AROGYA SUPREME

Protect Your Loved Ones

With A Comprehensive Policy

AROGYA SUPREME TOH

JEEVAN SUPREME
Imagine having a health insurance Policy that takes care of all your
needs! A Policy that protects you in times of need!

Arogya Supreme is a solution for all you healthcare needs. It covers 20

basic covers and 8 optional covers so you don't have to worry about
medical treatments and expenses.

Who Can Buy This Policy?

Any individual can take this Policy for himself/herself and/or his/her
family.

 "Family" means the spouse, dependent children, parents and

parents-in-law

 Entry age for adults is 18 years to 65 years & for dependent

children is 91 days to 25 years

What Are The Key Bene�ts Of The Policy?

Sum Insured Refill E-Opinion

Domestic Recovery Benefit

Emergency Assistance Services
(including Air Ambulance)

AROGYA

Arogya Supreme UIN: SBIHLIP21043V012122

Major Coverages

What Does The Policy Cover?

Hospitalization Covers

1. In-patient Hospitalization
 Room rent and boarding expenses
 Intensive Care Unit Expenses
 Nursing Expenses
 Surgeon, Anesthetist, Medical Practitioner, Consultants,
Specialist Fees
 Anesthesia, blood, oxygen, operation theatre charges,
surgical appliances
 Consultation fees including Telemedicine by Medical
Practitioner
 Medicines, drugs, and consumables
 Diagnostic procedures
 The Cost of prosthetic and other devices or equipment
if implanted internally during a Surgical Procedure

2. Mental Healthcare
Medical expenses due to hospitalisation for any Mental
Illness contracted during the Policy Period.

3. HIV / AIDS Cover

If you are diagnosed with HIV during the Policy Period and
require Hospitalization, we will pay Medical Expenses
related to HIV and/or HIV related illness, including AIDS.

4. Genetic Disorder
If you are hospitalized due to any genetic disorder illness,
we will pay Medical Expenses up to `1 Lakh.

5. Internal Congenital Anomaly

If you are hospitalized due to any Internal Congenital
diseases, we will pay Medical Expenses up to 25% of Sum
Insured.

6. Bariatric Surgery Cover

If you are hospitalized on the advice of a Medical
Practitioner because of conditions mentioned below that
require you to undergo Bariatric Surgery during the Policy
Period, then we will pay Medical Expenses up to Sum
Insured .
For adults aged 18 years or older, presence of severe
documented in contemporaneous clinical records, defined
as any of the following:
 Body Mass Index (BMI):
 greater than or equal to 40 or
 greater than or equal to 35 in conjunction with any of
the following severe co-morbidities following failure
of less invasive methods of weight loss:
i. Obesity-related cardiomyopathy
ii. Coronary heart disease
iii. Severe Sleep Apnea

Arogya Supreme UIN: SBIHLIP21043V012122

Major Coverages

7. Advance Procedures
We will pay Medically Necessary Expenses either as In-
Patient Hospitalization or as part of Day Care Treatment up
to 25% of Sum Insured incurred on Advance Procedures
as below:
 Uterine Artery Emobalization and HIFU
 Balloon Sinuplasty
 Deep Brain Stimulation
 Oral Chemotherapy (covered as OPD also)
 Immunotherapy - Monoclonal Antibody to be given as
injection
 Intra Vitreal Injections
 Robotic Surgeries
 Stereotactic Radio Surgeries
 Bronchical Thermoplasty
 Vaporisation of the Prostrate (Green laser treatment or
holmium laser treatment)
 IONM (Intra Operative Neuro Monitoring)
 Stem Cell Therapy (Haematopoietic stem cells for bone
marrow transplant for haematological conditions to
be covered)

8. Cataract Treatment
We will pay Medical Expenses incurred for treatment of
Cataract as defined in Policy Schedule.

9. Pre-Hospitalization Cover
We will pay Medical Expenses incurred by you up to the days
specified in Policy Schedule immediately before your
Hospitalization (30/60).

10. Post-Hospitalization Cover

We will pay Medical Expenses incurred by you up to the days
specified in Policy Schedule from the date of your discharge
from Hospital (60/90/180).

