
Arogya Sanjeevani Policy Go Digit
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Expert Review: Digit Health Insurance
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About
About Digit Health Insurance
Inclusions and Exclusions
Inclusions and Exclusions of Digit Insurance Company Limited
Cashless Healthcare Providers
Access to over 16,400 cashless network hospitals across India.
AYUSH Treatment
Covers Ayurveda, Yoga, Unani, Siddha, and Homeopathy (AYUSH) inpatient treatments up to the sum insured, provided the treatment is taken at an AYUSH-recognized hospital.
Daycare Treatment
Covers medical procedures requiring hospitalization for less than 24 hours, such as cataract surgery, chemotherapy, and dialysis, when conducted in a recognized hospital.
Co-payment
5% co-payment is applicable to all claims, meaning the policyholder must bear 5% of the admissible claim amount.
Waiting Period
Initial Waiting Period: 30 days (except for accident-related claims).Pre-existing Diseases: Covered after 36 months of continuous policy renewal.Specific Diseases: Certain illnesses have a 24-month waiting period, as specified in the policy.
Room Rent
Normal: Covered up to 2% of the sum insured, with a maximum limit of ₹5,000 per day. ICU: Covered up to 5% of the sum insured, with a maximum limit of ₹10,000 per day.
Advanced Treatments
Uterine Artery Embolization and HIFU (High intensity focused ultrasound) Balloon SinuplastyDeep Brain stimulation Oral chemotherapy Immunotherapy - Monoclonal Antibody to be given as injection Intra vitreal injections Robotic surgeries Stereotactic radio surgeries Bronchical ThermoplastyVaporisation of the prostrate (Green laser treatment or holmium laser treatment)IONM - (Intra Operative Neuro Monitoring) Stem cell therapy: Hematopoietic stem cells for bone marrow transplant for haematological conditions to be covered up to 50% of sum insured.
Cashless Healthcare Providers
Access to over 16,400 cashless network hospitals across India.
AYUSH Treatment
Covers Ayurveda, Yoga, Unani, Siddha, and Homeopathy (AYUSH) inpatient treatments up to the sum insured, provided the treatment is taken at an AYUSH-recognized hospital.
Daycare Treatment
Covers medical procedures requiring hospitalization for less than 24 hours, such as cataract surgery, chemotherapy, and dialysis, when conducted in a recognized hospital.
Exclusions
Any hospitalization or pre-hospitalisation expenses not related to the medical claim made will not be covered.
Obesity or weight control related surgeries not related to any co-morbidities will not be covered.
Change of gender treatments are not covered under this policy.
Cosmetic and plastic surgeries unless for reconstruction following an accident, cancer, or to remove a direct and immediate health risk are not covered.
The Arogya Sanjeevani Policy does not cover domiciliary care or OPD expenses.
Claims resulting from committing or attempting to commit a criminal act will not be covered.
Treatments due to substance abuse are not covered in the Arogya policy.
Medical expenses relating to participation in hazardous or adventure sports are excluded.
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