SBI Arogya Top-up Policy is designed to offer additional coverage to the policyholder in case of a medical emergency. The plan comes into action when the coverage of the basic health insurance plan is exhausted due to the claims made.
This Top-Up Health Plan overcomes the inflation over and above your existing basic health insurance plan and allows the insured to continue the treatment without worrying about the cost of treatment.
The plan is available for any individual as well as for his family.
Let's explore more about the plan:
Eligibility Criteria of SBI Arogya Top-up Policy
Entry age
3 months to 65 years
Sum assured
Rs 1 Lakhs to Rs 50 Lakhs
Policy tenure
1, 2 or 3 years
Deductible
Rs 1 Lakhs to Rs 10 Lakhs
**Last Updated on March, 2022
Key Features SBI Arogya Top-up Policy
SBI Arogya Top-up enhances your basic health insurance policy. Below are the features mentioned of this plan for your reference:
Cashless Treatment
SBI Arogya Top-up Policy allows you to grab the cashless facility at SBI partnered network hospitals (6000+). Under the same, you don't have to spend any amount on the hospital bills; the plan will take care of the same on your behalf.
Co-Payment & Deductible
Co-payment is a process under which you have to pay a part of the hospital bill while filing the claim. Under the SBI Arogya Top-up policy, there is no co-pay clause. However, there is a clause related to the deductible which needs to be exhausted before you file any claim.
No-medical Check-Up
It does not ask for any pre-acceptance medical checkup to get insured until the age of 55 years.
AYUSH Benefits:
The plan also provides coverage against alternative treatment which includes ayurvedic, Unani, or homoeopathy, taken in a government hospital up to the sum insured limit.
Domiciliary Hospitalization
SBI Arogya Top-up Policy is there to cover all expenses related to domiciliary hospitalisation (treatment at home) that takes place due to any genuine reason.
Restoration of The Sum Insured
It is an exclusive feature that allows the 100% restoration of the sum insured. You might have to pay an additional premium to avail of this benefit.
Discounts
The plan offers a discount on choosing a family floater option or insuring for a long tenure.
Tax Benefits
The plan also comes out with tax benefits under section 80D of the Income Tax Act, 1961 for the premiums that you pay towards keeping your policy active. Maximum tax exemption- Rs.25,000 for self, dependent children & spouse, Rs.25,000 for parents and Rs.50,000 for old-age parents.
Sample Illustration of SBI Arogya Top-Up Plan
Let's take an example of an individual who is 30 years old and see how much premium he needs to pay for choosing the different sum insured and deductible amount:
Deductible (In Rs.)
Sum Insured Options (in Rs.)
10 Lakhs
25 Lakhs
50 Lakhs
1 Lakhs
3,009
3,673
4,197
5 Lakhs
663
872
1,024
10 Lakhs
200
200
200
**Last Updated on March, 2022
Graph Representing the Premium payable by an Individual Under SBI Arogya Top-up Plan:
Premium Rates of SBI Arogya Top-up Policy
What Is Covered Under SBI Arogya Top-Up Plan?
In-patient Hospitalization
Covered
Pre-Hospitalization Expenses
Covered, up to 60 days
Post-Hospitalization Expenses
Covered, up to 90 days
Day Care Expense
Covers up to 141 daycare procedures.
Maternity Expenses
Covered after first 9 months
Ambulance Expense
Available up to Rs. 5000 per event
Domiciliary Hospitalization
Available
Alternative Treatment
Covers the Allopathic treatment or Modem medicines and includes Ayurveda, Unani, Sidha and Homeopathy (AYUSH)
HIV/AIDS Cover
Covered, up to Rs.1,00,000 except for the conditions which are permanently excluded
Mental Illness Cover
Covered, up to Rs.1,00,000
Genetic Disorder
Covered, up to Rs.1,00,000
Internal Congenital Diseases
Covered up to the Limit of Rs. 10% of Sum Insured.
Waiting Period
Pre-existing Diseases
48 Months
First Thirty Days Period
30 Days, except for accidents
Certain Specific Illnesses
12 Months & 90 Days
**Last Updated on March, 2022
What Is Not Covered Under SBI Arogya Top-Up Plan?
Injuries that take place because of war or warlike activities.
