Quick Overview

SBI General health insurance plans are for individuals, families, and seniors, ranging from basic covers like Health Edge to high-sum insured options like Super Health Platinum Infinite. Operational metrics show a strong average claim settlement ratio (about 96%) and lower complaint rates than the industry average. If you already have a base policy, SBIG Health Super Top-Up can extend your protection up to ₹4Cr above a chosen deductible. SBI Health Insurance Plans also qualify for tax benefits under Section 80D (old regime).

SBI General Insurance is a general insurer, incorporated in 2009. It was originally set up as a joint venture between the State Bank of India (SBI) and Insurance Australia Group (IAG). But today, SBI remains the majority shareholder, and the insurer operates through 143+ branches across India. It sells retail and commercial insurance across categories like health, motor, personal accident, travel, and home insurance.

SBI health insurance plans range from basic individual covers to more feature-rich plans for families.

In this article, we will walk you through SBI’s operational metrics, plan types, key plan features, and sample premiums, so you can pick what suits you.

SBI General Health Insurance Operational Metrics

MetricsAverage FY 22-25Industry Average
Claim Settlement Ratio (CSR)96.13%91.22%
Incurred Claim Ratio (ICR)81.32%81.88%
Annual Business Volumes/GWP (in Crores) - Total Health₹3,329₹3,969
Average Complaints per 10,000 claims20.5127.06
Network Hospitals16,600+10,000+ (recommended)
    • Claims (CSR): A strong settlement track record, suggesting smoother claim processing and fewer unpaid claims overall.
    • Claims Cost (ICR): Very close to the industry average, which indicates a fairly standard level of claim payouts for the premium it collects.
    • Scale (GWP): Slightly lower than the industry average, pointing to a smaller overall business size compared to some larger insurers.
    • Customer Friction (complaints): Lower complaint levels versus the industry, which implies fewer escalations during servicing or claims.
    • Cashless Access (network): A wide hospital network, which makes it easier to find cashless options across cities.

Types of SBI Health Insurance Plans

TypePlan
Senior Citizen Health InsuranceHealth Alpha
Maternity InsuranceSuper Health Platinum Infinite
Critical Illness InsuranceCritical Illness Insurance Policy

Note: Read our guide on SBI Health Insurance Plans for Family for more details.

CTA
PlanSum Insured RangeFeaturesAdd-ons
Super Health Platinum Infinite₹50L, ₹75L, ₹1Cr, ₹2CrPremium plan with 3x Health Multiplier for listed serious illnesses, 200% unlimited ReInsure refill, maternity up to ₹2L, and 60/180 pre-post hospitalization cover.Optional aggregate deductible, accident sum insured booster, 10%/20% co-pay, and optional domestic help/staff cover.
Health Alpha₹5L-3Cr or UnlimitedBuild-your-own plan where you pick Hospitalization and/or Personal Accident base cover, then add modules like outpatient department, global cover, and critical illness.Optional covers include consumables, home health care, maternity and child care, assisted reproduction, and loan protector benefit.
Health Edge₹3L, ₹5L, ₹7L, ₹10L, ₹15L, ₹20L, ₹25LIncludes bariatric surgery, modern treatments as in-patient or day care, emergency road ambulance, and AYUSH as part of base cover, with 30-60 days pre and post hospitalization cover. Optional covers include unlimited refill, booster benefit, wellness, women's care (maternity/newborn/ART), global treatment, and flexi co-pay.
SBIG Health Super Top-UpSum Insured ₹5L-4Cr; deductible ₹2L-2CrWorks with any base policy; choice of annual vs long-term aggregate deductible, 11 base covers including road ambulance ₹5k, organ donor, domiciliary, and modern treatments, 10% bonus up to 100Optional maternity cover (₹2L if deductible is ₹5L or less), newborn coverage (birth to 90 days), consumables, global cover, air ambulance (₹5L/year), personal accident, and unlimited restore. 

Besides the above-listed plans, learn more about other health policies offered by SBI General.

Premiums for SBI Health Insurance Plans

ProfileHealth Alpha SelectSuper Health Platinum InfiniteSBIG Super Top-up
Sum Insured₹15L₹50L₹90L with ₹10L deductible 
Individual (Age-25)₹6,696₹45,944₹3,561 
Couple(Age 31 and 32)₹11,045₹61,568₹5,698
Couple and child (Age - 36,35, and 5)₹20,577₹64,308₹8,454
Senior citizen couple(Age - 55 and 54)₹31,620₹71,487₹12,608

Note: These are indicative premiums for a Delhi resident, including mandatory and recommended add-ons. Your premium can change based on age, city, medical history, plan variant, and chosen add-ons.

Why Choose Ditto for Health Insurance?

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SBI Health Insurance Plans
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Ditto’s Take on SBI Health Plans

SBI General looks solid on the two things that matter most during a claim: consistency and customer friction. Claim settlement is higher than the industry average, and its complaints per 10,000 claims are lower.

Before you pick a plan, it helps to match SBI’s lineup to your cover needs and how much customization you actually want.

    • If you want an all-in-one premium cover SBI plan, Super Health Platinum Infinite is the cleanest pick in the portfolio, and it also shows up in our Best Health Insurance Plans (typically around our fifth recommendation).
    • Health Alpha and Health Edge are better if you want modular, pick-and-choose coverage, but the final benefits can vary a lot based on the options you select, so the quote and schedule matter as much as the plan name.
    • If you already have a decent base cover, the Super Top-Up route can be a cost-efficient way to increase your overall protection instead of buying a massive base policy.

Remember, SBI plans can be add-on heavy, and the insurer still relies on Third Party Administrators (TPAs) for retail policy claims, which can add process friction in some cases.

Full Disclosure

SBI General Insurance is a non-partner insurer for Ditto. This review is for educational purposes only and is based on publicly available data such as disclosures, annual reports, brochures, and policy documents.

Frequently Asked Questions

Are SBI health insurance plans suitable for senior citizens? What should seniors check?

There is no “senior-only” flagship label, but some SBI plans allow hospitalization coverage entry with no maximum age, so seniors can still consider them. Before buying, check the waiting periods, any co-pay/deductible, room eligibility, and how underwriting will impact the policy due to your age and medical history.

How can I contact SBI General for help with claims or service issues?

For queries, call 1800 102 1111 or email customer.care@sbigeneral.in. For health insurance and personal accident support, use the Healthline numbers 1800 210 3366 / 1800 210 6366.

Who can be covered under SBI family health insurance plans?

Most SBI family floater plans cover self, spouse, and dependent children, and some variants may allow adding dependent parents based on the plan rules.

How can I locate an SBI General branch?

Use SBI General’s branch locator on the website to find the nearest branch by city or location. Branches can help with offline servicing, document submission, and claim-related guidance if you prefer in-person support.

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