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SBI Group Health Insurance Plan

Keeping in mind the increasing health costs, SBI General Insurance Company has come up with an SBI Group Health Insurance policy that helps to pay for the medical expenses, thereby ensuring that you can afford the best quality of healthcare for yourself & your family. No pre-policy medical test is required to obtain the policy up to the age of 65 years. This policy also offers cashless treatment in more than 3000 network hospitals spread all over the country. To know more about this policy, have a look at the following mentions.

Eligibility Criteria

Age at entry

Minimum – 18 years

Maximum – 65 years

Who is eligible?People having an account with ABI
Sum insured options

Minimum – Rs. 1 lakh

Maximum – Rs. 5 lakhs

Type of policyIndividual and family floater basis
Types of relationships covered under family floater

Self

Legal spouse

Two dependent and legal children

Policy period1 year

Top Coverage of SBI Group Health Insurance Plan

The following table gives an idea about this policy. Have a look.

Pre-hospitalization expenses30 days
Post-hospitalization expenses60 days
ICU charges2% per day
Ambulance charges1% of the sum insured up to a maximum of Rs. 1500
Room boarding and nursing charges1% per day for non-ICU

What Are The Key Benefits of SBI Group Health Insurance?

This policy has come up with a sack full of benefits and facilities. The important mentions are as follows.

  • Medical practitioner and specialist’s fee is covered under this policy.
  • Domiciliary hospitalization is covered, subject to a maximum limit of 20% of the sum insured, or Rs. 20,000, whichever is less.
  • Coverage is available for selective daycare procedures that require less than 24 hours of hospitalization due to the advancement of medical science.
  • In case of a claim in non-network hospitals, a co-payment of 10% has to be paid on all eligible admissible claims.
  • Under this policy, one is eligible to avail of the tax benefits under Section 80D of the Income Tax Act.

General exclusions of SBI Group Health Policy

Before buying an insurance plan, it is very important to know and understand the exclusions of the policy for which it does not offer any coverage to avoid any future problems. So, for your better understanding, here are the general exclusions of the SBI Group Health Policy.

  • Expenses related to any preliminary diagnosis and evaluation procedure are excluded.
  • Any self-inflicted injury, suicide, or suicide attempt falls under the category of exclusions.
  • Diagnosis expenses not related to the current diagnosis and treatment are not covered by the plan.
  • If you are having bed rest and do not have any medical treatment for the disease, is not covered by the policy.
  • Any treatment cost related to obesity control will not be compensated by the policy.
  • Any unrecognized or unauthorized medical procedure is to be excluded and the doctor, surgeon, or medical practitioner has to be licensed and registered.
  • Coronary heart disease, severe sleep apnoea, and uncontrolled type 2 diabetes are excluded from the policy.
  • Any treatment or surgery related to gender treatment will not be reimbursed by the company.
  • Cosmetic surgery and plastic surgery are not covered by the plan.
  • If you take part in any kind of hazardous activities or adventurous sports like sky diving, para-gliding, scuba diving, etc., and gain injury from that, that is not covered by the plan.
  • Injury incurred due to the participation in any unlawful act or due to war, war-like situation, riots, public unrest, etc., will not be covered by the policy.
  • Treatments for the consumption of alcohol, drugs, or any intoxicating substance are excluded.
  • The costs for dietary supplements and substances that can be purchased without a prescription will not be compensated by the policy.
  • If you receive treatment for the correction of eyesight due to refractive error less than 7.5 dioptres, it will be under the exclusions.
  • Gestational Surrogacy and reversal of sterilization are excluded.

What is the Buying Process of SBI Group Health Policy?

One can easily buy this policy by following the below easy steps carefully.

  • At the top of this page, there will be the ‘Products’ tab. Navigate it and click on ‘Health Insurance’.
  • There you have to select your gender and put your “pin code” in the section on the right-hand side of the page. Click on the “Continue” option from the menu.
  • Choose the individual you wish to insure next.
  • There, you must choose your “deductible amount” enter your age, and click on the continue option. (Select whether you have experienced ailments by selecting yes or no).
  • After that, click “Get Plan” after that.
  • Multiple plan options will appear before you. Navigate through the list of plans and find the SBI Group Health Insurance Plan.
  • Enter the required details.
  • Check the premium details carefully and if satisfied, pay the premium to buy the plan.

Claim Process of SBI Group Medical Insurance Policy

This policy offers both cashless and reimbursement claims. To avail of the cashless facility, one has to get admitted to a network hospital of the company. for reimbursement claims, one can choose any hospital of his/her choice. The general claim process of this policy has been discussed below.

  • Intimate the insurer as soon as the incident happens.
  • The claim team will provide assistance in case of emergency situations.
  • Submit all the required documents along with the duly filled and signed claim form.
  • A surveyor may be appointed on behalf of the company to assess and evaluate the claim.
  • Co-operate with the surveyor. Do not produce any false documents.
  • The company will assess the claim.
  • If no discrepancy is found, the claim amount will be settled within the stipulated time.

Frequently Asked Questions

Yes, any SBI account holder having the SBI Group Health Policy can also take the SBI General Retail Health policy and vice versa.

SBI Group Health policy offers you a grace period of 30 days.

The legal dependent children can be included under this policy from age the age of 3 months.

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Sbi general group health insurance - eligibility.

  • Minimum Entry age is 3 months
  • Maximum Entry Age is 65 years

SBI General Health Insurance Review

SBI General Health Insurance

Group Health Insurance overview

Coverage of sbi group health insurance.