11. Domiciliary Hospitalization

We will pay the Medical Expenses incurred on Domiciliary
Hospitalisation, up to the Sum Insured as specified in the
Policy Schedule.

12. Day Care Treatment

We will pay for the Medical Expenses on hospitalization of
Insured Person in Hospital or Day Care center for Day Care
Treatment but not in the Outpatient department.

13. Road Ambulance

We will pay for Road Ambulance services if required, for
admissible claims.

Arogya Supreme UIN: SBIHLIP21043V012122

Major Coverages

14. Organ Donor Expenses

We will pay Medical Expenses up to the Sum Insured
towards organ donor's Hospitalization for harvesting of the
donated organ where an Insured Person is the recipient,
subject to certain conditions.

15. Alternative Treatment / AYUSH

We will pay Medical Expenses up to the Sum Insured on your
Hospitalization in Hospital or AYUSH Hospital or AYUSH
Day Care Centre for any of the following Alternative
Treatments prescribed by Medical Practitioner.
 Ayurvedic
 Unani
 Siddha
 Homeopathy

16. Recovery Bene�t

We will pay Recovery Benefit up to the limit specified in
policy schedule if Hospitalization exceeds 10 consecutive
and continuous days.

17. Domestic Emergency Assistance Services (including

Air Ambulance)
We will provide Emergency medical assistance as below
when you are traveling within India 150 kilometers or more
away from your residential address mentioned in the Policy
Schedule for domestic services.
 Emergency Medical Evacuation when an adequate
medical facility is not available in the proximity of the
Insured Person
 Medical Repatriation (Transportation) when medically
necessary

18. Sum Insured Re�ll

We will refill 100% Basic Sum Insured on complete or partial
utilization of your existing Policy Sum Insured in a Policy
Year, including Cumulative Bonus or Enhanced Cumulative
Bonus.

19. Compassionate Visit

In the event of Hospitalization exceeding 5 days, the cost
of economy class air ticket up to 1% of Sum Insured or
maximum up to ` 20,000/- whichever is lower incurred by
the Insured Persons “immediate family member” while
traveling to place of Hospitalization from the place of
origin / residence and back will be reimbursed.

20. E-Opinion
We will facilitate E-Opinion from our panel of Medical
Practitioner under this cover.

Arogya Supreme UIN: SBIHLIP21043V012122

Renewal Bene�ts
1. Preventive Health Check-Up:
You will be eligible for a preventive health check-up every year
from 1st renewal year.
2. Cumulative Bonus
On Renewal of the Policy with us, we will pay 15% up to a maximum
of 100% of Basic Sum Insured provided there has been no claim
under the expiring Policy Year under Section C of Policy wordings.

Optional Covers (Add-Ons)

 Hospital Cash Benefit

 Major Illness Benefit
 Additional Sum Insured for Accidental Hospitalization
 Enhanced Cumulative Bonus
 No Claim Bonus Protector
 Co-Payment
 Any Room Upgrade

What Are The Waiting Periods?

Generic Policy Waiting Period 30 Days, Except for Accidents

Certain Specific Illnesses 2 Years
Pre-existing Diseases 4 Years
Hypertension, Diabetes, Cardiac 90 days except if these diseases
Condition are pre-existing and disclosed at
the time of Policy

Major Illness-Benefit 90 Days

COVID 19 15 Days
What Is Not Covered In The Policy?
 A d m i s s i o n p r imarily for  Treatment for alcoholism,
investigation & evaluation drug or substance abuse or
 Rest Cure, rehabilitation and any addictive condition and
respite care consequences thereof
 Surgical treatment of obesity  OTC Dietary Supplements
that does not fulfill certain and substances
conditions  Refractive Error
 Change-of-Gender  Unproven Treatments
treatments  Sterility and Infertility
 Maternity
 Cosmetic or plastic surgery
 War and war-like situations
 Any treatment necessitated  Injury or disease caused by or
due to participation in contributed to by nuclear
hazardous or adventure weapons/materials
sports  Treatment taken outside
 Breach of Law India
 Excluded Providers  Circumcision
For complete details, refer to Policy Wordings.
Arogya Supreme UIN: SBIHLIP21043V012122
Discount Options

Multiple Discount Options Like

 Family Discount
 Loyalty Discount
 Long Term Policy Discount

What Are The Tenure Options?

