SBI General Group Health Insurance Policy – Detailed Review

What is SBI General Group Health Insurance Policy?

SBI General Insurance Company is one of the leading insurance companies in India for Group Health Insurance Policy for employees. SBI General Group Health Insurance Policy provides coverage for hospitalisation expenses incurred by the employees during the policy period. The Policy also provides coverage for Pre and Post-Hospitalisation Expenses. 

A Group Health Insurance Policy insures a group of employees under a common Health Insurance Plan and provide coverage for hospitalisation expenses incurred because of illnesses and injuries. Group Health Insurance Policies are a popular choice for many companies as they provide coverage for a group of people at affordable premiums.

What are the Key Features of SBI Group Health Insurance Plan?

SBI Group Health Insurance Policy is comprehensive Group Health Insurance Policy providing the following coverages:

Coverage for Hospitalisation Expenses

One of the key features of the SBI General Group Health Insurance Policy is its coverage for hospitalization expenses. Hospitalisation Expenses includes expenses for Room Rent, Doctor’s Fees, Nursing Charges, Pharmacy Charges, Surgery Charges, and other medical expenses incurred.

SBI General Group Health Insurance Policy has a provision to provide a GMC Policy without any Room Rent Capping.

Coverage for Pre and Post-Hospitalisation Expenses

In addition to Hospitalisation Expenses, SBI General Group Health Insurance Policy Coverage includes cover for Pre and Post-Hospitalisation Expenses incurred for the Insured Employee for a period of 30 days and 60 Days respectively.

Coverage for Domiciliary Hospitalisation

SBI Group Health Insurance Policy provides coverage for expenses incurred towards Domiciliary Hospitalization exceeding 3 days up to 20% of the Sum Insured or a maximum of Rs.20,000 whichever is lesser.

Cashless Claims Settlement

SBI General Group Health Insurance Policy offers Cashless Hospitalization facilities across a network of more than 6,000 network hospitals across India. The insured person can avail of cashless hospitalization by showing their health card at the network hospital. As a result, the Insured Employee does not have to pay any money out of his own pocket and the claim is directly settled by SBI General Insurance Company with the Hospital.

You can view the list of SBI network hospitals at this Link – SBI General Group Health Insurance List of Network Hospitals

Coverage for Pre-Existing Diseases

SBI General Group Health Insurance Policy covers Pre-Existing Diseases without any waiting period. Pre-Existing Diseases are covered from Day 1, which is a big benefit of Group Health Insurance Policy.

Maternity Benefits

SBI General Group Health Insurance Policy provides coverage for maternity expenses including pre and postnatal care, delivery expenses and new-born baby cover. This is very helpful for female employees as well as spouses of male employees.

Coverage for Day Care Procedures

SBI General Group Health Insurance Policy covers a wide range of daycare procedures like cataract surgery and tonsillectomy that do not require hospitalization.

Tax Benefits

Employers can claim deduction for the Premiums Paid towards SBI General Group Health Insurance Policy for Employees. The Tax Benefits of a Group Health Insurance Policy make it an attractive option to provide employee benefits for employers.

What are the Major Exclusions in SBI General Group Health Insurance Policy?

The major exclusions in SBI General Group Health Insurance Policy are as follows:

• Treatments availed outside India are not covered under SBI General Group Health Insurance Policy
• Change of gender treatments or plastic surgeries are not covered by the Policy
• Expenses incurred for any treatment required due to injuries caused by participation in hazardous or adventure sports will not be covered by SBI General Group Health Insurance Policy
• Expenses incurred for admission mainly for investigation or diagnostic purposes are excluded under the SBI General Group Health Insurance Policy
• SBI General Group Health Insurance Policy does not cover expenses for treatment for Injuries caused in riots, strikes or wars

What is the Claim Process for SBI General Group Health Insurance Policy?

The claim process for SBI Group Health Insurance Policy is like the process for claiming a regular group health insurance claim.

SBI General Group Health Insurance Reimbursement Claims Process

1. Intimate the Claim to the SBI General Insurance Company
2. Submit following documents to the Insurance Company
   • Duly filled and Signed Claim Form Claim Form
   • Photo ID and Address Proof of the Insured Person
   • Hospital Bills and Pharmacy Bills
   • All Diagnostic Laboratory Reports
   • Discharge Card
3. On receipt of the relevant documents, the Group Health Insurer will examine the details and then approve or reject the claim.

SBI General Group Health Insurance Cashless Claims Process

In case of cashless Claims Settlement, SBI General Insurance Company issues a Health E-Card to all the Insured Employees. The employee just needs to show the E-Card at any of the Network Hospitals of SBI General Insurance Company and he will be able to avail cashless claim settlement.