Ambulance charges 1% of SI up to a max of Rs. 1500.
Domiciliary Hospitalisation Reasonable and Customary Charges towards Domiciliary Hospitalisation as defined in Policy subject to 20% of the Sum Insured maximum up to Rs. 20000 whichever is less.
Co-Payment on claims in non-network hospitals 10% on all eligible admissible claims.
Cashless facility Across SBI General's Network Hospitals
Day Care Surgery procedures Covers select Day Care Surgery where less than 24 hours hospitalisation for specified procedures like Dialysis, Chemotherapy, Radio therapy, Eye Surgery, Dental Surgery (Due to accident), Tonsillectomy, etc are covered.
Room boarding and Nursing charges ICU Charges 1%/day for Non ICU and 2%/day for ICU. All incremental Expenses pertaining to room rent, medical practitioners / specialists fees and other incidental Expenses to be borne by the insured.
Pre-hospitalisation Expenses Coverage 30 days prior to date of admission into the hospital.
Post-hospitalisation Expenses Coverage 60 days after the date of discharge from the hospital.

Benefits of SBI Group health insurance Policy

  • Coverage from 1 lac to 5 lac
  • No pre-policy medical test up to the age of 65 years for people with no medical history
  • Multiple Coverage Options – Individual & Family Floater options for Sum Insured
  • The premium paid is exempt under Section 80 D of the Income Tax Act from income tax
  • Cashless treatment in more than 3,000 hospitals in the network

Exclusions of SBI group health Insurance

  • Any condition, ailment or injury or related condition(s) for which you have been diagnosed, received medical treatment, had signs and / or symptoms, prior to inception of your first policy, until 48 consecutive months have elapsed, after the date of inception of the first policy with us.
  • Any disease contracted during the first 30 days of commencement of the policy.
  • Certain diseases/surgeries like Hernia, Hydrocele etc shall be covered after a waiting period of 1 year.
  • Treatment with alternative medicines like acupuncture, acupressure, osteopath, naturopathy, chiropractic, reflexology and aromatherapy.
  • Treatment arising from or traceable to pregnancy (whether uterine or extra uterine) and childbirth including caesarean section, and/or any treatment related to prenatal and postnatal care.
  • Congenital diseases
  • All expenses related to AIDS and related diseases.
  • Use/Abuse of intoxicating drugs or alcohol.

SBI General Health Insurance FAQ’s

It refers to payment of the Medical Expenses incurred by the insured, immediately 30/60 days before and 60/90 days after Hospitalization.

It refers to payment of the Medical Expenses incurred by the insured while undergoing Specified Day Care Procedures/ Treatment (as mentioned in the Day Care Surgeries list), which require less than 24 hours Hospitalization.

Pre-acceptance Health check is not mandatory for people who are less than 45 years old and without any history of illness. Insured’s with following condition, acceptance of proposal is subject to a satisfactory medical examination as per SBI General’s requirements: Insured with adverse medical history as declared in Proposal Form or, Insured aged above 45 years & irrespective of SI. The cost of Pre-acceptance medical tests has to be borne by the proposer. However, if the proposal is accepted by Us, we will reimburse 50% of the cost incurred towards the medical tests so undertaken at our advice.

The medical tests can be conducted at any designated centers identified by SBI General.

Premium for Family Floater Policy is calculated basis the age of the oldest member of the family to be insured.

Review SBI General Group health insurance brochure to understand coverage details.

Proposal form

Fill the online SBI General Group Health Insurance proposal form.

Policy wordings

Review SBI General Group Health Insurance policy wordings which explains the terms and conditions.

Get quotes for SBI General Group health insurance!

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You can buy insurance online by using a credit/debit card, direct funds transfer using NEFT or RTGS or by using a cheque

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Sbi health insurance review.

Table of Contents

SBI General Insurance is a subsidiary insurance company of the country's most notable public sector bank - State Bank of India. Since the insurer’s brand is a common household name in India, the insurer is well-known. However, this is not equivalent to being a “preferred health insurer option.”

As a health insurance provider , although SBI Health Insurance boasts of a good Claim Settlement Ratio, Incurred Claim Ratio and complaint volume, the insurer is still not a popular pick. Much of this can be attributed to the limited options across its health insurance products and the lack of comprehensiveness (that policies from other top-notch insurers offer conveniently).

Pros Cons
Decent Claim Settlement Ratio High Complaint Volume
Good Incurred Claim Ratio Expensive health insurance plans

Metrics of SBI Health Insurance

SBI General Insurance is a joint venture between the State Bank of India (SBI) and the Insurance Australia Group (IAG) founded in 2009. After IAG sold off its share and a Bancassurance tie-up was announced with Karnataka Gramin Bank, the bank’s popularity grew. Unfortunately, all of this popularity is associated with the reputation associated with the brand name, and not a lot can be attributed to the health insurance products sold by the insurer.

Health insurance plans from this stable are not affordable and lack the long list of features readily available under plans from other insurers. Moreover, the entire process for settling claims and resolving queries with this provider might still be cumbersome and time-consuming, considering that SBI General Insurance is a government-owned enterprise.

However, before discussing some of the health insurance plans offered by this brand, let’s look at a few metrics for the insurer to determine its credibility. (Please note that we have taken the metrics of the last 3 years and averaged them to get a better insight into the consistency of the insurer in terms of its operational proficiency.)

group health insurance policy sbi

Claim Settlement Ratio of SBI Health Insurance

A health insurer’s Claim Settlement Ratio or CSR is given by -

(Total number of claims settled by an insurer over a year/ Total number of claims raised to the insurer over the year) * 100

While this metric is the first step towards measuring an insurer’s credibility, it isn’t the only factor. However, please only opt for those health insurance providers whose CSR is between 90 and 100. Any provider with a CSR of less than 80 or more than 100 is best avoided.

