
SBI Arogya Sanjeevani
97%
Claim Settlement Ratio
9,000+
Network Hospitals
0/10
Plan Rating
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Our Verdict
Expert Review: SBI Arogya Sajeevani Policy
Final Verdict
About
What Is Arogya Sajeevani Policy?
Policy Ratings
Policy
Insurer Rating
8.91
out of 10
Insurance Rating
0
out of 10
No Room Rent Limit
No
Consumables Covered
No
No Co-payment
No
Loyalty Bonus >= 500%
No
No Disease Sublimits
No
Unlimited Restoration
No
Additional Benefits (Informational Only — Not part of score)
PED Waiting <= 2 Years
No
Maternity Available
No
Waiting Period Waiver
No
Testimonials
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Inclusions and Exclusions
SBI Arogya Sajeevani Policy Inclusions and Exclusions
Room Rent
Room Rent Limit: Capped at 2% of the sum insured per day, up to a maximum of ₹5,000 per day.
ICU Limit: Capped at 5% of the sum insured per day, up to a maximum of ₹10,000 per day.
Advanced Treatments
Robotic surgeries, stem cell therapy, balloon sinuplasty, deep brain stimulation, oral chemotherapy, immunotherapy, cochlear implants, and IONM enhance precision, recovery, and treatment for neurological, cancer, and hearing conditions.
Co-payment
The SBI Arogya Sanjeevani Plan has a co-payment clause of 5% on all claims. This means that the policyholder must pay 5% of the total approved claim amount, while the insurer covers the remaining 95%.
Cashless Healthcare Providers
Access to 16,881 network hospitals.
Waiting Period
Initial Waiting Period: 30 days from policy inception, excluding accidents.
Specific Illnesses: A 2-year waiting period applies to certain specified diseases.
Pre-existing Diseases: Coverage begins after a 3-year waiting period.
Hypertension, Diabetes, and Cardiac Conditions: A 90-day waiting period applies if these are not pre-existing at policy purchase.
Daycare Treatment
Medical procedures requiring less than 24-hour hospitalization are covered up to the Sum Insured, as per the indicative daycare list.
AYUSH Treatment
Expenses for alternative treatments, including Ayurveda, Yoga, Unani, Siddha, and Homeopathy, are covered up to the Sum Insured.
Exclusions
Pre-existing diseases are not covered during the initial waiting period of 48 months.
Medical expenses incurred during the first 30 days from policy inception, except for accidental injuries.
Treatment for self-inflicted injuries, suicide attempts, or substance abuse-related conditions.
Cosmetic or plastic surgery unless required due to an accident or medically necessary.
Expenses related to dental treatment, unless due to an accident.
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About the company
About SBI
SBI Hеalth offеrs divеrsе policy options dеsignеd for individuals, familiеs, sеnior citizеns, and corporatе еmployееs. Each plan providеs covеragе for hospitalisation costs, surgеriеs, daycarе procеdurеs, and prе and post-hospitalisation еxpеnsеs. In addition, thе insurеr еxtеnds global covеragе, prеvеntivе wеllnеss bеnеfits, and top-up options to strеngthеn protеction according to variеd hеalthcarе nееds.
This content has been reviewed by Karthik Jairam, Senior Insurance Advisor | BQP code: 38325
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