AROGYA SANJEEVANI POLICY
Arogya Sanjeevani Policy is a standard health insurance policy introduced by the IRDAI on 1st
April, 2020 offered by top health insurance companies in India. Under this policy, insured person can avail policy coverage ranging from Rs 1 lakh to Rs 5 lakhs. Arogya Sanjeevani Health
Insurance comes as an Individual Plan & Family Floater Plan which also covers the hospitalization expenses due to Coronavirus (COVID-19).
What is Arogya Sanjeevani Policy?
Arogya Sanjeevani Policy, a basic health insurance policy which provides coverage medical /
hospitalization expenses up to Rs. 5 lakhs. The Insurance Regulatory and Development Authority of India (IRDAI) has mandated all health insurers to come up with the basic & standard health
insurance policy for both individuals & families.
Arogya Sanjeevani Health Policy are universal for all general & health insurance companies in
India comes with the several benefits. It covers pre & post hospitalisation expenses which
includes bed charges, nursing charges, ICU & doctor consultation charges and many more.
Arogya Sanjeevani Health Insurance protects you & your family from the financial burden in
case of any medical emergencies.
There are two types of plans comes under the Arogya Sanjeevani Insurance Policy:
Individual Plan:
Under this plan only 1 policyholder as the beneficiary.
Family Floater Plan:
In this plan entire family members can avail the benefits of Arogya Sanjeevani Policy. The policyholder can include dependents, such as spouse, children, parents & parents-in-law in a single policy
Inclusions of Arogya Sanjeevani Policy
An Arogya Sanjeevani Health Insurance Policy comes with the following inclusions:
Pre & Post Hospitalization Expenses – This policy will cover all the pre and post hospitalization expenses in case of any medical emergency due to an illness or accidental injury. It also offers coverage for medical & hospitalisation expenses occurs due to Coronavirus (COVID-19).
COVID-19 Cover – It also offers corona insurance protection and pays for any expenses
incurred on hospitalization due to contracting COVID-19 or coronavirus disease.
AYUSH Benefit
It includes hospitalization expenses incurred on obtaining alternative
treatments, such as Ayurveda, homeopathy, Siddha, etc, at an approved hospital.
ICU/ ICCU Charges
The policy pays up to 5% charges of the treatment taken in the ICU
(Intensive Care Unit) or ICCU (Intensive Coronary Care Unit) of the total sum insured up to a
maximum Rs. 10,000 per day.
Room Rent
It covers the room rent of the hospital up to a maximum of Rs. 5,000 per day.
Ambulance Services
It covers the cost of ambulance services up to a maximum cap of Rs.
2,000 per hospitalization.
Daycare Treatment
It covers the expenses arising out of any daycare treatment
procedures.
Plastic Surgery and Dental Treatment
The cost of any dental or plastic surgery
treatment taken as a result of an illness or injury is also covered.
Cataract Surgery
It also covers the cost of cataract surgery for each eye up to a maximum
of Rs. 40,000 or 25% of the total sum insured amount, whichever is less.
New Age/ Modern Treatment
This policy also covers the cost of modern/ new age
treatment up to a maximum of 50% of the total sum insured amount.
New-Age/ Modern Treatments Covered Under Arogya Sanjeevani Policy
The Arogya Sanjeevani Insurance Policy covers the following modern or new-age treatments:
- Balloon Sinuplasty
- Bronchial Thermoplasty
- Intraoperative Neuromonitoring (IONM)
- Intravitreal Injections
- Oral Chemotherapy
- Robotic Surgeries
- Stem Cell Therapy (Bone marrow transplant through Hematopoietic stem cells for
- hematological conditions)
- Stereotactic Radio Surgeries
- Uterine Artery Embolization and High Intensity Focussed Ultrasound (HIFU)
- Vaporisation of the Prostate (Green Laser/ Holmium Laser treatment)
Features of Arogya Sanjeevani Policy
There are several features that differentiate an Arogya Sanjeevani Policy from other health insurance plans available in India. Take a look at some of the most attractive features of Arogya Sanjeevani Policy below:
- More economical than other health plans
- Universal coverage, terms & conditions across all health insurance companies in India
- Sum insured ranging from Rs. 1 lakh to Rs. 5 lakhs
- Available in Individual as well as Family Floater basis
- Covers hospitalization expenses related to COVID-19 (Coronavirus)
Benefits of Arogya Sanjeevani Policy
- Arogya Sanjeevani Policy has been launched with an aim to simplify health insurance in India by
- offering a basic & standard medical insurance with the exact same coverage by all best health
- insurance companies. It strives to provide basic indemnity insurance benefits to the policyholder
- across all income groups in India. To understand this policy better, take a look through the list
- of benefits that a policyholder can avail under the Arogya Sanjeevani Plan:
No More Confusion
It eliminates the scope of any confusion that may arise in the minds
of a policyholder as the same level of coverage and the terms & conditions is offered by all
insurance companies in India.
Lower Co-payment Option
It offers a lower co-payment option of only 5% of the total
claim amount, which means the applicant will have to pay the only 5% of the total claim
amount at the time of settlement.
Cumulative Bonus
Just like other medical insurance policies, the Arogya Sanjeevani
Health Plan also rewards a cumulative bonus of 5% on the total sum insured amount for every
claim-free year.
Boon for First-Time Buyers
This is the perfect stepping & an ideal choice for a first-time
health insurance buyer as he will be able to get a wide range of coverage at minimum cost
without the hassles of understanding the pros and cons of different kinds of health plans.
Lifetime Renewability
It comes with lifetime renewability that allows policyholders to renew their policies for as long as they live.
Eligibility Criteria for Arogya Sanjeevani Policy
Arogya Sanjeevani Health Insurance Policy can be availed by any person between the age of 18
years to 65 years. Under the Arogya Sanheevani Family Floater Plan, you can purchase thispolicy for dependent children between 3 months & 25 years.
If your children age is above 18 years then he / she can’t be covered under the family floater
health scheme. You need to buy Arogya Sanjeevani Individual Health Plan for the same.
Under the Family Floater Arogya Sanjeevani Health Policy, a policyholder can include his / her
parents & parents-in-law. This policy comes with lifelong renewability.