Often it becomes difficult to choose a health insurance plan from the vast number of choices available in the market. In addition, questions like which riders to add and how much coverage to opt for always keep bothering someone who is looking for health insurance. IRDAI introduced Arogya Sanjeevani Policy with a mission to simplify health insurance for all. It is a standardized product that is designed to solve the problem of too many choices available.
If a policyholder is hospitalised for treatment or due to an injury as per the advice of a qualified medical practitioner, the Digit Arogya Sanjeevani Policy indemnifies necessary medical expenses as covered under the policy, subject to the inclusions, exclusions and definitions specified in the policy wording.
Arogya Sanjeevani Policy is a standard policy sold by all insurance companies, but here is why you should buy Arogya Sanjeevani Policy by Digit.
Before buying the policy, consider some of the key features of the Digit Arogya Sanjeevani Policy.
Sum Insured - The sum insured offered under this policy is from Rs. 50,000 to Rs. 3 crores.
Policy Term - The policy is available annually with a lifetime renewal facility. This allows you to have Digit health insurance for as long as you live.
Coverage for all family members - The policy offers to cover the entire family, including spouse, children, parents and parents-in-law. A financially independent child above 18 years is not eligible for coverage.
Entry Age - An adult from 18 to 65 years can avail of this policy, and children from 3 months to 25 yrs (if dependent) are covered under the policy.
Premium Payment Options - You can choose to pay premiums in half-yearly, quarterly and monthly instalments.
Cumulative Bonus - A cumulative bonus of 5% is increased for a claim-free policy year, subject to a maximum of 50% sum insured, provided you have a claim-free year preceding the renewal.
Waiting Period - The waiting period is the period a policyholder has to wait before making a claim under the policy. In this policy, the waiting period for any illness from the receipt of the policy is the first 30 days. First 24/48 months for any listed ailments and procedures, and first 48 months for any listed procedure or declared a pre-existing disease.
Portability - The policy can be ported to other insurers as per IRDAI guidelines.
Co-payment - A co-payment of 5% is deductible for each and every claim under the policy.
The covers included under the policy are
Expenses that are not covered under the policy are
The claim procedure for any of the health insurance policies by Digit is quite simple.
Show your e-health card at the network hospitals helpdesk and get a cashless request form. Fill out the form, and submit it with your health card, policyholder, insured person’s KYC documents, and doctor’s advice for hospitalisation. The rest of the documentation will be handled by the hospital on your behalf. After verification, if your claim is approved, your claim will be settled instantly and paid directly to the hospital.
You must inform the company in case of hospitalisation within 48 hours of admission. The company provides a link to upload the hospital bills and all required documents to process the reimbursement claim.
Here is a list of documents needed to file a reimbursement claim request:
A claim form, duly filled and signed.
Photo Id of the patient.
Consulting doctor’s prescription advising hospitalization.
Original medical bills and payment receipts
Discharge summary issued by the treating doctor
Diagnostic test reports from the treating medical practitioner
KYC details of the proposer
NEFT details and cancelled cheque
Any other relevant document required by the insurer
Arogya Sanjeevani Policy was launched to make health insurance more accessible. The policy offers maximum benefit at the most affordable premiums; thus, it is the ideal choice for first-time buyers or people who just want basic health coverage.
Ans: Yes, a co-payment of 5% is applicable on each and every claim.
Ans: The policy offers a maximum sum insured up to Rs. 3 crores.
Ans: A grace period of 30 days is allowed for yearly instalments and 15 days for other instalments.
Ans: No. The policy comes with standard benefits. There are no add-ons available.