Policy can be issued for 1, 2 or 3 years.

What Is SBI General's Renewal Policy?

 Arogya Supreme can be renewed every year upon payment of
premium before Policy expiry
 Lifelong Renewability
 A grace period of 30 days is allowed for renewal of the Policy. This
will be counted from the day immediately after the premium
due date

Our Claim Promise

Provide assistance in Keep you informed of the

emergency situations progress of your claim

How Do You Make A Claim?

In case of an accident or illness that requires hospitalization or
daycare, please notify us or TPA by phone or email.

Arogya Supreme UIN: SBIHLIP21043V012122

Comprehensive Bene�ts
TYPES OF PLAN PRO PLUS PREMIUM
Sum Insured Range `3 Lakhs to `5 Lakhs `6 Lakhs to `20 Lakhs `25 Lakhs and above
Section A: Hospitalization Cover
In Patient Hospitalization Covered Covered Covered
Room Rent* For `3 Lakhs & `4 Lakhs - Single Private AC Single Private AC Room Actuals up to Sum Insured
Room (1% restriction as an option (upgrade option available)
available)
For `5 Lakhs - Single pvt AC Room
(upgrade option available)
ICU / ICCU* For `3 Lakhs & `4 Lakhs - as per actual As per actual ICU/ICCU expenses Actuals up to Sum Insured
ICU/ICCU expenses provided by Hospital provided by Hospital
(2% restriction as an option available)
For `5 Lakhs - as per actual ICU/ICCU
expenses provided by Hospital
Mental Healthcare / Psychiatric illness Up to Sum Insured Up to Sum Insured Up to Sum Insured
Cover (Sub limit - 10% of the Sum Insured, max (Sub limit - 10% of the Sum Insured max (Sub limit - 10% of the Sum Insured, max
`50,000 whichever is lower, applicable for `50,000 whichever is lower, applicable for `50,000 whichever is lower, applicable for
few listed conditions) few listed conditions) few listed conditions)
Genetic Disorders Claim amount subject to max of `100,000 Claim amount subject to max of `100,000 Claim amount subject to max of `100,000

Internal Congenital Anomaly 25% of Sum Insured 25% of Sum Insured 25% of Sum Insured
(24 months waiting period)
HIV Up to Sum Insured Up to Sum Insured Up to Sum Insured
Bariatric Surgery Up to Sum Insured Up to Sum Insured Up to Sum Insured
(18 yrs and abv sub to conditions defined
as per HIR are met)
Advanced Procedures 25% of Sum Insured 25% of Sum Insured 25% of Sum Insured
Cataract `50,000 per eye `1 Lakh per eye `1 Lakh per eye
(24 months waiting period)
Pre-Hospitalization cover 30 60 60
Post-Hospitalization cover 60 90 180
Domiciliary Hospitalization Up to Sum Insured Up to Sum Insured Up to Sum Insured
(incl pre and post hospitalization cover)
Day Care Procedures Covered up to Sum Insured as per Covered up to Sum Insured as per Covered up to Sum Insured as per
(537 Day Care Procedures Covered) indicative Day care list indicative Day care list indicative Day care list
Road Ambulance `3,000 per hospitalization `5,000 per hospitalization `7,000 per hospitalization
Organ Donor Expenses Covered up to Sum Insured Covered up to Sum Insured Covered up to Sum Insured
Alternative Treatment / AYUSH Covered up to Sum Insured Covered up to Sum Insured Covered up to Sum Insured
Recovery Benefit `5,000 per hospitalization `10,000 per hospitalization `15,000 per hospitalization
(not applicable in case of domiciliary
hospitalization)
Domestic Emergency Assistance Services Not Covered up to `5 Lakhs up to `10 Lakhs
(including Air Ambulance)
Sum Insured Refill Covered Covered Covered
Compassionate Visit Not Covered If hospitalization exceeds 5 days, the cost If hospitalization exceeds 5 days, the cost
of economy class air ticket, 1% of Sum of economy class air ticket, 1% of Sum
Insured or Maximum up to `20,000 Insured or Maximum up to `20,000
whichever is lower whichever is lower
E-Opinion 4- E-Opinion 4- E-Opinion Unlimited E-Opinion

