Health insurance policy has always been an indispensable investment option, but people have recently realised its importance. While the Indian health insurance market offers plenty of insurance options, some people face challenges picking the right policy because of the involved terminologies and other policy complexities. It is why IRDAI asked all health insurance providers to offer a standard health insurance plan that is easy to understand and offers standard medical coverage.
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It gave rise to the Arogya Sanjeevani policy. If you want a simple health insurance plan that covers the basics and doesn’t come with complicated terms and conditions, you should consider investing in this policy. To help you know this plan better, we have curated this epic guide covering every important aspect. So make sure to read until the end to get your answers.
What is Arogya Sanjeevani Policy?
It is an affordable and easy-to-understand health insurance plan that covers you against various healthcare expenses. Under Arogya Sanjeevani policy, you get covered for pre and post-hospitalization expenses, hospital room rent, ambulance charges, ICU/ICCU expenses, new age treatments, and more. Depending on your current requirements, you can choose between individual and family floater Arogya plans.
Coverage Under Arogya Sanjeevani Policy
The best part about the Arogya Sanjeevani policy is its generous and uniform coverage. Irrespective of the insurer you pick, you will get the same range with every Arogya policy. The only thing differentiating it is the type of customer service and list of network hospitals offered by different insurers.
So pick the insurance company offering the best service for the best experience. Coming to the coverage, you will get the following with every Arogya policy.
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Hospitalisation Expenses
The policy covers the expenses incurred because of an illness or accident 30 days before and approximately 60 days after hospitalisation.
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Ambulance Charges
You can enjoy a maximum of Rs.2000 as ambulance service expense per hospitalisation.
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AYUSH Treatment
Expenses for alternative treatment done in certified hospitals of Homeopathy, Siddha, Ayurveda, Unani, and Siddha are covered.
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Room Rent
Daily hospital room rent up to a particular limit is covered.
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New-age Treatments
Expenses for new-age treatments like stem cell therapy, balloon sinuplasty, oral chemotherapy, intravitreal injections, bronchial therapy, etc., are covered under the policy. Generally, insurers will cover 50% of the sum insured for new-age treatments, but the limit can vary from one insurer to another.
Additionally, policyholders can also get cumulative bonus benefits with the Arogya policy. Before buying the policy, you should read the complete coverage list on the shortlisted insurer’s website.
Exclusions Under Arogya Sanjeevani Policy
While the Arogya policy offers decent coverage, certain things are not covered. So if you are planning to buy Arogya Sanjeevani policy, remember the following will not be covered:
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- Claims resulting from attempting to commit a criminal act
- Change of gender treatments are excluded
- Treatment without a doctor’s recommendation will be excluded
- Obesity or weight-control surgeries that are not related to any co-morbidities will not be covered
- Maternity expenses are not part of the Arogya policy
- Sterility and fertility treatments are not covered
These are some exclusions an insurer can have as part of their terms and conditions. Knowing the full exclusion list will help you set clear expectations from day one and help you prepare accordingly. Sometimes, this list can be longer, so it is advisable to thoroughly review the complete list of exclusions by your shortlisted insurer before buying the policy.
Main Features of Arogya Sanjeevani Policy
If you are still much on the fence about investing in the Arogya Sanjeevani policy, knowing its primary features can help you make an informed decision. The Arogya policy has the following main features:
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Lifelong Renewability
Arogya Sanjeevani policy comes with lifetime renewability, provided you renew it on time.
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Low Co-Payment
All health insurance plans come with a co-payment clause. While most have a high co-payment clause ranging from 10% to 20%, it is not the case with the Arogya Sanjeevani plan. It comes with a lower co-payment of 5%, so the insurer will be liable to cover 95% of the claim during medical emergencies.
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Affordable Premium
What attracts people to this policy is its affordable premium. Since it is a simple and standard health insurance plan designed by IRDAI, its premium is comparatively lesser than other health insurance plans in the market.
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Option for Individual & Family Floater Plans
Arogya policy comes with two options, i.e., individual plan and family floater plan. So you have the option to choose what best matches your requirement.
Arogya Sanjeevani plan comes with a limited sum insured, but it is generally enough to cover the basic medical requirements. If you want to invest in an affordable health insurance plan featuring standard coverage, the Arogya Sanjeevani policy is the best option available in the market.
Who Should Invest in Arogya Sanjeevani Policy?
Whether you’re a first-time health insurance buyer or looking to switch to a more affordable health insurance plan with good coverage, the Arogya Sanjeevani policy is perfect. If you only want a policy that protects you against COVID-19 treatment expenses as a priority, you can still consider the Arogya policy. The market offers plenty of health insurance options, so finding the ideal option shouldn’t be a problem.
Secure Your Loved Ones Against Rising Medical Costs with Arogya Sanjeevani Policy
If you are contemplating buying an Arogya Sanjeevani policy, you are probably already aware of the importance of health insurance. Now that you know this policy’s fundamentals and other important details, you can make an informed investment decision. If affordability and good coverage are your primary requirements, investment in Arogya Sanjeevani can be a good choice. Remember to choose an insurer known for offering the best customer service, so you don’t face any problems later.
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