SBI Health Insurance
SBI General Insurance is a subsidiary of India's largest public sector bank- State Bank of India. Founded in 2008, the company has insurance products across motor, travel, home, and health sectors.
SBI Health insurance plans
Retail Health Policy
SBI Retail health is a relatively inexpensive policy. But it has a couple of restrictions. It only offers few benefits. And if you’re looking for a policy that offers comprehensive coverage, this one might be a letdown.
Arogya Top-Up plan is a decent option and it allows you to extend your cover by a maximum of about 50 lakhs. However, in our opinion, it is never a good idea to buy a top up policy in the first place. Always choose a super to up plan and if you want to know the difference, click here.
SBI Arogya Premier is a pretty good policy. It covers most bases. It doesn't have any outrageous conditions. It offers a whole host of benefits. The only downside - If you have pre-existing diseases, you will have to wait 4 years for the policy to start covering complications arising out of these ailments too.
SBI Health insurance claim process
SBI Health Insurance claims can be of different types based on the hospital in which you are getting the treatment. If it’s part of SBI's network hospitals, you can get a “Cashless claim” in which insurance company directly pays the bills to the hospital. But if your choice of hospital is not part of their network, then you have to pay the bills and apply for reimbursement claim. Here’s a brief process for both types of claims:
Inform the Hospital Desk
All network hospitals have an insurance desk. You can submit your policy copy (even soft copy works), ID proof, initial diagnosis report and the insurance desk will request the insurance company for “pre-authorization”. In case of planned treatments, you need to do this process 2 days before hospitalization
Based on the provided documents, insurance company approve the claim and the hospital will start the treatment and they will co-ordinate with insurer for the treatment costs. In case of Cashless claim rejection, you can still go ahead with the treatment. In this case, you will need to pay the bills initially and can file for a reimbursement claim later
If your cashless claim is approved, at the time of discharge, the insurance company will do the final settlement with the hospital and once that is sorted, you are good to go.
Inform the insurance company
For any planned treatments, you need to inform the insurance company 2 days before hospitalisation. In case of emergency, you can inform within 24 hours of admission. Insurance company will acknowledge the intimation.
You need to submit a insurance claim form along with original copies of hospital bills, doctor consultation reports, and diagonstic reports.
File the claim
Within 30 days post discharge, you can initiate the claim online or at any of the registered offices of the insurance company. You need to fill a claim form and attach all the reports and bills.
Based on the claim form and submitted documents, insurance company will settle the claims as per policy terms and conditions.
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