Arogya Supreme UIN: SBIHLIP21043V012122 Arogya Supreme UIN: SBIHLIP21043V012122

Comprehensive Bene�ts
TYPES OF PLAN PRO PLUS PREMIUM

Sum Insured Range `3 Lakhs to `5 Lakhs `6 Lakhs to `20 Lakhs `25 Lakhs and above

Section B: Optional Covers

`500 ; `1000 ; `2500 ; `5000 for `500 ; `1000 ; `2500 ; `5000 for `500 ; `1000 ; `2500 ; `5000 for
Hospital Cash
5/10/15/45 days 5/10/15/45 days 5/10/15/45 days

Major Illness – Benefit Cover up to 100% of Sum Insured or Cover up to 100% of Sum Insured or Cover up to 100% of Sum Insured or
(Survival - 30 days ; WP - 90 days) maximum up to `25 Lakhs whichever is maximum up to `25 Lakhs whichever is maximum up to `25 Lakhs whichever is
(Eligibility =>18 yrs) lower lower lower

Additional SI for Accidental Hospitalization 1.5x or 2x of base Sum Insured 1.5x or 2x of base Sum Insured 1.5x or 2x of base Sum Insured

Enhanced Cumulative Bonus 25% up to a maximum of 200% 50% up to a maximum of 200% 50% up to a maximum of 200%

NCB Protector NCB Protector (if claim less than `50,000) NCB Protector (if claim less than `50,000) NCB Protector (if claim less than `50,000)

Copayment 10% / 20% Co-payment available 10% / 20% Co-payment available 10% / 20% Co-payment available

Covered - for `5 Lakhs Sum Insured Covered

Any Room Upgrade Upgrade to any room excluding suite & Upgrade to any room excluding suite & Not Applicable
above above

i. `10,000 I. `10,000 i. `10,000

Deductible
ii. `25,000 ii. `25,000 ii. `25,000

Section C: Renewal Bene�ts

Haematology: CBC + ESR + Haemoglobin +

PS
Haematology: CBC + Haemoglobin Diabetes Profile: Fasting Blood Sugar +
Diabetes Profile: Fasting Blood Sugar or HbA1c
Haematology: CBC + Haemoglobin
random Blood Sugar Lipid Profile: Total Cholesterol + HDL
Diabetes Profile: Fasting Blood Sugar or
Lipid Profile: Total Cholesterol + HDL + Cholesterol + LDL Cholesterol
random Blood Sugar
LDL + Triglycerides + Triglycerides
Preventive Health Check up Lipid Profile: Total Cholesterol
Liver Function: SGOT + SGPT + Bilirubin Liver Function Tests: SGOT + SGPT +
Liver Function: SGOT + SGPT Bilirubin Total
Total
Kidney / Renal Function: Bun and Kidney / Renal Function: Bun and
Kidney / Renal Function: Bun and
Creatinine Creatinine + Uric Acid
Creatinine + Uric Acid
Thyroid: TSH Thyroid Profile: T3+ T4+ TSH
Urine Analysis: Urine Complete Analysis
Iron Deficiency: Iron Profile

Cumulative Bonus 15% up to a maximum of 100% 15% up to a maximum of 100% 15% up to a maximum of 100%

Arogya Supreme UIN: SBIHLIP21043V012122 Arogya Supreme UIN: SBIHLIP21043V012122

Benef it
Bene t Illustration
IllustrationIn
InRespect
RespectOf
OfIndividual
IndividualAnd
AndFa
Family
mily Floater Basis

