Insurance Plans 559 views March 18, 2020

Looking into the health situations in today’s date it is visible that the health issues and health expenses relating to hospitalizations due to unforeseen accidents are increasing every day. Therefore, it is becoming very difficult for a family man to save enough for emergencies. There are some government and private insurance plans in place wherein people paying out of pocket can get reimbursed on filing a claim. Also, some cashless benefits are there taking into account the current healthcare system in India. But the numbers are not sufficient when the accessibility and cost-effectiveness are considered. This is the time when SBI health insurance plans for family comes into the forefront with its impressive features like a wide variety, easily accessible, simple payment options, cost-effective and flexible, easy renewal, tax benefits.

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Therefore, in order to secure your family’s future, you need to cover your family from any unforeseen medical expenses due to unfortunate health situations. Health insurance always gives you a tax benefit under section 80 D of the income tax act. But this tax benefit should not be the sole reason for you to buy family health insurance. A reasonable and wiser reason for you to buy family health insurance is to ensure your family’s well-being financially as well as health-wise.

What is SBI health insurance plans for family:

SBI Health Insurance Plans for family is a kind of insurance policy that covers you as well as your family from any members by paying one single premium. The premium on such plans are very low and are calculated according to the age of the eldest member of the family. If you purchase a health insurance plan for your family you can get an additional discount on premiums paid on such policy. Moreover, medical expenses like cashless hospitalization, critical illness benefits, maternity expense, daily hospital cash, ambulance expenses are covered under a family plan.

List of plans available under the SBI health insurance for family:

SBI Health Insurance Plan:-

  1. Entry age: Entry age is minimum for a child is 3 months & adults is 18 years. Maximum is 65 years.
  2. Sum assured: Sum assured ranges from Rs.50000 to Rs.500000.
  3. Policy Term: One Year
  4. Expenses covered:
    • Child care – for a child below ten years of age, Rs.500 per day of hospitalization, for a maximum of 30 days during the policy period.
      Parental care – nursing charges to take care of 60 plus year parents, Rs.500 or actual nursing charges after discharge from hospital, for a maximum of 30 days of the policy period.
    • Organ Donation – inpatient expense
    • Accidental Hospitalisation- 125% of hospitalization amount after deduction of the claim raised in the past.
    • Ambulance charges for admission to nearby located hospital.
      Day-care expenses – 142 day-care procedures, day-care surgeries i.e surgeries done within 24 hours a day.
    • Health check-ups – 1% of sum insured for 4 yearly health check-ups done.
    • Pre – Hospitalization expense – like doctor consultation, surgeon and surgical appliance charges, ICU.
    • Post Hospitalization – expenses after discharge up to 90 days.
  5. Plan Basis: Individual & Family
  6. Eligible members: I member under an individual policy, 4 members under family floater, 5 members of a family individual policy.
  7. The pool of option: It gives huge coverage it includes the following options:
    • Metro Plan – Areas included are Mumbai & Delhi. 100% of the claim paid if insured located in these places get treated at any part of India.
    • Semi Metro Plan- Areas included are Chennai, Kolkata, Bangalore, Ahmedabad, Hyderabad. 100% of the claim paid if insured is treated in these cities and other parts of India except Delhi & Mumbai.
    • Rest Of India- Areas included are other parts of India that are not included in other two plans.100% of the claim paid if insured gets treated in any part of India other than cities included in other two plans.

Arogya Premier Plan:

  1. Entry age: Entry age is minimum for a child is 3 months & adults is 18 years. Maximum is 65 years.
  2. Sum assured: Sum assured ranges from Rs10 lakh to Rs.30 lakh.
  3. Policy Term: One Year
  4. Expenses covered:
    • Pre-Hospitalization expenses- like: doctor consultation, medicines, diagnostic reports.
    • In-patient expenses- like- room rent, ICU, OPD expenses, Nursing charges, Doctors fee, medicines including dressing and plasters
    • health check-up,
    • emergency ambulance (actual amount or 5000 whichever is less, total upto1lakh)
    • maternity (OPD expense till the discharge of mother)
    • in-patient expense of organ donor,
    • 142 day-care procedures like cataract, piles, tonsils, ulcers.
  5. Plan Basis: Individual & Family
  6. Eligible members: I member under an individual policy, 4 members under family floater, 5 members of a family individual policy.

Arogya Plus Plan:

  1. Entry age: Entry age is minimum for a child is 3 months & adults is 18 years. Maximum is 65 years.
  2. Sum assured: Sum assured ranges from Rs1 lakh to Rs.3lakh.
    Policy Term- One Year
  3. Expenses covered:
    • Pre-Hospitalization expenses- like doctor consultation, medicines, diagnostic procedures.
    • Post-hospitalization expenses, like medicines, vaccinations, doctor consultation, for 90 days starting from discharge date.
    • 142 day-care procedures
    • maternity(OPD expense till the discharge of mother and up to a maximum of two deliveries during the policy term)
    • ambulance charges – claim of maximum Rs.1500 during the policy term.
  4. Plan Basis: Individual & Family
  5. Eligible members: I member under an individual policy, 4 members under family floater, 6 members of a family individual policy.

