Arogya Sanjeevani Health Insurance Policy

Arogya Sanjeevani Health Insurance Policy

In-Patient Hospitalization including - AYUSH
30 Day Pre & 60 Day Post-Hospitalization
5 % increase in Cumulative Bonus for each claim free policy



Policy Terms

Entry Age-Minimum
Individual: 5 years
Floater: 3 months with at least 1 member of age 18 years or above

No upper age limit for enrollment.

Life long Renewability of policy under the then prevailing Health Insurance Product or its nearest substitute approved by IRDA.

Co-payment- 5% applicable on each and every claim in the policy

Premium to be paid on renewal and the subsequent continuation of cover are subject to change with prior approval from IRDA.

30-day Waiting Period for claim for all illnesses, except injury.

Grace period of 30 days to renew your policy once it expires.

Named ailment wait period - Some of the diseases carry 24 months wait period and few diseases have 48 months wait period

Pre existing disease wait period 48 months

Exclusion

Expenses attributable to self-inflicted injury (resulting from suicide, attempted suicide).

Expenses arising out of or attributable to alcohol or drug use/misuse/abuse

Tests and treatment relating to infertility and in vitro fertilization.

War, riot, strike, nuclear weapons induced hospitalization.

What is Arogya Sanjeevani Health Insurance Policy?

The Arogya Sanjeevani Health Insurance Policy, introduced by the IRDAI, provides individuals and families with a health cover of up to Rs 5 lakh. In addition to hospitalization cover, the Arogya Sanjeevani policy coverage includes pre and post-hospitalization medical expenses, ICU charges, room rent, and modern treatments. It will also cover hospitalization expense for COVID-19 treatment. An affordable health cover, the policy will enable you and your family members get the right financial protection for any medical exigency.

At Care Health Insurance, you can opt for the individual or family floater option of Arogya Sanjeevani Health Insurance policy, thus keep your finances secure during medical emergencies.

What is the Significance of Arogya Sanjeevani Health Insurance Policy?

Has the availability of varied health insurance plans left you perplexed and clueless? You can heave a sigh of relief! The indemnity-based policy was introduced and aimed to simplify health insurance with common benefits and features across all health insurance and general insurance companies in India. However, if you are looking for a trusted insurer for seamless customer services, choose Care Health Insurance. Visit our website to select a policy and ensure a hassle-free buying experience.

Why should you buy the Arogya Sanjeevani Policy?

Aarogya Sanjeevani provides medical coverage at an affordable premium. It is a vital safety cover that will ensure financial protection.

The policyholder can save tax under Section 80D of the Income Tax Act by availing deduction on the premium paid.

Growing health risks and healthcare costs in our country makes health insurance the need of the hour. It will help mitigate the burden of medical bills.
The country witnesses the aftereffects of the COVID-19 pandemic that still pose health risks for the young and the elderly. The health policy is the right option for your family to safeguard against the new virus while getting health coverage for several other medical treatments.

Features of the Arogya Sanjeevani Policy

Standard health cover with a sum insured of up to Rs 5 lakh
Individual and family floater options available
In-patient hospitalization, including room rent and ICU charges
Ambulance Cover
Pre-Hospitalization Medical Expenses for 30 days
Post-Hospitalization Medical Expenses up to 60 days
Cover for Modern Medical Procedures and Treatments
Cover for Modern Medical Procedures and Treatments like COVID-19
Cumulative Bonus 5% increase in SI every claim-free policy year
Cataract Treatment
AYUSH treatment cover up to the sum insured
Only 5% Co-payment on every claim

Benefits of The Arogya Sanjeevani Policy

The Arogya Sanjeevani is a well-crafted health insurance policy designed to lessen the complexities of health insurance policies for the common man. It works as a safety cover that will give you the financial strength to cope with uncertainties and any medical emergency that may come unannounced!

The major benefits are listed below:

Coverage: At CHI, you can select an individual cover for each of your family members. Else, you can go for the family floater option that will cover your entire family in one policy. The maximum coverage you can opt for is up to Rs 5 lakhs.

Low Premium Rate: The standard health policy comes at a relatively lower premium than various other health insurance plans. This feature makes Arogya Sanjeevani an affordable choice for anyone looking for a health cover in times of rising medical expenses.

Lifelong Renewability: Although the policy restricts maximum entry age; however, with the lifelong renewability option, a policyholder can get continued coverage under the same policy, provided it is regularly renewed.