Years SBI Health Insurance Review Industry Average
2020 - 2021 93.31 91.484
2021 - 2022 97.31 89.967
2022 - 2023 94.2 91.460
Average (2020 - 2023) 94.94 90.970

Insight: SBI Health Insurance’s CSR falls within the ideally recommended range of 90 to 100, which is a great sign for their existing and potential policyholders.

Incurred Claim Ratio of SBI Health Insurance

For health insurance claims, there are often cases where the insurer settles only part of a claim for no reason at all. This means that despite having a health insurance plan and paying your premiums punctually, you still pay a substantial share of the invoice from your pocket. This defies the purpose of having health insurance in the first place.

To avoid falling for such insurers, looking at a brand’s CSR isn’t enough. You also need to look at the Incurred Claim Ratio or ICR. The ICR is calculated by -

(The total amount of claims settled by an insurer over a year / Total amount of claims raised to the insurer over the year) * 100

A health insurance provider with an ICR of 50 to 70 (or a bit higher) is good to go, while those with an ICR of less than 50 or more than 100 are best avoided. ICRs often give you an insight into the insurer’s long-term sustainability and claim settlement potential, which is essential since health insurance plans are equivalent to long-term financial commitments between the insurer and the insured.

Years SBI Health Insurance Review Industry Average
2020 - 2021 60.72 78.27
2021 - 2022 81.92 91.79
2022 - 2023 73.92 78.82
Average (2020 - 2023) 72.19 82.96

Insight: SBI Health Insurance’s ICR is slightly higher than the recommended range. However, that is a good sign for policyholders since it means that the insurer is willing to prioritise its client’s requirements for claim settlement rather than focusing on its business profits.

Complaint Volume of SBI Health Insurance

Ideally, this is one of the most critical metrics that determine the credibility of a health insurance provider. Complaint volume is a data point that showcases clients' satisfaction regarding claim settlements. The numbers are much lower if the experience and process have been good.

However, in the case of SBI General Insurance, the complaint numbers may be misleading since the company offers various insurance products apart from health insurance. Such products include motor insurance, which significantly reduces the average complaint volume.

Years SBI Health Insurance Review Industry Average
2020 - 2021 3.86 13.212
2021 - 2022 12.3 35.969
2022 - 2023 23.59 19.578
Average (2020 - 2023) 13.25 24.029

Insight: The complaint volume for SBI Health Insurance may not be one of the lowest in the industry, but it certainly is lower than that of multiple health insurance providers in the market. However, as stated before, these numbers may be misleading, considering that this is a general insurer and not a standalone health insurance provider.

While SBI General Insurance seems to put up a solid front on the above 3 metrics, they are not a popular pick for potential health insurance policyholders. One big thing holding them back is probably the product. So, let’s check out a few popular health insurance policy options from this stable and see what’s the problem.

Top Health Insurance Plans Offered by SBI Health Insurance

  • SBI Health Edge

This is one of the latest launches from SBI Health Insurance, offering coverage of ₹3 lakhs to ₹25 lakhs and some in-built features like - daycare coverage, pre and post-hospitalisation coverage, AYUSH treatment coverage, free annual health checkups (for preventive care tests, up to ₹5,000), and bariatric surgery coverage.

The policy has an extensive list of health insurance add-ons. This includes - Domestic Help/Staff Indemnity, Hospital Daily Cash, Accidental Death Cover, Healing Benefit, Unlimited Refill, Vector Borne Fixed Benefit, Critical Illness Cover, Claims Safeguard, Out Patient (OPD) Cover, Booster Benefit, E-opinion, Maternity Expenses, New Born Baby Cover, Assisted Reproduction Treatment, Co-payment, Global Treatment, and 3 types of wellness benefit add-ons.

While such a diverse list of optional covers may encourage the plan's customisation, the policy isn’t without its caveats.

Drawbacks: The maternity and international coverage, despite being add-ons, still has an extensive waiting period of 4 and 3 years, respectively. While the base premium may seem affordable compared to other plans in its category (from other insurers), the premiums increase substantially once you include the riders. Multiple features offered as riders in this plan are already available as built-in features in some top-notch health insurance policies. Additionally, the coverage cap of ₹25 lakhs may not be adequate in some cases (especially if you are opting for this policy as a family floater plan or are considering going for international treatment)

2. SBI Health Arogya Supreme Policy

This is a decent policy that offers a host of in-built features, such as pre-and post-hospitalisation coverage (30 or 60 days and 60/90/180 days, respectively), daycare and domiciliary treatment coverage, mental healthcare coverage, HIV/AIDS cover, advanced treatment coverage (up to 25% of the base cover), bariatric coverage, recovery benefit, refills (up to 100% of the cover, only once across the year), and more.

Among the list of optional riders are features like - Hospital Cash benefits, major illness benefits (covered up to 30 illnesses, capped at ₹25 lakhs), additional sum insured for accidental hospitalisation (up to 1.5 or 2 times the base sum insured), enhanced cumulative bonus, no claim bonus protector, any room upgrade, deductibles, and more.

Drawbacks: This policy has a 4-year pre-existing waiting period. Mental healthcare treatment coverage has a cap of 10% of the sum insured. Room rent and type caps exist (up to 1% of the base sum insured or up to a single private A/C room). The restrictions across the features in this plan are a significant hurdle.

Despite having proved its credibility across CSR, ICR, and complaint volume metrics, SBI General Insurance has failed to capture the health insurance market. Unless you are determined to approach a government-owned insurance company for your health policy or have a soft corner from the brand in general, you should compare the best health insurance policies available (via free tools) and approach some of the top-notch health insurance providers in the industry. After all, you want a comprehensive health insurance policy (even as a standalone policy, without its add-ons) that is affordable and offers a wide range of coverage that would cater to the customised requirements of diverse policyholders.

