Arogya Sanjeevani Plan
  • High sum insured
  • 540+ procedures covered
  • Organ donation cover
Arogya Sanjeevani Plan
Network hospitals

Network hospitals

24800+

Claim settlement ratio

Claim settlement ratio

100%

Sum insured

Sum insured

Up to 1 Cr

No. of Plans

No. of Plans

1

Solvency Ratio

Solvency Ratio

1.8

Pan India Presence

Pan India Presence

158+

Customized Health Insurance Plan for you.

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Simran Kaur Vij
Written By:
Simran

Simran Kaur Vij

Health and Term Insurance

Simran is an insurance expert with more than 4 years of experience in the industry. An expert with previous experience in BFSI, Ed-tech, and insurance, she proactively helps her readers stay on par with all the latest Insurance industry developments.

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Reviewed By:
Anchita Bhattacharyya

Anchita Bhattacharyya

Health, Term & Life Insurance

Anchita has over 6 years of experience in content marketing, insurance, and healthcare sectors. Her motto to make health and term insurance simple for our readers has proven to make insurance lingos simple and easy to understand by our readers.

Arogya Sanjeevani Plan

Arogya Sanjeevani was first introduced by IRDAI (Insurance Regulatory and Development Authority of India) in the year 2020 to provide a standard and affordable healthcare plan to the citizens of India.

Care Arogya Sanjeevani Policy is an affordable healthcare plan providing you and your families with the right healthcare needs. Under this policy, you are covered for expenses incurred for AYUSH treatment, pre and post-hospitalization expenses, ambulance cover, modern treatments, and lifelong renewability as subject to the policy schedule. A sum insured of INR 5 lakh is promised to all policyholders availing of this health plan. In case of a planned or unplanned hospitalization, 22,900+ care network hospitals across India are available for effective medical care for you and your family members. If you are thinking about Care Arogya Sanjeevani being the right health plan for you and your family, worry not as we can help you in making that decision.

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Arogya Sanjeevani Plan Specifications

To understand Arogya Sanjeevani Plan Insurance in detail, take a look at the below table:

Entry Age

Min- 3 month, Max- 65 years

Policy Type

Individual and Family Health Insurance

Sum Insured

1 L | 2 L | 3 L | 4 L | 5 L | 6 L | 7 L | 8 L | 9 L | 10 L

Initial Waiting Period*

30 Days

Renewability

Lifelong

Policy Term

1 year

*Initial Waiting Period is the time period between the issuance of the policy and the time it starts actively. During this period, a policyholder has to wait to avail of the benefits offered under a health insurance plan.

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Choose Your Arogya Sanjeevani Plan

With wide coverage options available, Arogya Sanjeevani Plan Insurance Plan allows you to choose your ideal coverage as per your family’s health requirements. Take a look at the coverage under every SI option available and choose your ideal coverage:

In-patient & Out-patient coverage

Room Rent

Covered

ICU Charges

Covered

Pre-Hospitalization

Covered

Post-Hospitalization

Covered

Domiciliary Hospitalization

Not Covered

Daycare Treatment

Covered

OPD Charges

Not Covered

Coverage Terms

COVID-19 Treatment

Covered

Cataract

Covered

No Claim Bonus

Covered

Automatic Restoration

Not Covered

Daily Hospital Cash

Not Covered

Organ Donor

Not Covered

Maternity Cover

Not Covered

New Born Baby Cover

Not Covered

Alternative Treatments

AYUSH Treatment

Covered

IVF Treatment

Not Covered

Modern Treatment

Covered

What is Room Rent?

The room rent limit is the maximum bed charge you can claim if you are hospitalised. Common Room categories covered under room rent are all kinds of rooms including single, private and AC rooms (except suite).

What are ICU Charges?

It is a special hospital department where patients with serious medical conditions are treated.

What is Pre Hospitalization?

Medical expenses incurred before hospitalisation of the policyholder.

What is Post Hospitalization?

Medical expenses incurred after the discharge of the policyholder from the hospital.

What is Domiciliary Hospitalization?

Domiciliary hospitalization or home care treatments are the arrangements for an insured individual due to the unavailability of medical amenities in hospitals, or in a case where an insured member can not be admitted to the hospital due to an inability. The treatment should last equal to or more than 72 hours to get financial coverage.

What is Daycare Treatment?

Treatments that can be completed within 24 hours of hospitalization like blood dialysis, cataracts, etc.

What are OPD charges?

Covers the cost of doctor consultations and prescribed medical tests that may not require hospitalization. .

What is COVID-19 Treatment?

It includes the treatment cost for COVID-19 with a confirmative diagnosis from a government-approved centre.

What is Cataract Treatment?

