Arogya Sanjeevani Policy
Top health insurance providers in India currently offer the Arogya Sanjeevani Policy, a standard health insurance plan that the IRDAI introduced on April 1, 2020.
What is Arogya Sanjeevani Policy?
The Arogya Sanjeevani Policy, a basic health insurance policy, covers hospital and medical expenses up to Rs. 5 lakh. The Insurance Regulatory and Development Authority of India (IRDAI) has ordered all health insurers to develop a basic and standard health insurance policy for both individuals and families.
All general and health insurance companies in India must offer the Arogya Sanjeevani Health Policy, which has a number of advantages. It covers pre- and post-hospitalization costs, such as those for beds, nursing, ICU, doctor visits, and more.
Arogya Sanjeevani Health Insurance shields you and your loved ones from financial strain in the event of any medical crisis.
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The Arogya Sanjeevani Insurance Policy offers two different types of plans:
Individual Plan: There is only one beneficiary under this arrangement, the policyholder.
Family Floater Plan: All members of the family may benefit from the Arogya Sanjeevani Policy under this plan. Single insurance may cover the policyholder’s spouse, children, parents, and parents-in-law as dependents.
Arogya Sanjeevani Policy inclusions
The following benefits are included in an Arogya Sanjeevani health insurance policy:
Pre and Post-Hospitalization Expenses – In the event of a medical emergency brought on by a disease or unintentional harm, this coverage will pay for all pre and post-hospitalization costs. Additionally, it provides coverage for medical and hospital costs related to the coronavirus.
COVID-19 Cover – It also provides corona insurance protection and covers any costs associated with hospitalization brought on by getting COVID-19 or coronavirus sickness.
Ayurveda, homeopathy, Siddha, and other alternative therapies are covered under the AYUSH benefit when received in a hospital that has been given the go-ahead.
ICU/ICCU Charges: Up to 5% of the total sum covered, or a maximum of Rs. 10,000 per day, will be paid toward the costs of any treatment received in an intensive care unit (ICU) or intensive coronary care unit (ICCU).
Room Rent: up to Rs. 5,000 per day, which pays for the hospital’s room rent.
Ambulance Services: It pays for ambulance services up to a ceiling of Rs 2,000 for each hospitalization.
Treatment for Children in Daycare: It pays for any costs associated with daycare treatment.
Dental and Plastic Surgery: The cost of any dental or plastic surgery procedures undergone as a result of a disease or injury is also covered.
The cost of cataract surgery is also covered, up to a limit of Rs. 40,000 or 25% of the entire sum insured, whichever is less.
A maximum of 50% of the total sum insured amount is also covered by this policy for the expense of new age or advanced therapy.
Modern/New-Age Therapies Covered under Arogya Sanjeevani Policy
The following cutting-edge or alternative treatments are covered by the Arogya Sanjeevani Insurance Policy:
balloon surgery
Thermoplasty of the bronchi
Intravitreal Injections
Intraoperative Neuromonitoring (IONM)
Features of the Arogya Sanjeevani Policy
An Arogya Sanjeevani Policy differs from other health insurance plans offered in India in a number of ways. Here are a few of Arogya Sanjeevani Policy’s best qualities:
cheaper than alternative health plans
universal coverage, terms, and conditions across all Indian health insurance providers
A range of Rs. 1 lakh to Rs. 5 lakh is the insured amount.
Available on a single-person and family-floater basis
provides coverage for COVID-19-related hospital costs (Coronavirus)
Arogya Sanjeevani Policy Benefits
Arogya Sanjeevani Policy was introduced with the goal of streamlining health insurance in India by providing fundamental and standard medical insurance with the same coverage from all top health insurance providers. It works to offer the policyholder in India basic indemnity insurance benefits across all income classes. Look through the following list of advantages offered by the Arogya Sanjeevani Plan to better comprehend this policy:
No More Uncertainty – Since all insurance firms in India offer the same amount of coverage and terms & conditions, it eliminates the possibility of any confusion developing in a policyholder’s mind.
Lower Co-Payment Option: It provides a lower co-payment option of only 5% of the total claim amount, meaning the applicant will only be required to pay 5% of the entire sum of the claims at the moment of settlement.
For each year without a claim, the Arogya Sanjeevani Health Plan offers a cumulative bonus of 5% on the total sum covered, just like other medical insurance policies.
Benefit for First-Time Home Buyers: This is an excellent starting point and an excellent choice for a first-time health insurance buyer because he will be able to obtain a broad range of coverage at a low cost without the hassles of understanding the pros and cons of various types of health plans.
It includes lifetime renewability, which allows policyholders to renew their policies for the rest of their lives.
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Criteria for Arogya Sanjeevani Policy Eligibility
Arogya Sanjeevani Health Insurance Policy is available to anyone between the ages of 18 and 65. This policy is available through the Arogya Sanheevani Family Floater Plan for dependent children aged 3 months to 25 years.
If your child is over the age of 18, he or she is not eligible for the family floater health plan. For this, you must purchase the Arogya Sanjeevani Individual Health Plan.
A policyholder can include his or her parents and parents-in-law under the Family Floater Arogya Sanjeevani Health Policy. This policy is renewable indefinitely.
How Do I Purchase An Arogya Sanjeevani Policy?
Arogya Sanjeevani Policies are available for purchase online. The IRDAI has given insurance companies permission to issue the Arogya Sanjeevani Policy to policyholders online or electronically.
This lowers the insurance company’s operating/servicing costs, making it more affordable for buyers.
The policyholder will need to compare premium quotes using the Arogya Sanjeevani Policy Premium Calculator in order to purchase Arogya Sanjeevani Health Insurance Policy. Following the comparison of premiums and selection of this plan, the policyholder must fill out the proposal form and pay the premium online. The Arogya Sanjeevani Policy will be distributed electronically.
However, even if the policy is purchased online, insurance providers are required to issue it in physical form. Furthermore, the IRDAI has directed all health insurance companies to provide policyholders with a certificate of insurance outlining the Arogya Sanjeevani Policy details, including terms and conditions.