Coverage opted on individual basis Coverage opted on individual basis covering multiple members of Coverage opted on family f loater basis with overall
covering each member of the family the family under a single policy (Sum Insured is available for each Sum Insured (Only one Sum Insured is available for the
separately (at a single point in time) member of the family) entire family)
Age of the Premium or
members consolidate Premium
insured Discount, if any Premium Floater
Sum Insured d premium after Sum Insured
Premium (`) Sum Insured (`) Premium (`) Family member after discount,
(`) for all discount (`)
discount) Discount (`) if any
members of (`)
family (`)
35 yrs 5982 500000 5982 5% 5683 500000
30 yrs 5982 500000 5982 5% 5683 500000
15 yrs 3736 500000 3736 5% 3549 500000
38903 0 38903 50000
10 yrs 3736 500000 3736 5% 3549 500000
60 yrs 15956 500000 15956 5% 15158 500000
55 yrs 10986 500000 10986 5% 10437 500000
Total Premium for all members of the Family is Total Premium for all members of the Family is `44,059/-when they Total Premium when policy is opted on floater basis is
`46,378/- when each member is covered are covered under a single policy. `38,903/-
separately. Sum Insured available for each family member is `5,00,000/- Sum Insured of `5,00,000/- is available for the entire
Sum Insured available for each individual is family.
`5,00,000/-
Note:
 Premium rates as specified in the above illustration are standard premium rates without considering any loading. Also, the premium rates are exclusive of taxes applicable
 The above illustration is for Pro Plan
 Family size is considered 6 = 2 Adults + 2 Dependent Children + 2 Dependent Parents
 Illustration is given for Sum Insured `5 Lakhs
 Premium is calculated for Zone 2 for illustration purpose

Coverage opted on individual basis Coverage opted on individual basis covering multiple members of Coverage opted on family f loater basis with overall
covering each member of the family the family under a single policy (Sum Insured is available for each Sum Insured (Only one Sum Insured is available for the
separately (at a single point in time) member of the family) entire family)
Age of the
members Premium or
Premium
insured Premium consolidated Floater
Sum Insured after Sum Insured
Premium (`) Sum Insured (`) Premium (`) Discount, if any after premium for discount,
(`) discount (`)
Discount (`) all members if any
(`)
of family (`)

35 yrs 9322 1500000 9322 5% 8856 1500000

30 yrs 9322 1500000 9322 5% 8856 1500000
15 yrs 5875 1500000 5875 5% 5581 1500000
62424 0 62424 1500000
10 yrs 5875 1500000 5875 5% 5581 1500000
60 yrs 25147 1500000 25147 5% 23890 1500000
55 yrs 17338 1500000 17338 5% 16471 1500000
Total Premium for all members of the Family is Total Premium for all members of the Family is `69,235 /- when Total Premium when policy is opted on floater basis is
`72,879 /- when each member is covered they are covered under a single policy. `62,424/-
separately. Sum Insured available for each family member is `15,00,000/- Sum Insured of `15,00,000/- is available for the entire
Sum Insured available for each individual is family.
`15,00,000/-
Note:
 Premium rates as specified in the above illustration are standard premium rates without considering any loading. Also, the premium rates are exclusive of taxes applicable
 The above illustration is for Plus Plan
 Family size is considered 6 = 2 Adults + 2 Dependent Children + 2 Dependent Parents
 Illustration is given for Sum Insured `15 Lakhs
 Premium is calculated for Zone 2 for illustration purpose

Arogya Supreme UIN: SBIHLIP21043V012122 Arogya Supreme UIN: SBIHLIP21043V012122

Bene�t Illustration In Respect Of Individual And Family Floater Basis

Coverage opted on individual basis Coverage opted on individual basis covering multiple members Coverage opted on family �oater basis with overall
covering each member of the family of the family under a single policy (Sum Insured is available Sum Insured (Only one Sum Insured is available for the
separately (at a single point in time) for each member of the family) entire family)
Age of the
members Premium or
insured Premium
Premium consolidated Floater
Sum Insured after Sum Insured
Premium (`) Sum Insured (`) Premium (`) Discount, if any after premium for discount,
(`) discount (`)
Discount (`) all members if any
(`)
of family (`)

35 yrs 12004 2500000 12004 5% 11404 2500000

30 yrs 12004 2500000 12004 5% 11404 2500000
15 yrs 7583 2500000 7583 5% 7204 2500000
79409 0 79409 2500000
10 yrs 7583 2500000 7583 5% 7204 2500000
60 yrs 32016 2500000 32016 5% 30415 2500000
55 yrs 22139 2500000 22139 5% 21032 2500000
Total Premium for all members of the Family is Total Premium for all members of the Family is `88,663/- when they Total Premium when policy is opted on floater basis is
`93,329 /- when each member is covered are covered under a single policy. Sum Insured available for each `79,409/-
separately. family member is `25,00,000/-
Sum Insured available for each individual is Sum Insured of `25,00,000/- is available for the entire
`25,00,000/- family.

