SBI Health Insurance

Network Hospitals:
Claim Settlement
Ratio: 66%
PED Coverage
Covered after 4 Year
Save Tax Under
Section 80D

About SBI Health Insurance

SBI General Insurance Company Limited commenced its operations in 2010 as a joint venture between State Bank of India and Insurance Australia Group (IAG). Following the stake sale by IAG in 2020, the company now operates as a joint venture between SBI, Napean Opportunities LLP, Honey Wheat Investment Limited, PI Opportunities Fund-1, and Axis New Opportunities AIF-I. The insurer offers a diverse range of general insurance products in the commercial sector, including health, home, travel, motor, and personal accident insurance.

Among its offerings, health insurance stands out as one of the most promising products provided by the insurer. SBI Health Insurance plans are specifically designed to provide coverage for individuals and families against various healthcare expenses arising from illnesses, diseases, or accidents. These plans are affordable and accessible to all segments of society. The company aspires to become India's most trusted general insurer, driven by its vision to offer simple and innovative general insurance solutions, be responsive to customers' needs, and build a sustainable business for the future.

SBI Health Insurance Plans Summary

SBI Health Insurance provides a range of health insurance plans to meet the diverse needs of individuals and families. Here are the top 5 health insurance plans offered by SBI Health Insurance:

  • SBI Arogya Plus Policy: This indemnity-based health insurance policy provides coverage for medical expenses. Individuals between 3 months and 65 years of age can be covered under this policy. It offers features such as in-patient hospitalization, pre and post-hospitalization expenses, daycare procedures, ambulance charges, and alternative treatments. The sum insured options range from Rs. 1 lakh to Rs. 3 lakh. No medical test is required for individuals up to 55 years of age.
  • SBI Arogya Premier Policy: This policy provides coverage for medical expenses to individuals and families. It offers comprehensive coverage for domiciliary hospitalization, pre and post-hospitalization expenses, daycare procedures, in-patient hospitalization, alternative treatments, and ambulance charges. The policy can be purchased for 1, 2, or 3 years. It includes a cumulative bonus of 10% for every claim-free year. Coverage is available for individuals between 3 months and 65 years of age, with sum insured options of Rs. 1 lakh, Rs. 2 lakh, or Rs. 3 lakh. Spouse, dependent children, parents, and parents-in-law can also be covered.
  • SBI Arogya Top-Up Policy: This top-up policy provides additional coverage when the medical cost exceeds the sum insured of an existing health insurance policy. It offers coverage for daycare procedures, in-patient hospitalization, pre and post-hospitalization expenses. The policy is available for 1, 2, or 3 years with sum insured options ranging from Rs. 1 lakh to Rs. 50 lakh and a deductible between Rs. 1 lakh and Rs. 10 lakh.
  • SBI Critical Illness Insurance Policy: This policy covers 13 critical illnesses, including aorta graft surgery, open chest CABG, stroke, coma, total blindness, and open heart replacements. It is available for 1 or 3 years with sum insured options ranging from Rs. 2 lakh to Rs. 50 lakh. The maximum entry age for this policy is 65 years.
  • SBI Hospital Daily Cash Policy: This policy provides a fixed benefit for each day of hospitalization, irrespective of the actual medical expenses incurred. It offers coverage options for 30 or 60 days. The policy can be purchased by individuals between 18 and 65 years of age, including dependent children aged above 3 months.

These SBI Health Insurance plans cater to various healthcare needs, providing comprehensive coverage and financial protection for individuals and families in times of medical emergencies.

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Why Choose SBI Health Insurance?

If you are covered under a suitable health insurance policy offered by SBI General Insurance, you can enjoy numerous advantages. The insurer is a preferred choice for many due to the following reasons:

  • Wide Network of 6,000+ Hospitals: SBI Health Insurance has a robust network of over 6,000 hospitals where you can avail cashless treatment for covered illnesses, sickness, and diseases. The cashless hospitalization process ensures convenience and peace of mind during planned or emergency hospitalizations.
  • iAAA Rating for "Highest Claim Paying Ability": SBI General Insurance has been awarded the iAAA rating by ICRA, indicating its highest claim paying ability. This recognition adds to the insurer's credibility and reliability.
  • Awards and Recognitions: SBI General Insurance has received several awards and recognitions, including the Best E-Magazine Award, ET Best BSFI Brands Award 2018, ISO 27001:2013 certification, and Bancassurance Leader Award. These accolades highlight the insurer's commitment to excellence.
  • Quick Assistance: The insurer provides prompt assistance for various insurance-related queries. Their website features a "Quick Assistance" tab where customers can download policies, check claim status, access policy details, and locate network hospitals.
  • Fast and Transparent Claim Settlement Process: SBI General Insurance ensures a fast and transparent claim settlement process. The company prides itself on handling claims worth more than Rs. 110 billion to date, demonstrating their commitment to serving customers efficiently.

These advantages contribute to SBI General Insurance's reputation as a trusted insurer, providing customers with reliable health insurance solutions and a seamless claims experience.

