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  • SBI General Health Insurance

    SBI Health Insurance
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    Cashless Treatment

    Customer Service

    Medical Coverage

    Claim Experience

    SBI General Insurance Company Limited is a joint venture between the State Bank of India and Insurance Australia Group (IAG). SBI owns 74% of the total capital and IAG the remaining 26%. SBI General in association with State Bank of India covered over 1.5 Crore Saving Bank Account holders of SBI with a Personal Accident Insurance cover. SBI General has also established its presence in nearly 14,000 Branches of State Bank of India.


    SBI Health Insurance at a Glance

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    Coverage for your most loved ones

    Total members covered

    Coverage for a maximum of 4 family members with up to 2 adults and 2 children

    You get a choice of coverage tenure

    Pre and Post Hospitalization cover

    Medical expenses covered for 30 days before your hospitalization and 60 days for post hospitalization for related medical expenses

    The next best thing to having a doc in the family

    Health Check-ups

    Free Medical check-up for every 4 claim free years up to a maximum limit of Rs.2,500

    * For a family health cover product.

    Critical Factors of the Plan

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    Not a paisa goes from your own pocket!

    Co-Pay

    10% on all eligible admissible claims.

    You?re covered for any future medical expenses

    Life long renewable

    Plans are lifelong renewable and covers you for your entire lifetime.

    Get essential cover for existing ailments

    Pre-existing Diseases

    Any pre-existing condition will be covered after a waiting period of 4 year

    Hospital room rent determines your treatment bill

    Room Rent

    Medical Treatment with Room, Board & Nursing Expenses Up to 1% of the Sum Insured per day

    *These Features may be included as part of different products and are subject to the insurer's terms & conditions.

    Additional Features of SBI Health Insurance

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    Good health offers multiple rewards

    Reasonable and Customary Charges towards Domiciliary Hospitalisation as defined in Policy definition subject to 20% of the Sum Insured maximum up to Rs.20000 whichever less is.

    The world is your healthcare oyster

    Across SBI General's Network Hospitals

    *These add-ons may be included as part of different products and are subject to the insurer's terms & conditions.

    Overview

    SBI General Insurance Company Limited

    SBI General Insurance Company Limited is a joint venture between the iconic State Bank of India (74% stake) and Insurance Australia Group (IAG- 26% stake). The undertaking has a wide reach across India, thanks to over 14,000 official branches of the State Bank of India (SBI). In its 4th year of operations, SBI General closed the financial year 2013-14 with a Gross Written Premium of Rs.1188 Crores, registering a growth of 54%. The company is active in 56 cities across India and is a player in 350+ other locations through satellite resources. The company counts motor, health, travel, personal accidents and home insurance as major elements in its product portfolio.


    The following fall under the health insurance products category.

    Retail Health Insurance Policy

    Key Features & Benefits

    • Wide health coverage, from Rs.50000 to Rs.500000.
    • Pre-policy medical test isn’t mandatory for persons under the age of 45.
    • Choose between individual and family floater plans. Also, flexible plan options available- Metro plan, Semi metro plan and rest of India.
    • Renew your current health insurance policy from any other insurer with us.
    • Pre and post hospitalization expenses covers all medical instances from 30 days prior to and 60 days after hospitalization.
    • Income tax benefit on the premium paid as per Section 80D of the Income Tax Act.
    • Free Health check-up at the end of 4 continuous claim free years (max limit- Rs.2500).
    • Add on covers available including zero sub-limits on room & ICU rent, doctor’s fees etc.

    Exclusions- Incidents Not Covered by the Policy

    • In the case of pre-existing diseases, a waiting period of 4 years will apply.
    • Illness, injury or diseases contracted within 30 days from the commencement of the policy won’t be covered.
    • Treatments consisting of non-allopathic medicine will not be covered.
    • Certain diseases require a waiting period of 1 year before coverage, including hernia, hydrocele, piles etc. Meanwhile, cataract and hysterectomy need a waiting period of 2 years.
    • Treatments connected to pregnancy, childbirth, caesarean section, prenatal and postnatal care.
    • Coverage of treatments due to the use of intoxicating and/or addictive substances like alcohol, drugs etc.
    • Joint replacement surgery that isn’t caused by an accident requires a waiting period of 3 years. Congenital diseases.