Note:
 Premium rates as specified in the above illustration are standard premium rates without considering any loading. Also, the premium rates are exclusive of taxes applicable
 The above illustration is for Premium Plan
 Family size is considered 6 = 2 Adults + 2 Dependent Children + 2 Dependent Parents
 Illustration is given for Sum Insured `25 Lakhs
 Premium is calculated for Zone 2 for illustration purpose

Arogya Supreme UIN: SBIHLIP21043V012122 Arogya Supreme UIN: SBIHLIP21043V012122

Premium Chart- Zone 1 (Exclusive of taxes)
Individual
PRO (`) PLUS (`) PREMIUM (`)
Age
3 Lakhs 5 Lakhs 7.5 Lakhs 10 Lakhs 15 Lakhs 20 Lakhs 30 Lakhs 40 Lakhs 50 Lakhs 1 Crore
3M-18Y 4,297 5,337 6,448 6,970 8,393 8,754 12,190 14,033 16,292 19,273
19Y-35Y 7,016 8,546 10,402 11,170 13,318 13,840 19,223 22,042 24,986 29,501
36Y-45Y 8,420 10,272 12,499 13,430 16,058 16,691 23,162 26,621 30,015 35,539
46Y-55Y 12,794 15,694 19,107 20,563 24,768 25,773 35,710 41,255 45,869 54,672
56Y-60Y 18,674 22,794 27,709 29,865 35,924 37,423 51,575 59,531 65,855 78,621
61Y-65Y 23,436 28,766 35,052 37,814 45,694 47,622 65,777 76,142 84,159 1,00,711
Floater 2 Adults
PRO (`) PLUS (`) PREMIUM (`)
Age
3 Lakhs 5 Lakhs 7.5 Lakhs 10 Lakhs 15 Laks 20 Lakhs 30 Lakhs 40 Lakhs 50 Lakhs 1 Crore
19Y-35Y 11,281 13,834 16,968 18,224 21,779 22,646 31,411 36,043 41,217 48,581
36Y-45Y 13,508 16,581 20,313 21,831 26,160 27,206 37,720 43,381 49,279 58,263
46Y-55Y 20,361 25,122 30,758 33,117 39,979 41,629 57,665 66,665 74,417 88,649
56Y-60Y 29,124 35,784 43,809 47,250 57,061 59,503 82,079 94,857 1,05,280 1,25,623
61Y-65Y 36,460 45,067 55,293 59,704 72,439 75,578 1,04,531 1,21,164 1,34,296 1,60,697
Floater 2 Adults + 2 Kids
PRO (`) PLUS (`) PREMIUM (`)
Age
3 Lakhs 5 Lakhs 7.5 Lakhs 10 Lakhs 15 Lakhs 20 Lakhs 30 Lakhs 40 Lakhs 50 Lakhs 1 Crore
19Y-35Y 17,058 21,257 26,119 28,157 33,958 35,388 49,020 56,509 63,690 75,544
36Y-45Y 19,464 24,236 29,753 32,079 38,725 40,353 55,889 64,498 72,466 86,083
46Y-55Y 26,186 32,623 40,014 43,168 52,308 54,532 75,497 87,391 97,177 1,15,955
56Y-60Y 34,742 43,033 52,762 56,975 68,996 71,996 99,349 1,14,930 1,27,321 1,52,068
61Y-65Y 41,860 52,050 63,926 69,084 83,957 87,639 1,21,205 1,40,545 1,55,577 1,86,231
Floater 4 Adults
PRO (`) PLUS(`) PREMIUM(`)
Age
3 Lakhs 5 Lakhs 7.5 Lakhs 10 Lakhs 15 Lakhs 20 Lakhs 30 Lakhs 40 Lakhs 50 Lakhs 1 Crore
46Y-55Y 29,863 37,107 45,406 48,961 59,287 61,774 85,461 98,952 1,11,771 1,33,058
56Y-60Y 38,419 47,518 58,153 62,768 75,975 79,239 1,09,313 1,26,490 1,41,915 1,69,171
61Y-65Y 47,435 58,843 72,099 77,869 94,549 98,633 1,36,338 1,58,108 1,76,760 2,11,233
Floater 4 Adults + 2 Kids
PRO(`) PLUS (`) PREMIUM (`)
Age
3 Lakh 5 Lakh 7.5 Lakh 10 Lakh 15 Lakh 20 Lakh 30 Lakh 40 Lakh 50 Lakh 1 Crore
46Y-55Y 36,147 45,166 55,333 59,735 72,489 75,583 1,04,543 1,21,130 1,36,123 1,62,276
56Y-60Y 44,703 55,576 68,081 73,541 89,176 93,048 1,28,394 1,48,668 1,66,268 1,98,389
61Y-65Y 53,719 66,901 82,027 88,643 1,07,751 1,12,442 1,55,419 1,80,286 2,01,113 2,40,451

