Health insurance is a safety net for you and your loved ones, ensuring that unexpected medical expenses, illnesses, or accidents don't become a financial burden.
Consider this scenario: life is full of unpredictability, with unexpected events. Falling ill or getting an injury is one such unforeseen event that can occur at any time. In these situations, having access to high-quality healthcare becomes essential. Whether it's diagnostic tests, consultations with specialists, or hospital admissions for treatment, the associated medical expenses can accumulate rapidly, impacting your finances. This is where a reliable health insurance plan plays a crucial role.
Saying that, numerous insurance providers offer comprehensive insurance plans, but only a few truly deliver on their promises. At SBI General Insurance, we aim to deliver on our promises and support by providing top-notch assistance tailored to your needs!
What Is Health Insurance ?
Health Insurance, also called as medical insurance caters to expenses related to illnesses or injuries by either reimbursing your bills or directly paying the medical care provider. A comprehensive health insurance covers the cost of hospitalisation, day-care procedures, medical care at home (domiciliary hospitalisation), ambulance charges, maternity cover, OPD benefit, and more.
Having a health insurance plan ensures coverage against a range of diseases and offers the added advantage of enhancing tax savings. You can claim tax benefits for your health insurance premium under Section 80D of the Income Tax Act, 1961.
Health Insurance Plans Offered By SBI General
Health Edge Insurance
Customisable Health Insurance aur Fantastic Value Done. Policy covers :
Unlimited Refill (Related and Unrelated Illness both)
Types Of Health Insurance Plans Available In India
What Are The Benefits Of A Health Insurance Policy?
SBI General Key Features
Benefits
Sum Insured (in ₹)
50 Thousand - 2 Crore*
Hospital Network
16625+ Pan India Network Hospitals
Tax Savings
Up to ₹1 Lakh under Section 80D
Renewal Benefit*
Health Check-up, Cumulative Bonus Stay Fit Health check-up available on specific products
Coverage
Hospitalization Expenses, Day Care Treatments, Home Treatments, AYUSH Treatment, Organ Donor Expenses
Voluntary Co-Payment
Option Available (available in specific products)
(*As per the product terms and conditions)
What’s Covered Under The Health Insurance Policy?
Hospitalisation Expenses
All the basic expenses pertaining to hospitalisation – from room rent to medical procedures, surgery expenses, ICU costs, and doctor consultation fees are covered under Medical Insurance.
Pre- and Post-Hospitalisation Costs
Costs associated with diagnostic tests, biopsies, histopathology reports, physiotherapy, and doctor consultations, occurring before and after hospitalisation are covered with Health Insurance.
Day-care Treatments
Day care treatments that can be completed in less than 24 hours – which do not need you to be hospitalised overnight – are covered under the scope of Health Insurance.
AYUSH Treatments
Treatments besides Allopathic treatments, i.e., Ayurveda, Yoga, Unani, Siddha, and Homeopathy (AYUSH) treatments conducted by recognised and accredited healthcare facilities are covered with Health Insurance.
Domiciliary
With domiciliary hospitalization, you enjoy the benefit of receiving treatment and medical care from the comfort of your home in special circumstances.
Ambulance Charges
During the times of emergencies, you may need ambulance services to get to the hospital. The Health Insurance covers ambulance charges in such a situation.
Lifelong Renewability
Most Medical Insurance plans include a lifelong renewability cover, allowing you to get uninterrupted Health Insurance coverage, regardless of your age. You only need to renew your policy on time.
Organ Donor Expenses
In case that you need to undergo a surgery requiring organ transplant necessitated by organ failure, the medical and surgical costs associated with organ harvesting can be covered under the policy.
What’s Not Covered Under The Health Insurance Policy?
Self-inflicted Injuries
Coverage for the treatment of self-inflicted injuries or those sustained as a result of attempted suicide are not covered under the scope of Medical Insurance plans.
Cosmetic Surgeries
You cannot file an insurance claim if you choose to undergo any cosmetic treatment or plastic surgery, unless it is deemed necessary following accidents, burns, or cancer treatments, under Health Insurance.
