SBI Arogya Top-Up Policy

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SBI Arogya Top-up Policy
Simran saxena
Written By:
Simran

Simran saxena

Health and Term Insurance

Simran has over 4 years of experience in content marketing, insurance, and healthcare sectors. Her motto is to make health and term insurance simple for our readers has proven to make insurance lingos simple and easy to understand by our readers.

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Reviewed By:
Raj Kumar

Raj Kumar

Health Insurance

Raj Kumar has more than a decade of experience in driving product knowledge and sales in the health insurance sector. His data-focused approach towards business planning, manpower management, and strategic decision-making has elevated insurance awareness within and beyond our organisation.

Updated on Jul 08, 2025 4 min read

SBI Arogya Top-Up Policy

SBI Arogya Top-up Policy is a health insurance top-up policy that is designed to provide additional coverage to policyholders when their standard health policy coverage is exhausted. The plan adds an extra shield of protection at affordable premiums

Available on an individual and family floater sum insured basis, the SBI Arogya Top-up 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 comes with an array of benefits that include in-patient hospitalisation, pre & post-hospitalisation, ambulance cover, organ donor expenses, and domiciliary treatment etc.

In the section below explore more about the plan and its several features:

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SBI Arogya Top-Up Policy

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SBI Arogya Top-Up Policy Specifications

To understand SBI Arogya Top-Up Policy Insurance in detail, take a look at the below table:

Entry Age

3 Months to 65 Years

Policy Type

Individual and Family Health Insurance

Sum Insured

1 L | 5 L | 10 L | 20 L | 25 L | 50 L

Initial Waiting Period*

30 Days

Renewability

Lifelong

Policy Term

1 / 2 / 3 year

*Initial Waiting Period is the time period between the issuance of the policy and the time it starts actively. During this period, a policyholder has to wait to avail of the benefits offered under a health insurance plan.

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Choose Your SBI Arogya Top-Up Policy

With wide coverage options available, SBI Arogya Top-Up Policy Insurance Plan allows you to choose your ideal coverage as per your family’s health requirements. Take a look at the coverage under every SI option available and choose your ideal coverage:

In-patient & Out-patient coverage

Room Rent

Covered

ICU Charges

Covered

Pre-Hospitalization

Covered

Post-Hospitalization

Covered

Domiciliary Hospitalization

Covered

Daycare Treatment

Covered

OPD Charges

Not Covered

Coverage Terms

COVID-19 Treatment

Covered

Cataract

Covered

No Claim Bonus

Not Covered

Automatic Restoration

Covered

Daily Hospital Cash

Not Covered

Organ Donor

Covered

Maternity Cover

Covered

New Born Baby Cover

Not Covered

Alternative Treatments

AYUSH Treatment

Covered

IVF Treatment

Not Covered

Modern Treatment

Covered

Emergency Coverage

Ambulance

Covered

Air Ambulance

Not Covered

Compassionate Travel

Not Covered

Global Coverage

Not Covered

Wellness Programmes

E-Consultation

Not Covered

Health Check-Up

Covered

Second Medical Opinion

Not Covered

Vaccination

Not Covered

Limitations

Co-payment

Not Covered

Sub-limits

Covered

What is Room Rent?

The room rent limit is the maximum bed charge you can claim if you are hospitalised. Common Room categories covered under room rent are all kinds of rooms including single, private and AC rooms (except suite).

What are ICU Charges?

It is a special hospital department where patients with serious medical conditions are treated.

What is Pre Hospitalization?

Medical expenses incurred before hospitalisation of the policyholder.

What is Post Hospitalization?

Medical expenses incurred after the discharge of the policyholder from the hospital.

What is Domiciliary Hospitalization?

Domiciliary hospitalization or home care treatments are the arrangements for an insured individual due to the unavailability of medical amenities in hospitals, or in a case where an insured member can not be admitted to the hospital due to an inability. The treatment should last equal to or more than 72 hours to get financial coverage.

What is Daycare Treatment?

Treatments that can be completed within 24 hours of hospitalization like blood dialysis, cataracts, etc.

What are OPD charges?

Covers the cost of doctor consultations and prescribed medical tests that may not require hospitalization. .

What is COVID-19 Treatment?

It includes the treatment cost for COVID-19 with a confirmative diagnosis from a government-approved centre.

What is Cataract Treatment?

A common eye condition in which your vision gets blurred due to cloudy formation in your eyes.

What is a No-Claim Bonus?