PREMIUM ZONES
For the purpose of Policy issuance, the premium will be computed basis the city of residence provided by the Insured Person in the proposal form. Classification of cities would be as under:
Zone 1 – Mumbai & MMR/Pune/Ahmedabad/Delhi & NCR/ Kolkata/ Chennai/ Bangalore / Hyderabad
Zone 2 - Rest of India
Note: Insured Person of any zone can avail Pan-India Treatment without any Co-Pay.

Arogya Supreme UIN: SBIHLIP21043V012122 Arogya Supreme UIN: SBIHLIP21043V012122

Premium Chart- Zone 2
1 (Exclusive of taxes)
Individual
PRO (`) PLUS (`) PREMIUM (`)
Age
3 Lakhs ` 5 Lakhs 7.5 Lakhs 10 Lakhs 15 Lakhs 20 Lakhs 30 Lakhs 40 Lakhs 50 Lakhs 1 Crore
3M-18Y 3,008 3,736 4,514 4,879 5,875 6,128 8,533 9,823 11,404 13,491
19Y-35Y 4,911 5,982 7,281 7,819 9,322 9,688 13,456 15,429 17,490 20,651
36Y-45Y 5,894 7,191 8,749 9,401 11,240 11,684 16,214 18,635 21,011 24,878
46Y-55Y 8,956 10,986 13,375 14,394 17,338 18,041 24,997 28,878 32,108 38,270
56Y-60Y 13,072 15,956 19,396 20,905 25,147 26,196 36,103 41,671 46,099 55,035
61Y-65Y 16,405 20,136 24,536 26,470 31,986 33,335 46,044 53,300 58,912 70,498
Floater 2 Adults
PRO (`) PLUS (`) PREMIUM (`)
Age
3 Lakhs 5 Lakhs 7.5 Lakhs 10 Lakhs 15 Lakhs 20 Lakhs 30 Lakhs 40 Lakhs 50 Lakhs 1 Crore
19Y-35Y 7,897 9,684 11,878 12,757 15,245 15,852 21,988 25,230 28,852 34,007
36Y-45Y 9,456 11,607 14,219 15,282 18,312 19,044 26,404 30,367 34,495 40,784
46Y-55Y 14,253 17,586 21,531 23,182 27,986 29,141 40,365 46,665 52,092 62,054
56Y-60Y 20,387 25,049 30,666 33,075 39,942 41,652 57,455 66,400 73,696 87,936
61Y-65Y 25,522 31,547 38,705 41,793 50,707 52,905 73,172 84,815 94,007 1,12,488
Floater 2 Adults + 2 Kids
PRO (`) PLUS (`) PREMIUM (`)
Age
3 Lakhs 5 Lakhs 7.5 Lakhs 10 Lakhs 15 Lakhs 20 Lakhs 30 Lakhs 40 Lakhs 50 Lakhs 1 Crore
19Y-35Y 11,941 14,880 18,283 19,710 23,770 24,772 34,314 39,556 44,583 52,881
36Y-45Y 13,625 16,965 20,827 22,455 27,107 28,247 39,122 45,149 50,726 60,258
46Y-55Y 18,330 22,836 28,010 30,218 36,616 38,172 52,848 61,174 68,024 81,169
56Y-60Y 24,320 30,123 36,933 39,882 48,297 50,397 69,544 80,451 89,125 1,06,448
61Y-65Y 29,302 36,435 44,748 48,359 58,770 61,347 84,844 98,382 1,08,904 1,30,362
Floater 4 Adults
PRO (`) PLUS (`) PREMIUM (`)
Age
3 Lakhs 5 Lakhs 7.5 Lakhs 10 Lakhs 15 Lakhs 20 Lakhs 30 Lakhs 40 Lakhs 50 Lakhs 1 Crore
46Y-55Y 20,904 25,975 31,784 34,273 41,501 43,242 59,823 69,266 78,239 93,141
56Y-60Y 26,893 33,262 40,707 43,938 53,182 55,467 76,519 88,543 99,341 1,18,420
61Y-65Y 33,204 41,190 50,470 54,509 66,184 69,043 95,436 1,10,676 1,23,732 1,47,863
Floater 4 Adults + 2 Kids
PRO (`) PLUS (`) PREMIUM (`)
Age
3 Lakhs 5 Lakhs 7.5 Lakhs 10 Lakhs 15 Lakhs 20 Lakhs 30 Lakhs 40 Lakhs 50 Lakhs 1 Crore
46Y-55Y 25,303 31,616 38,733 41,814 50,742 52,908 73,180 84,791 95,286 1,13,593
56Y-60Y 31,292 38,903 47,657 51,479 62,424 65,134 89,876 1,04,067 1,16,388 1,38,872
61Y-65Y 37,603 46,831 57,419 62,050 75,426 78,710 1,08,794 1,26,200 1,40,779 1,68,316

