Sanjeevani Health Policy – National health insurance policy for yourself and your family is necessary because medical care is expensive, especially in the private sector. Hospitalization can burn a hole in your all savings and derail your finances. It will become even very toughest , if the person who brings in the money, is now in a hospital bed. All this can be avoided by just paying a small annual premium which would decrease your stress in case of medical emergencies. Sanjeevani Health Policy – good health insurance policy would usually cover all expenses made towards doctor consultation fees, costs towards medical tests, ambulance charges, hospitalization costs and even post-hospitalization recovery costs to a certain extent.
What does the Arogya Sanjeevani Policy Cover?
Annual Increase in sum insured by 5% for each claim free year up to maximum 50% of Sum Insured opted.
you can buy this Policy both as an individual as well as a floater.
Enhanced limits for room rents and ICU.
Online Discounts available for purchasing policy online without any intermediary.
Instalment facility available for payment of premium.
Tax benefit under Section 80D of Income Tax Act 1961 for premium paid
Pre Policy Check Up
if – Proposers aged 55 years and above (including dependents) and availing the policy for the first time.
List of Tests/Reports::
Blood sugar Test (fasting/ post prandial), HbA1c in some policies
Lipid profile
Serum creatinine
Urine routine and microscopic examination
ECG
Eye check-up (including retinoscopy)
Insurance Claim Process
Cashless Claim Process
the insured individual provides their health insurance details to the respective hospital, he/she begins to receive treatment. Upon discharge, hospital will forward the medical bills to the designated health insurance company.
Reimbursement Claim Process
the reimbursement claim process, the insured individual who has been admitted to a certain hospital pays for the entire treatment until discharge.
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Rate Chart
TABLE 1 : Premium Rate for Eldest Member in Group (FLOATER POLICY)
TABLE 1 : Premium Rate for Individual Policy
Age_band | 100000 | 150000 | 200000 | 250000 | 300000 | 350000 | 400000 | 450000 | 500000 |
0-5 | 2,932 | 3,696 | 3,969 | 4,224 | 4,472 | 4,684 | 4,879 | 5,123 | 5,323 |
6-17 | 2,435 | 2,892 | 3,240 | 3,793 | 4,305 | 4,542 | 4,778 | 4,987 | 5,157 |
18-25 | 2,752 | 3,217 | 3,828 | 4,236 | 4,709 | 5,145 | 5,473 | 5,794 | 6,057 |
26-30 | 3,031 | 3,748 | 4,358 | 4,730 | 5,152 | 5,698 | 6,170 | 6,728 | 7,185 |
31-35 | 3,467 | 4,210 | 4,757 | 5,371 | 5,728 | 6,249 | 6,699 | 7,243 | 7,688 |
36-40 | 4,137 | 4,959 | 5,451 | 6,094 | 6,532 | 6,975 | 7,378 | 7,831 | 8,202 |
