SBI
Arogya Supreme Pro
SBI Arogya Supreme Pro is a basic health insurance plan with quite a few caveats. The plan has an extensive set of disease-wise sub-limits on cataracts and modern treatments. Additionally, the policy also has a nominal No-Claim Bonus of only 15% (up to 100%) with clawbacks and a nominal pre and post-hospitalisation coverage of only 30 and 60 days, respectively. SBI’s operational metrics aren’t worth the mention as well. So, if you are looking for comprehensive health insurance, there are better policies out there.
What's good here?
You’ll never have to split the bill
The insurer will bear the entire cost of treatment (up to the sum insured). You won’t have to pay a single penny. Meaning this policy has no co-payment.
The insurer will bear the entire cost of treatment (up to the sum insured). You won’t have to pay a single penny. Meaning this policy has no co-payment.
Pre & Post hospitalization expenses covered
No worries if the doctor had to run a host of diagnostic tests before or after hospitalizing you. The insurer has your back. They will cover this amount in full for a pretty reasonable duration - 30 days before you are hospitalized and 60 days after discharge. This includes the cost of medication by the way.
Day Care treatments covered
If you’re hospitalized for less than 24 hours in lieu of a minor procedure, then the insurer will cover these costs too. Think dialysis, chemotherapy or minor surgeries.
Free Health Checkups every year
If you’re planning on getting a full body checkup every year just to make sure you’re in fine working condition, the insurer will cover the costs.
Covers Alternative Medicine
Think of getting Ayurvedic, Homeopathic or other alternative treatments to cure an illness? Your insurer will cover you fully, up to the sum insured.
Good Restoration Benefit
Even after you claim part of the cover on one occasion, you will have 100% of the cover restored, so that you can use this benefit in the event you have to endure multiple hospitalizations.
Special Bonus for being healthy and not claiming insurance
Your sum insured increases by 15% each year, so long as you make no claims during this period. But before you get too ahead of yourself, do note that they’ll stop offering you the bonus when your sum insured increases by 100%. Also, the bonus amount will reduce at same rate each time you make a claim. But hey, it's still a bonus.
Full coverage even if you are forced to hospitalize at home
The insurer will bear the costs even if you are hospitalized at home due to a condition or the hospital running out of beds. In insurance lingo, they call this a policy with domiciliary cover.
What's bad here?
Has disease wise sub-limits
Your insurance cover won’t be fully available in case you are treated for Cataracts, Modern Treatments and a few other diseases. Meaning the insurance company has a cap on the total amount they’ll pay out if you are treated for these specific illnesses.
Your insurance cover won’t be fully available in case you are treated for Cataracts, Modern Treatments and a few other diseases. Meaning the insurance company has a cap on the total amount they’ll pay out if you are treated for these specific illnesses.
What's okay here?
You can pick a Single Private room but nothing fancy
You can share a room or you could have a single room for yourself. But if you are looking for anything slightly fancy, be ready to foot a part of the bill.
Reasonable waiting period for pre-existing diseases
If you’re already dealing with diabetes, cardiovascular problems or any such illnesses, the insurer will cover all costs arising out of these pre-existing problems after you wait for 3 years.
Add-ons
No Claim Bonus Protector
With this add-on, your no-claim bonus will not be clawed back if the claim is less than ₹50,000.
Hospital Cash
The insurer pays a lumpsum by adding a fixed sum (daily cash) every day until the day of discharge so you can deal with any potential loss in income during this time. The money will be reimbursed to you after you submit the required documents post-discharge, and while this looks like a neat benefit to have, we don’t recommend it since the benefit doesn’t compensate for the extra premium you pay.
Co-payment
This benefit helps to opt for co-payment of 10% to 20%.
Per Claim Deductible
With this, the insurance company reduces the premiums you must pay for the plan. But remember, if you ever have to make a claim, then you’ll be expected to pay a sum before the insurance company settles the claim. This amount is called the deductible. So if you want to buy a policy at a better price, you can opt to pay a higher deductible i.e. you can pay lower premiums by offering to pay a sum (a deductible) everytime a claim comes up.
Enhanced Cumulative Bonus
With this add-on, you get bonus of 25% for every claim free year upto 200% of the base sum insured instead of the in-build bonus available in the policy. Remember, you cannot opt out of this rider at renewal once you opt for this rider.
Major Illness
With this add-on you get a lumpsum payment in the event you are diagnosed with critical illnesses outlined in the policy document.
Accidental Hospitalization Additional Cover
With this paid add-on, the insurer will provide an additional 1.5x or 2x of base sum insured applicable for emergency-caused directly due to an accident.
Room Rent Modifier
With this add-on, the insurance company modifies the room rent restriction from a Single Private Room to Any Room except for suite & above.
Frequently Asked Questions
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