Shrehith Karkera

Shrehith Karkera is the co-founder at Ditto Insurance. He wears multiple hats – one as the chief-editor of Finshots, India's go-to financial newsletter, and another as a relentless advocate for financial clarity. Having penned countless articles over 5 years, he believes in making insurance and finance approachable. At Ditto Insurance, he's on a mission to guide Indians on making better decisions when it comes to insurance.

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SBI General Health Insurance Plans

Company overview.

SBI General Insurance Company Limited is one of the leading non-life insurance companies in India. It came into existence with a joint venture between the State Bank of India and the Insurance Australia Group (IAG). SBI holds 74% of the total stake and IAG holds the remaining 26% stake in SBI General Insurance Company.

Owing to the wide PAN-India presence of SBI, SBI General has established a robust presence with approximately 24,000 Branches of State Bank Group and more than 5,500 Regional Rural Banks. As of today, SBI General has more than 21,000 IRDA-certified bank employees and 8,000+ agents. The company covers over 110 cities and has a presence in more than 350 locations throughout India.

SBI General Insurance Company Limited offers covers for Health, Travel, Home Insurance, Personal Accident, and Motor for Individuals. Marine, Fire, Construction & Engineering, Group Health, Liability, Aviation, and catering other insurance needs of businesses.

The latest Claim Settlement Ratio is 66.08% of the company for the year 2019-20.

Key Points of SBI General Health Insurance

Policy Renewability

Lifetime

Health Cover

Individual & Family Floater

Network Hospitals

6000+

Claims Ratio

66.08%

Ayurvedic treatment

Yes

Snapshot Of SBI General Health Insurance Plans

Plan Name Plan Type Min/Max Age Min/Max SI Availability Plan Tenure
SBI General’s Health Insurance Policy – Retail Individual/Family Floater Adult: 18 years- 65 years
Child: 3 month
Min SI: 50,000
Max SI: 5 Lakh
Online Min: 1 year
Max:
SBI General’s Group Health Insurance Policy Individual/Family Floater Adult: 18 years– 65 years
Child: 3 months – 18 years
Min SI: 1 Lakh
Max SI: 5 Lakh
Offline Min: 1 year
Max:
SBI General’s Hospital Daily Cash Insurance Policy Individual/Family Floater Adult: 18 years– 65 years
Child: 3 months
Min SI: Rs 500
Max SI: Rs 2000
Online Min: -
Max: -
SBI General’s Arogya Premier Policy Individual/Family Floater Adult: 18 years– 65 years
Child: 3 months
Min SI: 10 Lakh
Max SI: 30 Lakh
Online Min: 1 year
Max: 3 years
SBI General’s Arogya Plus Policy Individual/Family Floater Adult: 18 years– 65 years
Child: 3 months
Min SI: 1 Lakh
Max SI: 3 Lakh
Offline Min: 1 year
Max: 3 years
SBI General’s Arogya Top Up Policy Individual/Family Floater Adult: 18 years– 70 years
Child: 3 months
Min SI: 1 Lakh
Max SI: 50 Lakh
Offline Min: 1 year
Max: 3 years

Reasons for buying SBI General Health Insurance Plans

The rising cost of health care may destabilize your finances, and thus, it is pretty essential to buy a health plan that covers your family's healthcare needs. The SBI General Insurance Company offers a gamut of customized health insurance plans, and the company helps you achieve better health by providing comprehensive health coverage.

Health Insurance by SBI

We all know that SBI is one of the biggest banks of India, and it has created its wealth and reputation among people. If you are buying something from a brand,d then you can also buy blindly because the brand has established itself. And SBI is a brand in India, and this company drives the economics of India, and significant thing is that the Indian population trusts this bank and its service. SBI is currently playing an extreme role in the Indian economy, the reason why it's the biggest bank in India.

SBI also serves in a different genre, and insurance policy is the second place where SBI serves people as SBIG. The rising cost of medical services and the rising cost of medicines is the biggest reason we should opt for SBI general insurance policy. Look, there is a fear that, what if your insured company fails to provide you claim if they failed in claim settlement. It doesn't matter, who is your insured company i. If you don't get your claim settled, it'll hurt you.

But, if you haven't insured yourself, and due to uncertainties,s you met an accident, and unfortunately, you are the only breadwinner for your family. Then after demise, your family will suffer double problems mentally and financially. With SBI health insurance plans, you will get covered against the medical expenses that incur on hospitalization of the insured member.

SBIG has done excellent work in the last few years and made their position in the insurance sector. The Claim Settlement Ratio report of SBIG is quite progressive; in the financial year 2018-19, SBI's CSR ratio was 59.42%, and in the financial year 2019-20, the CSR ratio was 66.08%. Claim Settlement Ratio report's number is not enough to impress anyone. Still, the advanced graph might be the center of attraction, and we should consider increasing pointing towards rising.

The CSR report gives you complete information about the company's performance, where a company is looking for it, and the possibilities that we'll get the best policy. SBIG is doing some best jobs in the health care sector, and still, they are doing their best. An increasing demonstration says a lot about SBIG and its performance in recent years, and health policy is a protector, not a burden.

Performance till today

In the year 2010, SBI General Insurance was introduced, and at that time, SBIG was a joint venture between India's biggest bank State Bank of India, and Insurance Australia Group (IAG). 27th March 2020, the day of according to stake sale by IAG on, now SBI owns 70%, while Nepean Opportunities LLP (Premji Invest affiliate) owns 16.01%, Honey Wheat Investment Ltd., an entity forming part of Warburg Pincus Grou,p owns 9.99%, PI Opportunities Fund-1 owns 2.35%, and Axis New Opportunities AIF-I owns 1.65% stake in SBI General Insurance. The vision of SBIG is to make India a healthy state in the world and become the most trusted general insurer for a transforming India.  