Substance Abuse
The costs associated with treatments resulting from the consumption or abuse of intoxicating substances, including drugs and alcohol, are not covered by Medical Insurance.
Experimental/Overseas Treatments
Health Insurance is not liable to cover the costs associated with experimental treatments. You may also not file a claim if you choose to seek medical treatments overseas, unless specified under policy terms.
Injuries Sustained from Adventure Sports
If you sustain physical injuries as a result of participating in adventure sports activities like parasailing, paragliding, skiing, sky diving, etc., you cannot file an insurance claim with Medical Insurance for the treatment costs.
Expenses arising from optional medical procedures such as sterility treatment, infertility treatment, in-vitro fertilisation (IVF) as well as gender change procedures are excluded from the scope of coverage under Health Insurance.
War-related Injuries
Injuries and treatment costs associated with wars and war-like events as well as other acts of communal disharmony, which affect all masses, are not covered under Medical Insurance.
Breach of Law
Treatments arising due to you breaching policy terms, like consuming drugs, driving while intoxicated and sustaining injuries, etc., are outside the scope of Health Insurance coverage.
Are you Ready to Discover all the Amazing Benefits that come with Having Health Insurance?
Based on your age, you may need different coverage amount. Your age can be an important factor affecting your health since as you age, you tend to develop certain medical conditions associated with ageing. You can choose a Health Insurance plan that caters to your needs best according to your age.
Consider the Sum Insured
With medical inflation being a reality, it is critical to choose a health policy with a considerably higher sum insured to remain financially secured well into the future. This way, when you need to file a claim many years later, you do not have to worry about the rising medical costs and the financial burden it may bring.
Assess the Coverage Terms
Beyond the basic pre- and post-hospitalisation costs, some Health Insurance plans offer coverage for maternity, ambulance charges cover, home health care cover, and OPD coverage, among other things. You should opt for a plan that caters to your requirements the best.
Consider the Reputation
Factors like our customer care, the claim settlement ratio, solvency ratio, & the speed at which services are provided play a role in your overall experience. So, you must assess the same before buying your health policy. SBI General boasts a high claim settlement ratio along with speedy services such as customer care.
Check the Add-on Riders
If a person wishes to customise a policy to include certain possible medical conditions and the expenses associated with them, they can easily do so with the range of add-on riders offered. These riders provide added benefits and coverage for conditions specified in the policy.
Assess the Waiting Periods
Every Health Insurance policy comes with a fixed waiting period that may last anywhere from 30 days to 4 years. During this time, you cannot raise a claim despite having a Health Plan. Most of our Health Insurance plans offer a waiting period of only 30 days.
Why Buy A Health Insurance Plan At An Early Age?
Lower Premiums
Purchasing health insurance at an early age often results in relatively lower premiums.
Insurers consider youth and good health, providing cost advantages that can be maintained throughout the policy term.
Financial Security
Early adoption of health insurance ensures financial security against any unforeseen medical expenses.
Health Insurance acts as a safety net, preventing the burden of healthcare costs from affecting your financial well-being from a young age.
Pre-existing Condition Coverage
Early insurance safeguards against denial or higher premiums for pre-existing conditions, ensuring coverage for potential medical needs.
Obtaining insurance early offers reassurance and financial stability as you age, minimizing the risk of coverage issues or increased premiums.
Long-term Benefits
Investing in health insurance at an early age yields long-term benefits.
You can potentially enjoy the continuity, additional benefits, and security as you progress through different life stages.
It’s time to consider purchasing a health insurance plan! Tailor your Plan as per your Need!
SBI General Insurance allows you to file cashless claims by seeking hospitalisation at any one of our 17K+(Approx.) network hospitals across India. You simply need to inform us that you wish to raise a claim and tell us the name of our network hospital partner where you wish to seek treatment. Our customer service representative would assist you in completing the preauthorisation request.
Reimbursement Claim
A Health Insurance plan is designed considering that you may be comfortable with a particular health care provider or facility, which may or may not be within our network. In recognition of this, we enable you to seek treatment from your preferred medical practitioners, at health care facilities where they provide medical services. You can seek the necessary treatment and upon being discharged, submit the original bills and documents and file a reimbursement claim.
