SBI Arogya Top Up Health Insurance

SBI Health Insurance

SBI Claim Settlement Ratio

SBI Premium Calculator

Coverage range

1 Lakh - 50 Lakh

Premium starts from

2,109/ Yr

Age eligibility

91 days - 70 years

Claim settlement ratio

97.05%

What Is Special About Arogya Top Up Policy?

You have a health insurance, and you are secure in the knowledge that all your medical expenses will be covered by it. But in these days of rising medical costs and increasing incidence of lifestyle diseases, medical costs can often exceed the insurance coverage you have. What do you do then? Pay the extra from your own pocket? SBI General's Arogya Top Up Policy! To help you get enhanced protection at a low premium so you can meet rising medical costs without burning a hole in your pocket

HIV/AIDS Cover up to the limit Rs 1,00,000 except for the conditions which are permanently excluded.
Mental Illness Cover upto the limit Rs 1,00,000.
Genetic Disorders Covered up to Rs 1,00,000.
Internal Congenital Diseases Covered upto 10% of SI.
12 Advanced treatments procedures covered upto 50% of SI.

Features of SBI Arogya Top Up Health Insurance Policy

Check the features and coverage of SBI Arogya Top Up Health Insurance plan below:

Ambulance Charges

Ambulance expenses up to Rs 5000 per valid hospitalisation claim event.

Ayush Treatment

Covered

Co-pay

No co-pay

Cover Restoration

Option for Reinstatement of Sum Insured. Not in-built

Day Care Procedures

142 procedures covered

Treatment At Home

Reasonable and customary charges will be covered upto sum insured

SBI Arogya Top Up Plan Resources

Policy Brochure

Policy Wordings

Exclusions of SBI Arogya Top Up Health Insurance Policy

SBI Arogya Top Up plan does not cover the following:

Daily cash allowance

Free health check-up

New born treatment

No claim bonus

Opd expenses

Recovery allowance

Other Plans From SBI

SBI health insurance offers 4 health insurance plans. The premium of these plans starts from Rs. 3432/yr. The sum insured ranges from Rs. 50,000 - 30 Lakh. Details of the comprehensive coverage provided by the following 4 SBI health insurance plans are listed below:

SBI Arogya Plus Policy

Starting Premium- 7,000/Yr

Eligible Age

91 days - 65 years

Coverage

1 Lakh - 3 Lakh

SBI Arogya Premier Policy

Starting Premium- 7,433/Yr

Eligible Age

91 days - 65 years

Coverage

10 Lakh - 30 Lakh

SBI Arogya Sanjeevani Policy

Starting Premium- 3,432/Yr

Eligible Age

91 days - 65 years

Coverage

50,000 - 10 Lakh

View All Plans

Calculate Arogya Top Up Plan Premium

Use the SBI health insurance premium calculator to estimate your health insurance premiums.

Premium Calculator

Enter just a few details to calculate your health insurance premium within 30 seconds.

SBI Claim Settlement Ratio

97.05%

SBI

94.21%

Industry Average

Health claim settlement ratio is the percentage of claims settled against the total claims received by the insurance company in a given fiscal year. SBI has a claim settlement ratio of 97.05%, as compared to the industry average of 94.21%.

Know More About SBI Claim Settlement

SBI Claim Process

SBI supports both cashless claims and reimbursement claims. This section covers the information on how to check SBI health insurance claim status, fill SBI health insurance claim form, and the claim settlement process.

Step 1: Claim Intimation
Notify SBI General Insurance Company of the accident or illness through a call or SMS. Obtain the claim number/reference number.

Step 2: Pre-Authorization Form
Acquire the pre-authorization form, complete it, and submit it at the SBI Health Insurance network hospital where you are seeking treatment.

Step 3: Document Submission
The hospital will forward all necessary medical documents to SBI or its Third-Party Administrator (TPA).

Step 4: Approval Process
They will meticulously review the submitted documents and decide whether to approve or reject the claim.

Step 5: Claim Settlement
Following discharge, SBI will directly settle the medical bills with the SBI Health Insurance network hospital.

If you are getting admitted in a hospital which is not from the SBI Health Insurance network list then you have to send an intimation within 24 Hrs of hospitalisation.

For reimbursement, settle all bills at the time of discharge, and gather all medical documents.Submit these documents to SBI General Insurance/TPA within the specified timeframe.They will verify the documents and settle the claims within 30 days of receiving them.

For any enquiries - SBI health insurance customer care number is 1800-210-3366/1800 -210-6366 which is a toll-free number for any support on claims.

SBI Health Insurance Renewal Process

Timely renewal is crucial to maintain uninterrupted coverage. Explore SBI General Insurance Company’s offerings and choose the SBI Health Insurance renewal option that best aligns with your needs and preferences

Online Renewal Process for SBI Health Insurance

Follow these steps for a seamless online renewal of your SBI health insurance policy:

Step 1: Visit the Official Website
Navigate to the official SBI General Insurance website.

Step 2: Select 'Health'
Click on the 'Health' tab among the available options.

Step 3: Opt for Renewal
Under the 'Health' section, choose the 'Renew' option.

Step 4: Provide Policy Details
A dropdown menu of policies will appear. Select the specific health insurance policy for renewal. Additionally, input your Policy Number.

Step 5: Proceed with Payment
After entering your details,click 'Go' to initiate the policy renewal payment.

Step 6: Confirmation Email
Upon successful payment, you will receive an email confirming the renewal of your SBI health insurance policy.

Offline Renewal Process for SBI Health Insurance Policy

While online renewal is convenient, SBI also facilitates an offline renewal option for policyholders' ease. If you prefer this method, simply dial SBI's toll-free number at 1800-102-1111 and provide the necessary details.

Alternatively,you can visit the nearest SBI branch to renew your health insurance policy or you can also reach out to a Turtlemint Insurance advisor who can offer quick and easy renewal of your health insurance plan from SBI General.