Till now, SBIG insured 68M+ people across the country, and day by day,y, the number of happy families is increasing rapidly. Having a plethora range of plans, and with most numbers agents across the country contribute to the success of SBIG. Programs that provide you protection with every uncertainty, plans that make your dream true, and the plan that makes your retirement life enjoyable.

 From investment to saving, every policy that'll help people is available plans that make SBIG missions actual are available there. In the financial year 2013-14, SBIG did a remarkable job with the collaboration of the State Bank of India, they covered 1.5 Crore bank account holders with personal accident cover and this is a commendable job done by SBIG.   

Main USP’s of SBI General Health Insurance Plans are:

  • Get comprehensive individual or family health cover
  • Flexible plan options to choose from
  • No pre-policy medical check-up is available
  • Flexibility to choose the Sum Insured
  • AYUSH benefits are available
  • Opt for add-on covers to enhance policy coverage
  • Daily cash allowance to meet non-medical expenses
  • Fair, transparent, & quick claims settlement procedure
  • Enjoy cashless treatment across a wide range of network hospitals
  • Option of lifelong renewability
  • Portability option available

Key Benefits of SBI General Health Insurance Plans

  • In-patient hospitalization expenses, such as room rent, boarding/nursing expenses, ICU charges, medicines, medical practitioner's fees, etc.
  • Pre hospitalization expenses incurred prior to hospitalization are covered for 60 days
  • Post hospitalization expenses incurred after hospitalization are covered for 90 days
  • Specified daycare procedures/surgeries are covered
  • Convalescence benefit is covered, up to a limit specified under the plan chosen
  • Expenses incurred towards domiciliary treatment are covered, as specified under the plan
  • Child care benefit is applicable, depending on the plan chosen
  • Parental Care is available, as per the plan chosen
  • Outpatient consultation and treatment expenses are covered up to the limit specified under the policy chosen
  • Daily Hospital Cash is payable upon hospitalization due to Accidental Bodily Injury or Sickness
  • Organ donor’s treatment expenses for harvesting of the organ are covered
  • Maternity expenses cover and Newborn baby cover is available, subject to the terms applicable under the policy chosen
  • The newborn baby cover is available as an add-on benefit and can be opted on payment of additional applicable premium
  • Listed critical illnesses are covered, as an add-on cover depending on the policy chosen
  • Coverage for congenital internal diseases is available as an add-on cover
  • The premiums paid are eligible for tax benefit under section 80D of the IT Act, 1961

Value Added Benefits under SBI General Health Insurance Plans

  • Auto reinstatement up to 100% of basic Sum insured is applicable on exhaustion of the Sum insured during a policy period.
  • Enhancement of Sum Insured for accidental hospitalization
  • With a Cumulative bonus, the Sum insured can be increased by 10% for a claim-free policy year, up to a maximum of 50% of the Sum insured
  • Avail Health check-up benefit, as terms specified under the policy, chosen
  • Ayurvedic treatment expenses and Homeopathy & Unani treatment expenses are reimbursed
  • Ambulance charges are refunded, up to the limit prescribed under the plan chosen
  • Take advantage of cashless hospitalization across 3000+ network hospitals
  • Pre-policy medical screening is not required, as defined under the policy terms

(Note: The health plan benefits, features, specifications may differ from one to another)

SBI General Health Insurance Coverage

SBI General offers a wide range of health plans to custom fit you & your family’s health needs. The insurance company provides a sum insured to cover the medical expenses incurred due to hospitalization. With SBI General, you can choose the correct Sum insured to ensure proper health coverage. You need to pick an appropriate health plan after adequately assessing your healthcare needs.

SBI General Health Insurance Claim

SBIG Insurance Claim is as easy as buying a policy; there is 6000+ network hospital of SBIG Health across the country. If you want, then you have the option of getting the cashless claim settled, or if there is no option of getting treatment in-network hospital, then you have a chance of getting reimbursement claim settlement. Both options are easy, but the reimbursement option might take more time and effort than cashless claim settlement. Cashless Claim Settlement takes only 2 hours to get settled, but in the reimbursement option, you have to submit all the bills, and after this, they’ll verify your claim, and after satisfying your claim, they’ll transfer the fund that you deserve.  

Let’s try to know the process of claim settlement and what you have to do?

Cashless Claim Settlement

1. First, go to the reception desk in the network hospital, and let them know that you are insured with SBI General.

2. Call this number 1800221111. You can also SMS ‘CLAIM’ and send it on 561612 or write an email to [email protected] mentioning your details to get your claim number.

3. Show your policy id to the hospital team for identification purposes. Show your verification.

4. After this, a team of doctors will verify all insured person documents and evaluate them. After that, they will cover you with claiming in and as per terms and conditions of your opted plan.   

5. After completing some necessary process, the claim would be settled as your opted plan’s terms and conditions.

6. Being an insurer company, “SBIG” provides claim service assistance with their customer to avoid the wrong information filled by the insured person in claim settlement form and other help.

Reimbursement Claim Settlement

In reimbursement claim settlement, you have to get the complete treatment by spending your money; after getting the medicine as soon as you are discharged from the hospital, you have to keep one thing in mind: you have to bring the below-listed documents. Because in reimbursement claim settlement, documents play a vital role in getting the claim settled.

But the one thing that we should keep care of while buying any policy, they should check whether the insurance company from which you are buying insurance has any network-hospital in your area, and only after that decide to buy insurance or else you will have to go through the indemnity claim.  

Documents must carry with you.

