Aarogya Sanjeevani Policy: A Quick Overview

[Johnny Daniels]

Arogya Sanjeevani Policy is a basic health insurance policy which provides coverage for medical expenses along with several other benefits. This insurance policy covers pre and post hospitalisation expenses that include bed charges, nursing charges, ICU, room rent, doctor charges and new-age treatments. 

Arogya Sanjeevani Policy is best suited for securing your basic healthcare needs. The primary goal of launching this policy is to provide simplified health insurance to all. The provisions of this policy are nearly identical to what most insurers offer as their standard product. 

The policy differs from standard products in terms of premium, claim process, and additional services available during the purchase period. 

What Are The Different Types Of Aarogya Sanjeevani Policies? 

In India, the Aarogya Sanjeevani policy, like other medical insurance policies, comes in two types. These are:

• Individual plan: The policy only covers one individual. If you want to provide medical coverage to your loved ones through an individual Aarogya Sanjeevani policy, you must purchase separately for each of them. 

• Family floater: This type of Aarogya Sanjeevani plan covers your entire family, like your spouse, parents, and children. 

What Are The Eligibility Criteria For Aarogya Sanjeevani Health Insurance? 

This insurance is available to anyone between the ages of 18 and 65. The minimum entry age for a family floater plan is three months (applicable to new borns), and the maximum age for dependent children is 25 years. However, you can add your child to your plan if they are over the age of 18 and financially capable. 

What Are The Features Of Aarogya Sanjeevani? 

• Higher sum insured: You can cover yourself for the minimum and maximum amounts of Rs 1,00,000 and Rs 5,00,000, respectively. 

• Cumulative bonus: You are eligible for a 5% no-claim bonus if you do not file a claim during the year. The maximum NCB benefits are limited to 50% of the sum insured amount. 

• Coronavirus cover: The policy covers your medical bills due to coronavirus. 

• No medical screening: If your age is not more than 45 years, medical screening is not required for this policy.  

• Co-pay clause: The co-pay is the amount you must pay out of pocket during claim settlement. The policy provides significant relief by keeping the co-pay limit at 5%. 

• Look-up period: You are entitled to a refund if you cancel the plan within 15 days of receiving the policy document (online/offline). 

• Renewability: Even though the entry age is limited to 65, the policy allows for lifelong renewal. 

Coverage under Aarogya Sanjeevani policy

• The policy covers hospitalisation expenses up to 5% of the sum insured. However, the daily limit is Rs 5,000.

• You can file a claim for 30 days of pre and post-hospitalisation expenses. 

• Aarogya Sanjeevani covers daycare costs such as cataract surgery, anaesthesia, and so on. The maximum coverage limit for daycare treatment is 50% of the sum insured. 

• You can get up to Rs 2,000 in reimbursement for ambulance costs. 

• The maximum coverage for cataract surgery for each eye is Rs 40,000 or 25% of the sum insured, whichever is less. 

• Modern treatments like stem cell therapy, robotic surgery, and intravitreal injections are subject to a maximum coverage of 50% of the sum insured. 

Conclusion 

The Aarogya Sanjeevani policy is a low-cost insurance plan ideal for first-time medical insurance purchasers. The eligibility criteria are very simple and it does not require you to go through a set of medical tests. However, due to the cap on the sum insured amount, it may fail to meet your needs during severe illness or prolonged illness. In such a case, you can consider a super top-up insurance policy along with this plan.