For every claim-free year, insurance companies reward policyholders with an increase in the sum insured amount as a no-claim bonus or cumulative bonus on policy renewal. However, in the case of a claim, this bonus amount either lapses or is reduced by a certain percentage varying from one plan to the other.

What is Automatic Restoration?

It is a benefit in which an insurance company restores the amount of sum insured completely or up to a certain percentage after it gets fully exhausted in treatments. This restoration amount may vary from one plan to the other.

What is Daily Hospital Cash?

Daily hospital cash or Hospicash is a cash amount that you receive each day during the time of hospitalization to cover your non-medical expenses.

What is an Organ Donor Cover?

It is a cover that includes the cost of the procedure for removing the damaged or malfunctioning organs from the body. In most of the cases, the insurer pays for the hospitalization and transplant expenses for both the parties i.e. the donor and the receiver.

What is a Maternity Cover?

It refers to the cover that includes expenses for normal and c-section deliveries.

What is a New Born Baby Cover?

It takes care of the medical expenses that arise due to the hospitalisation of the newborn baby in case of any childbirth complications, medical challenges, and so on. Some of the common treatments that are covered under the newborn cover and these common treatments can vary from plan to plan:

  • Congenital anomaly (conditions since birth)
  • Acute condition
  • Chronic condition
  • Premature delivery
  • Birth asphyxia
  • Daycare treatment
What is AYUSH Treatment?

Refers to the cost of medicines and procedures used under AYUSH (Ayurveda, Yoga & Naturopathy, Unani, Siddha, and Homeopathy) treatment.

What is IVF Treatment?

In Vitro Fertilization (IVF) is a method of assisted reproductive technology. The common expenses incurred under IVF and infertility treatments are settled or reimbursed for:

  • Full infertility
  • No fertility
  • Infertility diagnosis
  • Infertility diagnosis and limited fertility treatment
  • Medication (which may or may not include fertility drug prescriptions)
What is a Modern Treatment?

Medical treatments that demand the use of modern technology and advanced machinery such as robotic surgeries, stem cell therapy, etc.

What is an Ambulance Cover?

An ambulance is used to move the patient from home to the hospital, transfer them to another hospital, and take them for different tests outside the hospital.

What is an Air Ambulance?

Air ambulances are specially prepared planes that transfer the patient from one place to another in case of a health emergency.

What is Compassionate Travel?

Refers to the travelling expenses of a family member who’s visiting the hospital to look after the patient when the policyholder gets admitted to a hospital outside his/her residential city.

What is Global Coverage?

Any kind of medical/health emergency when you are outside of India is covered for hospitalization expenses, modern and specific treatments, etc.

What is E-Consultation?

If a policy offers e-consultation it allows policyholders to connect with a doctor for medical consultation through video chat, audio call, or chatbot.

What is a Health Checkup?

A facility where the policyholder can avail of free health check-ups after fulfilling the company's eligibility criteria. In most cases, the insured member/s gets an annual health check-up cover.

What is a Second Medical Opinion?

If the policyholder wants, they may opt for a second medical opinion wherein the policyholder can consult another doctor within the company’s network of medical practitioners.

What is Vaccination cover?

Coverage against the expenses incurred on vaccinations of either the newborn baby, for an animal bite, etc is provided by the insurance companies.

What is Co-payment?

In the co-payment clause, policyholders have to pay a preset amount (either compulsorily or voluntarily) of the hospitalisation expense on their own and the insurer will pay the rest of the medical bill amount.

What is the Sub limit?

Sub limit is a condition in which the insurer will have to pay the medical expense up to a certain percentage and the remaining amount will have to be paid by the policyholder. For instance, if your policy covers room rent for upto 20% of the sum insured, but the expense of the same is more than 25%, you will have to pay the rest amount, i.e. 5%, for your room rent.

SBI Health Insurance Network Hospital List

SBI Health Insurance Network Hospitals are present in 31 states nationwide. With a wide network of hospitals, SBI Health Insurance ensures that you are medically secured, irrespective of the city you reside in.

Delhi

Mumbai

Bengaluru

Chennai

Kolkata

Hyderabad

Pune

Ahmedabad

Jaipur

Lucknow

Know More About Network Hospital

Sample Illustration Of SBI Arogya Top-Up Plan

To understand how much premium you need to pay, we have illustrated some premiums with different sum insured options and different deductinles.