Arogya Top-up Plan:

  1. Entry age: Entry age is minimum for a child is 3 months & adults is 18 years. Maximum is 65 years.
  2. Sum assured: Sum assured ranges from Rs1 lakh to Rs.50akh.
  3. Policy Term: 1Year
  4. Expenses covered:
    • Pre-Hospitalization expenses- Hospitalization expenses occurring prior to admission of the insured for treatment of a specific illness.
    • Inpatient hospitalization expenses- like room rent, nursing expenses, doctors fee, ICU, oxygen, surgical instruments, medicines during the hospitalization period, dressing charges, plaster casts and medicines, OT charges, diagnostic procedures, radiotherapy, chemotherapy.
    • Post hospitalization expenses including doctors fee, medical bills for 90 days after discharge.
    • Day-care procedures
    • Maternity expenses
    • Ambulance Charges
    • Organ donation during inpatient hospitalization of the organ receiver.
  5. Plan Basis: Individual & Family
  6. Eligible members: I member under an individual policy, 6 members under family floater, 10members of a family individual policy.

Critical Illness Plan:

  1. Entry age: Entry age is minimum for a child is 3 months & adults is 18 years. Maximum is 65 years.
  2. Sum assured: Sum assured ranges from Rs2 lakh to Rs.50lakh.
  3. Policy Term: One Year/Three years
  4. Expenses covered:
    • Claim given if the insured survives for more than 28 days from the date of the first diagnosis.
    • 13 major critical illness included – cancer, kidney failure, multiple sclerosis, major organ transplant, stroke, coma, total blindness, heart valve surgery, paralysis, first heart attack
    • Lumpsum pay-out is given in addition to any health insurance or Mediclaim policy already owned.
  5. Plan Basis: Individual & Family
  6. Eligible members: Self, spouse, 1 child

Hospital Daily Cash Plan:

  1. Eligibility: Entry age is minimum for a child is 3 months & adults is 18 years. Maximum is 65 years.
  2. Sum assured: Sum assured ranges from Rs50,000 to Rs.5 lakh.
  3. Policy Term: One Year
  4. Expenses covered:
    • Child care – for a child below ten years of age, Rs.500 per day of hospitalization, for a maximum of 30 days during the policy period.
    • Parental care – nursing charges to take care of 60 plus year parents, Rs.500 or actual nursing charges after discharge from hospital, for a maximum of 30 days of the policy period.
    • Organ Donation – inpatient expense
    • Accidental Hospitalisation- 125% of hospitalization amount after deduction of the claim raised in the past.
    • Ambulance charges for admission to nearby located hospital.
    • Day-care expenses – 142 day-care procedures, day-care surgeries i.e surgeries done within 24 hours a day.
    • Health check-ups – 1% of sum insured for 4 yearly health check-ups done.
    • Pre – Hospitalization expense – like doctor consultation, surgeon and surgical appliance charges, ICU.
    • Post Hospitalization – expenses after discharge up to 90 days
  5. Plan Basis: Individual & Family
  6. Eligible members: I member under an individual policy, 4 members under family floater, 5 members of a family individual policy.

SBI group health insurance:

  1. Entry age:  Entry age is minimum for a child is 3 months & adults is 18 years. Maximum is 65 years.
  2. Policy Term: One Year
  3. Expenses covered:
    • Pre-Hospitalization expenses- Hospitalization expenses occurring 30 days prior to admission to the hospital.
    • Inpatient hospitalization expenses- like room rent, nursing expenses of 1% every day for the non-ICU patient and 2% for ICU patient, doctors fee, oxygen, medicines, during hospitalization period done dressing charges, plaster casts and medicines, OT charges, diagnostic procedures, radiotherapy, dialysis.
    • Post hospitalization expenses including doctors fee, medicine bills after discharge.
    • Day-care procedures
    • Maternity expenses
    • Ambulance Charges
    • Treatment at home- Expenses related to treatment at home in case the patient is not in a condition to be transferred to a hospital or hospital bed is not available. In addition, Rs.2000 or 20% of the sum insured will be paid.
  4. Plan Basis:  Individual & Family

Benefits of SBI health insurance plans for family:

The attractive features of SBI health insurance plans for family are as follows:

  1. Complete protection: Secures your family’s future financial expenses in case of any unforeseen event.
  2. Flexible Plans: The plans are an inclusive plan which is easily accessible through:
    • Metro Plan
    • Semi Metro Plan
    • Rest Of India
  3. Tax Benefits: Insured can enjoy tax deduction under section 80 D of Income Tax Act.
  4. Complete family package: It is a very cost-effective plan as it is one plan including the full family.
  5. Wide coverage amount:  The coverage amount ranges from Rs.50,000 to Rs.50 lakh.
  6. No unnecessary intrusion: Upto45 years of age, there is no medical check-up required in case you do not have any medical history.
  7. Inclusion in coverage: SBI Health Insurance Plans under Family Floater option provide coverage to self, spouse, 2 dependent children, parents, parents-in-law.
  8. Cashless Facility: The Insured can now get 24 hours of cashless service at nearby registered hospitals.
  9. Affordable premiums: The premium under SBI health insurance plan for the family is generally low. Discounts are offered on lumpsum payment and if more than 2 members are added under the same policy.
  10. Wide medical expenses covered: All major expenses like pre and post hospitalization expenses, critical illness expenses, maternity expenses, ambulance services are covered under this plan.

Conclusion:

Thus, under SBI health insurance for family each member of your family will be covered under a single sum insured making your investment cost-effective and in exchange provide you with a wide range of medical facilities. This is probably the most effective way of securing the medical emergencies of your family.

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