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SBI Critical Illness Health Insurance

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SBI Health Insurance
Critical Illness Insurance Policy
Claim SettlementDedicated Team
Claim Settlement Ratio66.08%
COVID-19 CoverYes
Network Hospitals6,000+
Policies Sold7,56,443
RenewabilityLifelong

About SBI Critical Illness Health Insurance

Critical Illness Insurance policies cover expenses incurred during hospitalisation due to critical illnesses. Treating life-threatening diseases no doubt requires several visits to the hospitals for a long period and costs high medical expenses. Other than hospitalisation costs, there are many other expenses you need to bear like doctor visits, medical costs, ambulance charges, etc. Keeping all these in mind, SBI General offers Critical Illness Insurance Policy. This is one of a kind of policy, which provides coverage for 13 most crucial critical illnesses.

These 13 life-threatening diseases include kidney failure, cancer, hypertension, major organ transplant, multiple sclerosis, coronary artery bypass graft, heart valve surgery, aorta graft surgery, stroke, coma, total blindness, first heart attack, and paralysis. Once diagnosed with any of these diseases, the SBI Critical Illness Insurance Policy provides a fixed lump sum amount, irrespective of your actual medical expenses. This amount can be used to pay off the highly expensive medical treatment costs of any of these critical illnesses. Thus, this medical insurance policy lets you stay financially stable even during odd hours. The good news is that this lump sum payout is paid in addition to any health insurance or mediclaim policy that you already own.

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Key Inclusions and Exclusions of the Plan

What's Included

  • Coverage for 13 major critical illnesses under the policy
  • Hospitalisation due to cancer, kidney failure, multiple sclerosis, major organ transplant
  • Treatment for stroke, coma, total blindness, heart valve surgery
  • Health conditions due to first heart attack, paralysis, heart valve surgery
  • A lump sum amount to be paid after the diagnosis of listed critical illnesses

What's Not Included

  • Suicide or attempted suicide, intentionally self-inflicted Injury or Illness
  • Mental or nervous disorder, sexually transmitted conditions, AIDS/HIV
  • A waiting period of 90 days from the date the critical illness policy is issued
  • Disease due to alcohol, drugs, or other intoxicants or hallucinogens
  • Health conditions or complications due to pre-existing diseases

17100 SBI Cashless Network Hospitals in India

Critical Illness Insurance Policy User Reviews

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What users are saying
  • All
  • Easy Renew Policy

    Last year we bought SBI-Critical Illness Insurance Policy from InsuranceDekho. As I bought the plan for the first time and didn't know much about the renewal and claiming process I reached out to the support team of InsuranceDekho. I had a great time talking with their executive. He guided me through the renewal process easily. 

    V
    By Veena Seth
    On: Jul 20, 2023
  • Outstanding Features

    The SBI- Critical Illness Insurance Policy is awesome! I bought this health insurance plan from InsuranceDekho. The company’s services were marvelous. Everything was done online. I compared my plans through their website, completed all the documentation, and even paid my first premium online. My overall journey was made smooth and hassle-free. Thanks to the entire team. 

    P
    By Pranjali Goswami
    On: Jun 20, 2023
  • Major coverage at low premium

    I was very much worried about my financial stability against critical illness expenses. My thanks to insurancedekho team for such a good recommendation. Now that I am covered for 13 life-threatening illnesses and that too at low premium, I am very much relieved. Thanks again!

    R
    By Rizu Gupta
    On: Feb 27, 2020
  • Nice critical illness cover

    Bearing the cost of critical illness expenses is not that easy for everyone. I am happy that I found this cover to support me. This plan is really good as it covers 13 major critical illnesses, including kidney failure, cancer, and others. Also, it gives a lump sum amount on diagnosis.

    T
    By Tulika Saxena
    On: Feb 24, 2020
  • Thankful for this good plan

    People in my family have suffered from critical illness and not been able to bear the expenses. I have purchased this policy so that in case it happens to me, i am financially strong. I recommend this plan because at low premium amount, it has given me a good coverage. 

