
Arogya Sanjeevani Policy Go Digit
99%
Claim Settlement Ratio
6,400+
Network Hospitals
1/10
Plan Rating
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Our Verdict
Expert Review: Digit Arogya Sanjeevani
Final Verdict
About
What Is Arogya Sanjeevani?
Arogya Sanjeevani Ratings
Arogya Sanjeevani
Insurer Rating
7.63
out of 10
Insurance Rating
1
out of 10
No Room Rent Limit
No
Consumables Covered
No
No Co-payment
No
Loyalty Bonus >= 500%
Yes
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
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Inclusions and Exclusions
Digit Arogya Sanjeevani Inclusions and Exclusions
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.
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 Sinuplasty
Deep Brain stimulation
Oral chemotherapy
Immunotherapy - Monoclonal Antibody to be given as injection
Intra vitreal injections
Robotic surgeries
Stereotactic radio surgeries
Bronchical Thermoplasty
Vaporisation 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.
Modern Treatment
Covered up to 50% of the sum insured, including robotic surgery and oral chemotherapy (BankBazaar). Confirm the limit on the policy schedule.
ICU Charges
Covered as part of in-patient hospitalisation, up to the sum insured. Confirm any room or ICU limit on the policy schedule, or with 1860-500-8888.
Cumulative Bonus
Kindly refer to the policy wording.
Consumable Cover
Kindly refer to the policy wording. Confirm with Niva Bupa on 1860-500-8888.
Initial Waiting Period
30 days from inception, except for accidents
Specific Waiting Period
Kindly refer to the policy wording.
PED Waiting Period
Up to 48 months under the IRDAI standard. Confirm on the policy schedule, or with 1860-500-8888.
Annual Health Checkup
Kindly refer to the policy wording. Confirm with Niva Bupa on 1860-500-8888.
Post-Hospitalisation
Up to 60 days after discharge under the IRDAI standard product. Confirm on the policy schedule, or with 1860-500-8888.
Outpatient Department Cover (OPD Expense)
Not covered (not listed in the standard product’s benefits)
Deductible Option
kindly refer to the policy wording.
Coverage Options
Individual or family floater, within the ₹1 lakh to ₹5 lakh sum insured range
Maternity Cover
Not covered. Maternity expenses are excluded.
Pre-Hospitalisation
Up to 30 days before admission under the IRDAI standard product. Confirm on the policy schedule, or with 1860-500-8888.
Claim Settlement Ratio
Claim Settlement Ratio (CSR) of 93.3% as a three-year IRDAI weighted average, and 95.6% in recent quarterly company disclosures (Q1 FY 2026-27).
Disease-wise sublimits
A cataract sublimit may apply. The standard product in other insurers’ versions caps cataract at 25% of the sum insured or ₹40,000, whichever is lower. Confirm Niva Bupa’s sublimits on the policy schedule, or with 1860-500-8888.
Restoration Benefit
Kindly refer to the policy wording.
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.
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About the company
About Digit
Digit has a large network of hospitals and garages for cashless services. You can also customise your plan to suit your needs. The use of technology makes the process smooth and transparent.
The company is trusted for quick claim settlement and customer-friendly service. With affordable premiums and easy processes, Digit has grown into one of the fastest-growing insurance companies in India.
FAQs
Frequently Asked Questions
This content has been reviewed by Karthik Jairam, Senior Insurance Advisor | BQP code: 38325
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