sbi health insurance plans for family

sbi health insurance plans for family Health insurance is an essential part of financial planning, especially for families. Rising healthcare costs can create a significant financial burden during medical emergencies or even routine health check-ups. In India, where healthcare expenses continue to escalate, opting for a family health insurance plan ensures peace of mind and access to quality healthcare. SBI Health Insurance offers a range of family health insurance plans that are specifically designed to cover the medical needs of the entire family under a single policy.

In this article, we will explore SBI’s health insurance plans for families, the key benefits of these plans, the coverage options, eligibility criteria, and how they compare with other offerings in the market.

1. What Are Family Health Insurance Plans?

A family health insurance plan, also known as a family floater plan, is a type of health insurance policy that covers multiple family members under one plan. Instead of purchasing separate policies for each member, a family floater policy allows for shared coverage, where a fixed sum insured is available for any family member who needs it.

Key Features of Family Health Insurance Plans:

Single premium for the entire family
Shared sum insured among family members
Coverage for hospitalization, pre- and post-hospitalization, daycare treatments, and more
Offers cashless treatment at a vast network of hospitals
Tailored coverage for various family members, including children, adults, and senior citizens

2. Overview of SBI Health Insurance Plans for Families

SBI Health Insurance, offered by SBI General Insurance, provides a range of family health insurance plans with various coverage levels and benefits. These plans are designed to cater to different family sizes, needs, and financial capabilities. Below are some of the most popular SBI family health insurance plans:

a. SBI Arogya Premier Policy

The SBI Arogya Premier Policy is a comprehensive family health insurance plan that provides higher sum insured amounts and extensive coverage.

Sum insured: Starts from ₹10 lakh and goes up to ₹30 lakh
Policy term: 1 to 3 years, renewable
Entry age: 3 months to 65 years (Adults and dependent children can be covered under the plan)
Key benefits:
- Covers pre- and post-hospitalization expenses (60 days before and 90 days after hospitalization)
- Includes coverage for daycare procedures
- Provides inpatient care in network hospitals with cashless treatment
- Covers critical illness treatments
- No medical check-up required for individuals up to the age of 55 years

This plan is ideal for families seeking comprehensive protection and are willing to invest in a higher sum insured to cover any unforeseen large medical expenses.

b. SBI Arogya Plus Policy

The Arogya Plus Policy is designed for families who want basic health coverage at an affordable premium.

Sum insured: Ranges from ₹1 lakh to ₹5 lakh
Policy term: 1 to 3 years
Entry age: 3 months to 65 years
Key benefits:
- Outpatient expenses covered, including doctor consultations and diagnostic tests
- Covers hospitalization for more than 24 hours
- Pre- and post-hospitalization expenses covered
- Provides cashless facilities at network hospitals
- Ideal for families looking for budget-friendly health insurance that covers both hospitalization and routine medical expenses

This plan is suitable for families looking for moderate coverage and protection against both outpatient and inpatient medical expenses.

c. SBI Arogya Top-Up Policy

The SBI Arogya Top-Up Policy acts as an add-on to existing health insurance policies. It provides extra coverage once the base policy’s threshold limit (deductible) is reached.

Sum insured: Starts from ₹1 lakh and goes up to ₹50 lakh
Deductible: Policyholders must meet a deductible threshold ranging from ₹1 lakh to ₹10 lakh before the top-up coverage is activated
Policy term: 1 to 3 years
Entry age: 3 months to 65 years
Key benefits:
- Acts as a supplement to the base health insurance policy
- Provides higher coverage at affordable premiums
- Covers inpatient hospitalization, pre- and post-hospitalization expenses
- Useful for large families or individuals looking for extra protection without paying high premiums for a standalone policy

This plan is ideal for families who already have basic health insurance but want to increase their coverage in case of high medical bills.

d. SBI Critical Illness Insurance Policy

The SBI Critical Illness Insurance Policy provides financial protection against critical illnesses such as cancer, heart attack, and stroke, which can cause significant financial strain due to high treatment costs.

Sum insured: Ranges from ₹2 lakh to ₹50 lakh
Policy term: 1 year, renewable
Entry age: 18 to 65 years (Adults only, not available for children)
Key benefits:
- Covers treatment costs for major critical illnesses
- Lump-sum payout upon diagnosis of a covered illness
- Can be combined with other health insurance plans for enhanced coverage
- 13 specified critical illnesses are covered

This policy is beneficial for families with a history of critical illnesses and who are seeking extra protection for life-threatening diseases.

3. Key Benefits of SBI Health Insurance Plans for Families

a. Cashless Treatment at Network Hospitals

SBI Health Insurance has a wide network of hospitals across India where policyholders can avail of cashless treatment. This means that during hospitalization, the insurance company directly settles the medical bills with the hospital, reducing the financial burden on the family.

SBI has over 6,000 network hospitals across India.
The cashless hospitalization process is simple: policyholders need to present their health card at the network hospital, and the insurance company takes care of the rest.

b. Comprehensive Coverage for All Family Members

Family health insurance plans offered by SBI cover the medical needs of all family members, including:

Adults (parents)
Children (dependent children up to a certain age)
Senior Citizens (if included in the plan)

Each family member can access the same benefits under a shared sum insured, making it a cost-effective way to cover multiple people under one policy.

c. Flexibility and Customization

SBI Health Insurance plans allow families to customize their coverage by choosing the sum insured, adding riders for additional protection (such as maternity benefits or critical illness riders), and selecting the duration of the policy (1, 2, or 3 years).

d. Coverage for Pre- and Post-Hospitalization Expenses

SBI family health insurance plans cover medical expenses incurred before and after hospitalization. This includes doctor consultations, diagnostic tests, follow-up treatments, and medications, ensuring complete coverage for the family’s healthcare needs.

e. Daycare Treatments and Surgeries

Many modern treatments no longer require long hospital stays, and SBI’s plans cover daycare procedures, which are surgeries or medical treatments that can be completed in less than 24 hours.

f. No Medical Check-Up for Certain Age Groups

In many cases, SBI Health Insurance does not require a pre-policy medical check-up for individuals up to the age of 55, which simplifies the process of obtaining coverage for families.

4. Choosing the Right Family Health Insurance Plan from SBI

Choosing the right health insurance plan for your family depends on various factors such as the number of family members, their ages, health conditions, and the type of coverage you need. Here’s how you can decide which SBI Health Insurance plan is best for your family:

a. Consider the Family’s Medical Needs

If your family has a history of medical conditions or if you expect higher medical expenses in the near future (e.g., childbirth, surgeries), it’s better to opt for a plan with a higher sum insured like SBI Arogya Premier. For families looking for basic coverage at a lower cost, SBI Arogya Plus is an excellent option.

b. Review the Network of Hospitals

Ensure that the plan you choose provides access to network hospitals in your city or area. In emergencies, having a nearby hospital that accepts SBI’s cashless facility is critical.

c. Opt for Additional Riders

To enhance your coverage, consider adding riders such as critical illness coverage, maternity benefits, or personal accident coverage. These riders provide extra protection for specific scenarios and can be crucial in the long run.

d. Check the Waiting Period for Pre-Existing Conditions

Like most health insurance policies, SBI Health Insurance has a waiting period for pre-existing medical conditions. Families with members who have pre-existing illnesses should carefully check the waiting period (usually 2 to 4 years) and ensure they are aware of the terms and conditions.

5. How to Apply for SBI Family Health Insurance

Applying for an SBI family health insurance policy is a simple process. You can either apply online or visit the nearest SBI General Insurance branch. Here are the steps