Any disease or illnesses that come out within the initial 30 days of commencement of the plan except the accidental ones.
Aesthetic and cosmetic treatment.
Any venereal diseases or sexually transmitted diseases.
Convalescence expenses.
Injuries occur because of nuclear weapons or radioactivity.
Medical treatments associated with weight loss, obesity, and weight management.
Injuries that took place under the influence of alcohol or drugs.
Self-injuries and attempt to suicide.
How To Buy SBI Arogya Top-Up Plan
Buying health insurance at times can be a troublesome task. Fortunately, SBI General has designed a quick and hassle-free buying process for the same. Let's check out their buying processes.
Visit the official website of SBI General Insurance. Click on the 'Buy' option under 'Health Tab'.
Fill the form with the details and click on 'Go'.
On the next page, fill in your contact number and email address.
Once done, you will be redirected to a page with a short questionnaire. Answer all the questions and click on 'Continue'.
The page will then show you the most-suited plan along with the premium amount.
Make an online payment. Your policy document will be mailed to you at your registered email address.
Note: You can also purchase health insurance by visiting the nearest SBI General branch.
You can also buy SBI Arogya Top-up Insurance online via PolicyX.com by following the below-mentioned steps:
Fill the form "Calculate SBI Health Insurance Premium Now" available at the top of this page.
Once done, click on the Continue tab, and on the next page, your premiums will be displayed.
Choose any additional rider if you want to, and make the payment online.
Once the payment is received by the company, they will send you your policy details.
What Is the Claim Process for SBI Arogya Top-Up Plan?
SBI Health Insurance offers a direct process to file the claims. Let's take a look at it.
Inform the company about the claim by dialing the toll-free number: 1800 22 1111, or SMS 'CLAIM' to 561612.
One of the SBI customer representatives will reach out to you within 24 hours of filing the claim with details of the required documents and further steps.
Submit all the required documents.
The company will initiate the process and settle all relevant claims within 30 days of the final survey report.
1. How many times I can make a claim under SBI Aroya Top-up Plan?
There is no limit on the number of claims under the SBI General Arogya Top-up Policy. However, your plan coverage would be exhausted once the collective claims reach the sum insured chosen by you.
2. Do I need to undergo any pre-medical checkup before buying the SBI Arogya Top-up policy?
No, you are not required to undergo a pre-acceptance medical checkup until the age of 55 years.
3. What Is The Renewal Process of the SBI Arogya Top-up Plan?
To renew your SBI Arogya Top-up policy, you need to follow the below-mentioned steps:
Go to the official website of the SBI General and click on 'Renew' under the 'Health' tab.
Enter the required details and click 'Go'.
The next page will show the summary details of your policy. Check it and make the payment.
Your policy will be renewed and its notification will be sent to your registered mobile number and email id.
4. What documents do I need to file a claim of SBI Arogya Top-up Policy?
The documents required for filing a claim under the SBI Arogya Top-up policy are:
Duly filled claim form
Photo ID
Hospital discharge card in original
Original prescriptions and other medical bills
Death certificate, if required
5. How many family members can be covered under Arogya Top-up Policy?
The family consisting of self, spouse, and dependent children can be covered under SBI Arogya Top-up policy on a family floater basis.
Find Out What Customers Are Saying
(Showing latest 5 reviews only)
- 4.8/5 (33 Total Rating)
March 14, 2022
kuljeet singh
Chandigarh
very good company with good plans. They always reply to my and my wife queries related to our old diseases and new doctor consultations. they OPD plan is very helpful.
February 17, 2022
Dhiraj Khanna
Mumbai
This is a reliable company as they fulfill their promise to help during any medical emergency. I am satisfied with their services.
October 12, 2021
Avantika Nagpal
Kolkata
Very amazing and helpful service offered by SBI Health. I am impressed by the way this company works.
October 8, 2021
Rekha Tyagi
Kolkata
Well done SBI Health. You are doing a great job. Also, I wanna thank PolicyX.com for your continuous support.
Best of luck to both companies.
September 2, 2021
Kuwali Rai
Gandhinagar
truly grateful for all the help received at PolicyX. the agents are smart, dont waste time and have good knowlege
very good company with good plans. They always reply to my and my wife queries related to our old diseases and new doctor consultations. they OPD plan is very helpful.