Why Arogya Sanjeevani Health Insurance Could Be An Ideal Choice For You

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 Looking For An Affordable Health Insurance Policy? Here Is Why Arogya Sanjeevani Could Be An Ideal Choice For You

The Arogya Sanjeevani Policy must be offered by all insurance companies, according to a directive from the Insurance Regulatory and Development Authority of India (IRDAI). This common health insurance plan covers basic hospitalization-related expenses up to Rs. 5 lakhs for both individuals and families. The regulator has prohibited all insurers from adding any deductibles or offering any riders or variants to this insurance product in order to make it easier to understand.


So, shall you buy the Arogya Sanjeevani policy? What are its advantages? We shall outline the fundamentals of this policy in this article to assist anyone looking for insurance in deciding whether or not to purchase it.


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Arogya Sanjeevani Health Insurance

Types of Arogya Sanjeevani Plan

In the event of a medical emergency, Arogya Sanjeevani Health Insurance is intended to safeguard policyholders and their families from mounting financial pressure. As part of the Arogya Sanjeevani Insurance Policy, there are two fundamental types of plans:


  1. Individual Plan: Under this plan, there can only be one additional policyholder added as a beneficiary.

  2. The Arogya Sanjeevani Policy's advantages are available to all family members under the Family Floater Plan. So, the policyholder can include dependents like their spouse, kids, parents, and parents-in-law under a single policy.


Eligibility for Arogya Sanjeevani plan

To be eligible for the Arogya Sanjeevani policy, a person must be between the ages of 18 and 65. This plan can be purchased for dependent children who are 3 months old to 25 years old, depending on the family size.


Independent children over the age of 18 are not protected under a family policy. To obtain coverage, they must purchase an individual plan. Parents and in-laws are both covered by a Family Floater under the Arogya Sanjeevani Health insurance. With the exception of those over 65, this coverage is renewable for life. After turning 65, they may decide to renew their current policies.


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Benefits of Arogya Sanjeevani plan

This policy has several benefits, some of which are:


  1. Affordable premiums: Arogya Sanjeevani plan is an affordable health insurance policy with a standard coverage limit ranging from Rs. 1 lakh to Rs. 5 lakhs. The policy is designed to cater to the basic healthcare needs of individuals and families.

  2. Wide coverage: The policy covers several medical expenses, including hospitalization charges, pre-hospitalization, post-hospitalization, daycare treatments, and AYUSH treatments. The policy also covers the cost of medical checkups, ambulance charges, and organ donor expenses.

  3. No room rent limit: Arogya Sanjeevani plan does not have any room rent limit, which means that you can choose a hospital room based on your preference and budget.

  4. Family floater option: Arogya Sanjeevani plan provides a family floater option, which covers the entire family under a single policy. This option can be beneficial for families with multiple members who want to be covered under a single policy.

  5. Lifetime renewal: The policy comes with a lifetime renewal option, which means that you can renew the policy as many times as you want without any age limit.

  6. Tax benefits: Arogya Sanjeevani plan provides tax benefits under Section 80D of the Income Tax Act. You can claim a tax deduction of up to Rs. 25,000 on the premium paid for yourself and an additional deduction of up to Rs. 25,000 for the premium paid for your parents.


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Who should get Arogya Sanjeevani plan?

Arogya Sanjeevani plan is designed to cater to the basic healthcare needs of individuals and families. Here are some scenarios where Arogya Sanjeevani plan can be beneficial:


  1. Individuals who do not have health insurance: If you do not have health insurance, Arogya Sanjeevani plan can provide you with a basic level of coverage at an affordable premium.

  2. Young adults: Young adults who are just starting their careers and are not eligible for their employer's health insurance plan can consider Arogya Sanjeevani plan as it is an affordable option.

  3. Families: People who want health insurance for parents or their family covered under a single policy can opt for the family floater option of Arogya Sanjeevani plan.

  4. Individuals with a limited budget: Arogya Sanjeevani plan is an affordable health insurance policy, which can be beneficial for individuals who have a limited budget.

  5. Individuals who want a basic level of coverage: Arogya Sanjeevani plan provides basic coverage for hospitalization expenses, pre-hospitalization, post-hospitalization, daycare treatments, and AYUSH treatments. If you are looking for a basic level of coverage, Arogya Sanjeevani plan can be a good option.


Claim process

  1. Cashless claim: You can submit a claim at the hospital insurance claim desk without paying any cash if the hospital is on the Arogya Sanjeevani Health Insurance network hospitals list. Within 24 hours of being hospitalised, submit all the necessary paperwork. Send your insurer a notification three days before your scheduled hospital stay with the name and address of the hospital as well as the necessary treatments. Within 15 days, submit all necessary documentation for post-hospitalization insurance claims.

  2. Reimbursement: In the event of an emergency hospitalisation, notify your insurer through email or fax within 72 hours after the hospitalisation. Notify the insurance 72 hours in advance if a planned hospital stay is anticipated. Obtain claims from A and B from the hospital, including all pertinent information, including investigation reports and discharge summaries, and submit them to the TPA office within 15 days. You may deduct both pre- and post-treatment costs individually. Original documentation must be submitted for post-hospitalization claims within 15 days after the end of care.


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To sum up, the Arogya Sanjeevani Health Insurance Policy is a low-cost premium health insurance that covers a wide range of medical costs, including COVID-19, some procedures, and post-hospitalization costs. It is also simple to make an insurance claim or to cancel and receive a refund. Before requesting a health insurance policy from Arogya Sanjeevani, check your eligibility and other information.

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