41-45 | 4,472 | 5,650 | 6,413 | 7,012 | 7,756 | 8,316 | 8,877 | 9,521 | 10,048 |
46-50 | 5,266 | 7,414 | 8,299 | 9,005 | 10,329 | 10,916 | 11,525 | 12,639 | 13,551 |
51-55 | 7,260 | 9,894 | 11,028 | 12,671 | 13,951 | 14,918 | 15,878 | 17,065 | 18,037 |
56-60 | 9,619 | 12,789 | 15,022 | 16,828 | 18,376 | 20,006 | 21,409 | 23,317 | 24,877 |
61-65 | 12,079 | 15,685 | 18,444 | 20,427 | 22,436 | 25,465 | 28,673 | 31,311 | 33,470 |
66-70 | 15,552 | 19,284 | 23,386 | 27,430 | 29,608 | 32,229 | 37,746 | 40,426 | 42,618 |
71-75 | 18,270 | 22,433 | 27,994 | 31,667 | 33,050 | 35,643 | 42,486 | 46,288 | 49,398 |
76-80 | 20,535 | 25,746 | 30,732 | 35,518 | 37,812 | 42,487 | 48,187 | 52,721 | 56,430 |
81-85 | 22,100 | 28,321 | 33,785 | 38,166 | 41,522 | 46,666 | 52,913 | 57,874 | 61,934 |
86+ | 24,295 | 31,120 | 37,107 | 40,975 | 45,560 | 51,213 | 56,782 | 62,908 | 67,921 |
For Policy on Floater basis – Premium Table for family members (other than Senior Most member
TABLE 2 : Premium Rate for 2nd Eldest Member in Group
Age_band | 100000 | 150000 | 200000 | 250000 | 300000 | 350000 | 400000 | 450000 | 500000 |
0-5 | 2228 | 2809 | 3017 | 3210 | 3399 | 3560 | 3708 | 3894 | 4046 |
6-17 | 1850 | 2198 | 2463 | 2883 | 3272 | 3452 | 3632 | 3790 | 3920 |
18-25 | 2147 | 2510 | 2986 | 3304 | 3673 | 4013 | 4269 | 4519 | 4724 |
26-30 | 2364 | 2924 | 3400 | 3689 | 4018 | 4445 | 4812 | 5248 | 5604 |
31-35 | 2774 | 3368 | 3806 | 4297 | 4583 | 4999 | 5360 | 5795 | 6151 |
36-40 | 3310 | 3968 | 4361 | 4876 | 5225 | 5580 | 5903 | 6265 | 6562 |
41-45 | 3667 | 4633 | 5259 | 5750 | 6360 | 6819 | 7279 | 7807 | 8239 |
46-50 | 4318 | 6080 | 6806 | 7384 | 8470 | 8951 | 9450 | 10364 | 11112 |
51-55 | 6026 | 8212 | 9153 | 10517 | 11580 | 12382 | 13179 | 14164 | 14970 |
56-60 | 7984 | 10614 | 12468 | 13967 | 15252 | 16605 | 17769 | 19353 | 20648 |
61-65 | 10026 | 13019 | 15309 | 16954 | 18621 | 21136 | 23798 | 25988 | 27780 |
66-70 | 13064 | 16199 | 19644 | 23041 | 24871 | 27072 | 31707 | 33958 | 35799 |
71-75 | 15530 | 19068 | 23795 | 26917 | 28092 | 30296 | 36113 | 39344 | 41989 |
76-80 | 17455 | 21884 | 26122 | 30190 | 32140 | 36114 | 40959 | 44813 | 47966 |
81-85 | 18785 | 24073 | 28717 | 32441 | 35294 | 39666 | 44976 | 49193 | 52644 |
86+ | 20894 | 26763 | 31912 | 35238 | 39182 | 44043 | 48832 | 54101 | 58412 |
TABLE 3 : Premium Rate for 3rd Eldest Member in Group
Age_band | 100000 | 150000 | 200000 | 250000 | 300000 | 350000 | 400000 | 450000 | 500000 |
0-5 | 1862 | 2347 | 2520 | 2682 | 2840 | 2974 | 3098 | 3253 | 3380 |
6-17 | 1558 | 1851 | 2074 | 2428 | 2755 | 2907 | 3058 | 3192 | 3301 |
18-25 | 1844 | 2156 | 2565 | 2838 | 3155 | 3447 | 3667 | 3882 | 4058 |