  • First doctor’s prescription
  • Hospital bills
  • Related treatment prescriptions
  • Diagnostic reports
  • Discharge from hospital
  • FIR copy, if any
  • Patient’s identity card
  • Copy of health card

 Claim Settlement Process

1. First, fill out the Claim form, and attach all the bills and receipts with the form. After that, just submit the form to your nearest SBI General branch.

2. As per your plan’s terms and conditions, your claim will be settled, and you will get your fund.

Calculate SBI General Health Insurance Premium

With SBI health insurance, you will get coverage up to the Sum Insured towards the hospitalization expenses. You need to pay the stipulated premium to avail range, which may vary depending on the chosen plan.

Before buying a health policy from SBI general insurance company, you are recommended to determine the premium with the help of a health insurance premium calculator. You can also refer to the premium chart from SBI general to identify the premium you will pay for getting a health insurance cover.

SBI Health Insurance Review

SBI Health Insurance Company comes with a wide range of customized health plans that help you to meet health-related expenses. You will get coverage for the listed daycare procedures, domiciliary hospitalization, ambulance charges, etc. This insurance company also offers numerous additional covers that help to boost protection against medical contingencies. With SBI health insurance plans, you don’t need to worry about medical expenses and focus on health recovery.

SBI Health Insurance- FAQ’s

How to pay the policy premium?

SBI general insurance offers two modes of premium payment

  • Online Payment: For the online mode of premium payment, you have the option to pay through credit card, debit card & net banking.
  • Cash payment at the branch: You need to visit the SBI general insurance branch and pay the premium amount in cash.

How can I check the status of the SBI health insurance policy?

By logging into the SBI health insurance website, you can check the policy status online by entering the required details such as policy number, date of birth, or registered mobile number.

What is the policy renewal process of SBI health insurance?

To renew a health policy, you need to visit SBI general health insurance website homepage. Over there, you can calculate the premium and proceed with the payment. After the premium payment is made, the policy is renewed instantly.

What is the process of SBI General to settle the health insurance claims?

To settle a health claim, you need to inform the insurance company by filling out the claim form and uploading relevant documents online. After acceptance of the papers by the company, your claim is settled within a duration as specified by the insurer.

Is there any tax benefit on SBI General health insurance plans?

The premium amount you pay for covering you & your family under the SBI health insurance plan is considered tax benefit under section 80D of the Income Tax Act 1961.

List of SBI General Health Insurance Plans

1. sbi general health insurance policy.

SBI General’s Health Insurance Policy – Retail covers medical treatment expenses and ensures hassle-free quality health care to you & your family. To take care of all your health relat ... Read more

2. SBI General Group Health Insurance Policy

Group Health Insurance Policy from SBI General provides health cover for an individual & family. This health plan helps you manage medical expenses easily, so ensures the happiness of your family. ... Read more

3. SBI General Hospital Daily Cash Insurance Plan

‘Health is Wealth’ and everyone is looking to get a health plan that covers hospitalization expenses. SBI General’s Hospital Daily Cash Insurance Policy provides the daily cash allow ... Read more

4. SBI General Arogya Premier Policy

People don’t like compromises for quality healthcare and they always like to buy a health plan that can cater all their healthcare needs. SBI General’s Arogya Premier Policy is designed to ... Read more

5. SBI General Arogya Plus Policy

Financial planning can go in vain, when you have to face serious health problems. Rising healthcare costs also make it more challenging. SBI Arogya Plus Policy provides financial protection against ho ... Read more

6. SBI General Arogya Top UP Policy

Serious illness/accident comes without any notice and may eat up all your sum insured in a single claim. SBI General’s Arogya Top Up Policy provides additional protection against rising medical ... Read more

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SBI Group Health Insurance

SBI Group Health Insurance

Calculate your premium estimates

Number of Employees

*Value should be between 2 and 500

Total estimated yearly premium

*only basic terms and conditions applied

₹ 5,000 per life

Talk to our experts to get exact premium estimates

Claim settlement ratio (2021-22) Network hospitals
95.04% 6000+
Total GHI lives insured (2020-21) Total GHI claims incurred (2020-21)
46.5 Lakhs Rs. 684.9 crores
TPA
In-house TPA
Claim settlement ratio (2021-22)
95.04%
Network hospitals
6000+
Total GHI lives insured (2020-21)
46.5 Lakhs
Total GHI claims incurred (2020-21)
Rs. 684.9 crores
TPA
In-house TPA

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SBI group health insurance premium

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Group health insurance companies in India

Universal Sompo

IFFCO Tokio

Future Generali

Kotak Mahindra

Royal Sundaram

ManipalCigna

United India

Bajaj Allianz

ICICI Lombard

Aditya Birla

About SBI group health insurance from Pazcare

SBI General Insurance Company Limited, a joint venture between State Bank of India and Insurance Australia Group (IAG). Just by purchasing your SBI group health insurance from Pazcare, you are choosing to get the best service for your employee. All your group health insurance policy administration work can be managed in a hassle-free manner with the Pazcare dashboard. Trusted by more than 800+ companies in India, you can manage the SBI group health insurance policy, add/delete employees, and manage endorsements by just using the user-friendly Pazcare dashboard. Set your insurance on autopilot now with Pazcare.

How to buy SBI group health insurance policy at Pazcare?

  • Visit Pazcare

Visit Pazcare, and choose group health insurance. If you are new to buying a GHI policy, we recommend you review our offerings before purchasing the SBI group health insurance policy.

  • Consult with our insurance experts

After submitting the form, our insurance experts will call you within 24 hours. Share your requirements to personalize your SBI group health insurance policy offering with Pazcare.

  • Product demo & sharing active employee data

We provide you with a product demo of how to administer the SBI group health insurance plan using the Pazcare dashboard. Once approved, share with us your active employee data to proceed with the process of buying the SBI group medical insurance for employees.

