SBI Divyanga Suraksha Insurance Plan - Explore Benefits and Coverage
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SBI Divyanga Suraksha Policy

SBI Divyanga Suraksha health plan is specially designed for people wit ...Read More

Up to 2 Cr
Sum insured
1
No. of plans
141+
Pan India presence
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Claim settlement ratio
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About SBI Divyanga Suraksha Policy

A quick read on what this SBI Health Insurance plan covers and why it might be a fit for you.

The SBI Divyanga Suraksha health insurance plan provides healthcare for people with certified disabilities or pre-existing HIV disease.

This plan is specifically designed for individuals with certified disabilities, as per the Rights of Persons with Disabilities Act of 2016, India. Additionally, individuals with HIV or AIDS, certified by the Human Immunodeficiency Virus and Acquired Immune Deficiency Syndrome (Prevention and Control) Act of 2017, India, are also eligible to purchase this plan.

The available sum insured options for the SBI Divyanga Suraksha health policy are INR 4 Lakhs and 5 Lakhs. Policyholders can receive the following healthcare services:

  • Pre and post-hospitalization
  • Medical treatment
  • Daycare procedures
  • Cataract cover
  • Modern treatment cover
  • In-patient treatment
  • AYUSH care
  • PEDs cover
  • Ambulance services, and more

Policyholders can claim room rent charges, including nursing, doctor's prescription, and ICU cover, against their Divyanga Suraksha policy. Room rent is covered up to 1% of the total sum insured, and ICU charges are covered up to 2% of the total sum insured. There is an availability of co-payment options up to 20%, which can be waived off with an optional cover. A key feature of this plan is that it covers modern treatment and advanced surgical procedures up to 50% of the sum insured, providing an extra layer of protection beyond basic healthcare.

This guide provides comprehensive information related to the SBI Divyanga Suraksha plan to help you make an informed decision before investing in it.

Plan at a glance

Eligibility, sum insured options and policy mechanics — pulled straight from the policy wording.

Entry age
18 - 65 years
Plan type
Individual
Sum insured options
₹4 L, ₹5 L
Waiting period
30 days
Renewability
NA
Policy term
1 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.

Pros & cons

A quick honest summary — the strengths and the trade-offs.

Pros

  • Pre and post-hospitalization
  • Medical treatment
  • Daycare procedures
  • Cataract cover

Cons

  • Domiciliary hospitalization
  • Vaccination
  • Health check-ups
  • Global coverage

What's covered

Every CMS-driven coverage flag from the plan wording — only items with a published value render below.

Hospitalization

  • Room rent Covered
  • ICU charges Covered
  • Pre-hospitalization Covered
  • Post-hospitalization Covered
  • Domiciliary hospitalization Not covered
  • Day-care treatment Covered
  • OPD charges Covered
  • Covid-19 treatment Covered
  • Cataract Covered

Bonuses & restoration

  • No-claim bonus Not covered
  • Automatic restoration of SI Not covered
  • Daily hospital cash Not covered

Family & special care

  • Maternity cover Not covered
  • New-born baby cover Not covered
  • IVF treatment Not covered
  • AYUSH treatment Covered
  • Organ donor expenses Not covered

Modern & preventive care

  • Modern treatment Covered
  • Road ambulance Covered
  • Air ambulance Not covered
  • E-consultation Not covered
  • Health check-up Not covered
  • Second medical opinion Not covered
  • Vaccination Not covered

Conditions & global

  • Co-payment Covered
  • Sub-limits Covered
  • Compassionate travel Not covered
  • Global coverage Not covered

Benefits of SBI Divyanga Suraksha Insurance Policy

SBI Divyanga Suraksha is a valuable health insurance plan for those who need support with treatment expenses related to disability, HIV disease, mental illness, etc. Here are some of the benefits attached to this plan:

  • In-patient hospitalization cover

    All hospitalization expenses will be covered if the policyholder is admitted for a continuous period of 24 hours. However, the 24-hour hospitalization bracket is not applicable for daycare treatments covered under the policy.

  • AYUSH cover

    In-patient hospitalization cover for Ayurveda, Unani, Siddha, and Homeopathy is provided up to 50% of the sum insured.

  • Pre and post-hospitalization care

    The company is responsible for paying pre-hospitalization expenses from 30 days before hospital admission and post-hospitalization expenses for 60 days after discharge from the hospital.

  • Pre-existing disease cover

    The insurer will cover Pre-Existing Diseases (PEDs) only if you have disclosed and proposed the conditions with valid proof, and they have approved the PED coverage within the policy.

  • Tax benefits

    You can avail of an income tax benefit against all paid premiums for your SBI Divyanga Suraksha plan under Section 80D.

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.

Know More About Network Hospitals →

Inclusions & exclusions

What the plan pays for, and what it doesn't.

Exclusions

  • Investigation & evaluation
  • Rest cure, rehabilitation, and respite care
  • Obesity/weight control
  • Change-of-gender treatments
  • Cosmetic or plastic surgery
  • Hazardous or adventure sports
  • Breach of law
  • Excluded providers
  • Treatment for alcoholism, drug, or substance abuse
  • Dietary supplements and substances (without a prescription)
  • Unproven treatments
  • Sterility and infertility

Who can buy this plan

Eligibility criteria pulled straight from the policy wording.

  • Entry age: 18 to 65 years
  • Sum Insured: 4 & 5 Lakhs
  • Initial Waiting Period: 30 days

Other features & benefits

  • Modern treatment cover
  • In-patient treatment
  • AYUSH care
  • PEDs cover

SBI Divyanga Suraksha Policy: FAQs

The 5 most-asked questions about SBI Divyanga Suraksha Policy, answered.

This is a health plan for persons with disability, people with mental illness, and HIV/AIDS.
Yes, you can claim the policy against HIV treatment only after completing a waiting period of 30 days.
As per The Rights of Persons with Disabilities Act, 2016 of India, there must be 40% or more disability in specified body parts of the individual after which only they can buy this product. Given the condition, the policy will be issued to those who are certified by the medical board of disability certification appointed by the Indian Government.
No, you can only keep one active policy, collectively from all the insurers.
Yes, modern or advanced treatment procedures are covered under this policy upto a maximum of 50% of the sum insured.

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