Arogya Sanjeevani Policy

Explore the benefits, coverage and more about the Arogya Sanjeevani Policy.
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3 min
29-May-2024

The Arogya Sanjeevani Policy is a standardised health insurance product introduced by the Insurance Regulatory and Development Authority of India (IRDAI) to simplify the health insurance market and ensure comprehensive coverage for policyholders. Launched with the intent to provide a basic and uniform health insurance policy across insurers, Arogya Sanjeevani aims to make health insurance accessible and easy to understand for the general public.

Arogya Sanjeevani Yojana: An overview

Given below is a brief overview of the scheme:

Scheme name

Arogya Sanjeevani Yojana

Initiating authority

Insurance Regulatory and Development Authority of India (IRDAI)

Age eligibility

Minimum entry age – 18 years

Maximum entry age – 65 years

Coverage

Up to Rs. 5 lakh


Benefits of Arogya Sanjeevani Policy

  • Simplified product:The standardised nature of the policy simplifies the decision-making process for consumers, reducing confusion amidst a plethora of insurance products with varying terms.
  • Regulatory oversight: Being an IRDAI-mandated product, the policy assures regulatory oversight, promoting trust and reliability among policyholders.
  • Comprehensive protection: It provides comprehensive health coverage, ensuring financial protection against significant medical expenses without the complexity of numerous exclusions and conditions.
  • Ease of comparison: Consumers can easily compare the Arogya Sanjeevani Policy across different insurers on price and customer service, without worrying about differences in policy coverage.

Also, check: List of government health schemes in India

Pro Tip

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Key features of Arogya Sanjeevani Policy

 

  • Standardised coverage: The policy offers a sum insured ranging from Rs. 1 lakh to Rs. 5 lakh, making it suitable for individuals and families. It covers hospitalisation expenses, including room rent, ICU charges, doctor's fees, and other associated costs
  • Uniform terms across insurers: The terms and conditions of the Arogya Sanjeevani policy are the same regardless of the insurance provider, ensuring transparency and consistency. It includes coverage for pre- and post-hospitalisation expenses for upto 30 and 60 days, respectively.
  • Coverage for daycare treatments and AYUSH: The policy covers day-care treatments that do not require 24-hour hospitalisation. AYUSH (Ayurveda, Yoga and Naturopathy, Unani, Siddha, and Homeopathy) treatments are also included, recognising the importance of traditional and alternative medicine.
  • Affordable premiums and co-payment: The premiums are designed to be affordable, with a mandatory co-payment of 5% on all claims. This co-payment structure helps in sharing the cost between the insurer and the policyholder, keeping premiums lower.
  • No room rent limit: Unlike many other health policies, Arogya Sanjeevani does not impose any cap on room rent or ICU charges, offering more flexibility during hospital stays. 
  • Modern treatments: Coverage extends to advanced and modern treatments like robotic surgeries and oral chemotherapy, reflecting the evolving medical landscape.
  • Renewability and grace period: The policy is renewable for a lifetime, with a grace period of upto 30 days for policy renewal to ensure continuous coverage.

Explore: Benefits of health insurance

Eligibility criteria for Arogya Sanjeevani Policy

Given below is the age eligibility for Arogya Sanjeevani Policy:

  • Individuals between the ages of 18 to 65 can purchase the policy.
  • Dependent children from the age of 3 months to 25 years can be covered.

Also, read: ABHA card registration

Key exclusions under the policy

The policy does not cover pre-existing diseases for the first 48 months of continuous coverage. Certain conditions like cosmetic surgery, infertility treatments, and external aids are excluded.

The Arogya Sanjeevani Policy represents a significant step towards simplifying health insurance in India. By offering a standardised product, IRDAI has aimed to make health insurance more accessible and understandable, ensuring that a larger segment of the population can benefit from comprehensive health coverage. This policy is particularly beneficial for first-time buyers, small families, and individuals looking for a straightforward health insurance solution without the hassle of navigating through complex terms and varied coverage options.

Frequently asked questions

Will every insurer provide the Arogya Sanjeevani Policy?

All general and standalone health insurers are required to provide the standard individual health insurance product, the Arogya Sanjeevani Policy. However, this requirement does not apply to insurers who do not currently offer any indemnity-based health insurance products.

What sum insured choices does this policy offer?

The available sum insured ranges from a minimum of Rs. 1 lakh to a maximum of Rs. 2 lakh. Policyholders can select any Sum Insured within these limits, in increments of fifty thousand.

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Disclaimer

*T&C Apply - Bajaj Finance Limited (‘BFL’) is a registered corporate agent of third party insurance products of Bajaj Allianz Life Insurance Company Limited, HDFC Life Insurance Company Limited, Future Generali Life Insurance Company Limited, Bajaj Allianz General Insurance Company Limited, SBI General Insurance Company Limited, ACKO General Insurance Limited, ICICI Lombard General Insurance Company Limited, HDFC ERGO General Insurance Company Limited, Tata AIG General Insurance Company Limited, The New India Assurance Company Limited, Cholamandalam MS General Insurance Company Limited, Niva Bupa Health Insurance Company Limited , Aditya Birla Health Insurance Company Limited, Manipal Cigna Health Insurance Company Limited and Care Health Insurance Company Limited under the IRDAI composite CA registration number CA0101. Please note that, BFL does not underwrite the risk or act as an insurer. Your purchase of an insurance product is purely on a voluntary basis after your exercise of an independent due diligence on the suitability, viability of any insurance product. Any decision to purchase insurance product is solely at your own risk and responsibility and BFL shall not be liable for any loss or damage that any person may suffer, whether directly or indirectly. Please refer insurer's website for Policy Wordings. For more details on risk factors, terms and conditions and exclusions please read the product sales brochure carefully before concluding a sale. Tax benefits applicable if any, will be as per the prevailing tax laws. Tax laws are subject to change. Tax laws are subject to change. BFL does NOT provide Tax/Investment advisory services. Please consult your advisors before proceeding to purchase an insurance product. Visitors are hereby informed that their information submitted on the website may also be shared with insurers. BFL is also a distributor of other third party products from Assistance Services providers such as CPP Assistance Services Pvt. Ltd., Bajaj Finserv Health Ltd. etc. All product information such as premium, benefits, exclusions, sum insured, value added services, etc. are authentic and solely based on the information received from the respective insurance company or the respective Assistance service provider company.

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