  • Getting quotes & onboarding

We get you competitive quotes from SBI and other 4+ insurers. Choose the best offering, say SBI GHI policy and the onboarding process begins in 24 hours. You are covered with the best employee benefits from Pazcare.

Why choose SBI group health insurance as your insurance partner from Pazcare?

‍ 6,000+ network hospitals

SBI Health Insurance has a strong presence of network hospitals with more than 6,000+ hospitals (accessible using the Pazcare dashboard). You can avail of cashless treatment for the illness covered under your SBI group health insurance policy.

iAAA Rating for “Highest Claim Paying Ability” ‍

SBI general insurance has received a rating from IAAA indicating the highest claim paying ability. This shows how credible SBI group health insurance policy is.

Transparent & Fast Claim Settlement Process

SBI group health insurance from Pazcare has a super quick and transparent claim settlement process. Furthermore, Pazcare's dedicated account managers for your SBI group policy helps you throughout the claim process.

SBI group health insurance claim settlement ratio

Financial Year Claim settlement ratio
2019-20 66.08%
2021-22 95.04%

Also Read : Claim Settlement Ratio- Definition, Significance and Types

Claim SBI group health insurance

Claim SBI group health insurance

Renew SBI group health insurance with Pazcare

Visit Pazcare, and choose group health insurance. If you are new to renewing your SBI GHI policy, we recommend you review our offerings before purchasing SBI group health insurance policy.

After submitting the form, our insurance experts will call you within 24 hours regarding the SBI group insurance policy renewal. Please submit active employee data, policy copy, claim dump report & claim analysis report to proceed.

  • Product demo & personalization

We provide you with the product demo if you are new to buying/renewing SBI group health insurance plan with Pazcare. The above-submitted documents allow us to personalize your SBI policy according to the previous offerings.

We get you competitive quotes from SBI and other 4+ insurers. Choose the best SBI insurance policy renewal offering and the onboarding process begins in 24 hours. You are covered with the best employee benefits from Pazcare.

SBI health insurance benefits from Pazcare

Wide Range of Sum Insured Options

SBI group health insurance plan from Pazcare is available with a wide sum insured range. The lowest starting price is from Rs. 1 lakh and goes up till Rs. 50 lakh.

Tax benefits with tax exemption Sec 80 D

The premium paid for SBI group health insurance plan from Pazcare is eligible for tax benefits under Section 80D of the Income Tax Act, 1961.

Coverage for the entire family 

Under SBI group health insurance from Pazcare, you have coverage for your entire family. This safeguards you and your family members against any health emergencies.

SBI group health insurance claim process

Intimate your insurer

Make sure to notify the SBI group health insurer of your claim. In case of emergency, make sure it is within 48 hours or at least 3 days beforehand. This pertains to hospitalization that was prearranged.

Identity Verification

Have all the necessary documents ready with you. Your proof of identity - policy number/health insurance ID card, company ID, and a valid unique govt. ID card.

Submission of pre-authorization form

Fill up the pre-authorization form and submit it to the hospital

Claim settlement

The claim will be settled directly at the network hospital once all your details are verified.

Contact us for any queries

For any queries or help, contact Pazcare at [email protected] or call us at +91 78291 11300.

Notify the insurer at least three days in advance or within 48 hours of filing your claim. This is in the case of planned hospitalization.

Clear all your bills

Make sure you clear all your bills and collect the original copies of hospital bills, doctor consultation reports, and other essential documents.

Document Submissions

Submit all the required documents along with the claim form to the insurer.

The claim will be settled in your bank account directly once all your documents are verified.

For any queries or help, please contact Pazcare at [email protected] or call us at +91 78291 11300. The team will make sure you are given the right solution.

SBI group health insurance cashless network hospitals

SBI group health insurance reviews

Rating based on

(23 reviews)

Want to take this opportunity to thank team Pazcare for amazing service. Wellness programs was so productive too.

Prakash Prabhu

The service from the team was really impressive. Love how everyone at Pazcare is always happy to help.

Liked the coordination among the team members. They made our claim process super quick. Keep up the good work.

Radhika Rastogi

The cashless claim approval process was super quick and efficient. The team really communicated well. Good job!

Onboarding process was really smooth. Perfect coordination among the team. Highly recommend it.

Nalin Raj Singh

Loved the coordination and arrangement. Thanks, team Pazcare for making our insurance experience awesome.

Rating based on (3023 reviews)

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SBI Group Health Insurance group health insurance customer care number

For any queries or assistance, reach out to us at any time. We provide 24X7 customer assistance.

For any claim assistance, queries or support please reach out to SBI group health insurance customer care . If you have purchased your SBI group health insurance with Pazcare, please contact us for any claim assistance and queries regarding your group health insurance policy .  We provide 24X7 customer support.

Available 24X7

SBI Group Health Insurance group health insurance

SBI group health insurance FAQs

What is sbi health insurance customer care number.

1800 102 1111 is the SBI health insurance customer care number. Alternatively, you can email them at [email protected]  

What is the Claim Settlement Ratio of SBI group health Insurance?

The Claim Settlement Ratio of SBI group health insurance for the Financial Year 2019-20 is 78.00%.

How can I go about SBI group health insurance log-in?

SBI group health insurance log-in can be carried out by first finding out the TPA associated with your group health insurance policy. Your TPA will send you the login credentials at the start of the policy and policyholders can use the same to log in and download the e-card, and raise the group health insurance claim .

Where can I download the SBI group health insurance policy brochure?

The SBI group health insurance policy brochure can be downloaded from the downloads section under the category of business insurance.

Where can I access SBI group health insurance premium calculator?

