SBI Group Health Insurance

Overview

SBI Group Health Insurance is a comprehensive plan that provides extensive coverage to its customers and their family members. The group health insurance policy by SBI offers multiple sum insured options and numerous benefits. With SBI Group Health Insurance, policyholders can avail cashless emergency and planned treatments in any of the 20,000+ network hospitals of the company. All hospitalization expenses, such as in-patient hospitalization and daycare treatments, are covered under the SBI Group Health Insurance Policy. Besides covering basic medical expenses, SBI health insurance also offers other protections such as ambulance expenses, pre and post-hospitalization expenses, and policy renewal benefits.

Benefits of SBI Group Health Insurance

SBI Group Health Insurance offers multiple advantages that policyholders can avail of after purchase:

• Less Waiting Period

  Policyholders get a waiting period of 30 days for new diseases, 1 year for specified diseases, and 4 years for pre-existing diseases.

• Hospitalization Coverage

  Coverage includes 30 days of pre-hospitalization and 60 days of post-hospitalization expenses.

• Wide Range of Sum Insured

  Policyholders get a wide coverage of the sum insured, ranging from INR 100,000 to INR 500,000.

• Cashless Benefit

  Policyholders can get cashless treatment at over 20,000 network hospitals.

• Multiple Coverage Options

  Options include individual and family floater, covering you, your legal spouse, and two dependent children.

• Tax Benefits

  Premiums paid for this plan are eligible for tax relief under Section 80D of the Income Tax Act, 1961.

• No Pre-Medical Checkup Benefit

  No pre-policy medical test is required up to the age of 65 years for people with no adverse medical history.

Exclusions

Permanent diseases or health conditions not covered under SBI Group Health Insurance include:

• Complications or treatment arising from pre-existing conditions and treatment of illnesses such as ulcers, tonsillectomy, hernia, cataract, sinusitis, adenoidectomy, chronic renal failure during the first year of the policy.
• Any disease contracted during the first 30 days of policy commencement.
• A one-year waiting period is mandatory for certain specified diseases like hernia; other treatment expenses will not be compensated.
• Stay in a hospital without undertaking any active regular treatment by a medical practitioner.
• Treatment with alternative medicines like acupuncture, acupressure, osteopathy, naturopathy, chiropractic, reflexology, and aromatherapy.
• Treatment taken outside India.
• Pregnancy treatment or complications like postnatal treatment, abortion, childbirth, or any prenatal miscarriage.
• Outpatient treatment.
• Congenital diseases.
• Expenses related to AIDS and related diseases.
• Hospitalization due to war, riot, strike, and nuclear weapons.
• Use or abuse of intoxicating drugs or alcohol.

Certain diseases and treatments are covered under this plan after a specified period:

• Listed ailments after 48 months.
• Pre-existing diseases after 48 months.