The Government of India has introduced various policy, or "yojanas," aiming at a wide range of socio-economic development. One such initiative making significant strides in enhancing healthcare accessibility and affordability is the Arogya Sanjeevani policy. These governmental schemes will improve the lives of millions across the nation. On 1st April 2020, the IRDAI announced the top health insurance plan named the "Arogya Sanjeevani Policy," offering it to all premium Health Insurance Companies in India. Now, the Insurance Regulatory and Development Authority of India (IRDAI) has sanctioned all health insurance companies to include this yojana in the basic and standard health insurance plans for individuals and families.
Arogya Sanjeevani Policy yojna is a primary health insurance policy that provides coverage to suitable ages up to Rs. 5 Lakhs for medical/hospitalization expenses like ICU bed, medical consultation charge of doctor or Nursing charges, medicine which consuimg during hospital admission days. Additionally, it offers full coverage for pre- and post-hospitalization expenses. protects you and your family through both individual health insurance and family insurance. Arogya Sanjeevani Health Insurance aims to alleviate your financial burden during any medical emergency.
There are two types of Arogya Sanjeevani Health Insurance:
This Plan will be beneficial for only 1 insurer.
Under this Arogya Sanjeevani Health Insurance plan will be beneficial for all the insured family members. It includes dependents as well such as children, parents & Parents in-laws, and spouses in a single-family floater policy under 3 month to 25 years age is cover. The person's age should between 18 to 65 years.
Arogya Sanjeevani policy offers the following benefits to insurer.
The policy offers standardized coverage across all insurers from basic to top hospitals, ensuring consistency in benefits and terms. Additionally, Arogya Sanjeevani policy pays up to 5% charges of the ICU or ICCU treatment.
Arogya Sanjeevani Policy aims to make health insurance more accessible and worthwhile by offering coverage at affordable premiums.
Arogya Sanjeevani Health Policy provides coverage for approved hospitals with alternative medical treatments such as Ayurveda, homeopathy, and Siddha.
The policy provides coverage for hospitalization expenses, including room rent, doctor's fees, medical tests, surgeries, and other related expenses.
The policy does not require the policyholder to pay a percentage of the claim amount (co-payment) at the time of claim settlement.
Unlike some other health insurance policies, Arogya Sanjeevani Policy does not impose any capping on room rent charges during hospitalization. Arogya Sanjeevani health Insurance Policy covers the room rent up to Rs. 5000/- per day.
The policy covers pre- and post-hospitalization expenses for a specified period, ensuring comprehensive coverage for medical treatment. It covers the medical emergencies of illness, accidental injury plus Coronavirus (COVID-19)
Policyholders have the option to include their family members under a single policy through a family floater plan, providing coverage for the entire family.
Premiums paid towards the Arogya Sanjeevani Policy are eligible for tax deductions under Section 80D of the Income Tax Act, offering additional financial benefits.
The cost basis of cataract surgery for each eye is set up to Rs. 40,000/- or 25% of the total sum insured amount in this Arogya Health policy.
Arogya Sanjeevani policy covers more expenses related to cancer treatment, including chemotherapy, robotic surgery, and major treatments like sinuplaty or themoplasty and Intra Vitreal injections with up to 50% of the sum insured being covered.
Arogya Sanjeevani Policy may exclude coverage for pre-existing medical conditions such as Diagnostics or investigative tests. These are health issues that existed before purchasing the policy.
Cosmetic procedures or treatments, such as plastic surgery for aesthetic purposes, are typically not covered under the Arogya Sanjeevani Policy.
Some alternative therapies, such as acupuncture, naturopathy, or homeopathy, may not be covered by the policy. Coverage for these therapies may vary depending on the insurer and the specific policy terms.
Certain medical conditions or treatments like infertility treatments, and weight loss procedures are excluded from coverage under the Arogya Sanjeevani Policy.
Below are the eligiility criteria of Arogya Sanjeevani Policy are mentioned.
Policyholders can renew their Arogya Sanjeevani Policy upon its expiry by paying the renewal premium before the due date.
It's essential to renew the policy before the expiry date to avoid a lapse in coverage.
Renewing the Arogya Sanjeevani Policy allows policyholders to retain their existing coverage benefits and continue enjoying the security of health insurance.
Step 1:
Arogya Sanjeevani Policies can be purchased online through insurers' websites or offline through insurance agents or branches. Online health inurance platforms offer the convenience of comparing policies and purchasing them digitally.
Step 2:
You can compare the insurance quotes using Arogya Sanjeevani Policy. Compare coverage options, premiums, exclusions, and additional benefits Calculate everything on Arogya Sanjeevani Policy Premium Calculator.
Step 3:
Fill out the application and provide accurate personal information, disclose any pre-existing conditions, and choose the desired coverage options.
Step 4:
Pay the premium for the selected Arogya Sanjeevani Policy. Premiums can usually be paid online using various payment methods, including debit/credit cards, net banking, or mobile wallets.
Step 5:
Once the application and premium payment are processed, the insurer will issue the Arogya Sanjeevani Policy document.
Note: Review the policy terms and conditions carefully to understand the coverage, exclusions, and renewal procedures.
Aarogya Sanjeevani Yojana offers a 15-day free look period, in which policyholders can cancel the policy without any cancellation charges and get their money back if no claim has been made. Even after the free look period, policy holders can cancel the policy, but for this they have to give 15 days prior written notice to the insurance company.
If you are seeking the ideal policy that offers comprehensive coverage and benefits for individuals of all ages, then the Arogya Sanjeevani Health Policy is the perfect choice. It provides standardized coverage for hospitalization expenses, including room rent, doctor's fees, medical tests, surgeries, and related costs. Additionally, pre and post-hospitalization expenses are covered for a specified period, ensuring thorough coverage for medical treatment. Buy your Health Insurance today!
Compare and secure lower premiums, ensuring continuous coverage for you and your family throughout your lives with us.
Ans: Individuals between the ages of 18 to 65 (or as specified by the insurer) are typically eligible for the Arogya Sanjeevani Policy. It is available to Indian residents and offers coverage for self, spouse, dependent children, and parents.
Ans: Premiums and coverage may vary based on the age of the insured. Younger individuals may benefit from lower premiums, while older individuals may see slight increases due to age-related health risks.
Ans: Premiums paid towards the Arogya Sanjeevani Policy are eligible for tax deductions under Section 80D of the Income Tax Act, providing additional financial benefits to policyholders.
Ans: Policyholders can file a claim by contacting their insurance company or agent and providing the necessary documentation, such as medical bills and reports. The insurer will then assess the claim and process it accordingly.
Ans: No, outide country treatment is excluded from this policy.
Ans: Yes, the SBI Arogya Sanjeevani Health Insurance covers Ayurveda, Unani, Naturopathy, Siddha, and Homeopathy treatments.
Last Updated : 09-10-2024