PREMIUM ZONES
For the purpose of Policy issuance, the premium will be computed basis the city of residence provided by the Insured Person in the proposal form. Classification of cities would be as under:
Zone 1 – Mumbai & MMR/Pune/Ahmedabad/Delhi & NCR/ Kolkata/ Chennai/ Bangalore / Hyderabad
Zone 2 - Rest of India
Note: Insured Person of any zone can avail Pan-India Treatment without any Co-Pay.

Arogya Supreme UIN: SBIHLIP21043V012122 Arogya Supreme UIN: SBIHLIP21043V012122

 Prohibition of Rebates
Section 41 in The Insurance Act, 1938 as amended by Insurance Law
(Amendment) Act, 2015:
1. No person shall allow or offer to allow, either directly or indirectly, as
an inducement to any person to take out or renew or continue an
insurance in respect of any kind of risk relating to lives or property in
India, any rebate of the whole or part of the commission payable or
any rebate of the premium shown on the policy, nor shall any person
taking out or renewing or continuing a policy accept any rebate,
except such rebate as may be allowed in accordance with the
published prospectuses or tables of the insurer.
2. Any person making default in complying with the provisions of this
section shall be punishable with fine which may extend to `10 lakhs.

For More Details Contact

SBI General Insurance Company Limited

Corporate & Registered O�ce:
'Natraj', 301, Junction of Western Express Highway &
Andheri
Disclaimer: SBI General- Kurla Road,
Insurance AndheriLimited
Company (East),|Mumbai - 400
Corporate 069.
& Registered Office:
Fulcrum Building, 9th Floor, A & B Wing, Sahar Road, Andheri (East), Mumbai - 400 099. | The
information in the advertisement is indicative in nature. For more details on the risk factor,
terms and conditions, please refer to the Sales Brochure and Policy Wordings carefully
before concluding a sale. | Tax benefits are subject to changes in tax laws. | T & C apply. | For
SBI General Insurance Company Limited | IRDAI Reg. No. 144 dated 15/12/2009 | CIN:
U66000MH2009PLC190546 | SBI Logo displayed belongs to State Bank of India and used by
SBI General Insurance Co. Ltd. under license | Website : www.sbigeneral.in, Tollfree
18001021111 | Arogya Supreme | UIN: SBIHLIP21043V012122 | ADVERTISEMENT
NUMBER: ADBRO/AUG/2021-22/3238

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