How To File Your Health Insurance Claim
Cashless Facility Procedure
Visit the nearest SBIG network hospital to avail cashless facility. Present your SBIG health card at the insurance desk in the network hospital.
Pre- Authorization Process
The network hospital will verify your identity and submit a duly filled pre-authorization form, along with relevant documents, to SBI General Insurance.
Cashless Treatment Admission
Upon approval, you can get admitted and avail cashless treatment as per your policy coverage.
Claim Settlement
After discharge, the hospital will send your claim documents to SBI General’s office for settlement of hospitalization expenses.
Hospital Discharge Guidelines
Upon discharge from the hospital,
it is essential to settle your account and collect all original records of the procedures undergone, along with cost incurred.
Health Claim Submission
Download the SBIG health claim form, fill the form, and submit it with the required documents from the checklist.
Document Submission
Send original claim documents to
the Health Vertical Office at the provided address. SBI General Insurance Company Limited, 9th Floor, Westport, Pan Card Club Road, Baner, Pune, Maharashtra - 411 045. Office Timings: 9:30 AM - 5:30 PM (Mon - Fri)
Claim Settlement
SBIG will review submitted documents, and claim processing will occur subject to policy terms and conditions.
Having trouble deciding between a Floater and Individual Health Insurance plan?
Documents Required While Filing A Health Insurance Claim
1. The duly-filed claim form, comprising all the necessary information such as your name, age, medical diagnosis, course of treatment recommended by the medical practitioner, etc.
2. The discharge summary card provided by the hospital comprising details such as the number of days you were hospitalised, recommended post-hospitalisation tests, follow-up visits, etc.
3. Copies of diagnostic tests recommended, medical reports, blood tests, etc., undertaken during the pre-hospitalisation stage.
4. All original bills including hospitalisation bills stamped by the medical facility, bills of medical tests undertaken, medicines used during surgical procedures, bills generated by pharmacies during the course of the treatment, etc.
5. Any other additional documents requested by the SBI General claim settlement team during the claim verification process.
How To Buy Health Insurance Plan Online?
Input your mobile number, name, and pin code, and click ‘Proceed.’
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Select insured members, choose a plan, select the sum insured, and needed coverages.
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Input all the details, such as proposer details,EIA, nominee details, etc.
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You can pay online and get your policy right away in your inbox.
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Check out 8 helpful Tips to help you in choosing the Right Health Insurance!
Documents Required While Buying A Health Insurance Policy
Whether you choose to buy your Health Insurance Policy online or offline, you must submit the requested documents for our records, and to complete the KYC process. While online applicants may submit scanned, self-attested copies of their documents, offline applicants must carry photocopies to submit with their application, while visiting an insurance office branch.
Duly filled Health Insurance application form with passport sized photographs attested on the form.
A copy of identity proof documents for KYC purposes from a list of accepted documents like PAN, Aadhaar, Passport, Voter’s ID, Driver’s License, Employment ID, or any other document bearing your photograph.
A copy of age-proof documents from a list of accepted documents like PAN, Aadhaar, Passport, Voter’s ID, Driver’s License, etc. In case of minors/dependent children, documents like their birth certificate and school leaving certificate are accepted as age proof.
A copy of your address-proof documents for KYC and mailing purposes, from a list of accepted documents like Aadhaar, Passport, Voter’s ID, Driver’s License, rental lease, etc., bearing your temporary and/or permanent address.
Copies of other necessary documents such as medical reports (in case of pre-existing illnesses) as requested.
How To Save Tax With Your SBI General Health Insurance Policy?
Under Section 80D
Under Section 80D of the Income Tax Act of India, 1961, you can claim deductions up to:
Beneficiaries of SBI General Insurance
Annual Deduction Amount
Yourself, your spouse, and your children
₹25,000
Yourself, your spouse, your children, and your parents under the age of 60 years
₹50,000
Yourself, your spouse, your children, and your senior citizen parents
₹75,000
Yourself (over the age of 60 years), your spouse, your children, and your parents
₹100,000
Under Section 80DDB
Under this section of the IT Act, you can claim tax deductions:
On Health Insurance and related-expenses incurred towards the treatment of specific critical
illnesses, as stated under Section 80DDB.
