Review of SBI Arogya Premier Policy

Written by Vidya Kumar

September 27, 2018

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Executive Summary: SBI Arogya Premier Policy is a policy with higher sum assured aimed at HNIs. We look at the key features, benefits, disadvantages and share our analysis of the policy here.

SBI’s Arogya Premier policy is a medical policy targeted at the high net worth individuals. It aims to provide a wide health coverage for individuals as well as families.
Features and Benefits

  • Eligibility Criteria –  Minimum age  – 3 months. Maximum age  – 65 years.
  • Policy Tenure –  Policies with tenure of 1 year, 2 years and 3 years available.
  • Coverage from Rs. 10,00,000 to Rs. 30,00,000 available.
  • Pre-hospitalization expenses covered up to 30 days prior to hospitalization. Post hospitalization expenses covered up to 60 days after discharge from hospital.
  • No medical checkup for people up to the age of 55 years if there is no medical history.
  • Auto-reinstatement of the sum insured up to 100% when there is a claim without additional premium.
  • Free health check-up equivalent to 1% of sum assured up to Rs. 5000 for four claim-free years. 
  • No Claim bonus of up to 10% is added to the sum assured every year (subject to a  maximum of 50% of the sum assured).
  • Coverage of alternative treatments such as Homeopathy, Unani, Siddha and Ayurveda up to Rs. 10,00,000 if treatment taken in accredited institutes.
  • Ambulance Charges up to Rs. 1,00,000 covered.
  • Maternity cover available after 9 months of commencement of policy.
  • Organ donation, 142 day care procedures  and home treatment (if patient cannot be moved to medical facility) are also covered.
  • A discount of 5% and 7.5% on the premium is applicable for policies with tenure of 2 years and 3 years respectively.

​Waiting Period 

  • Claims can be made only after the first 30 days of the policy start date unless it is for an accident.
  • Some illnesses such as hernia, cataract, tonsillectomy are covered after 1 year of policy commencement.
  • Pre-existing diseases are covered after 2 years of continuous policy coverage.
  • Maternity claims can be made nine months after commencement of policy.

Premium
A 30 year old male with an annual income of Rs. 10,00,000 will pay an annual premium of Rs. 10,547 (with taxes) for a policy with sum assured of Rs. 10,00,000.

Exclusions
Treatments taken abroad, cosmetic procedures, vaccination, congenital disorders, AIDS and related diseases are not covered. Treatments for illnesses or injuries due to war, nuclear attacks etc. are not covered.

Comparison with Similar Policies
​Policy Name
Premium (Rs.)
​Advantages as compared to SBI Arogya Premier Policy
​Disadvantages as compared to SBI Arogya Premier Policy
​Star Health Medi Classic
9,204
No significant advantages
​Small cover for non-allopathic treatments.
Premium is higher.
No provision for eye cover, organ donation and maternity cover.
No claim bonus added up to 25% only.
Religare Health Care
7,887
Free annual health check up.
The premium is less compared to SBI Arogya Premier Policy.
It does not include maternity cover, eye related issues and has a very small cover for non-allopathic treatments.
​Apollo Munich Optima Restore Plan
11,024
Free annual health check.
Post hospitalization expenses covered up to 180 days.
No claim bonus added up to 100%.
Pre-existing illnesses covered only after 3 years. 
No maternity cover.
Ambulance expenses very low.
Premium is higher.

Our Verdict
SBI Arogya Premier Policy is cost effective and has significant medical coverage. It has many advantages over other medical insurance plans. But the sum assured starts at a high amount which means the premium payable will be higher. If you wish to get medical treatment abroad, the policy will not help as treatments abroad are not covered.
But if you are a person looking for higher coverage, wider coverage and want non-allopathic treatments covered, it is a good insurance plan to go for.

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