SBI
Super Health Prime
This is a basic yet comprehensive health insurance plan from the stable of SBI, and the policy comes with a unique offering. The policy, in general, offers all the basic features, unlimited restoration (any ailments), and a sweet, short waiting period of only 2 years for PEDs. However, there is a unique add-on that is worth the mention - the policy has an add-on called Domestic Help/Staff Cover. Under this add-on, you can include your domestic help/staff member for coverage up to the pre-decided limits. However, despite such a unique feature, the plan is still not among the top recommended policies, mainly because of its insurer’s questionable credibility.
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.
You can pick any room you like
Shared room, single room, deluxe room or any room that’s available. The insurer won’t nitpick on your choice of room since the policy has no restrictions on room rent.
Short 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 just 2 years. It’s probably the best deal you can get to be honest.
Unlimited Restoration Benefit
Even after you claim part of the cover on one occasion, you will be allowed to claim the full cover any number of times repeatedly if you are hospitalized in the future. All in the same year by the way!!!
Special Bonus for being healthy and not claiming insurance
Your sum insured increases by 50% 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.
You always have full cover irrespective of the disease
No funny business here. If your insurer hasn’t explicitly stated they won’t cover a certain illness, you can claim the full amount up to the sum insured, irrespective of the disease you’re dealing with. Meaning this policy doesn't impose the dreaded disease wise sub-limits.
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 - 60 days before you are hospitalized and 90 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.
Add-ons
Enhanced Cumulative Bonus Safeguard
With this add-on, your no-claim bonus will not be clawed back if the claim is less than 1 lakh.
Aggregate Deductible
If you ever have to make a claim, then you’ll be expected to pay a sum before 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) when a claim comes up.
Accidental Hospitalization Additional Cover
With this paid add-on, the insurer will provide an additional 2x cover of base sum insured applicable for emergency-caused directly due to an accident.
Enhanced ReInsure
With this add-on, the insurer will restore the cover unlimited times up to 200% of Sum Insured instead of 100% of Sum Insured ffor any illness.
Domestic Help/Staff Cover
With this paid add-on, he insurer will cover the domestic help/staff member up to the defined limits.
Co-payment
This benefit helps to opt for co-payment of 10% to 20%.
Wellness
With this add-on, the insurer will provide Health Assistance (A.I. Personal Fitness coaching), Dietician and Nutrition E-consultation along with unlimited gym membership. Additionally, the insurer offers renewal discount based on the number of steps walked by the insured members.
Frequently Asked Questions
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