance charges up to a certain limit
- Cover for in-patient
hospitalisation expenses - Parental care expenses for parents over 60 years of age
- Cover for domiciliary
Plan Coverage
Does SBI Health offer any health insurance plans specifically designed for athletes or people with active lifestyles?
No, SBI Health does not offer any specific plans for athletes or people with active lifestyles. However, they offer healthy people bonuses and benefits during the renewal of their health policy.
Can I get a discount on my SBI Health premium if I have a healthy lifestyle?
Yes, SBI Health Insurance offers bonuses or discounts on premiums while renewing their policy for a person with a healthy lifestyle.
Does SBI Health cover alternative therapies like Ayurveda or homeopathy for certain conditions?
Yes, SBI Health Insurance offers AYUSH treatments for certain conditions.
Can I pay my SBI Health insurance premiums in installments?
Yes, you can pay your premium in instalments with SBI Health Insurance. It is only offered on a monthly, quarterly, half-yearly, or annual basis, though.
Portability
When can I port from one policy to another?
You can port from one policy to another when your current policy is due for renewal.
Can I port any other policy into an SBI General policy?
Yes. But remember that portability is applicable only within similar products.
Premium
How much is the annual premium for SBI health insurance?
Your options for plans will determine the premiums. Age, underlying medical issues, etc. are other factors.
Can we pay the SBI health insurance premium monthly?
Yes, you can pay SBI Health Insurance premium monthly.
What is the maximum limit for SBI health insurance premiums?
The SBI Health Insurance plan's premium may vary based on factors like age, add-ons, and pre-existing medical problems. It also depends on the kind of plan that you can buy.
Can I choose a deductible option to lower my SBI Health Insurance premium?
Yes, SBI Health Insurance allows you to reduce your premium by selecting a greater deductible. However, you should only choose this course of action if you are healthy and free from significant illnesses or medical conditions.
Renewal
Can I renew my SBI health insurance after expiry?
Yes, it is possible for a policyholder to renew their coverage after it has expired, but only within the grace period.
Can I renew my SBI health insurance policy before the renewal date?
A policyholder can renew their coverage before the renewal date. They can renew their policy 15 days before the renewal date under SBI Health Insurance.
Can I switch to a different plan during the renewal process with SBI Health Insurance?
Yes, you can make modifications to your SBI Health Insurance coverage when renewing your current insurance.
Can I adjust my sum insured amount during the renewal process with SBI Health Insurance?
Yes, you can change the amount of your sum insured at renewal if you decide to add to or subtract from your existing policy.
Senior Citizen
What are the benefits of purchasing heath insurance plan for senior citizen from SBI General Insurance?
Listed below are the benefits of purchasing a health insurance plan for senior citizen from SBI General Insurance-
- Cover for OPD expenses
- In-patient
hospitalisation cover - Domiciliary
hospitalisation cover - Up to 142 daycare procedures covered
- 60 days pre-
hospitalisation expenses covered - 90 days post-
hospitalisation expenses covered - Emergency ambulance cover up to a certain limit
- Reimbursement of alternative treatment under AYUSH
What is the policy tenure for senior citizen health insurance plan offered by SBI General Insurance?
The health insurance policy for senior citizen offered by SBI General Insurance is available for policy terms of 1 year, 2 years, and 3 years.
Tax Benefit
Is there a maximum limit on the amount I can claim for tax deductions on SBI Health insurance premiums?
The policyholder's maximum allowable tax deduction is Rs. 25,000 for themselves and their dependents, and Rs. 50,000 for senior persons.
Can I claim tax benefits if I pay SBI Health premiums annually but file my taxes half-yearly?
No, tax benefits are only available for SBI Health Insurance premiums paid annually.
Can I claim tax benefits for SBI Health insurance premiums paid through a Health Savings Account (HSA)?
Indeed, premiums paid for SBI Health Insurance through a Health Savings Account (HSA) are tax deductible for policyholders.
Are there any restrictions on claiming tax benefits for health insurance premiums if I am an NRI (Non-Resident Indian) with SBI Health insurance?
No, NRIs are not subject to any limitations on the tax advantages associated with their SBI Health coverage premium.
Top-up
Can I claim for pre-existing conditions under an SBI Health Top-Up plan?
Yes, you can claim coverage for pre-existing conditions under the SBI Health Top-Up plan. However, the coverage is only available after a certain waiting period.
What happens if my claim amount exceeds both my base plan coverage and the Top-Up plan sum insured?
The policyholder is expected to pay the remaining amount out of pocket when the cost exceeds both the basic plan and the top-up plan.
Does an SBI Health Top-Up plan cover hospitalisation expenses outside India?
No, the SBI Health Top-Up plan does not cover hospitalisation expenses outside India.
Can I customise my SBI Health Top-Up plan with additional riders?
Yes, an insurance holder may include riders in their SBI Health top-up plan under their particular requirements.
Woman
What are the benefits of purchasing women-oriented health insurance plans from SBI General Insurance?
Given below are the benefits of purchasing women-oriented health insurance plans:
- Cover for in-patient medical expenses
- Cover for maternity expenses up to OPD limit
- Cover for up to 142 daycare procedures
- 60 days pre-hospitalisation cover
- 90 days post-hospitalisation cover
- Emergency ambulance cover up to a certain limit
SBI Health Insurance Top Up List
- Family (1)
- Individual (1)
- Top-up (1)
Name of Plan | Sum Insured | |
Arogya Top up PolicyMin: 3 Months; Max: 65 Years | 1 Lakh | Check Premium |