SBI General Health Insurance Company

SBI Health insurance is a part of the SBI General Insurance Company and is known for its most promising healthcare insurance product range.  The health insurance plans offered by SBI are so designed to cover individuals and families alike against numerous expenses caused due to diseases and any other health emergencies. Further, the SBI health plans are easily affordable and so anyone can buy and access them. SBI being a trustworthy name in India is well accepted by people for their innovative insurance solutions.    

Highlights of SBI General Health Insurance Company

Claim Settlement Ratio 96.47%
Network Hospitals 16625+
Waiting Period for Pre-existing Diseases (PED) 48 months
Policies Issued 20.46 Crore+ customers served
Top Health Insurance Plans by SBI General Health Insurance

Compare Top Health Plans from SBI General Health Insurance

SBI Health Edge
SBI Arogya Supreme
SBI Arogya Plus
Features
Wellness Benefit
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Unlimited Refill
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Pre-Policy Check-up
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Co-payment
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Long-term policy options
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Global Treatment
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AYUSH
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Day Care Treatment
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Air Ambulance
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Preventive Health Check-up (On renewal)
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Features
Wellness Benefit
Unlimited Refill
Pre-Policy Check-up
Co-payment
Long-term policy options
Global Treatment
AYUSH
Day Care Treatment
Air Ambulance
Preventive Health Check-up (On renewal)

Awards and accolades won by SBI General Health Insurance Company

The company has won many awards in the industry for its innovative products, services and performance. Here’s a look at some of them –

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SBI Life is recognized as the #35 Most Valuable Indian Brand by Kantar Brandz in 2023

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SBI Life received the ‘Amiable Insurer-Large Category’ award at the ETNow Insurance
Summit & Awards 2023

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SBI Life Insurance received the ‘Highest Growth’ category award at ASSOCHAM’s 15th Global
Insurance Summit & Awards 2023

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SBI Life Insurance bagged the Global Performance Excellence Award (GPEA) 2023 under the
World Class category

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SBI Life bagged an award for the campaign called ‘The Most Ignored Rider’ in the category

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Best CSR Initiative/Public Awareness at e4m Health & Wellness Marketing Awards 2023

Key Highlights of SBI General Health Insurance

Features

Specifications

Network Hospitals Available

6000+

Waiting Period (Pre-existing Ailments)

4 years

Cashless claim settlement

66.08%

Policies Issued

7,56,443

Claims handled

Rs. 110 billion

Renewability

Lifelong

Features of SBI General Health Insurance

Features

Meaning

Death benefit

In case of death of the life assured, while the policy is in force, the nominee receives a death benefit which is Higher of fund value or 105% of total premiums received.

Guaranteed Additions

One common feature of many SBI Life insurance plans is guaranteed additions that the policyholder receives from the end of the 15th policy year and at the end of every year after that until the end of the policy term.

Terminal Additions

Many SBI Life insurance plans offer terminal additions of a certain percentage of the Fund Value at maturity or vesting or on earlier death.

Pay premiums conveniently

SBI life insurance customers can choose from multiple premium

Payment options

Single premium, Regular premium, or for a limited period to make premium payments

Postpone the vesting age

Some SBI Life insurance plans allow the option to postpone the vesting age according to the changing requirements of the policyholder with the Deferment Option.

Maturity benefit

On completion of the policy term, provided the policy is in force, the policyholder receives the Higher or 101% of total premiums paid.

Tax benefit

The policyholder can avail of tax benefits on payment of premiums under Section 80CCC of the Indian Income Tax Act 1961 as per the prevailing Income Tax Laws.

Exclusions in SBI General Health Insurance

Like every health insurance company, SBI General also has a list of exclusions that won’t be covered. It is possible to find the exact exclusion list in the policy wordings. Nevertheless, some common exclusions include the following:

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Suicide

In case of death of the Life Assured due to suicide within the first year of the policy from
the date of policy commencement, the nominee of the policyholder shall receive 80% of the total
premiums paid

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Self-inflicted injuries

Death due to self-inflicted injuries is not covered under SBI Term insurance
plans.

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Intoxication

Death due to intoxication of a drug or drug overdose is not covered under most SBI
life insurance plans.

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Homicide

If the policyholder is murdered by the nominee for money and the court does not acquit
the person, he/she will not get any death benefit

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Natural calamity

Death due to natural calamities like tsunamis, earthquakes, floods, etc., is not
covered under most SBI life insurance policies.