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 choice: 1 Lakh

Sum Insured (in Rs.) 10 Lakh 25 Lakh 50 Lakh
Premium (in Rs.) 3,009 3,673 4,197

Deductible choice: 5 Lakhs

Sum Insured (in Rs.) 10 Lakh 25 Lakh 50 Lakh
Premium (in Rs.) 663 872 1024

Deductible choice: 10 Lakhs

Sum Insured (in Rs.) 10 Lakh 25 Lakh 50 Lakh
Premium (in Rs.) 200 200 200

What is not Covered Under the SBI Arogya Top-up Plan?

Injuries that take place because of war or warlike activities.

Any disease or illness that comes 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.

Self-injury and attempt to suicide.

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.

Explore other SBI Health Insurance

To cater to the different medical needs of an individual & their family, SBI Health Insurance offers several Health Plans ranging from senior citizen plans to specialized plans for autistic children, to health insurance for cardiac patients, and many more.Take a look below to SBI Health Insurance plans explore more:

Individual and Family Health Insurance

SBI Super Health Insurance Policy

SBI Super Health Insurance Policy

SBI Super Health Plan is SBI Health Insurance's new comprehensive health insurance plan. The plan is an umbrella health plan that provides all-inclusi...

Unique Features

  • Unlimited Re-insure Benefit
  • Wellness Benefits
  • Annual Health Check-ups

SBI Super Health Insurance Policy (Pros)

SBI Super Health Insurance Policy
  • Tax benefit
  • Reinsure benefit
  • Health multiplier
  • Optional covers

SBI Super Health Insurance Policy (Cons)

SBI Super Health Insurance Policy
  • Cosmetic treatment
  • Injury due to illegal activities
  • Unlawful activities
  • Adventure sports injuries

SBI Super Health Insurance Policy (Other Benefits)

SBI Super Health Insurance Policy
  • OPD expenses
  • International treatment
  • SI up to 2 Crores
  • Flexible premium payments

SBI Super Health Insurance Policy (Eligibility Criteria)

SBI Super Health Insurance Policy
  • Min entry age: 18 Years
  • Max entry age: 65 Years
  • Initial Waiting Period: 30 Days
  • Sum Insured: Up to 2 Cr

Individual and Family Health Insurance

SBI Health Edge Policy

SBI Health Edge Policy

SBI Health Edge is a newly introduced health insurance plan from SBI Health Insurance which is customizable and is available to insurance holders base...

Unique Features

  • Avail Global Treatment
  • Multiple Discounts
  • 18 Optional Covers

SBI Health Edge Policy (Pros)

SBI Health Edge Policy
  • In-patient hospitalization
  • Pre and Post-hospitalization
  • Daycare treatments
  • Emergency ambulance cover

SBI Health Edge Policy (Cons)

SBI Health Edge Policy
  • Organ donor
  • Compassionate visit
  • Domiciliary hospitalization

SBI Health Edge Policy (Other Benefits)

SBI Health Edge Policy
  • Bariatric Surgery Cover
  • Modern Treatments
  • AYUSH Treatments
  • Health Check-ups

SBI Health Edge Policy (Eligibility Criteria)

SBI Health Edge Policy
  • Entry Age: 18 to 65 Years
  • SI: 3 to 25 Lakhs
  • Initial waiting period: 30 days

Group Health Insurance

SBI Group Health Insurance

SBI Group Health Insurance

SBI Group Health Insurance is a comprehensive plan, as it provides wider coverage to its customers as well as their family members. Group health insur...

Unique Features

  • High Sum Insured
  • Easy Policy Renewal
  • 10% copayment

SBI Group Health Insurance (Pros)

SBI Group Health Insurance
  • In-patient hospitalization
  • Daycare treatments
  • Co-payment clause

SBI Group Health Insurance (Cons)

SBI Group Health Insurance
  • Room rent unavailable
  • OPD not covered
  • Organ donor expenses
  • Modern treatment unavailable

SBI Group Health Insurance (Other Benefits)

SBI Group Health Insurance
  • Ambulance expenses
  • Pre & post-hospitalisation
  • Policy renewal benefits

SBI Group Health Insurance (Eligibility Criteria)

SBI Group Health Insurance
  • Entry age: 18 to 65 years
  • Sum insured: 1 to 5 Lakhs
  • Initial waiting period: 30 days

Individual and Family Health Insurance

SBI Arogya Supreme Policy

SBI Arogya Supreme Policy

SBI Arogya Supreme health plan is a diverse health insurance plan that provides a solution for all your healthcare needs. It covers 20 basic covers an...

