Sbi Critical Illness Insurance Policy vs Outpatient Care Health Insurance Plan 2026 | PolicyX

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SBI Critical Illness Insurance Policy offers you financial protection from 13 important critical illnesses. This policy provides a fixed sum, irrespective of your actual medical expenses, enabling you to stay financially secure and focus on your health. The policyholder can avail Sum Insured up to 10 Lakh.

PLAN DETAILS

Sbi Critical Illness Insurance Policy

Outpatient Care

Product Type Critical Illness Health Insurance Individual and Family Health Insurance
Key Features
(Key features of the plan)
  • Coverage for Cancer
  • Eligibility Criteria
  • Inclusions and Exclusions
  • Plan Variants Available
  • Dental & Ophthalmic Treatment
  • Lifelong Renewal Benefit
OPD Details
(In some policies, OPD (Out patient department) expenses are also covered.)
- Covered
Room Rent
(A limit of room rent cover during hospitalization if any)
- Not Covered
Domicillary Hospitalization
(It is the expenses incurred on treatment of the patient at home)
- Not Covered
Pre-hospitalization
(Expenses before the insured is hospitalized)
- Not Covered
Post-hospitalization
(Expenses after discharge from the hospital)
- Not Covered
Day Care Treatment Covered
(Day care treatments refers to the treatments that do not necessarily require 24hrs of hospitalization like MRI.)
- Not Covered
Hospital_network
(Number of Hospital Network in city)
6000 14000
Organ Donor Expenses
(Expenses incurred on organ donor in case of organ transplants)
- Not Covered
Hospital Daily Allowance
(Some plans offer daily allowance to take care of expenses like food, etc)
- Not Covered
Ambulance Charges
(Expenses incurred on ambulance charges)
- Not Covered
Maternity Benefits
(All Hospitalization cost covered at the time of pregnancy.)
- Not Covered
New Born Baby Covered
(Newborn babies can be covered under the insurance plan after a certain period)
- Not Covered
Health Checkup
(An added benefit of one time full health checkup of policy holder.)
- Not Covered
Sub Limit
(Sub-limit is a monetary capping that applies on specific diseases like cataract)
- Not Applicable
Co-pay
(Mentioned %, if any is to be borne by Insured and rest will be borne by insurer)
- Not Applicable
Plan Entry Age 18 years to 65 years 31 Days to 50 years
Plan Premium Entry Age and S/A 357 7865
Plan Waiting Period 90 30
Plan Coverage Individual/Family floater -
Plan Sample Premium 357 -
Plan Brochure Brochure URL Brochure URL
Policy Term 1/2/3 years upto 3 years
ICU Charges - Not Covered
Covid-19 Treatment - Not Covered
Cataract - Not Covered
Automatic Restoration - Not Covered
Ayush Treatment - Covered
Modern Treatment - Not Covered
E Consultation - Not Covered
Air Ambulance - Not Covered
Global Coverage - Not Covered
Claim Ratio - 99.06
Solvency Ratio 2.03 2.21
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