A common eye condition in which your vision gets blurred due to cloudy formation in your eyes.

What is a No-Claim Bonus?

For every claim-free year, insurance companies reward policyholders with an increase in the sum insured amount as a no-claim bonus or cumulative bonus on policy renewal. However, in the case of a claim, this bonus amount either lapses or is reduced by a certain percentage varying from one plan to the other.

What is Automatic Restoration?

It is a benefit in which an insurance company restores the amount of sum insured completely or up to a certain percentage after it gets fully exhausted in treatments. This restoration amount may vary from one plan to the other.

What is Daily Hospital Cash?

Daily hospital cash or Hospicash is a cash amount that you receive each day during the time of hospitalization to cover your non-medical expenses.

What is an Organ Donor Cover?

It is a cover that includes the cost of the procedure for removing the damaged or malfunctioning organs from the body. In most of the cases, the insurer pays for the hospitalization and transplant expenses for both the parties i.e. the donor and the receiver.

What is a Maternity Cover?

It refers to the cover that includes expenses for normal and c-section deliveries.

What is a New Born Baby Cover?

It takes care of the medical expenses that arise due to the hospitalisation of the newborn baby in case of any childbirth complications, medical challenges, and so on. Some of the common treatments that are covered under the newborn cover and these common treatments can vary from plan to plan:

  • Congenital anomaly (conditions since birth)
  • Acute condition
  • Chronic condition
  • Premature delivery
  • Birth asphyxia
  • Daycare treatment
What is AYUSH Treatment?

Refers to the cost of medicines and procedures used under AYUSH (Ayurveda, Yoga & Naturopathy, Unani, Siddha, and Homeopathy) treatment.

What is IVF Treatment?

In Vitro Fertilization (IVF) is a method of assisted reproductive technology. The common expenses incurred under IVF and infertility treatments are settled or reimbursed for:

  • Full infertility
  • No fertility
  • Infertility diagnosis
  • Infertility diagnosis and limited fertility treatment
  • Medication (which may or may not include fertility drug prescriptions)
What is a Modern Treatment?

Medical treatments that demand the use of modern technology and advanced machinery such as robotic surgeries, stem cell therapy, etc.

What is an Ambulance Cover?

An ambulance is used to move the patient from home to the hospital, transfer them to another hospital, and take them for different tests outside the hospital.

What is an Air Ambulance?

Air ambulances are specially prepared planes that transfer the patient from one place to another in case of a health emergency.

What is Compassionate Travel?

Refers to the travelling expenses of a family member who’s visiting the hospital to look after the patient when the policyholder gets admitted to a hospital outside his/her residential city.

What is Global Coverage?

Any kind of medical/health emergency when you are outside of India is covered for hospitalization expenses, modern and specific treatments, etc.

What is E-Consultation?

If a policy offers e-consultation it allows policyholders to connect with a doctor for medical consultation through video chat, audio call, or chatbot.

What is a Health Checkup?

A facility where the policyholder can avail of free health check-ups after fulfilling the company's eligibility criteria. In most cases, the insured member/s gets an annual health check-up cover.

What is a Second Medical Opinion?

If the policyholder wants, they may opt for a second medical opinion wherein the policyholder can consult another doctor within the company’s network of medical practitioners.

What is Vaccination cover?

Coverage against the expenses incurred on vaccinations of either the newborn baby, for an animal bite, etc is provided by the insurance companies.

What is Co-payment?

In the co-payment clause, policyholders have to pay a preset amount (either compulsorily or voluntarily) of the hospitalisation expense on their own and the insurer will pay the rest of the medical bill amount.

What is the Sub limit?

Sub limit is a condition in which the insurer will have to pay the medical expense up to a certain percentage and the remaining amount will have to be paid by the policyholder. For instance, if your policy covers room rent for upto 20% of the sum insured, but the expense of the same is more than 25%, you will have to pay the rest amount, i.e. 5%, for your room rent.

Care Arogya Sanjeevani Health Plan Benefits

On investing in the Care Arogya Sanjeevani Health Policy, you and your family members are entitled to the following perks and benefits

  • Regular Increase In Sum Insured Value: On filing zero claims throughout the policy year, you are entitled to a 5% increase in your sum insured subject to a maximum of 50% per policy year. This allows you to enjoy an enhanced sum insured amount which will be added to your base sum insured and can be utilized later.
  • Avail Advanced Treatments: Secure yourself and your family members with the promise of advanced and modern treatments for listed ailments as per the policy schedule.
  • Tax Benefits: You are eligible to avail yourself of tax benefits under Section 80D of the Income Tax Act of 1961 when investing in the Care Arogya Sanjeevani Health Plan along with the numerous medical care benefits mentioned in the policy schedule.
  • Covers Cataract Treatment: A common ailment in senior citizens, the Care Arogya Sanjeevani Policy offers cataract treatment subject to sub-limits mentioned in the policy schedule. It is beneficial for those who require medical care coverage for their parents.
  • Diagnostics and Tests Covered: Care Arogya Sanjeevani health policy covers you and your family members against all expenses related to diagnostics and tests prescribed by the doctor.