    SBI General’s Group Health Insurance Policy

    Key Features & Benefits

    • Wide health coverage, from Rs.100000 to Rs.500000.
    • Avail cashless treatment at 3000+ network hospitals.
    • Pre-policy medical test isn’t mandatory for persons under the age of 65.
    • For specific diseases, just 1 year waiting period (pre-existing diseases covered after 4 years).
    • Choose between individual and family floater plans.
    • Renew your current health insurance policy from any other insurer with us.
    • Pre and post hospitalization expenses covers all medical instances from 30 days prior to and 60 days after hospitalization.
    • Income tax benefit on the premium paid as per Section 80D of the Income Tax Act. Free Health check-up at the end of 4 continuous claim free years (max limit- Rs.2500).
    • Add on covers available including zero sub-limits on room & ICU rent, doctor’s fees etc.

    Exclusions- Incidents Not Covered by the Policy

    • In the case of pre-existing diseases, a waiting period of 4 years will apply.
    • Illness, injury or diseases contracted within 30 days from the commencement of the policy won’t be covered.
    • Treatments consisting of non-allopathic medicine will not be covered.
    • Certain diseases require a waiting period of 1 year before coverage, including hernia, hydrocele, piles etc. Meanwhile, cataract and hysterectomy need a waiting period of 2 years.
    • Treatments connected to pregnancy, childbirth, caesarean, prenatal and postnatal care.
    • Coverage of treatments due to the use of intoxicating and/or addictive substances like alcohol, drugs etc.
    • Joint replacement surgery that isn’t caused by an accident requires a waiting period of 3 years. Congenital diseases.

    Critical Illness Insurance Policy

    Key Features & Benefits

    • Comprehensive coverage against 13 most critical illnesses.
    • Maximum Entry Age = 65 years.
    • Maximum Sum Insured = Rs.50,00,000
    • Policy Tenure = 1 year, 3 years.
    • Free Look Period of 15 days- Don’t like the policy? Return in 15 days for full refund.
    • Income tax benefit on the premium paid as per Section 80D of the Income Tax Act.

    Exclusions- Incidents Not Covered by the Policy

    • Pre- existing diseases, related conditions.
    • All claims require 90 days waiting period from the commencement of the policy.
    • Self inflicted injuries, attempted suicide etc that requires treatment isn’t covered.
    • All congenital conditions.
    • Acquired Immune Deficiency Syndrome (AIDS), and similar sexually transmitted diseases.
    • Illness, injury sustained while under the influence of drugs, alcohol, or other intoxicants.

    Hospital Daily Cash Insurance Policy

    Key Features & Benefits

    • Entry Age = 18 to 65 years. Children from the age of 3 months are covered provided their parents are concurrently covered too.
    • Coverage Tenure = 30 days & 60 days coverage.
    • Rs.2000 = Daily cash benefit per day of hospitalization.
    • Rs.4000 = Daily cash benefit per day of ICU hospitalization.
    • Rs.4000 = Daily cash benefit per day of accidental hospitalization.
    • Rs.500, 1000, 1500 & 2000 = Options available in terms of daily benefit.
    • Rs.5000 = Fixed sum to take care of expenses incurred during convalescence.
    • Free Look Period of 15 days- Don’t like the policy? Return in 15 days for full refund.
    • Income tax benefit on the premium paid as per Section 80D of the Income Tax Act.