    C
    By Chetan Chauhan
    On: Feb 18, 2020

SBI Critical Illness Insurance Policy Expert Review

  • Expert Review

    Maintaining financial stability becomes a trouble for a lot of people when they get diagnosed with a critical illness. SBI General Insurance’s Critical Illness Insurance Policy is a great support for individuals like such who don’t want their sudden illness to have a huge impact on their financial and mental condition. In short, critical illness insurance policy is an utmost financial protection one can ask for, especially to tackle a critical situation.

    The offered Critical Illness Insurance Policy can be availed by anyone aged between 18 years to 65 years. Available for period of 1 year or 3 years, this critical illness policy can be purchased on an individual sum insured basis only. Moreover, the sum insured range for SBI General Insurance’s Critical Illness Insurance Policy starts from Rs. 2 Lakh and goes up to Rs. 50 Lakh, which gives the insured with various options to choose from. Lastly, note that only one critical illness claim is allowed by the insurer during the lifetime of the insured individual.

  • Major Attractions

    Critical Illness Insurance Policy by SBI General Insurance provides an extensive cover against sudden illnesses that deprive you of your physical and mental health. The policy provides insurance benefit, only if the insured is alive or survives for more than or equal to 28 days from the date of diagnosis of any of the critical illnesses defined under the policy. A few prime elements of the Critical Illness Insurance Policy includes

    • Supreme coverage
    • Affordable premium amount
    • Coverage for 13 major critical illnesses
    • First diagnosis of specific illnesses
    • Undergoing for the first time of particular surgical procedures
    • Occurrence for the first time of certain medical events 
    • Illnesses covered include Cancer of Specified Severity, Kidney Failure Requiring Regular Dialysis, and two others
    • Surgical procedures covered include Open Chest CABG, Aorta Graft Surgery, and two others
    • Medical events covered include Coma of Specified Severity, Total Blindness, and three others
  • What’s More?

    Critical Illness Insurance Policy is definitely a supreme choice you should opt for to save yourself from the pressure of handling unexpected medical expenses and keep the critical situation under your control. Apart from the prime features that the policy has to offer, also present are a few key aspects that make Critical Illness Insurance complete. The list comprises of - 

    • Lifelong renewability feature 
    • Simple and hassle-free claim process
    • Grace period of 30 days for policy renewal
    • Free look period of 15 days
    • Tax benefits under Section 80D of the Income Tax Act, 1961
  • Conclusion

    Be it from the policy coverage or premium to be paid viewpoint, Critical Illness Insurance Policy proves to be the perfect help for those looking for financial support when diagnosed with a critical illness.

    If interested in purchasing this critical illness cover, it is advisable to choose the online mode instead of the offline option to allow quick issuance of the policy. You can select InsuranceDekho as the purchase platform to gain not only the benefit of making the process quick but also be part of other benefits such as policy transparency, policy portability, claim settlement support, and others.

SBI Critical Illness Insurance Policy Brochure

  • 2.42 MB
  • PDF Document
  • Jul 26, 2019

Claim Process at SBI Health Insurance

  • Network Hospital
  • Non-Network Hospital
  • 1

    Claim Assistance

    For any assistance or query, call InsuranceDekho at the toll-free number 755 1196 989.
  • 2

    Claim Intimation

    Emergency hospitalisation needs intimation as soon as it occurs and for planned hospitalisation intimate as soon as it occurs prior to admission.
  • 3

    Claim Processing

    Fill in the pre-authorisation form and hand it over to hospital's insurance/TPA desk to initiate claim request.
  • 4

    Claim Settlement

    Once your request is approved, claim is settled. If not approved, claim for reimbursement after discharge.
  • 1

    Claim Assistance

    For any assistance or query, call InsuranceDekho at the toll-free number 755 1196 989.
  • 2

    Claim Intimation

    Emergency hospitalisation needs intimation as soon as it occurs and for planned hospitalisation intimate as soon as it occurs prior to admission.
  • 3

    Claim Processing

    Submit claim form with original documents such as doctor’s reports, hospital bills, diagnostic tests, etc.
  • 4

    Claim Settlement

    Once your request for reimbursement of expenses is approved, the claim will be settled.

FAQs on Critical Illness Insurance Policy Health Insurance Plan

  • If I file a claim once, can I renew the Critical Illness Insurance Policy?