Health Insurance plans offered by SBI General

SBI General has a wide variety of health insurance plans in its kitty. Some of the leading policies of the company, also available at PayBima, include the following –

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SBI Critical Illness Insurance Policy

Entry Age - 18 to 65 years
Policy Duration - 1 to 3 years
Sum Assured - between 2 Lakh to 50 Lakh rupees
Free Look Period - 15 days
Income tax benefit - Available under Section 80D 
Exclusions 

  • The pre- existing diseases and their related conditions are excluded from the plan
  • The claims can be made after 90 days of waiting period from the policy starting date.
  • Self caused injuries are excluded like suicide attempt etc.
  • All conditions in the insurer from birth are excluded from the plan coverage.
  • AIDS and other sexually transmitted conditions are excluded.
  • Injury caused due to drug overdose or due to being in a state of intoxication is excluded.

 

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SBI General’s Group Health Insurance Policy

Entry Age - 18 years and above
Sum Assured - 10, 0000 to 50, 0000 rupees
Plan Basis - Individual and Floater
Medical Screening - Required for people above 65 years.
Network hospitals - 3000+ hospitals.
Waiting period - 1 year for normal treatment, 4 years for pre-existing diseases
Benefits:

  • Portability facility where you can port your current policy to us during renewal.
  • Income tax benefits are available as per Section 80D.
  • Add-on coverage allowed. 
  • Pre and post hospitalization costs are covered from 30 days before and up to 60 days after discharge.

Eligibility conditions

Minimum entry age

18 years for adults and 91 days for children

Maximum entry age

65 years for adults and 25 years for children

Sum insured

INR 2 lakh – INR 20 lakh

Policy term

1 year – 3 years

Number of family members covered

Self, spouse, children, parents, and/or parents-in-law

Renewability

Lifetime renewability

Waiting period (Initial waiting period)

30 days

Waiting period (PED)

24 months - 48 months

Specific Disease Waiting period

24 months

How to buy SBI General Health Insurance Plan?

Go to the official portal of SBI General Health Insurance. Go to "Plans”. Select plan according to your requirement and submit your mobile number. By clicking Start Now, you authorize Niva Bupa to Call/SMS/Whatsapp on your registered mobile overriding DNCR.

Or visit the Paybima portal and select  Health Insurance from the options available.

1

Go to the insurer's portal.

2

Select Gender and full name and age.

3

Enter phone number and click on view plans.

4

Click the 'continue' tab and select your city and enter the pin code.

5

Select the plan from the selection offered. 

6

Compare different plans online.
 

7

Once you opt for the right plan, you can buy the policy by paying the premium or can contact the customer support team to get more details.
 

8

Once the premium is paid, the insurer will email the policy details to you. 

The process of renewing SBI General Health Insurance Policy

What is the Process for Filing a Claim for SBI General Health Insurance Plan?

You just need to complete the following steps:
1

Below are the steps to follow file a cashless claim:

  • Get admitted in a network hospital of your insurer
  • Show your SBI health card at the insurer's desk at the hospital
  • Inform the insurance provider either by calling them at 1800221111 toll free number or by sending an SMS to 561612. Also you can write an email at [email protected].
  • Get the form of Cashless Claim and fill it properly.
  • Submit the cashless claim form to the insurer.
  • In the next step, the insurer will verify the documents provided by you.
  • Once approved, the insurer will pay the hospital bills directly as per the terms and conditions of the policy.

 

2

Follow the following steps to file a reimbursement claim:

  • Get hospitalized at any hospital including non-network hospitals and start treatment. 
  • Pay the bills to the hospital at the time of discharge.
  • Collect all required documents and bill summaries and provide them to the insurer for processing the claim.
  • The insurer makes the payment of the treatment as per the policy terms.

Guaranteed Claim Support

When you buy or renew a health insurance plan from us, we guide at every step till your claim is settled.

Start your claim process with us to get our support

Review of SBI General Health Insurance Company

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The company offers the facility of comparing the different plans that it offers. You can compare the plans and choose those that give the best protection as per your needs.

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The company does not have any TPAs for claim handling. It handles its claims internally to give you the smoothest settlement.

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You can contact the company 24*7 for any complains or queries.

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Most health plans cover COVID-19 claims.

Sahi Advice,
Sahi Insurance

If you have any questions on how to choose the best insurance plan, you can connect with our IRDAI certified insurance advisors.

Advice that comes with Experience.

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