Arogya Sanjeevni Health Insurance Policy is a standard health insurance plan introduced by the Insurance Regulatory and Development Authority of India (IRDAI) on April 1st, 2020. It is mandatory for all health insurance companies to come up with this basic health insurance policy for both individuals and families. It is a basic health insurance policy that offers coverage for your medical expenses in case of your hospitalization. It covers pre and post-hospitalization, cataract treatment, etc.
Types of Arogya Sanjeevani Policy
Following are the types of plans offered under the Arogya Sanjeevani health policy:
- Individual Plan: This type of plan permits only one policyholder to be the beneficiary.
- Family Floater plan: Under this type of plan, the whole family can avail of the benefits of the policy. the policyholder can include dependents such as a spouse, children, parents, and parents-in-law in a single policy.
Arogya Sanjeevani Policy Specifications
- Sum Insured: 50K INR to 5 Lakhs
- Plan Type: Individual and Family Floater
- Renewability: Lifelong
- Entry age (adults): 18 years to 65 years
- Entry age (dependent children): 3 months to 25 years
- Policy term: 1 year only
- Free Look Period: 15 Days
- Waiting period for pre-existing diseases: 4 years
- Initial Waiting period: 30 days
Coverage Benefits of Arogya Sanjeevani Policy
Arogya Sanjeevni Policy comes in a two-plan type: Individual Plan and Family floater Plan. Arogya Sanjeevni policy is packed with incredible benefits at no additional cost. Take a look at the coverages offered under both the plan type (Individual and family).
Coverage offered under Arogya Sanjeevani Health Insurance Policy |
|
Benefits |
Coverage |
Up to Sum Insured |
|
Pre-Hospitalization |
30 Days |
Post-Hospitalization |
60 Days |
Cataract Treatment |
Up to 25% of SI or INR 40K per eye |
Up to Sum Insured |
|
5% of Sum Insured |
|
Ambulance Cover |
INR 2K per Hospitalization |
5% on every claim |
|
ICU Charges |
5% of Sum Insured up to INR 10K per day. |
Daycare Procedures |
All Daycare treatment |
Modern Treatment |
50% of Sum Insured |
List of Modern Treatments Covered Under Arogya Sanjeevani Policy
Below mentioned are the modern treatments that are covered under Arogya Sanjeevani Policy:
S.no |
Treatment |
Coverage |
|
Uterine Artery Embolization and HIFU |
Up to 50% of SI |
|
Balloon Sinuplasty |
Up to 50% of SI |
|
Oral chemotherapy |
Up to 50% of SI |
|
Deep Brain stimulation |
Up to 50% of SI |
|
immunotherapy- Monoclonal Antibody to be given as injection |
Up to 50% of SI |
|
Oral chemotherapy |
Up to 50% of SI |
|
Robotic surgeries |
Up to 50% of SI |
|
Intra vitreal injections |
Up to 50% of SI |
|
Stereotactic radio surgeries |
Up to 50% of SI |
|
Vaporization of the prostrate |
Up to 50% of SI |
|
BronchicalThermoplasty |
Up to 50% of SI |
|
ION M - (antra Operative Neuro Monitoring) |
Up to 50% of SI |
|
Stern cell therapy |
Up to 50% of SI |
Arogya Sanjeevani Policy vs Other Health Insurance Policy
Arogya Sanjeevani policy is very much similar to any other health insurance plan. But, the difference is just that the Arogya Sanjeevani policy is quite economical and the premiums are also affordable for the general public. Arogya Sanjeevani health Insurance plan is a standard health insurance plan that covers the basic healthcare expenses of the insured in case of hospitalization.
Features of Arogya Sanjeevani Policy
Below mentioned are some of the most attractive features of the Arogya Sanjeevani policy:
- Low Premiums
- Offered by every standalone health insurance company and general insurance company
- Available as both individual and family-floater plan types
- Covers expenses related to COVID-19 treatment
Health Insurance Companies Offering Arogya Sanjeevani Policy
Here is the list of health insurance companies offering Arogya Sanjeevani policy.
Health Insurance Company |
Bajaj Allianz Health Insurance |
Bharti AXA Health Insurance |
Cholamandalam Health Insurance |
Edelweiss Health Insurance |
Liberty Health Insurance |
Magma HDI Health Insurance |
National Health Insurance |
Raheja Health Insurance |
Royal Sundaram Health Insurance |
Oriental Health Insurance |
United India Health Insurance |
Universal Sompo Health Insurance |
Sample Premiums of Arogya Sanjeevani Policy
To give you a better idea about the premiums of the Arogya Sanjeevani policy, we RenewBuy have shown the sample premiums which are to be paid by a 30-year-old male at the Sum insured amount of INR 5 lakhs (for different companies).
Company Name |
Sum Insured |
Age (Male) |
Policy Type |
Premium Amount |
Star Health Insurance |
5 Lakhs |
30 |
Individual |
INR 4921 |
ICICI Lombard |
5 Lakhs |
30 |
Individual |
INR 5449 |
Care Health Insurance |
5 Lakhs |
30 |
Individual |
INR 6013 |
Bajaj Allianz Health Insurance |
5 Lakhs |
30 |
Individual |
INR 5320 |
SBI Health Insurance |
5 Lakhs |
30 |
Individual |
INR 4501 |
Exclusions of Arogya Sanjeevani Health Insurance policy
Below mentioned is the list of exclusions that are not covered under Arogya Sanjeevani Health policy:
- Change of gender treatments
- Cosmetic or plastic surgery
- Injury due to participation adventure sports
- Treatment outside India
- Maternity expenses
- Alcohol, drug or substance abuse, or any addictive condition.
- Injuries due to war
- Nuclear, chemical, or biological weapons attack
- Domiciliary hospitalization
- OPD treatment
- Purchase of dietary supplement without a prescription
Buying Process of Arogya Sanjeevani Policy
Customers can buy Arogya Sanjeevani policy directly through the insurer website. Below mentioned are the steps to purchase the Arogya Sanjeevani policy:
- Visit the website of the insurer
- Select the Arogya Sanjeevani policy from the health insurance section
- Fill in the required information
- Pay the premium online
- Insurer will send your policy document to your registered email address.
Note: Buying process of the Arogya Sanjeevani Policy varies from insurer to insurer.
Claim Process
Customers can file their claim in two ways:
- Cashless
- Reimbursement
Cashless claim process
- Intimate the insurer about the hospitalization.
- Submit the required documents such as ID proof, Health card, at the hospital desk.
- After approval, the insurance company will directly settle the bill with the hospital.
Reimbursement claim process
- Inform the insurer about the hospitalization.
- Submit the original copies of the bill within 15 days.
- After approval, claim will be transferred to your bank account.
Arogya Sanjeevani Refund and Cancellation policy
The 15-day free-look period is offered to the policyholders of the Arogya Sanjeevani Policy. It simply means that the policyholder can cancel their policy within the first 15 days without having to pay any cancellation charges. Moreover, if the 15-day free-look period ends, the policyholder still has the option to cancel his or her Arogya Sanjeevani policy. For this, the insured must inform the insurance company with the written notice for canceling the policy. The policyholder's premium will be refunded based on the following rates:
Cancellation Time |
Refund Percentage |
Up to 30 days |
75% |
31 days to 90 days |
50% |
3 months to 6 months |
25% |
6 months to12 months |
0% |