Key Features of SBI Health Insurance

Here are some notable features of SBI General Insurance that distinguish the insurer in the market:

  • Extensive Sum Insured Options: SBI General Insurance provides coverage for a wide range of sum insured options, starting from Rs. 50,000. This allows individuals to choose a coverage amount that suits their specific needs.
  • Tax Benefits: The premiums paid for SBI health insurance policies are eligible for tax deductions under Section 80D of the Income Tax Act, 1961. This helps policyholders save on their tax liabilities while securing their health.
  • Convenient Renewal Process: SBI General Insurance offers an easy and hassle-free process to renew health insurance plans. Policyholders can conveniently renew their policies to continue enjoying the benefits and coverage without any interruption.
  • Free Health Check-ups: Many health insurance plans provided by SBI General Insurance include the provision of free health check-ups. This additional benefit allows policyholders to regularly monitor their health and detect any potential issues at an early stage.
  • Cashless Treatment at Network Hospitals: SBI General Insurance has a vast network of over 6,000 hospitals where policyholders can avail cashless treatment. This means that medical expenses are settled directly by the insurer, providing convenience and peace of mind during hospitalization.
  • Add-On Covers: SBI General Insurance offers add-on covers that policyholders can opt for to enhance their coverage. These additional covers provide extra protection and customization according to individual requirements.
  • Diverse Health Insurance Plans: SBI General Insurance provides a wide variety of health insurance policies that cater to different needs. Whether it's for individuals, families, senior citizens, children, or parents, the insurer offers comprehensive coverage options to suit various requirements.
  • Family Health Insurance Coverage: SBI General Insurance offers family health insurance plans that cover the entire family under a single sum insured. This simplifies the process and ensures comprehensive coverage for all family members.

These features make SBI General Insurance a standout choice in the market, providing comprehensive health insurance solutions with added benefits and flexibility.

SBI Health Claim Settlement Ratio

The Claim Settlement Ratio of a health insurance company represents the percentage of claims successfully settled by the company compared to the total number of claims received during a financial year. It serves as an important indicator of an insurance company's efficiency in handling customer claims. As a prudent health insurance buyer, it is essential to consider the Claim Settlement Ratio of an insurer before purchasing a plan. Here are the Claim Settlement Ratios for SBI Health Insurance in the last two financial years:

Financial Year | Claim Settlement Ratio

FY 2018-2019 | 59.42%
FY 2019-2020 | 66.08%

These figures demonstrate the insurer's commitment to efficiently settling claims and providing timely support to policyholders when they need it most. SBI Health Insurance stands out as a reliable and trustworthy option for individuals seeking comprehensive health coverage.

Dedicated Whatsapp Claim Assistance

SBI Health Claim Process

SBI Health Claim Process (h2)
You have the flexibility to choose between cashless or reimbursement processes for making claims under your SBI Health Insurance plans, providing coverage for both planned and emergency hospitalizations.

Cashless Claim Process (H3)

Step 1: Hospitalization
Choose a network hospital and present your health card at the hospital desk. Inform the insurer by calling their toll-free number 1800221111 or sending an SMS with the keyword 'CLAIM' to 561612. You can also email [email protected] with your details to obtain a claim number.

Step 2: Submit a Cashless Claim Request Form
Fill out the cashless claim form provided by SBI Health Insurance.

Step 3: Document Verification
The insurer will verify the submitted documents.

Step 4: Claim Settlement
If your claim meets the terms and conditions of your health insurance policy, the insurer will settle the medical bills directly with the hospital.

Reimbursement Claim Process

Step 1: Hospitalization
Choose a non-network hospital according to your preference. Receive the necessary treatment and inform the insurer.

Step 2: Settle Bills at the Hospital
Pay for the treatment expenses incurred at the hospital.

Step 3: Collect Relevant Documents from the Hospital
Gather all documents related to your hospital treatment for claim processing.
Documents Required for Reimbursement Claim Settlement
To settle a reimbursement, claim under your SBI Health Insurance policy, submit the following documents:

  • Original medical bills and discharge certificate from the hospital
  • Completed claim form
  • Prescriptions
  • Advanced and final receipts
  • Original bills and receipts for ambulance expenses
  • Medical history summary of the discharged individual

Step 4: Claim Settlement
Once your claim documents are evaluated and found compliant with the policy terms and conditions, the insurer will reimburse you for the treatment expenses incurred.
By following these steps, you can effectively make cashless or reimbursement claims under your SBI Health Insurance plans, ensuring smooth and hassle-free claim settlements.

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  • Customer Reviews and Ratings: features customer reviews and ratings, allowing users to gain insights from the experiences of others when choosing insurance options.
  • Streamlined Claims Process: In the event of a claim, aims to provide a streamlined and efficient claims process, ensuring customers receive the support and assistance they need during difficult times.
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SBI Health Insurance

Network Hospitals:
Claim Settlement
Ratio: 66%
PED Coverage
Covered after 4 Year
Save Tax Under
Section 80D
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