The maximum annual tax deduction limit for such expenses is capped at ₹40,000 or the actual premium amount paid, whichever is lower.
In case of policies taken for the critical treatment of senior citizens, the maximum deduction you
can claim is capped at ₹1 lakh.
Under 80DD
Section 80DD of the IT Act allows you to claim tax deductions for:
The medical costs incurred for yourself as a disabled individual, or any dependents persons suffering from physical or mental disabilities.
Under this section, you can claim a maximum deduction of up to ₹75,000 per annum.
Reasons to Buy Your SBI General Health Insurance Policy Online
Convenience
The online process of buying health insurance is rather simple. You just need to choose your preferred policy on the SBI General website, fill out the application form and submit the required documents. You can do all this without having to visit your nearest SBI General office or branch.
Various Payment Modes
You need not bother with cash or cheque payments when you choose the online method. Instead, you can pay your insurance premiums through various secure online methods ranging from internet banking to UPI and
Debit/Credit Cards to digital wallets.
Quick Quotes
SBI General offers a facility called a health insurance premium calculator, which instantly generates quotes based on your chosen policies.
Expert Assistance
Should you need any assistance during the policy buying process, our team of experts stand ready to offer you insights based on your specific requirements. You can type out your questions and our online chat bot ‘SAKHI’
will provide the necessary resolution. You can also call us on our helpline at 1800 102 1111.
Paperless Processes
You can eliminate complex documentation when you buy your policy online. All you need to do is fill out a form and attach soft copies of your KYC documents. Plus, if you fit the criteria, you do not have to undergo any
medical check-ups either.
Instant Policy Issuance
Once you shortlist your policy and pay the premium costs, SBI General mails you your policy on your registered email address. You do not have to wait to receive your policy documents via regular mail and can access it on
your email at any time.
You can also access your policy documents on the SBI General Insurance mobile app. Simply download the app and register with your policy details to get anytime access to your policy. Plus, you can renew your insurance plans online through the app.
Advantages Buying A Health Insurance Policy From SBI General
High Sum Insured
Medical costs are only increasing with every passing year. To combat this, we offer policies with sum insured of up to ₹2 Crore to cover the high medical costs. The high sum insured amount gives you the confidence to seek treatment at your preferred medical facilities, without compromising on treatment or worrying about costs.
Extensive Network of Hospitals
As one of India’s most reputed insurance providers, SBI General has partnered with some of the most prestigious medical institutions across the country to provide you with cashless hospitalisation benefits. You can file cashless claims at over 6,000 reputed network hospitals and healthcare centres across 114 locations in India.
24×7 Services
Reaching out to SBI General’s customer care helpline is easier than ever. You can call us on our 24×7 toll-free helpline 1800 102 111 and get prompt assistance. Whether you need to file a claim or need assistance about the claim process, we are here to help address all your queries and concerns, around the clock.
Easy Claim Processes
Even if you choose to seek treatment at your preferred non-network hospital, SBI General has you covered. You can easily download the claims form from our website, fill it up and submit it with the requested documents. What’s more, you can file your claim both online and offline.
Easy Renewals
SBI General enables you to renew your medical insurance policy effortlessly. We send you reminders around the policy renewal time so you can enjoy uninterrupted coverage throughout the year. Plus, you can easily make changes to your policy by adding or removing riders and members, as per your changing needs.
Treatments Covered
Your SBI General health insurance policy covers the costs of almost all kinds of medical procedures, including in and out-patient treatments, simple and complex surgeries, dialysis, chemotherapy and radiation, organ transplantation procedures and more.
Get Ready for Unexpected: Protect yourself from Unforeseen Hospital Bills.
Eligibility Criteria To Purchase A Health Insurance Policy In India
You should be a resident of India.
You should be in within the age group of 18 to 65 years, or as specified by SBI General Insurance, in accordance with the plan you choose.
Dependent children, for whom you are purchasing Health Insurance coverage, should be in the age group of 90 days to 25 years, in accordance with the plan you choose.
