*All savings are provided by the insurer as per the IRDAI approved insurance plan. Standard T&C Apply
SBI has always been featured as one of India’s most reliable insurance providers that offers a huge variety of policies, comprehensive, if not exhaustive, for every possible scenario. SBI Arogya top-up plan is an example in this context, offering that extra shield of financial protection for times when your medical expenses far outweigh your sum insured.
The SBI Arogya top-up plan is a low premium additional cover that takes care of arbitrary costs like pre and post-hospitalization costs, ambulance costs, and daycare procedures like radiotherapy, chemotherapy, and dialysis, going the extra mile to make sure no stone is left unturned.
In this age of unpredictability, it is only logical that you have a backup plan in place to ease financial troubles. More so, there have been situations where costs of treatments, thanks to the steep rise in medical costs, exceed the sum insured, unleashing a heavy financial burden upon you and your family. It is at times like these when SBI Arogya top-up plan comes to the rescue and provides much-needed coverage for costs that one might overlook in the face of unexpected events.
This is a comprehensive top-up cover, which can be availed at an additional premium. The policy comes into action when the basic policy cover exhausts. The policy provides coverage for emergency hospitalisation expenses including pre and post-hospitalisation expense cover.
The SBI Arogya Top-up plan comes with an arsenal of benefits that work under most situations. The key features and benefits are as follows:
This top-up plan covers the following expenses:
SBI Arogya's top-up policy comes with its own set of exclusions. It would be wise to go through the list of exclusions to understand what the policy does not include. Some of these exclusions are:
*This list is not exhaustive. For a complete list of exclusions, please log on to the insurer’s website.
For one to be eligible to buy a top-up plan, they need to be:
Although there is no mandatory medical examination for an applicant up to the age of 55 years, any applicant wishing to buy the SBI Arogya top-up plan is subject to a pre-acceptance medical examination, based on which underwriters will decide on the applicant's eligibility. The medical reports are to be undertaken by the applicant, and these reports are valid for one month.
The most common medical tests asked for are listed below:
Medical examination |
Blood test |
ESR test (Erythrocyte Sedimentation Rate) |
Eye checkup |
Chest X-ray |
Hemoglobin and WBC count |
Albumin and globulin levels |
Blood sugar levels |
Urine test |
ECG (ElectroCardioGram) |
Liver function test |
Lipid profile |
Serun and Creatinine level |
The costs incurred by the applicant are reimbursed once the underwriters determine the risk factors involved, and if the policy can be issued.
The sum insured, depending on the deductible (an agreed-upon amount that the policyholder will bear before the insurance company rolls out a claim), the sum insured ranges between Rs 1 lakh to Rs 10 lakh depending on your need.
Unlike life insurance, SBI Arogya Top-up plans do not allow for revisions in the basic sum assured midterm. However, this can be done while renewing the policy, which will be treated as a new application and is subject to underwriting to determine risk factors before deciding upon the approval or rejection of the said application. In either case, the information is conveyed to the applicant.
In closing, it is advisable to go for a plan that provides that extra shield of financial protection, hence easing life for everyone involved.
Although this plan does not offer a co-payment option, a deductible clause is built into it. A deductible is any amount that a policyholder pays out of his/her own pockets before the insurer rolls out a pay-out towards a claim. The higher the deductible, the lower is the premium. SBI offers a sum insured of a minimum of Rs 1 lakh to Rs 10 lakh subject to deductibles ranging from a minimum of Rs 1 lakh to a maximum of Rs 10 lakh.
The policy can be bought online, and the process is straightforward. The online procedure to help you successfully buy a plan is explained below:
Because SBI Arogya top-up plans do not require medical tests unless specifically asked for, the policy can be bought online with an age proof, address proof, and valid ID proof.
Like any other product offered by SBI General, the claim process is straightforward. SBI Top-up plan can be claimed as cashless and reimbursement claim. A claim form, which is available on the SBI insurance website, is to be produced along with the following documents:
Upon submission of these documents, the insurance company will usually compensate you within 7 working days.
Renewal, in this context, is only plausible if the policy lapses. Some scenarios can be listed as below:
Loading and Renewal Premium Rate
Premiums, at the time of fresh issuance, are based on the age of the applicant. However, this is subject to change depending on loading. Loading, in insurance terms, is an additional cost levied by the insurer when the actual risk is higher than the anticipated risk.
Ans. No. This plan is only available in 1, 2, and 3-year variants, the 3-year variant serving as the long term plan.
Ans. Yes. For ease of access, the plan is developed with a portability clause that allows for the transfer of policy.
Ans. Yes. Alternative treatment undertaken at any government hospital or institute is covered under this plan until the sum assured.
Ans. No. Because this is not a health plan, medical check-ups are not mandated for this plan until the age of 55.
Ans. SBI Arogya top-up offers a sum insured from Rs 1 lakh to Rs 10 lakh.
Ans. No. However, there is a deductible element to this plan.
Ans. No. Cosmetic surgery is an exclusion from this plan. So are stem cell replacement procedures, implants, and procedures for genetic disorders.
Ans. Yes, any claim pay-out received is exempted from tax under section 80D of the Income Tax Act.
Ans. SBI Arogya Top-up policy offers ambulance coverage for up to Rs 5000 per valid hospitalization claim.
Ans. Yes, SBI Arogya top-up plan offers a family floater that covers a spouse and dependent children. It also includes the policyholder who might be the sole breadwinner or one of the breadwinners of the family.
Ans. SBI Arogya's top-up plan offers coverage to up to 142-day care procedures that require less than 24 hours of hospitalization.