    No, you can’t renew the policy. This is because SBI General allows only one critical illness claim during the lifetime of the insured person. The Critical Illness Insurance Policy gets terminated soon after the payment of the first critical illness is made. Renewal of the policy is not allowed. 

  • What are the tax benefits one can enjoy after buying the critical illness policy of SBI General?

    After purchasing the SBI General Critical Illness Policy, deduction under 80D of income tax is available from the taxable income for the premium you pay towards the policy. Below are the details about the tax benefits:

    • A maximum of Rs. 25,000 amount can be saved for self, spouse and dependent children
    • A maximum of Rs. 25,000 can be saved in case of parents
    • If parents are senior citizens, a maximum of Rs. 30,000 can be saved
  • Is the portability option available?

    Yes, the portability feature is available. You can port any other policy into your SBI Critical Illness Insurance Policy. But, portability is applicable only within similar products. You’re able to port your existing critical illness policy into your SBI Critical Illness Insurance Policy. 

  • If I have a heart-related issue from birth, will this issue be covered under the Critical Illness Insurance Policy of SBI General?

    Any congenital conditions or illness is not covered in this policy. So, if you have an existing heart-related ailment or other related conditions, it will not be covered under the Critical Illness Insurance Policy of SBI General. 

  • Are there any Sum Insured restrictions in the Critical Illness Insurance Policy of SBI General?

    There are some restrictions when it comes to the sum insured in the Critical Illness Insurance Policy.

    • If the insured person is the earning member of the family, the sum insured would be a maximum of Rs. 50,00,000 or there would be a restriction to 60 months gross income for the Insured. In such a case, the insurer may insist you on showing proof of income if required.
    • If the insured person is the non-earning member of the family, then the sum insured would be restricted to 50% of the Sum Insured based on Proposer Income. The maximum amount would be Rs. 10 Lakh.
    • On the other hand, if the insured person is aged 60 years or above, and is taking the policy for the first time, then the maximum sum insured would be restricted to Rs. 15,00,000. 
  • What is the minimum and maximum coverage under the SBI Critical Illness Policy?

    The minimum and maximum coverage the SBI Critical Illness Policy depends on the sum insured:

    • The minimum sum insured under the policy is Rs. 2,00,000
    • The maximum sum insured under the policy is Rs. 50,00,000

    For details, refer to the policy wording or give a call to InsuranceDekho at 1800-1205-698. 

  • What are the plan tenure options under the Critical Illness Insurance Policy of SBI General?

    You can buy the SBI Critical Illness Insurance Policy in two options:

    • 1-year plan option
    • 3-year plan option
  • What are the critical illnesses covered under the SBI General’s Critical Illness Insurance Policy?

    The SBI General’s Critical Illness Insurance Policy provides coverage for as many as 13 diseases, including Kidney Failure (End Stage Renal Failure), Cancer, Primary Pulmonary Arterial Hypertension, Major Organ Transplant, Multiple Sclerosis, Coronary Artery Bypass Graft (with surgery to divide the breastbone), Heart Valve Surgery, Aorta Graft Surgery, Stroke, Coma, Myocardial Infarction (First Heart Attack), Total Blindness and Paralysis.  

    It is important to note that only one critical illness claim can be allowed during the lifetime of the insured person. 

  • What are the key benefits of the SBI General’s Critical Illness Insurance Policy?

    SBI General’s Critical Illness Insurance Policy lets you be in control by financially safeguarding you. Here is a list of key benefits of the plan:

    • Maximum age of entry is 65 years
    • There are two plan options. They are 1-year and 3-year plan.
    • The policy covers 13 most critical Illnesses
    • The Sum Insured available under this policy is up to Rs. 50,00,000
    • SBI General allows free look period of 15 days
    • The premium that you pay against the policy is exempt from Income Tax under Sec 80D of the Income Tax Act
  • Can I buy SBI General’s Critical Illness Insurance Policy online?

    Yes, you can buy the SBI General’s Critical Illness Insurance Policy online. For this, you need to visit the official website of SBI General and buy the policy. Besides, you can also file a claim online. For details, feel free to contact InsuranceDekho at 1800-1205-698. 

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