Network hospitals
6000+
Incurred claim ratio
73.92%
Sum insured
Up to 2 Cr
No. of Plans
1
Solvency Ratio
1.8
Pan India Presence
141+
Would you believe if we say that the SBI Divyanga Suraksha health insurance plan provides healthcare for people with disability or any pre-existing HIV disease health insurance?
Yes, you heard that right!
The SBI Divyanga Suraksha health plan is specially designed for people with certified disability/disabilities according to the Rights of Persons with Disabilities Act of 2016, India. Additionally, a person with HIV or AIDS certified by the Human Immunodeficiency Virus and Acquired Immune Deficiency Syndrome (Prevention and Control) Act of 2017, India can also buy this plan.
The basic available options of the sum insured of SBI Divyanga Suraksha health policy is INR 4 & 5 Lakhs for which the insured can receive the following healthcare services
The policyholders can claim for room rent charges, including nursing, doctor’s prescription, ICU cover, etc against their Divyanga Suraksha policy with a range of 1% for room rent, and 2% for ICU charges out of the total sum insured opted. Apart from this, there is an availability of co-payment options upto 20%, however, it can be waived off with an optional cover. The best part of this plan is that it covers modern treatment and advanced surgical procedures upto 50% of the sum insured, which means you get an extra layer of protection with basic healthcare cover.
Furthermore, we’ve curated this guide which will give you all the information related to the SBI Divyanga Suraksha plan. Read on and make an informed decision before investing in it.
To understand SBI Divyanga Suraksha Policy Insurance in detail, take a look at the below table:
18 - 65 years
Individual
4 L | 5 L
30 Days
NA
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.
With wide coverage options available, SBI Divyanga Suraksha 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:
Room Rent
Covered
ICU Charges
Covered
Pre-Hospitalization
Covered
Post-Hospitalization
Covered
Domiciliary Hospitalization
Not Covered
Daycare Treatment
Covered
OPD Charges
Covered
COVID-19 Treatment
Covered
Cataract
Covered
No Claim Bonus
Not Covered
Automatic Restoration
Not Covered
Daily Hospital Cash
Not Covered
Organ Donor
Not Covered
Maternity Cover
Not Covered
New Born Baby Cover
Not Covered
AYUSH Treatment
Covered
IVF Treatment
Not Covered
Modern Treatment
Covered
Ambulance
Covered
Air Ambulance
Not Covered
Compassionate Travel
Not Covered
Global Coverage
Not Covered
E-Consultation
Not Covered
Health Check-Up
Not Covered
Second Medical Opinion
Not Covered
Vaccination
Not Covered
Co-payment
Covered
Sub-limits
Covered
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).
It is a special hospital department where patients with serious medical conditions are treated.
Medical expenses incurred before hospitalisation of the policyholder.
Medical expenses incurred after the discharge of the policyholder from the hospital.
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.
Treatments that can be completed within 24 hours of hospitalization like blood dialysis, cataracts, etc.
Covers the cost of doctor consultations and prescribed medical tests that may not require hospitalization. .
It includes the treatment cost for COVID-19 with a confirmative diagnosis from a government-approved centre.
A common eye condition in which your vision gets blurred due to cloudy formation in your eyes.
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.
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.
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.
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.
It refers to the cover that includes expenses for normal and c-section deliveries.
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:
Refers to the cost of medicines and procedures used under AYUSH (Ayurveda, Yoga & Naturopathy, Unani, Siddha, and Homeopathy) 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:
Medical treatments that demand the use of modern technology and advanced machinery such as robotic surgeries, stem cell therapy, etc.
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.
Air ambulances are specially prepared planes that transfer the patient from one place to another in case of a health emergency.
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.
Any kind of medical/health emergency when you are outside of India is covered for hospitalization expenses, modern and specific treatments, etc.
If a policy offers e-consultation it allows policyholders to connect with a doctor for medical consultation through video chat, audio call, or chatbot.
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.
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.
Coverage against the expenses incurred on vaccinations of either the newborn baby, for an animal bite, etc is provided by the insurance companies.
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.
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 Divyanga Suraksha is not just health insurance, it’s a boon for those who are incapable of bearing their treatment expenses related to disability, HIV disease, mental illness, etc. Here are some of the benefits attached to this plan and how it can help you get empowered.
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.
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
Others, as per the details mentioned in the exclusions list of the SBI Divyanga Suraksha plan.
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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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Lives In: Delhi, NCR Expertise: Health & Term Insurance Simran has an experience of 4 years in content writing. She transitioned from hospitality and digital marketing to the insurance industry after her emerging interest in how vast insurance is. With her ability to write complex insurance concepts in a simple, relatable manner, she keeps her audience hooked and solves their doubts smoothly.
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February 5, 2023
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