Unique Features

  • Complete protection
  • Choose SI
  • Choose policy tenure

SBI Arogya Supreme Policy (Pros)

SBI Arogya Supreme Policy
  • Domestic Air Ambulance Cover
  • Compassionate Benefit
  • Recovery Benefit

SBI Arogya Supreme Policy (Cons)

SBI Arogya Supreme Policy
  • Automatic restoration
  • Maternity cover unavailable
  • Newborn baby cover
  • 2nd medical opinion not covered

SBI Arogya Supreme Policy (Other Benefits)

SBI Arogya Supreme Policy
  • E-Opinion Cover
  • Preventive Health Check-up
  • Renewal Benefit

SBI Arogya Supreme Policy (Eligibility Criteria)

SBI Arogya Supreme Policy
  • Entry age: 18 to 65 years
  • Sum Insured 3 L | 5 L | 7.5 L | 10 L | 15 L | 30 L | 40 L | 50 L | 1 Cr
  • Policy Term 1/2/3 Years
  • Initial Waiting Period 30 Days

Individual

SBI Loan Insurance Policy

SBI Loan Insurance Policy

SBI Loan Insurance policy offers comprehensive coverage to the policyholder and helps them to repay their loan in case of medical emergencies arising ...

Unique Features

  • Loan repayment benefits
  • Plan details
  • Inclusions and exclusions

SBI Loan Insurance Policy (Pros)

SBI Loan Insurance Policy
  • Pays out max 3 EMIs
  • Pays outstanding loan
  • PTD benefits

SBI Loan Insurance Policy (Cons)

SBI Loan Insurance Policy
  • Drug abuse or alcoholism
  • HIV/AIDS
  • Self-inflicted injury

SBI Loan Insurance Policy (Other Benefits)

SBI Loan Insurance Policy
  • Accidental cover
  • Critical illnesses cover
  • Loss of job cover

SBI Loan Insurance Policy (Eligibility Criteria)

SBI Loan Insurance Policy
  • Entry Age: 18 to 65 years
  • SI: 1 Crore
  • Initial waiting period: 90 days

Critical Illness Health Insurance

SBI Critical Illness Policy

SBI Critical Illness Policy

SBI Critical Illness Insurance Policy offers you financial protection from 13 important critical illnesses, this policy offers a fixed sum, irrespect...

Unique Features

  • Coverage for Cancer
  • Eligibility Criteria
  • Inclusions and Exclusions

SBI Critical Illness Policy (Pros)

SBI Critical Illness Policy
  • 13 critical illnesses
  • COVID- 19 covered
  • Air ambulance services

SBI Critical Illness Policy (Cons)

SBI Critical Illness Policy
  • Maternity cover
  • OPD and daycare unavailable
  • Global cover unavailable

SBI Critical Illness Policy (Other Benefits)

SBI Critical Illness Policy
  • Emergency medical cover
  • No Maximum age limit
  • SI up to 10 L

SBI Critical Illness Policy (Eligibility Criteria)

SBI Critical Illness Policy
  • Entry age: 5 years to No limit
  • SI: 3 to 10 Lakhs
  • Initial waiting period: 90 days

Individual and Family Health Insurance

SBI Arogya Sanjeevani Policy

SBI Arogya Sanjeevani Policy

SBI Arogya Sanjeevani Policy is a standard health insurance policy that comes with an affordable premium and offers a bucket full of benefits to its p...

Unique Features

  • Affordable Health Plan
  • Eligibility Criteria
  • Inclusions and Exclusions

SBI Arogya Sanjeevani Policy (Pros)

SBI Arogya Sanjeevani Policy
  • In-patient hospitalization
  • Pre and post-hospitalization care
  • ICU expenses
  • Daycare treatment
  • Up to 12 advanced treatments

SBI Arogya Sanjeevani Policy (Cons)

SBI Arogya Sanjeevani Policy
  • Modern treatment unavailable
  • OPD not covered
  • Domiciliary hospitalization unavailable

SBI Arogya Sanjeevani Policy (Other Benefits)

SBI Arogya Sanjeevani Policy
  • Deep Brain Stimulation
  • Balloon Sinuplasty
  • Oral Chemotherapy
  • Intra Vitreal Injections

SBI Arogya Sanjeevani Policy (Eligibility Criteria)

SBI Arogya Sanjeevani Policy
  • Entry Age: 18 to 65 Years
  • SI: 50K to 1 Lakhs
  • Initial waiting period: 30 days

Individual and Family Health Insurance

SBI Arogya Top-Up Policy

SBI Arogya Top-Up Policy

SBI Arogya Top-up Policy is a health insurance top-up policy that is designed to provide additional coverage to policyholders when their standard heal...