    Exclusions- Incidents Not Covered by the Policy

    • Pre-existing diseases or illness.
    • Illness, injury or diseases contracted within 30 days from the commencement of the policy won’t be covered.
    • Treatments consisting of non-allopathic medicine will not be covered.
    • Certain diseases require a waiting period of 1 year before coverage, including hernia, hydrocele, piles etc. Meanwhile, cataract and hysterectomy need a waiting period of 2 years.
    • Treatments connected to pregnancy, childbirth, caesarean, prenatal and postnatal care.
    • Coverage of treatments due to the use of intoxicating and/or addictive substances like alcohol, drugs etc.
    • Joint replacement surgery that isn’t caused by an accident requires a waiting period of 3 years. Congenital diseases.
    • Day care treatments as defined under the policy are excluded from the scope of the policy.

    In conclusion, the SBI brand is a widely preferred wealth manager and insurer in India. The SBI General Insurance Company may be just 4 years old, but is already a force to be reckoned with thanks to its SBI heritage. Why go elsewhere when all the benefits of a resourceful health insurance policy are available with your most trusted bank? Apply TODAY!!

    SBI Health Insurance FAQs

    1. Is there any age limit for buying a health insurance policy from SBI General, and what’s the maximum tenure available?
    2. The minimum age for buying individual health insurance policies from SBI General is 18 years, and the maximum is 65 years, although children as young as 3 months can be covered under health insurance policies if both parents are enrolled under the same plan.


    3. What is the maximum tenure of health insurance policies from SBI General?
    4. SBI General provides health insurance for 1 year tenure only.


    5. What are family floater policies? How are premiums calculated on it?
    6. Family floater policies are applicable to an individual and his or her immediate family members. The policies can be taken out for up to 4 family members according to respective firm’s norms.

      Premiums are calculated on the basis of the age of the oldest person covered under the policy.


    7. Is it absolutely necessary to get a pre-policy medical checkup done?
    8. A pre-policy health checkup isn’t required for individuals below 45 years of age and who haven’t have any previous major illness. Medical checkup is necessary when:

      • The insured have adverse health history.
      • Customers are above 45 years of age.

      Pre-policy checkups are paid for by the proposer. In case the insurance proposal has been accepted by the insurer, the overall checkup cost will be divided equally between the insured and insurer.


    9. What are the renewal formalities for SBI General health insurance?
    10. Renewal premium has to be paid with the understanding that no new information has become available with respect to the first policy filings. In case the insured has contracted an illness during the last 12 months, the same has to be notified to the insurer as new illnesses may require payment of extra premium.

      Renewal receipts will be accepted only after being duly authorised by a signature of an official of the insurer. If an insured person suppresses facts regarding new illnesses, they will be liable to not get any coverage from the provider.


    11. What about waiting periods for clearing coverages in case of emergencies?
    12. On enrolling with SBI General, typically a 30-day grace period is applicable, wherein the insurer is not entitled to pay for health care expenses, although hospitalization due to accidents are accepted by the insurer. There’s no waiting period during renewal of old policies.


    13. What do you mean by health insurance portability?
    14. In India, pre-existing diseases are generally covered only after a certain period of time has passed during which an individual may have been regularly renewing the policy and paying premiums. Such time bound accrued benefits tend to take a lot of time to come to force (usually 5 years). So portability ensures that if the insured wants to change providers, they can do it without losing said benefits. Health insurance portability allows the carrying-forward of the following accrued benefits:

      • All exclusions that are time bound.
      • Waiting periods for getting disbursements for pre-existing conditions.
      • General waiting tenures.

    15. Why should I look for health insurance portability?
    16. Portability allows policyholders to have safety against loss of coverage or discontinuity due to previous illnesses, in case the insured is planning to shift to a new provider.


    17. Are alternative treatments covered by SBI General Health Insurance?
    18. Alternative medicine treatments such as aromatherapy, reflexology, chiropractic, naturopathy, osteopathy, acupressure, and acupuncture are excluded from health insurance policies from SBI General.


    19. Suppose I buy a health insurance policy today and am unfortunately hospitalized the next week. Will i receive coverage?
    20. No, it is not possible to receive coverage within 30 days of buying a health insurance policy from SBI General. However, you will have continuous coverage at the time of renewal.