Minimum Co-payment: Most health policies have a co-payment clause where the insured has to pay a specified percentage, usually 20%, of the claim amount. The Aarogya Sanjeevani policy has a low co-payment of 5% on all the claims for all the policyholders.

AYUSH Treatment: The expenses incurred for Ayush care treatment methods like Ayurveda, Unani, Siddha, and Homeopathy are also covered maximum up to the sum insured.

Cashless Hospitalization: You can get cashless hospitalization and treatment in more than 15500+ cashless healthcare providers.

What is Covered under Arogya Sanjeevani Health Insurance Policy?
Hospitalization Cover: The policy provides comprehensive hospitalization cover, for illness, injury, or any medical treatment. It covers expenses related to room rent, boarding, nursing expenses, up to 2% of SI, subject to maximum up to Rs 5,000 per day. It also covers ICU charges up to 5% of sum insured, subject to maximum up to Rs 10,000 per day.

Pre and Post Hospitalization Medical Expenses: The indemnity-based health policy will cover pre-and-post hospitalization medical expenses incurred by the policyholder for 30 days and 60 days, respectively.

Ambulance Expenses: The policyholder will receive coverage for ambulance costs up to Rs 2,000 per hospitalization.

Modern Medical Treatments: We will cover the medical expenses towards modern and new-age medical procedures, such as robotic surgeries, incurred either as part of in-patient care or day care treatment up to 50% of sum insured.

Coverage for Alternate Treatments (AYUSH): Individuals, including the elderly, who find Ayush medicine suitable can get coverage for in-patient care expenses related to any AYUSH (Ayurveda, Yoga and Naturopathy, Unani, Siddha, and Homeopathy) treatment availed at any AYUSH hospital.

Cataract Treatment Cover: The policy covers cataract treatment up to a maximum limit of Rs 40,000 or up to 25% of sum insured, whichever amount is lower.

Cumulative Bonus: You will get rewarded for not making a claim under your policy. The cumulative bonus under the Aarogya Sanjeevani plan will be increased by 5% for each claim-free year.

Modern technology treatment covered under Arogya Sanjeevani Policy

The Aarogya Sanjeevani health policy will provide coverage for various modern technology treatments, such as:

Balloon Sinuplasty
Uterine Artery Embolization and High Intensity Focused Ultrasound (HIFU)
Deep Brain Stimulation
Oral Chemotherapy
Immunotherapy - Monoclonal Antibody to be given as injection
Intra Vitreal Injections
Robotic Surgeries
Stereotactic radio surgeries
Bronchical Thermoplasty
Vaporisation of the prostrate (Green laser treatment or holmium laser treatment)
IONM - Intra Operative Neuro Monitoring
Stem Cell Therapy: Hematopoietic stem cells for bone marrow transplant for haematological conditions to be covered

What is Not covered under the Arogya Sanjeevani Health Insurance?

Any diagnostic expenses that are not related to the current diagnosis/ treatment
Expenses related to surgical treatment of obesity or weight control
Medical expenses related to change of gender treatments
Medical expenses incurred towards any cosmetic or plastic surgery
Expenses related to any unproven treatment
Expenses arising out of the treatment of alcoholism, drug or substance abuse
Treatments relating to sterility and infertility
Medical treatment expenses related to maternity and childbirth
Medical expenses incurred towards domiciliary hospitalization or OPD treatment
War, riot, strike, nuclear weapons induced hospitalization.
Medical expenses for any treatment received outside Indid

Who should buy the Arogya Sanjeevani Policy?

Young and first-time buyers: The Aarogya Sanjeevani policy provides a maximum coverage amount of Rs 5 lakh, which is usually recommended for young individuals with a small family or all the new entrants in the health insurance investment journey. The policy has standard features and makes the buying process completely easy.

Individuals seeking affordable health insurance: Securing you and your loved ones with the best health insurance comes at a cost! However, if you want to prevent the burden of high health insurance premium costs, you can choose the Aarogya Sanjeevani plan - preferred for its affordable and comprehensive coverage.

Every family who needs protection against COVID-19: The threat against the coronavirus disease is not over yet, and hence everyone deserves the protection that health insurance plans provide. The standard health policy is beneficial for every family, as it also covers COVID-19 and various other illnesses. Besides, it has a lifelong renewability option that will give continued coverage for years to come!