Unique Features

  • Enhanced coverage
  • Eligibility criteria
  • Key features

SBI Arogya Top-Up Policy (Pros)

SBI Arogya Top-Up Policy
  • In-patient hospitalisation
  • Pre & post hospitalisation
  • Ambulance cover

SBI Arogya Top-Up Policy (Cons)

SBI Arogya Top-Up Policy
  • Global coverage
  • Air ambulance
  • Compassionate visit
  • OPD cover unavailable

SBI Arogya Top-Up Policy (Other Benefits)

SBI Arogya Top-Up Policy
  • Organ donor expenses
  • Domiciliary treatment
  • Modern treatment

SBI Arogya Top-Up Policy (Eligibility Criteria)

SBI Arogya Top-Up Policy
  • Entry age: 3 months to 65 years
  • SI: 1 to 50 Lakhs
  • Policy term: 1/2/3 years
  • Initial waiting period: 30 days

Individual

SBI Hospital Daily Cash Insurance Plan

SBI Hospital Daily Cash Insurance Plan

Manage Additional Expenses With Hospital Daily Cash Insurance of SBI!  SBI Hospital Daily Cash insurance policy takes care of the extra expenses ...

Unique Features

  • Daily cash benefit
  • Convalescence expenses
  • No medical check-up required

SBI Hospital Daily Cash Insurance Plan (Pros)

SBI Hospital Daily Cash Insurance Plan
  • Daily cash benefit
  • Convalescence benefit
  • Multiple plan options

SBI Hospital Daily Cash Insurance Plan (Cons)

SBI Hospital Daily Cash Insurance Plan
  • Illegal activities
  • Alcoholism
  • Obesity

SBI Hospital Daily Cash Insurance Plan (Other Benefits)

SBI Hospital Daily Cash Insurance Plan
  • Hospitalization benefits
  • ICU hospitalization
  • Affordable premiums

SBI Hospital Daily Cash Insurance Plan (Eligibility Criteria)

SBI Hospital Daily Cash Insurance Plan
  • Min entry age: 18 Years
  • Max entry age: 65 Years
  • Initial Waiting Period: 30 Days
  • Sum Insured: Up to 2 K

Individual

SBI Divyanga Suraksha Policy

SBI Divyanga Suraksha Policy

Would you believe if we say that the SBI Divyanga Suraksha health insurance plan provides healthcare for people with disability or any pre-existing HI...

Unique Features

  • Covers in-patient treatment
  • HIV/AIDS cover
  • Power against disability

SBI Divyanga Suraksha Policy (Pros)

SBI Divyanga Suraksha Policy
  • Pre and post-hospitalization
  • Medical treatment
  • Daycare procedures
  • Cataract cover

SBI Divyanga Suraksha Policy (Cons)

SBI Divyanga Suraksha Policy
  • Domiciliary hospitalization
  • Vaccination
  • Health check-ups
  • Global coverage

SBI Divyanga Suraksha Policy (Other Benefits)

SBI Divyanga Suraksha Policy
  • Modern treatment cover
  • In-patient treatment
  • AYUSH care
  • PEDs cover

SBI Divyanga Suraksha Policy (Eligibility Criteria)

SBI Divyanga Suraksha Policy
  • Entry age: 18 o 65 years
  • SI: 4 & 5 Lakhs
  • Initial Waiting Period: 30 days

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SBI Arogya Top-up Policy: FAQs

1. Other than the above-mentioned coverage, what else does the SBI Arogya Top-up policy cover?

Along with the inpatient hospitalization, the plan also covers HIV/AIDS, as well as offers coverage against Mental Illness.

2. Am I eligible to avail of Tax Benefits under the SBI Arogya Top-up plan?

Yes, the plan offers tax benefits as per the prevailing Income Tax laws.

3. How many times can I make claims under the SBI Arogya Top-up plan?

The plan does not have any limitations on the number of claims made under SBI Arogya Top up Policy health insurance. However, the plan will only come in action when your exising plan is exhausted.

4. How many times I can claim the 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.

5. 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.

6. 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.

7. What documents do I need to file a claim for 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

8. How many family members can be covered under the Arogya Top-up Policy?

The family consisting of self, spouse, and dependent children can be covered under the SBI Arogya Top-up policy on a family floater basis.

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Simran saxena

Written By: Simran Saxena

Simran has over 4 years of experience in content marketing, insurance, and healthcare sectors. Her motto is to make health and term insurance simple for our readers has proven to make insurance lingos simple and easy to understand by our readers.

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