    Examples of Network Hospitals in Major Cities

    CITY NAME OF HOSPITAL
    DELHI KESAR HOSPITAL
    MUMBAI MANGAL ANAND HOSPITAL
    KOLKATA PEERLESS HOSPITAL & B.K. ROY RESEASRCH CENTRE
    BANGALORE BANGALORE BAPTIST HOSPITAL
    CHENNAI HANDE HOSPITAL

    *Disclaimer - This is not an exhaustive list but an indicative representation of hospitals that form a part of the company's wider network.


    Other Products from SBI Group Companies

    News About SBI Health Insurance

    • Survey by SBI General Insurance conducted for women’s health insurance

      A recent study conducted by SBI General Insurance, showed that women have no health insurance of their own, they are either dependent on their family floater policies, or the employer’s insurance policy. The SVP of Marketing and Product Development for SBI General Insurance, Gunjan Ghai said that women go through immense pressure on a day to day basis and it is imperative from them to have health insurance, which includes insurance cover for all diseases including those that are related to the female human body in particular. The overall study showed that women aren’t aware of the critical illnesses, and only 65% of the younger women are aware of these policies. However, only 18% actually buy the same.

      9th March 2016

    • This fiscal year SBI General Insurance is looking at 50% growth

      SBI General Insurance is expecting the growth to come from health, motor and personal accident lines of business. During the Chennai floods, the company got 1,000 claims at Rs.120 crore. SBI hopes to settle 80% of the cases by the end of December. SBI General Insurance has introduced a series of products in the health segment as have filed a travel insurance policy and are also looking at filing home and home contents cover with IRDA. The whole objective is to attract non-loanee home owners.

      21st December 2015

    • SBI General Insurance might Raise Foreign Partner's Stake to 49 %

      SBI General Insurance, a joint venture of SBI and the Australian insurance company Insurance Australia Group (IAG), has announced that the agreement between these two companies allows the foreign partner to raise their stakes to 49% once the law permits it. The company currently holds a 26% stake in SBI General Insurance. Under the current law, this is the maximum permissible limit a foreign partner can hold.


      The government’s move to allow foreign investors to increase their stake from 26% percent to 49% has been hailed as encouraging but since the law has not been passed yet, they have to wait before executing plans to increase their stakes. The company has announced that it is looking at a target of Rs.1600 crore in premiums this financial year and is also targeting a growth of 50%. It plans to achieve this target by increasing the number of agents from 6,000 to 10,000. In the current financial year, SBI’s health insurance segment has so far raked in Rs.50 crore in health insurance premiums and hopes to double the amount before the end of the financial year.

      3rd March 2015

    • SBI General Insurance Launches New Group Health Insurance Plan

      SBI General Insurance Co., one of India’s leading health insurance providers, has introduced a new group health insurance policy exclusively for customers of State Bank of India including those of its associates. Focussing on leveraging bancassurance relationships for greater market penetration, SBI General Insurance has developed this group plan to be channelled through the 20,000-strong branch network of SBI and its associates, to their customers.


      Key features of this plan are coverage between Rs.1 lakh - Rs.5 lakhs on an individual and family floater basis, no pre-acceptance medical screening and a minimum entry-age of 18 years. Coverage includes pre and post-hospitalisation expenses, as with most standard health plans, but also covers specific ailments/procedures that are not usually part of standard plans e.g. dental treatments and eye surgery.

      11th February 2015

    • Bancassurance Partners Lead SBI GIC to Greener Markets

      In keeping with the rest of the industry, SBI General Insurance Co. posted positive results as a result of increased business from expansion and penetration. SBI General, an offshoot of the State Bank of India (SBI), saw a 22% growth in premium incomes during the first half of FY 2014-2015, of which 63% is attributed to business brought in through tie-ups with banks.


      Of all its product lines, fire and motor insurance products contributed the most to the Rs.663.9 crores of premium income reported by SBI General. The 100,000 new customers acquired for the company’s health insurance product line is notable.


      Banks proved to be the most significant distribution channel across the insurance industry which has been facing hard times given sluggish economic growth in recent years.

      11th November 2014

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