Useful Information

National

TPA Information

Arogya Sanjeevani Individual

Synopsis:

The policy covers anyone with a variable sum insured up to 5 lakhs.

Highlight:

  • Sum Insured range – INR 1L, 1.5L, 2L, 2.5L, 3L, 3.5L, 4L, 4.5L, 5L
  • Self, Spouse, Dependent legitimate or legally adopted children, Parents, Parent-in-laws, new born from 3 months age can be covered
  • 25% of the Sum Insured or INR 40,000 whichever is less per eye in one policy year to get treatment for cataract
  • Cashless Facility available at Network Hospitals Only through TPA.
  • Life Long Renewability.

Benefit:

Title
Description
Room Rent Limit
2% of the sum insured subject to maximum of Rs. 5000/-per day
ICU Daily Rent Limit
5% of the sum insured subject to maximum of Rs. 10000/- per day
Pre-Hospitalization Expenses
30 days
Post Hospitalization Expenses
60 days
Minimum Hospitalization Period
24 hours
Day Care Procedure Coverage
All day care procedures
Pre-Existing Disease / Illness coverage
After 48 (forty eight) months of continuous coverage
Waiting Period for New Policy
30 days
Co-Payment
5% co pay on all claims
Ambulance Expenses
Expenses incurred on road Ambulance subject to a maximum of Rs 2,000 per hospitalization.
Non-Allopathic Treatments
Covered
Nursing Allowance
2% of the sum insured subject to maximum of Rs. 5000/-per day
No Claim Bonus
Cumulative Bonus will be increased by 5%, maximum of 50%