26-30 | 2031 | 2511 | 2920 | 3169 | 3452 | 3818 | 4134 | 4508 | 4814 |
31-35 | 2427 | 2947 | 3330 | 3760 | 4010 | 4374 | 4690 | 5070 | 5382 |
36-40 | 2896 | 3472 | 3816 | 4266 | 4572 | 4883 | 5165 | 5482 | 5741 |
41-45 | 3287 | 4153 | 4714 | 5154 | 5700 | 6112 | 6525 | 6998 | 7385 |
46-50 | 3949 | 5561 | 6225 | 6753 | 7747 | 8187 | 8644 | 9480 | 10163 |
51-55 | 5627 | 7668 | 8546 | 9820 | 10812 | 11561 | 12305 | 13225 | 13978 |
56-60 | 7599 | 10103 | 11867 | 13294 | 14517 | 15805 | 16913 | 18420 | 19653 |
61-65 | 9664 | 12548 | 14755 | 16342 | 17948 | 20372 | 22938 | 25049 | 26776 |
66-70 | 12597 | 15620 | 18943 | 22219 | 23983 | 26105 | 30575 | 32745 | 34520 |
71-75 | 15073 | 18507 | 23095 | 26125 | 27266 | 29405 | 35051 | 38187 | 40754 |
76-80 | 16839 | 21112 | 25200 | 29124 | 31006 | 34839 | 39513 | 43231 | 46273 |
81-85 | 18122 | 23224 | 27703 | 31296 | 34048 | 38266 | 43389 | 47457 | 50786 |
86+ | 20165 | 25830 | 30798 | 34009 | 37815 | 42507 | 47129 | 52214 | 56374 |
TABLE 4 : Premium rate for all other members in Group
Age_band | 100000 | 150000 | 200000 | 250000 | 300000 | 350000 | 400000 | 450000 | 500000 |
0-5 | 1539 | 1940 | 2084 | 2218 | 2348 | 2459 | 2562 | 2690 | 2795 |
6-17 | 1315 | 1562 | 1750 | 2048 | 2325 | 2453 | 2580 | 2693 | 2785 |
18-25 | 1569 | 1834 | 2182 | 2415 | 2684 | 2933 | 3120 | 3303 | 3452 |
26-30 | 1758 | 2174 | 2528 | 2743 | 2988 | 3305 | 3578 | 3902 | 4167 |
31-35 | 2184 | 2652 | 2997 | 3384 | 3609 | 3937 | 4221 | 4563 | 4844 |
36-40 | 2689 | 3224 | 3543 | 3961 | 4246 | 4534 | 4796 | 5090 | 5331 |
41-45 | 3108 | 3927 | 4457 | 4873 | 5390 | 5780 | 6170 | 6617 | 6983 |
46-50 | 3844 | 5412 | 6059 | 6573 | 7540 | 7969 | 8413 | 9227 | 9892 |
51-55 | 5482 | 7470 | 8326 | 9567 | 10533 | 11263 | 11988 | 12884 | 13618 |
56-60 | 7407 | 9847 | 11567 | 12957 | 14150 | 15405 | 16485 | 17954 | 19156 |
61-65 | 9422 | 12234 | 14387 | 15933 | 17500 | 19863 | 22365 | 24423 | 26107 |
66-70 | 12286 | 15235 | 18475 | 21670 | 23391 | 25461 | 29820 | 31936 | 33668 |
71-75 | 14707 | 18058 | 22535 | 25492 | 26605 | 28692 | 34201 | 37262 | 39766 |
76-80 | 16428 | 20597 | 24586 | 28414 | 30249 | 33990 | 38549 | 42176 | 45144 |
81-85 | 17680 | 22657 | 27028 | 30533 | 33218 | 37333 | 42330 | 46299 | 49547 |
86+ | 19679 | 25207 | 30056 | 33190 | 36904 | 41483 | 45993 | 50956 | 55016 |
*Rates are including TPA charges, but excluding GST
Installment Premium:
Percentage of total family premium (Individual or Floater) to be charged in each installment is as shown below.
Half Yearly | Quarterly | Monthly | |
1st Installment | 53.50% | 30.00% | 12.50% |
Other(s) | 50.00% | 25.00% | 8.50% |
Total | 103.50% | 105.00% | 106.00% |
Discount for Direct Sale – 10% on total premium.