SBI Critical Illness Insurance Policy

SBI Critical Illness Insurance Plan

SBI Critical Illness Insurance Plan, covers 13 Critical Illnesses and offers fixed amount regardless of actual medical expenses. The plan helps insured to bear the high cost of treatment associated with critical illness & stay financially stable.

 

How does the plan work?

The policy offers cover against 13 Critical Illnesses. The Insurance benefit is payable, only if the Insured is alive / survives for a period of more than or equal to 28 days from the date of the first diagnosis of any of the Critical illnesses. The 13 Critical Illnesses are as follows:
Cancer 

1. Kidney Failure (End Stage Renal Failure)
2. Primary Pulmonary Arterial Hypertension
3. Multiple Sclerosis
4. Major Organ Transplant
5. Coronary artery by-pass grafts (with surgery to divide the breastbone)
6. Aorta Graft Surgery
7. Heart Valve Surgery
8. Stroke
9. Myocardial Infarction (First Heart Attack)
10. Coma
11. Total Blindness 
12. Paralysis

Only one Critical Illness claim can be allowed during the lifetime of the Insured. The maximum benefit amount under Critical Illness cover to any insured is Rs. 5,000,000 including all policies that are issued by the Insurer. 

 

Key Features of SBI Critical Illness Insurance Plan

• Coverage against 13 most critical Illnesses
• Maximum Entry Age up to 65 years
• Two Plan Options – 1 year and 3 years
• Sum Insured up to Rs 50 Lakhs
• Tax Exemption under Section 80D

 

Eligibility Criteria and other conditions in SBI Critical Illness Insurance Plan

Particulars	Minimum	Maximum
Entry Age (in years)	18	68
Sum Coverage (in Rs.)	2,00,000	5,00,000

Key points:-

• An income proof may be required as per the sum insured
• In case of non-earning Insured sum insured would be up to 50% of Sum Insured based on Proposer Income maximum up to 10 lacs. 
• Based on Medical history, Sum Insured & age, the proposer may have to undergo a Medical Examination.
• Pre-acceptance medical tests will be at the cost of the proposer. However, if the proposal is accepted the Insurer will reimburse 50% of the cost incurred towards the medical tests.
• The maximum insurance that can be granted to any individual is INR 5,000,000 including all policies and applications irrespective of whether they are with SBI General or other insurers in the Indian market.
• The Maximum Sum Insured would be up to Rs.15, 00,000/- for insured persons aged 60 and above.

 

Additional Features of SBI Critical Illness Insurance Plan

• Free look period – If the policy holder is not convinced with the terms and conditions of the policy, s/he can cancel the same within 15 days of the receipt of policy document.
• Long time Renewability – The policy can be renewed for a life time.

 

Exclusions - What is not covered in SBI Critical Illness Insurance Plan?

• Pre-existing illnesses
• Death during the survival period
• Expenses during the waiting period
• Congenital Illness/Conditions
• Suicide or intentionally self-inflicted Injury or Illness
• Expenses arising from HIV or AIDS and related diseases
• Abuse of intoxicant or hallucinogenic substances like intoxicating drugs and alcohol