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Care Arogya Sanjeevani Policy

Arogya Sanjeevani- a standard health insurance product that provides basic hospitalisation expenses to families and individuals along with Covid-19 treatment cover.

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Reasons to Choose Care Health Insurance?

  • Healthcare Networks
    24800+ CASHLESS HEALTHCARE PROVIDERS^^
  • Claim settled ratio
    48 Lakh+INSURANCE CLAIMS SETTLED**
  • Claim settled
    24*7CLAIM AND CUSTOMER SUPPORT

Get an Inexpensive Health Cover Providing Right Protection

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Get 5 Lac Health Cover @457/month~~

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What is Care Arogya Sanjeevani Policy?

Arogya Sanjeevani is a standard health insurance cover introduced by the IRDAI during the outbreak of COVID-19. With common features throughout the insurers, this indemnity-based policy was implemented with the goal of simplifying health insurance by providing common benefits and features to all health insurance and general insurance companies in India. The IRDAI's Arogya Sanjeevani Health Insurance Policy provides individuals and families health insurance coverage of up to Rs 5 lakh.

You can choose the individual or family floater option of the Arogya Sanjeevani Health Insurance policy at Care Health Insurance to keep your finances protected during medical emergencies. Arogya Sanjeevani policy coverage includes, in addition to hospitalisation, pre and post-hospitalisation medical expenses, ICU charges, room rent, and modern treatments. It will also cover the cost of hospitalisation for COVID-19 treatment. The policy, which is reasonably priced, will provide you and your family with adequate financial protection in the event of a medical emergency.

Plan Highlights of Care Arogya Sanjeevani Policy

  • Standard health insurance with a maximum sum insured of Rs 5 lakh.
  • There are both individual and family floater options available.
  • In-patient hospitalisation, including room and board and ICU fees.
  • Ambulance cover.
  • Medical expenses cover for 30 days prior to hospitalisation.
  • Medical expenses incurred following hospitalisation for up to 60 days.
  • Coverage for Contemporary Medical Procedures and Treatments.
  • COVID-19 cumulative bonus 5% increase in SI after each claim-free policy year.
  • Cataract treatment coverage.
  • AYUSH treatment coverage up to the insured amount.
  • Only 5% co-payment on each claim.

Cover Highlights

Cataract Treatment

Cataract Treatment

Diagnosis

Diagnosis & tests

Emergency-Ambulance

Emergency Ambulance

Hospitalization

hospitalization
(more or less than 24 hrs)

Post-Hospitalization

Post-hospitalization
Expenses

Benefits of Arogya Sanjeevani Individual Health Policy

See all Sum Insured Options east

KEY FEATURES 5L
Hospitalization Expenses Up to SI
AYUSH Treatment Up to SI
Cataract Treatment Up to 25% of SI or Rs.40,000/- per eye, whichever is lower
Pre-Hospitalization
info The procedures that you undergo before getting hospitalized finally lead you to a hospital, such as investigative tests and routine medication, can be quite financially draining. We cover the medical expenses incurred by you up to 30 days before your hospitalization.
30 days
Post-Hospitalization
info We cover the relevant medical expenses such as doctor consultations, Diagnostic tests, medications etc. incurred up to 60 days post your hospitalization.
60 days
Cumulative Bonus (CB)
info Max up to 50% of SI(If in case a claim has been paid; decrease in the accrued CB at same rate at which it has been accrued)
5% increase in SI per Policy Year in case of claim-free year*
Co-payment Mandatory Co-Pay of 5% on every claim
Ambulance Cover
info In an emergency, we reimburse expenses incurred by you for availing a domestic road ambulance during your hospitalization.
Rs.2,000/ Hospitalization
Brochure

Download the Brochure for Arogya Sanjeevani Complete Plan Details

Download Arogya Sanjeevani complete plan details

Read Through it!
Get Complete Policy Details in the Brochure With Our Expert Assistance!

Arogya Sanjeevani Health Plan Details

  • Entry Age-Minimum

    • Individual: 5 years

    • Floater: 3 months with at least 1 member of age 18 years or above

  • Life long Renewability of policy under the then prevailing Health Insurance Product or its nearest substitute approved by IRDA.

  • Co-payment: While buying or renewing a policy at the age of 61 years and above, customers will have the choice to include or exclude the co-payment feature that implies -

    • Continuing the policy with 20% co-payment

    • Continuing the policy without 20% co-payment by opting for a waiver benefit.

  • Premium to be paid on renewal and the subsequent continuation of cover are subject to change with prior approval from IRDA.

  • 30 days waiting period for a claim for all illnesses, except injury

  • Grace period of 30 days to renew your policy once it expires.

  • Named ailment wait period - Some of the diseases carry 24 months wait period, and few diseases have 48 months wait period (refer to policy T&C for detail)

  • Pre existing disease wait period 48 months.

Download Terms & Conditions
  • Expenses incurred as a result of self-inflicted injury (resulting from suicide, attempted suicide).

  • Expenses incurred as a result of or related to alcohol or drug use/misuse/abuse

  • Infertility tests and treatments, including in vitro fertilisation.

  • Hospitalisation caused by war, rioting, strikes, and nuclear weapons.

