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What Is Arogya Sanjeevani Policy?
Arogya Sanjeevani policy is a standard health insurance policy, launched by IRDAI on April 1, 2022.
It is designed to support individuals and families looking for affordable health insurance with a wide range of sum insured options, typically ranging from INR 1 Lakh to 5 Lakhs.
However, insurance providers may offer this plan with different modifications and sum insured options.
The entry age for Arogya Sanjeevani health insurance is 18 to 65 years for adults. Dependent children are covered from 3 months to 25 years.
To determine if Arogya Sanjeevani health insurance is suitable for you, continue reading.
Arogya Sanjeevani Health Insurance at a Glance
Take a look at Arogya Sanjeevani Health Insurance Plan essentials:
| Category | Details |
|---|---|
| Entry Age | Minimum: 18 Years Maximum: 65 Years Children: 3 Months to 25 Years |
| Standard Sum Insured | INR 1 Lakh | 2 Lakh | 3 Lakh | 4 Lakh | 5 Lakh |
| Policy Tenure | 1 Year |
| Riders/Add-Ons | None |
| Initial Waiting Period | 30 Days |
Arogya Sanjeevani Health Insurance Providers
Here are health insurance companies in India that provide the Arogya Sanjeevani Health Insurance policy:
| Company Name | Plan | Claim Settlement Ratio (within 3 months) | Maximum Sum Insured (INR) | Premium for Sum Insured ₹5 Lakhs (INR) |
|---|---|---|---|---|
| Star Health and Allied Insurance Company | Arogya Sanjeevani Policy | 99.9% | 10,00,000 | 4921 |
| ICICI Lombard | Arogya Sanjeevani Policy | 96.93% | 5,00,000 | 5449 |
| Bajaj Allianz General Insurance Company | Bajaj Allianz Arogya Sanjeevani Policy | 98.61% | 25,00,000 | 5320 |
| Reliance General Insurance Company | Reliance Arogya Sanjeevani Insurance Plan | 98.16% | 5,00,000 | 4495 |
| SBI General Insurance Company | Arogya Sanjeevani Health Insurance | - | 5,00,000 | 4501 |
Visual Representation of Arogya Sanjeevani Health Plan Premiums
Let’s understand the premium rates with the help of a graph.
The graph below illustrates the premium payable by a healthy male of 30 years for a Sum Assured of ₹5 Lakhs (across different companies).
Premium payable by an individual under Arogya Sanjeevani Policy
Arogya Sanjeevani Health Insurance Features
Features associated with Arogya Sanjeevani health insurance are:
- An economical option compared to other health insurance plans, suitable for individuals or families seeking affordable coverage.
- One-year policy tenure with an option to renew or discontinue.
- Available as an individual or family floater plan, providing medical care for your entire family.
- COVID-19 coverage is available with the health plan.
- Sum insured options range from ₹1 Lakh to ₹5 Lakhs, though some insurers may offer different options.
- Lifetime renewability option.
Arogya Sanjeevani Health Insurance Inclusions
Here’s what is covered when you purchase the Arogya Sanjeevani Health Insurance Policy:
| Inclusions | Features |
|---|---|
| Pre and Post Hospitalization | Expenses covered before and after hospitalization. |
| COVID-19 Cover | Covers treatment for COVID-19. |
| AYUSH Cover | Covers alternative treatments like Ayurveda, Unani, Siddha, and Homeopathy. |
| ICU Cover | Covers ICU admission as per policy sub-limits. |
| Room Rent | Covers room rent for insured individuals during hospitalization. |
| Road Ambulance | Covers road ambulance for medical emergencies. |
| Modern Treatments | Covers modern treatments up to 50% of the Sum Insured (SI). |
| Cataract | Cataract treatment is covered up to 25% of the Sum Insured (SI) or up to ₹40,000. |
Arogya Sanjeevani Health Insurance Exclusions
The following are the exclusions for Arogya Sanjeevani Health Insurance:
- Self-inflicted injuries or attempted suicide.
- Injuries due to war or acts of terrorism.
- HIV/AIDS treatments.
- Obesity treatment.
- Cosmetic or plastic surgeries.
- Injuries/hospitalization caused by adventure sports.
Arogya Sanjeevani Health Insurance: Pros and Cons
The pros and cons associated with the Arogya Sanjeevani plan are:
| Pros | Cons |
|---|---|
| Simple health plan with basic coverage. | No riders available. |
| Comprehensive features like AYUSH Treatment, Road Ambulance, and Daycare procedures. | Limited range of sum insured options. |
| Up to 50% No-Claim Bonus available. | Various sub-limits on treatments like cataracts and modern treatments. |
| Affordable premiums. | No coverage for major ailments. |
| Flexible premium payment installment options. | Compassionate travel not available. |
| Lifelong renewability option. | Maternity or newborn cover not available. |
How Is Arogya Sanjeevani Policy Different from Other Health Insurance?
Arogya Sanjeevani health insurance is an affordable plan launched by IRDAI, designed to meet basic healthcare needs, including COVID-19 coverage.
The Arogya Sanjeevani health policy aims to make healthcare accessible to all with a basic sum insured and essential features.
Compared to other health plans, the Arogya Sanjeevani policy is economical and an excellent option for young individuals who have recently started earning.
How to Buy Arogya Sanjeevani Policy?
I. Directly Through the Insurer’s Website
- Calculate premium using the Arogya Sanjeevani Premium Calculator.
- Choose the plan as per your requirements.
- Fill out the proposal form with the required information.
- Pay the premium online via debit/credit card.
- The Arogya Sanjeevani Policy will be issued online.
Note: The procedure for buying an Arogya Sanjeevani policy varies by company. Refer to the company’s brochure for more information.
II. From PolicyX.com
- Fill in all required details in the ‘Calculate Premium’ section.
- The next page will display all available plans.
- Choose the most suitable health plan and click ‘Buy Now’.
- Pay the premium online.
- Details will be shared at your registered email address.
What Is the Claim Process of Arogya Sanjeevani Policy?
Claims can be settled in two ways:
- Cashless Claim: When admitted to a network hospital.
- Reimbursement Claim: When admitted to a non-network hospital.
Cashless Claims
- Claim Intimation: Inform the insurer about hospitalization at the earliest.
- Documents Submission: Submit the required forms, Health Card, and photo ID at the hospital desk.
- Claim Settlement: Upon approval, the insurer settles your claim directly with the hospital.
Reimbursement Claims
- Claim Registration: Inform the insurer about hospitalization at the earliest.
- Documents Submission: Submit original copies of bills to the insurer within 15 days post-discharge.
- Claim Settlement: Once approved, the claim amount will be transferred to your account.
Documents Required for Claim Settlement
- Original reports of diagnostic tests, radiology reports, and payment receipts.
- Original hospital bills and discharge certificate signed by a medical practitioner.
- Valid ID proof.
- Medical practitioner’s prescription for consultation, medicines, and medical tests.
- Post-mortem report (if applicable).
- Other documents requested by the company.
Wrapping It Up
If you are new to health insurance and unsure which plan is right for you, the Arogya Sanjeevani health policy is an excellent option.
It is an affordable plan with no long-term commitment, available from various health insurance providers with different sum insured options.
For a better understanding of the Arogya Sanjeevani health policy’s features, inclusions, exclusions, pros, and cons, refer to this article.
Alternatively, call our expert advisors at PolicyX to get your queries answered anytime!