You should be willing to undergo the necessary medical screenings and tests, if your age &/or sum insured exceeds a certain limit.
You should be upfront about any pre-existing illnesses or conditions you are diagnosed with, while purchasing the Health Insurance policy.
You should mention any other health related information truthfully, and with complete accuracy to be eligible for Medical Insurance coverage.
You should be willing to pay for any medical eventuality faced during the applicable waiting periods associated with the health plans you choose on your own.
The detailed eligibility criteria for SBI General Health Insurance plans may differ based on your age and the terms and conditions applicable to the policy. Please ensure you read the policy terms and conditions in detail before buying your plan.
How To Pick The Best Health Insurance Plan?
Assess the coverage offered under the policy – the inclusions, exclusions, as well as limits and sub-limits on expenses, etc.
Choose an insurer with a high claim settlement ratio and an excellent record for customer services.
Consider buying Family Floater Health Insurance plans, especially as a young family to enjoy higher coverage at lower premiums.
Check if your preferred health care facilities or, at least, the hospitals in your vicinity are within the Health Insurance provider’s network.
Plan for the future and choose a policy with a sufficient sum insured amount with no claims bonus benefits to help you beat inflation.
Review if your chosen insurance plan has a co-payment clause to know just how much you will need to pay if you file a claim.
Opt for a plan with a lifelong renewability clause so that you can continue enjoying Health Insurance coverage even when you are older.
Consider choosing a plan that allows you to enhance your coverage benefits through top-up and additional riders.
Steps To Calculate Health Insurance Premiums Online
Consider the People for Whom Coverage Is Required
Enter the figure for the number of people for whom Health Insurance is to be purchased. If you need insurance for yourself, you can click on the ‘Self’ icon. If, you wish to include your spouse, parents, and/or children, you can click on the icons representing them.
Submit the Personal Details
Provide the requisite, personal information about all the members for whom the Medical Insurance policy is bought. Provide their name, age, and date of birth. Provide the mobile number as well in this step.
Choose Your Preferred Health Insurance Plan
It is now time to choose a health plan that best suits the coverage needs. In this section, one must select the sum insured they want for the policy, the tenure, and the riders they want for enhanced coverage. Every rider added impacts the premium amount slightly.
Provide Information About Your Lifestyle
Some critical questions that play a pivotal role in determining the insurance premium rates must be answered. For instance, the information about any pre-existing medical conditions, lifestyle choices (whether you smoke, drink, etc.), and answer other similar questions must be provided.
Get Your Medical Insurance Quote
Once the above details are entered, the Medical Insurance premium quote will be made available on the SBI General Insurance website or app. You can also choose to get this information on your email address and WhatsApp contact number.
Note: The premium quote sent by the insurer includes the GST amount applicable to the actual premium payable.
Ready to Discover our Competitive Health Insurance Premium Rates?
Factors That Affect Your Health Insurance Premium Rates
Age
We usually charge a lower premium when people are younger and healthier, compared to when they buy insurance in their 40s.
Sum Insured
Your sum insured is a key factor for determining the premiums you pay. For a lower sum insured, you may have to pay lower premiums and vice versa. You should consider your sum insured as a factor because this amount covers your medical expenses.
Coverage Type
The higher the coverage you opt for, the higher the premium rates charged. Furthermore, coverage types such as individual and family floater plans also play a determining role in premium rates as the premiums for each plan varies.
Policy Duration
A long-term health plan can pay for all your medical expenses incurred during the policy period. The premium paid for this plan tends to even out over the longer term. That is to say, the cost for single hospitalization can be in lakhs; however, the premiums paid may be significantly lower.
Health Conditions
If a person has any pre-existing medical conditions, the premium rates may be higher than usual for the provided coverage. However, all the expenses incurred due to the pre-existing condition may be covered at this premium easily.
Lifestyle Choices
If an individual routinely smokes, drinks or indulges in other similar practices, their insurance premiums could be higher, if they are deemed eligible for coverage.
Geographical Location
If a person resides in a small town, where costs are lower, the premium rates may be lower too, compared to those charged from residents in metro cities.