Care Health Insurance Network Hospital List

Care Health Insurance Network Hospitals are present in 31 states nationwide. With a wide network of hospitals, Care Health Insurance ensures that you are medically secured, irrespective of the city you reside in.

Care Arogya Sanjeevani Premium Table

Premiums calculated for Arogya Sanjeevani Health Plan are on an individual and family floater basis for a sum insured amount of INR 5 lakhs including GST for your reference. For further premium details contact our team of experts at PolicyX

1 Adult

Sum Insured (In Rs.) 5 L
Premium (In Rs.) 6,013

1 + 1 Adult

Sum Insured (In Rs.) 5 L
Premium (In Rs.) 9,932

2 Adults + 1 Child

Sum Insured (In Rs.) 5 L
Premium (In Rs.) 12,350

Care Arogya Sanjeevani Health Plan Exclusions

Permanent Exclusions

Permanent diseases or health conditions that are not included under the Care Arogya Sanjeevani health plan are mentioned below

Injury or diseases caused due to involvement in illegal activities

Hospitalization caused due to adventure sports

Change of gender treatments

Plastic surgeries or cosmetic treatments

Treatment for obesity

Coverage after Waiting Period

Certain diseases and treatments are covered under this plan after a specific period which is mentioned below

Pre-existing diseases 48 Months

Specific Ailments 24/48 Months

Conclusion

Care Arogya Sanjeevani is an ideal health insurance plan for you and your family if you are on the lookout for basic health care coverage at affordable premium rates. The policy was designed by IRDAI and is sold by all insurance providers in India. Provided on an individual and family floater basis, the Care Arogya Sanjeevani policy has something for everyone in your family.

Explore other Care Health Insurance

To cater to the different medical needs of an individual & their family, Care Health Insurance offers several Health Plans ranging from senior citizen plans to specialized plans for autistic children, to health insurance for cardiac patients, and many more.Take a look below to Care Health Insurance plans explore more:

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The Ultimate Care health insurance plan by Care Health is designed to provide comprehensive coverage to the policyholder with a range of benefits. Thi...

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  • Newborn coverage
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Critical Illness Health Insurance

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  • Coverage for OPD
  • Home care available
  • International 2nd opinion

Individual and Family Health Insurance

Care Plus health insurance is a complete healthcare plan that is loaded with features and protects you and your family. Care Plus offers comprehensive...

Unique Features

  • Comprehensive coverage
  • No upper age limit
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Health Insurance Premium Calculator

PolicyX.com premium calculator offers premium comparison for some of the best health plans in India. You can input your details and check out some of the most suitable health insurance policies for your specific requirements. This is the easiest, most efficient, spam and gimmick-free way to buy health insurance today.

Care Arogya Sanjeevani Policy: FAQs

1. What is Care Arogya Sanjeevani Policy?

It is a standard and affordable health insurance plan launched by IRDAI for individuals and families. Care Arogya Sanjeevani provides medical cover to individuals between the age groups of 5 to 65 years and dependent children between the age groups of 3 months to 25 years.

2. What is covered under the Care Arogya Sanjeevani Plan?

You and your family can avail of these features when purchasing the Care Arogya Sanjeevani health plan Ambulance Cover Pre and Post Hospitalization Cataract Treatment AYUSH Treatment In-Patient Hospitalization Cumulative Bonus, and more

3. What is the entry age for the Care Arogya Sanjeevani Health Plan?

The minimum entry age for the plan is 5 to 65 years. While dependent children can be covered from 3 months of age up to 25 years.

4. What is the cumulative bonus available under Care Arogya Sanjeevani Plan?

The cumulative bonus available under the Care Arogya Sanjeevani Plan for you and your family is 5% of SI up to a maximum of 50% of SI for every claim-free year.

5. Does Care Arogya Sanjeevani health plan offer cashless hospitalization?

Yes, Care Arogya Sanjeevani health plan offers cashless hospitalization for planned and unplanned treatments across 22,900+ hospitals nationwide.

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Simran Kaur Vij

Written By: Simran Kaur Vij

Simran is an insurance expert with more than 4 years of experience in the industry. An expert with previous experience in BFSI, Ed-tech, and insurance, she proactively helps her readers stay on par with all the latest Insurance industry developments.