SBI Health Insurance: An Overview
SBI General Insurance Company Limited, established in 2009, is a joint venture between State Bank of India and Insurance Australia Group. As one of India's fastest-growing private general insurers, it leverages the strong legacy of trust and reliability associated with SBI. The company offers a wide range of insurance solutions, including health insurance, and has served over 34 crore customers across the country, aiming to deliver accessible and dependable protection.
What Does SBI General Insurance Do?
SBI Health Insurance is the health segment of SBI General Insurance Company. It offers various health insurance plans that provide comprehensive health coverage to individuals, senior citizens, and families. Policyholders can pay premiums and file claims during medical emergencies.
Key Highlights of SBI Health Insurance
- Utilizes multi-distribution models, including bancassurance, agency, broking, retail direct channels, and digital tie-ups.
- Upholds values of transparency, empathy, and agility.
- Offers add-on covers for enhanced protection under several health insurance plans.
- Boasts a fast claim settlement process, having settled over Rs. 110 billion in claims to date.
SBI Health Insurance at a Glance
- 6000+ Network Hospitals
- 1.8 Solvency Ratio
- 85.90% Incurred Claims Ratio
- Sum Insured: Up to 2 Cr
- 24x7 Customer Support
Distinguishing Features of SBI Health Insurance
- Special health plans for conditions like autism and diabetes.
- A comprehensive wellness system to promote a healthy lifestyle.
- Emergency air ambulance services.
- Coverage for international travel for treatments.
- Unlimited teleconsultations.
SBI Health Insurance Awards and Accolades
- Customer Experience Innovator Company of the Year.
- Best Claim Settlement in Non-Life Category at Insurance Next Awards.
- Asia's Best General Insurance Company for rural presence.
- Ranked Number 1 under General Insurance by YouGov Finance Purchase Rankings.
- Insurer of the Year in Non-Life Category by FICCI Insurance.
- Recognized for CSR Project with Learning Space Foundation.
Why Choose SBI Health Insurance?
- Trusted brand with a loyal customer base.
- A wide network of hospitals.
- Cashless facility, even in non-network hospitals.
- Additional healthcare cover options.
- Dedicated customer support.
- Efficient claim support.
What is Covered By SBI Health Insurance?
Pre and Post Hospitalization Expenses
SBI Health Insurance helps manage rising medical expenses by covering pre- and post-hospitalization expenses related to in-patient hospitalization.
AYUSH Treatments
Most SBI Health Insurance plans include coverage for alternative treatments such as Ayurveda, Unani, Siddha, and Homeopathy (AYUSH treatments).
Hospitalization Expenses
SBI health insurance plans cover hospital expenses like room rent, ICU charges, surgery expenses, doctor consultations, and other related costs.
Day Care Treatments
Many SBI health insurance plans are designed to cover daycare procedures that do not require 24-hour hospitalization.
Domiciliary Hospitalization
Upon a doctor’s recommendation, policyholders can avail medical care at home. SBI health insurance plans cover domiciliary hospitalization up to specified sub-limits.
What is Not Covered By SBI Health Insurance?
Self-Inflicted Injuries
SBI health policies do not cover injuries or hospitalization resulting from self-harm.
Cosmetic Procedures
SBI Health Insurance plans do not cover cosmetic surgeries or treatments.
Adventure Sports
SBI Health Insurance plans do not cover hospitalizations or accidents resulting from adventure sports.
Obesity or Weight Control Treatments
SBI Health Insurance plans generally do not cover treatments for obesity and weight management, such as bariatric surgeries.
Involvement in Illegal Activities
SBI health insurance plans do not cover individuals or families for hospitalization or injuries resulting from unlawful activities.
What Are The Different Waiting Periods In SBI Health Insurance Plans?
The various waiting periods associated with SBI Health Insurance plans are:
Initial Waiting Period
This period begins from the date of policy purchase and typically lasts up to 30 days for most SBI Health Insurance plans.
Pre-existing Disease Waiting Period
As per IRDAI guidelines, pre-existing diseases are conditions diagnosed within one month before purchasing a health insurance plan. Common examples include diabetes, thyroid disorders, and hypertension, for which a waiting period may apply. This waiting period, however, does not apply to group insurance policies.
Mental Illness Waiting Period
Many policies now cover mental illness, but claims can typically be availed after a specific waiting period, usually ranging from 1 to 4 years.
Maternity Waiting Period
Maternity benefits generally become active after a waiting period of 1 to 4 years from the policy purchase date. The exact duration depends on the specific policy, so it's advisable to plan accordingly.
How to Buy SBI Health Insurance?
To purchase SBI Health Insurance online, follow these simple steps:
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Visit the PolicyX health insurance page and enter your details, such as name, age, number of members to be covered, and city.
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Click on 'Get free quotes' and compare SBI Health Insurance Plans as per your needs.
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Select your preferred SBI health insurance plan and pay the premiums online.
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Our team of insurance experts at PolicyX will provide assistance with claims and other queries after you purchase your SBI Health Insurance plan.
Documents Required For SBI Health Policy Claim Settlement
Submit the following documents when filing for SBI health claims:
- Duly completed and signed claim form (original).
- Valid photo ID proof.
- Medical practitioner's referral letter and prescription.
- Original bills, receipts, and discharge cards from the hospital or medical practitioner.
- Original bills from pharmacy/chemists.
- Original pathological/diagnostic test reports, radiology reports, and payment receipts.
- Indoor case papers.
- First Information Report (FIR) and final police report, if applicable.
- Post-mortem report, if conducted.
- Any other document as required by the company to assess the claim.
How To Calculate SBI Health Insurance Policy Premiums?
To compare and calculate premiums for SBI health policies using the PolicyX premium calculator, follow these simple steps:
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Visit the official website of PolicyX.
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Fill in details such as name, number of family members to be covered, city, and other relevant information.
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Click on 'Get Quotes'.
For inquiries regarding SBI health insurance policy premiums, connect with PolicyX health insurance experts at 1800-4200-269.
SBI Health Insurance Plan Claim Process Steps
You can file for both cashless and reimbursement claims for your SBI Health Insurance Plans by following these easy steps:
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Visit the SBI Health Insurance website and select the "Claim" option. Then click on "Claim Intimation" to access the form.
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Select "health claim" and provide the required information, such as policy number, date of birth, and other requested details.
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Select the "claim type" (cashless or reimbursement). Click to authorize, and you will receive an OTP on your verified number.
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Verify with the OTP, then fill in the required hospital admission information. Select the hospital, and if it's a non-network hospital, provide its details.
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Upload the requested documents and click on the "review" button.
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After reviewing, submit the intimation for the company to process. You will receive a claim intimation number, which you should note down for future reference.
SBI Health Insurance Renewal Process
Follow these steps to renew your SBI Health Insurance policy:
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Visit the official website of SBI Health Insurance Company.
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Click on the ‘Renew’ tab.
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Enter your Policy Number and Date of Birth.
For assistance with SBI health insurance policy renewal, connect with our insurance experts at 1800-4200-269.
How To Port To SBI Health Insurance?
To port your existing health insurance policy to SBI Health Insurance, follow these steps:
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Fill out the portability form and submit the application to SBI Health Insurance Company at least 45 days before your existing health plan's renewal date.
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As per IRDAI guidelines, the new insurance company will cross-check your medical and claims history with your previous insurer within 7 days of receiving the portability form.
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Once the policyholder's details are verified, the new insurance company must communicate its decision (approval or rejection) within 15 days.
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