From 1st April 2020, the regulatory body, IRDAI (Insurance Regulatory and Development Authority of India), introduced a fresh policy to ensure the health of the population at large at affordable premium. It is standard health insurance coverage that aims to simplify the complex health insurance policies for a simple and straightforward health insurance cover.
This policy offers a basic health insurance coverage between ₹1 lakh and ₹5 lakh thereby making affordable health insurance accessible to all. All general insurance companies are required to offer this policy which include the same product across insurance companies. This way, a similar product is available across all insurers. Other than covering the cost of medical expenses due to hospitalisation, this health insurance policy also includes cover for coronavirus treatment.
What are the types of health insurance plans available under the Arogya Sanjeevani Policy?
The Arogya Sanjeevani policy is available in two types of plans – individual and family floater policy. As the name suggests, an individual is the beneficiary for an individual plan whereas multiple family members at once can be covered by the family floater option. This family health insurance coverage can help extend the coverage to not just one, but many beneficiaries under single policy scope.
What is the eligibility criteria for Arogya Sanjeevani Policy?
The eligibility criteria for this policy is based on age group. Every person in the age group of 18 years to 65 years is eligible to purchase the Arogya Sanjeevani policy. This policy is also available for dependents between the age group of 3 months to 25 years. For independent children above 18 years shall not be covered as under a family floater policy and need to buy a separate insurance coverage. A highlight feature is that this policy has lifetime renewability. It means there is no capping on the maximum age till it can be renewed. While this lifetime renewability option does not mean individuals above 65 years can become fresh subscribers of this insurance coverage.
What is included in the coverage under Arogya Sanjeevani Policy?
The list of coverage under the Arogya Sanjeevani policy is long but here are some of the noteworthy inclusions in its coverage.
#1 Coverage for hospitalisation:This policy aims to provide coverage for the treatment costs incurred during hospitalisation. These expenses include room rent, bed charges, hospital stay, bill of surgeons, consultants, anaesthetists and even specialist doctors. Insurance companies have a capping on these expenses which can be further found in the policy terms.
#2 Pre and post hospitalisation cover: While hospitalisation expenses aren’t the only treatment required, pre and post hospitalisation cover also need to be included. This policy includes both these treatments before and after the treatment. The pre-hospitalisation cover includes check-up and tests necessary to prepare for the treatments for a period of 30 days whereas post hospitalisation cover includes the costs of medicines that may be prescribed after discharge for 60 days.
#3 Room rent and ICU expenses: The policy coverage includes room rent charges which are paid up to 2% of the sum insured with a capping of ₹ 5000 each day. For more severe cases, the reimbursement for intensive care unit or ICU is paid up to 5% of sum insured with a ceiling of ₹ 10,000 each day.
#4 Day-care coverage:Arogya Sanjeevani policy includes half of your sum assured as the coverage. This benefits to avail necessary out-patient treatments that do not require hospitalisation.
Other than these mentioned coverages, dental and plastic surgery are also included. Further non-standard treatments like AYUSH are also included within its scope. These are some of the features of the Arogya Sanjeevani policy explained. Make sure your compare health insurance plans and then purchase a suitable policy. This way, you can get maximum benefit at an affordable cost securing your and your family health.Insurance is the subject matter of solicitation. For more details on benefits, exclusions, limitations, terms and conditions, please read sales brochure/policy wording carefully before concluding a sale.
Krishna Murthy is the senior publisher at Finance XOD. He is not only the senior publisher but also the owner of Tricky Finance. Krishna Murthy was one of the brilliant students during his college days. He completed his education in MBA (Master of Business Administration), and he is currently managing the all workload for sharing the best banking information over the internet. The main purpose of starting Tricky Finance is to provide all the precious information related to businesses and the banks to his readers.