
SBI Health Edge
97
Claim Settlement Ratio
20000
Network Hospitals
8.8
Customer Rating
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97
Claim Settlement Ratio
20000
Network Hospitals
8.8
Customer Rating
Our Verdict
Expert Review: SBI Health Insurance
Final Verdict
About
About SBI Health Insurance
Inclusions and Exclusions
Inclusions and Exclusions of SBI Insurance Company Limited
AYUSH Treatment
Expenses for alternative treatments, including Ayurveda, Yoga, Unani, Siddha, and Homeopathy, are covered up to the Sum Insured.
Room Rent
Room Rent: There are no specific sub-limits imposed; policyholders can choose any room category up to the base sum insured or as specified in the policy schedule.
ICU Charges: Similarly, ICU expenses are covered up to actual expenses as provided by the hospital or up to the sum insured, without specific sub-limits.
Advanced Treatments
The Arogya Plus Variant 2 plan covers advanced treatments such as robotic surgeries, organ transplants, stem cell therapy, and proton beam therapy.
Co-payment
Policyholders can choose a co-payment of either 10% or 20% on each admissible claim.
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.
Cashless Healthcare Providers
Access to 16,881 network hospitals.
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.
Room Rent
Room Rent: There are no specific sub-limits imposed; policyholders can choose any room category up to the base sum insured or as specified in the policy schedule.
ICU Charges: Similarly, ICU expenses are covered up to actual expenses as provided by the hospital or up to the sum insured, without specific sub-limits.
Advanced Treatments
The Arogya Plus Variant 2 plan covers advanced treatments such as robotic surgeries, organ transplants, stem cell therapy, and proton beam therapy.
Exclusions
War, invasion, mutiny, seizure, restraints, and similar situations.
Any nuclear, biological, or chemical attack or weapons and associated causes or events that result in a loss, claim, or expense.
Procedures of circumcision, unless required for the treatment of an illness/injury or because of an accident.
Convalescent conditions, rest cure, general debility, run-down conditions, and external congenital anomalies.
Treatment for alcoholism, drug or substance abuse, or any addictive condition.
Expenses related to domiciliary hospitalization.
Non-payable items: Expenses against items mentioned in "List I" shall not be payable. This exclusion shall be waived off if Optional Benefit-D.8 has been opted under the policy.
An insured person committing or attempting to commit a breach of law with criminal intent.
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About the company
About the company
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.
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