The SBI group health insurance premium calculator is accessible from the SBI group health insurance page. The premium for the group health insurance policy is calculated majorly based on certain factors like the number of employees, the average age of the employees, the type of plan opted, the sum insured preferred, the addition of add-ons like maternity benefit, the job risk involved, and many other factors.

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IMAGES

  1. SBI General Group Health Insurance Policy

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  2. All You Need to Know About SBI Health Insurance

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  3. SBI Health Insurance Plans

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  2. grouphealth.sbigeneral.in

    Depending on the situation and your policy coverage, you can make two types of health insurance claims: Cashless: The essence of cashless hospitalization is that the insured need not make an upfront payment to the hospital at the time of admission. Reimbursement: A reimbursement claim is one where you pay all the expenses related to the hospitalization of the insured and claim a reimbursement ...

  3. PDF SBI General Group Health Insurance Brochure

    Who Can Buy This Policy? The Group Health Insurance Policy can be bought by any permanent Indian resident aged between 18 to 65 years and having an Account with SBI & its Associate Banks. What Are The Key Benets Of The Policy? SBI General Group Health Insurance Policy UIN : SBIHLGP11001V011011 No pre-policy medical test up to

  4. PDF Group Health Insurance Brochure web

    Issued under the Group Health Insurance Master Policy issued to SBI. SBI General's Group Health Insurance Policy (for Individuals & Family) Each person in your family is unique, with their own needs and their own concerns. We understand that while all of them would love to stay healthy, they each have di erent needs and di erent issues.

  5. SBI Health Insurance: Check Plans, Mediclaim Policies, Reviews

    The account holders had the freedom to opt for an individual and group health insurance policy. The age criterion to buy this policy is 18-65 years for adults and 3 months-18 years for children. Under SBI group health insurance, there is no need for pre-medical tests of people, who do not have a medical history.

  6. SBI Health Insurance Plans

    To avail of the benefits consistently, you need to renew your health insurance policy on time. In the below content, you will get some simple steps on how to renew your health insurance policy. Step 1. Visit the official website of SBI General Insurance, and look for the "renew policy" option. Step 2.

  7. SBI General Group Health Insurance : Check Benefits, Features and

    SBI Group Policy. SBI Group Health Insurance is a comprehensive plan, as it provides wider coverage to its customers as well as their family members. Group health insurance policy by SBI offers multiple sum insured options and many benefits for its customers. With SBI Group Health Insurance, policyholders can avail cashless emergency as well as ...

  8. SBI General Group Health Insurance Plan

    The major benefits of buying SBI Group Health Insurance policy are listed below: Entry age for health insurance cover is 18 to 65 years. Entry age for a child ranges from 3 months to 30 years. Sum assured limit from Rs.1 lakhs to Rs.5 lakhs. Pre and post hospitalization expenses 60 days after and 30 days before hospitalization.

  9. SBI Group Health Insurance Policy

    Keeping in mind the increasing health costs, SBI General Insurance Company has come up with an SBI Group Health Insurance policy that helps to pay for the medical expenses, thereby ensuring that you can afford the best quality of healthcare for yourself & your family. No pre-policy medical test is required to obtain the policy up to the age of 65 years.

  10. SBI General Group Health Insurance Policy

    Health check-up benefit is limited to 1% of the sum insured, subject to a maximum of Rs 2500 in a policy period. Ayurvedic treatment expenses are reimbursed up to 15% of sum insured in a policy period, subject to a maximum of Rs 20,000.

  11. SBI Group Health Insurance, SBI General's Health Insurance Policy for

    Benefits of SBI Group health insurance Policy. Coverage from 1 lac to 5 lac. No pre-policy medical test up to the age of 65 years for people with no medical history. Multiple Coverage Options - Individual & Family Floater options for Sum Insured. The premium paid is exempt under Section 80 D of the Income Tax Act from income tax.

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  13. PDF Health Insurance Policy Retail

    SBI General Health Insurance Policy - Retail, can protect you & make your medical treatment expenses more ... Bank of India (SBI) and Insurance Australia Group (IAG). SBI is the largest commercial bank of India and traces its roots back over 200 years. SBI and its 6 associate banks have over 15,000 ...

  14. SBI General Health Insurance Plans

    Value Added Benefits under SBI General Health Insurance Plans. Auto reinstatement up to 100% of basic Sum insured is applicable on exhaustion of the Sum insured during a policy period. Enhancement of Sum Insured for accidental hospitalization. With a Cumulative bonus, the Sum insured can be increased by 10% for a claim-free policy year, up to a ...

  15. SBI Group Health Insurance

    Zero sub-limits on room and ICU rent, doctor's fee, etc. Benefits. Cashless treatment offered at over 3000 network hospitals across India. Income Tax benefit offered under Section 80D under the Income Tax Act for premiums paid. Free health check-ups offered at the end of completion of 4 claim free years consecutively.

  16. SBI Group Health Insurance- Network hospital, claim & benefits

    SBI group health insurance plan from Pazcare is available with a wide sum insured range. The lowest starting price is from Rs. 1 lakh and goes up till Rs. 50 lakh. Tax benefits with tax exemption Sec 80 D. The premium paid for SBI group health insurance plan from Pazcare is eligible for tax benefits under Section 80D of the Income Tax Act, 1961.

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    (9) Period of Insurance shall be 1 year from the date of transaction. (10) Dependent children will be covered up to 18 years of age. (11) Pre-existing diseases would be covered after 4 policy years provided the policy has been renewed without a break. PROPOSAL FORM GROUP HEALTH INSURANCE POLICY PRIMARY INSURED'S DETAILS (*Mandatory Fields)

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  23. PDF GROUP HEALTH INSURANCE POLICY

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