Please refer to policy tnc for detail exclusion

STEP1

Emergency

Intimate within 24 hours of your hospitalization

Planned Hospitalization

Intimate us 48 hours prior to your hospitalization

STEP2

Cashless

Request for pre-authorization

Reimbursement

Claim from submission

Complete the pre-authorization form available
at the hospitals insurance/TPA Desk and send us through fax.

Approval

Approval letter sent by the claim management team

Query

Hospital/Insured to response to the query raised by the claim management team

Rejected

You may initiate the treatment and file for reimbursement claim

Submission of claim form along with required
documents, as per the policy terms & conditions

Approval

Approval letter sent by the claim management team

Query

Insured to response to the query raised by the claim management team

Rejected

We will communicate the reason in case of rejection

24800+Health Care Providers Serving Cashless Medical Services Across The Globe

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Voice of our customers

M
Mummun December 01, 2023
Arogya Sanjeevani
5

Claim settlement

Good service received from Mr. Bhaskar show branch operation at care health insurance Shyambazar branch related to my claim. I received my claim within 16 working days .such a good experience with care health insurance.
AG
Alfred Gnanoulivu December 01, 2023
Arogya Sanjeevani
5

Review for good customer services

Excellent customer service. Claim procedure is very simple. Branch services are also good for resolving problems I faced.
NB
Nitesh Bali December 01, 2023
Arogya Sanjeevani
5

Helpful family floater plan

I recently bought a family floater plan from care health insurance and after 2 months of purchase my son got sick due to typhoid. Abhishek helped me with the claim process and got it approved during his discharge.
SC
Shyam Chatterjee December 01, 2023
Arogya Sanjeevani
5

Affordable plan

I wanted an affordable plan for my sister. This plan was the best suggested by Rohan. I bought it the moment I calclulated its benefits at such a low cost. Thank you.
Rahul Sangwan

My appreciation for your prompt service

Recently, I’ve purchased JOY Maternity insurance for my expecting wife and my experience was excellent with the claim settlement team who helped me deal with all the formalities smoothly. Thank you for making my decision the right one!

Rahul Sangwan

Health Insurance

Samanway Barik

We will continue to avail of your scheme

I ported my healthcare plan last year; it is the wisest decision I made by choosing Care Health Insurance. I recently got admitted due to a viral infection, and all my expenses got covered under my plan.

Samanway Barik

Health Insurance

Soubhagya K Kulkarni

Everything went very smooth

Thank you for helping me when I needed help the most, being in the hospital. Buying Care’s health insurance plan is my best decision so far.

Soubhagya K Kulkarni

Health Insurance

Vaibhav Rai

Really helpful explaining the process in advance

Thank you for helping me with your fastest claim settlement process. I didn’t have to wait much for the approval. Everything was quick and seamless.

Vaibhav Rai

Health Insurance

Zeroing in on a health insurance plan for your family is a tricky choice, given the number of insurers in the market who offer similar policies. It is not wise to simply choose the policy with the lowest amount of premium. You need to compare different policies, their features and benefits. Care Health Insurance (CHI) is a specialist Health Insurer and offers products keeping in mind the needs of a customer in the event of a medical exigency. CHI offers a distinct set of benefits giving a clear choice for providing you with the best possible health insurance.

Awarded As Claims

Best Health Insurance
Company of the Year*

Total Claims Paid

48 Lakh + Claims Settled**

Cashless Claim

24800+
CASHLESS HEALTHCARE PROVIDERS^^

**Number of claims settled as of 30th March 2024     *India Insurance Summit & Awards 2023

FAQs

Q. Is there an Age Limit to Avail Arogya Sanjeevani Plan?

Yes, the minimum entry age is 5 years for individuals, and the maximum entry age is 65 years. The minimum entry age for dependent children is 3 months in a floater policy, and the maximum entry age is 24 years.

Q. What are the Tax Benefits of Arogya Sanjeevani Individual Health Policy?

According to section 80D of the Income Tax Act 1961, the premium paid for Arogya Sanjeevani Individual Health Insurance is entitled to tax exemption.

Q. Is coronavirus treatment covered under the Arogya Sanjeevani health insurance policy?

The policy will cover the hospitalisation expenses related to coronavirus treatment.

Q. Is there a waiting period involved in the Arogya Sanjeevani policy?

It includes a waiting period of 48 months for pre-existing ailments and a waiting period of 24-48 months for specific diseases (as may be the case). The policyholder will be eligible to get cover for such conditions and diseases only after the waiting period is over.

Q. Can I increase my sum insured under Arogya Sanjeevani beyond the set brackets?

No. You do not have the option to increase the sum insured. The policy provides maximum coverage up to Rs 5 lakh.

Disclaimer: Information above is just for reference. Kindly read T & C of the policy thoroughly, Do refer IRDAI guidelines for tax exemption conditions.

~Tax benefit is subject to changes in tax laws. Standard T&C Apply

^^Number of Cashless Healthcare Providers as of 31st March 2024
**Number of Claims Settled as of 31st March 2024

~~Price mentioned is for an adult aged between 18-24 with a sum insured of 5 lac for a year.

Brochure

Download the Brochure for Arogya Sanjeevani Complete Plan Details

Download Arogya Sanjeevani complete plan details

Read Through it!
Get Complete Policy Details in the Brochure With Our Expert Assistance!

Secure Your Finances Now!

Get the best financial security with Care Health Insurance!

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