Thus, the employee won’t have to bear any of hospitalisation expenses as the Group Health Insurance Company will directly settle the claim with the hospital.

What is the Eligibility Criteria for SBI Group Health Insurance Policy?

Usually, Employers purchase SBI Group Health Insurance Policy for Employees. However, other non-employee groups like customers of a bank, members of a club or a professional association can also purchase the Group Mediclaim Policy

How to purchase a SBI Group Health Insurance Policy for Employees?

 Qian is a licensed Group Health Insurance Broker and can assist you to purchase a Comprehensive Group Medical Insurance Policy for Employees. Employers need to follow the below mentioned steps to purchase a SBI Group Health Insurance Policy for employees:

Contact Qian: If you wish to purchase a SBI Group Health Insurance Policy for Employees, contact the Group Health Insurance Team at Qian by mailing them at insurance@qian.co.in. Provide them with the employee data such as employee name, age and gender.

Finalise Coverage and Quote: The second step is to finalise Group Health Insurance Coverage based on the budget and requirements. The team at Qian will provide you with quotes from top Group Health Insurance Companies in India so that you can finalise the Policy.

Onboard Employees: After purchasing SBI Group Health Insurance Policy, the team at Qian will assist you with the onboarding process for employees, share E-Cards and also assist you with the entire Claims Process in Group Health Insurance Policy.

What are the Benefits of SBI General Group Health Insurance Policy

1. Affordable: SBI Group Health Insurance Policy is affordable and the premiums are lesser than Individual Health Insurance Policies.
2. Comprehensive Coverage: SBI General Group Health Insurance Policy provides comprehensive coverage for hospitalization expenses, including pre and post-hospitalization expenses, ambulance charges, and maternity benefits.
3. Cashless Hospitalization: The policy offers cashless hospitalisation facilities across a network of more than 6,000 hospitals across India. This means that the Insured Employee can avail cashless treatment across all major hospitals in India and does not have to worry about arranging cash for hospitalization expenses.

Is Medical Check-up Required Before Buying SBI General Group Health Insurance Policy?

SBI General Group Health Insurance Policy does not require pre-medical check-up for any of the Insured Employees. This is a big advantage of SBI Group Health Insurance Policy.

Buy SBI General Group Health Insurance Policy With Qian!

Today, purchasing a Health Insurance Policy is not an option but a necessity. SBI Group health Insurance Policy offers comprehensive coverage at very reasonable premiums.

At Qian, we can customize the features of Group Health Insurance Policy as per the needs and the budgets of the employer and also assist in providing a hassle-free claim settlement process.

If you wish to purchase a Group Mediclaim Policy for employees, you can email us at insurance@qian.co.in or call us on 022-22044989. We would be glad to assist you.

1. Group Health Insurance Policy for Employees
2. What is Group Health insurance?
3. What is an Employee Group Health Insurance Policy?
4. What does a Group Health Insurance Policy cover?
5. What is not covered under a Group Health Insurance Policy?
6. How is a Group Health Insurance Policy different than an Individual Health Insurance Plan?
7. What are the Key Features of a Group Health Insurance Policy?
8. What are the add-on covers available under a Group Health Insurance Policy?
9. What is the impact of Room Rent Limit on the claim amount payable under the Group Health Insurance Policy?
10. Should employers opt for a Pre-Existing Disease Coverage from Day 1 in Group Medical Insurance Policy for employees?
11. Does a Group Medical Insurance Policy provide Maternity Benefits?
12. What are Waiting Periods under a Group Health Insurance Policy?
13. What are the benefits of Group Health Insurance Policy for Employers?
14. What are the benefits of Group Health Insurance Policy for Employees?
15. Why should you purchase an Employee Group Health Insurance Policy for your organisation?
16. How many employees do you need to purchase a Group Health Insurance Policy?
17. Who is eligible for Group Health Insurance for Employees?
18. Are Employer Group Health Insurance premiums Tax-Deductible?
19. How much does a Group Health Insurance Policy Cost?
20. Which are the leading Group Health Insurance Companies in India?
21. How to purchase a Group Health Insurance Policy?
22. What are the Documents required to make a claim under a Corporate Health Insurance Policy?
23. Why should I Purchase a Group Health Insurance Policy through an Insurance Broker?
24. Compare Plans from 20+ Group Health Insurance Companies and choose the Best Group Health Insurance Policy in India with Qian!
25. FAQS
26. Testimonials