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Reviewed by Finzony Finance TeamLast updated:
SBI General Hospital Daily Cash Insurance Policy is a fixed-benefit plan. It pays you a set amount for each day you spend in hospital, whatever your actual bill is, so you can use the money for costs that a health policy does not pay, such as travel, food and a companion. You choose a daily benefit of ₹500, ₹1,000, ₹1,500 or ₹2,000, and a maximum of 30 or 60 days of cover in a policy year. The cash is paid for every continuous and completed period of 24 hours in hospital, after an excess equal to the first 24 hours of each stay. ICU days and days after an accident are paid at twice the daily benefit: ICU for up to 7 days a stay and 15 days a year, and accident stays for up to 5 days a stay and 10 days a year. After 10 consecutive days in hospital, a convalescence benefit of three times the daily amount, or ₹5,000 if less, is paid once in a policy year. Adults aged 18 to 65 can join, and children from 90 days if a parent is also insured. There is no exit age, so the policy renews for life.
Fixed cash for every 24 hours in hospital, paid whatever your bills, with double the benefit for ICU and accident stays.
Finzony reads this plan as a small cash cushion for the extra costs of a hospital stay, not as a replacement for health insurance. It does not pay medical bills. It pays a fixed amount per day, so it helps with travel, food, a companion and lost income, which a bill-based policy ignores. Premiums are low: the prospectus table starts at ₹216 a year for a ₹500 daily benefit for ages up to 18, and ₹335 for ages 19 to 35. The catches are real. Every hospital stay loses the first 24 hours' benefit, because an excess equal to one day's benefit applies each time. Day care procedures, AYUSH treatment and organ donor stays are excluded, so you need a full hospital stay of 24 hours or more. Illnesses wait 30 days, pre-existing conditions are excluded unless SBI General accepts and endorses them, and common conditions such as hypertension, diabetes, heart disease, cataract, hernia and joint replacement wait 1, 2 or 3 years. The maximum daily benefit is ₹2,000, entry stops at 65, a first-time buyer aged 60 or more is limited to ₹500 a day for 30 days, and people above 45 need a medical check-up. It suits someone who already has a main health policy and wants an inexpensive extra payout. Get a quote for your own age before you decide, since the prospectus premium table is old.
SBI General Health Insurance
Key Insights
Founded
2009
SBI General Health Insurance was established 17 years ago and has built strong credibility over time, backed by its long-standing presence in the market.
Claims Experience
96.14% CSR, calculated as a 3-year average
SBI General Health Insurance settles 96.14% of all claims it receives, demonstrating strong credibility.
Network Hospitals
16,600+
SBI General Health Insurance has a network of 16,600+ hospitals, ensuring wide accessibility and convenience for policyholders.
Pays your chosen daily benefit for each continuous and completed period of 24 hours in hospital, for illness or accidental injury, for up to 30 or 60 days in a policy year.
Paid in a fixed amount whatever your actual medical bill is.
Choose ₹500, ₹1,000, ₹1,500 or ₹2,000 a day, with a maximum of 30 days or 60 days of cover in a policy year.
You can change the benefit amount only at renewal, and an increase needs medical underwriting.
Pays twice the daily benefit for each continuous and completed 24 hours in an ICU, so ₹1,000 to ₹4,000 a day.
Up to 7 days in each hospitalisation and 15 days in a policy year.
Pays twice the daily benefit for each continuous and completed 24 hours of hospitalisation caused only by an accidental injury, so ₹1,000 to ₹4,000 a day.
Up to 5 days in each hospitalisation and 10 days in a policy year. The 30-day initial wait does not apply to accidents.
Pays a lump sum of three times the daily benefit, or ₹5,000 if less, when you complete 10 consecutive days of hospitalisation in a single admission.
Paid only once in a policy year.
An excess equal to the first 24 hours of benefit applies to every hospitalisation. A 30-day wait applies to any illness at the start of the policy, except accidents, and it does not apply on renewal without a break. Listed conditions wait 1, 2 or 3 years, and pre-existing diseases are excluded unless SBI General accepts them and endorses the policy. If you raise your benefit amount at renewal, the waits apply again only to the increased amount.
Excess on each hospitalisation
An excess equal to the first 24 hours of benefit is applied to every hospital stay, so the first day is not paid.
Initial waiting period
Hospitalisation due to illness in the first 30 days of the first policy is not paid, except after an accident. The wait does not apply on renewals without a break.
Listed conditions: group 1
Gastric and duodenal ulcers, tonsil, adenoid and ear surgeries, tumours, cysts and polyps, hernia and hydrocele, and anal fissures, fistula and piles wait 1 year.
Listed conditions: group 2
Conditions or treatments that the policy clearly says it will not cover.
These conditions are excluded for 1, 2 or 3 years from the start of the policy, as shown against each one, along with their related complications. If you renew without a break and increase your benefit amount, the wait applies only to the increase.
Insurer
SBI General Health Insurance plans and claim process
It is a fixed-benefit plan that pays a set amount for each day you spend in hospital, whatever your actual bill is. You can use the money for extra costs such as travel, food and a companion, which a health policy does not pay.
You choose a daily benefit of ₹500, ₹1,000, ₹1,500 or ₹2,000. ICU days and accident hospitalisation are paid at twice that amount, so ₹1,000 to ₹4,000 a day. The maximum is 30 or 60 days in a policy year, as you choose.
No. An excess equal to the first 24 hours of benefit is applied to every hospitalisation. A stay of 2 days pays for about 1 day, and a stay shorter than 24 hours pays nothing.
Disclaimer: Premium amounts are indicative and may vary based on age, health, and plan selected. Claim settlement ratios are from IRDAI Annual Reports. Finzony is not an insurance broker or agent. Verify all details on the official SBI General Health Insurance website before purchasing.
Contact Details
1800 102 1111
Headquarters: 9th Floor, A & B Wing, Fulcrum Building, Sahar Road, Andheri (East), Mumbai – 400099, Maharashtra, India.
The aforementioned ratios have been averaged over three years (FY24-FY26)
13 conditions, including cataract, hypertension, heart disease, diabetes, arthritis and gout, stones, sinusitis, spinal and knee disorders, varicose veins and chronic renal failure, wait 2 years.
Joint replacement and degenerative conditions
Joint replacement due to a degenerative condition, and age-related osteoarthritis and osteoporosis, wait 3 years, unless an accident requires the surgery.
Pre-existing diseases
Pre-existing conditions are not covered unless you state them in the proposal form, SBI General accepts them, and they are endorsed on the policy.
Higher benefit amount
If you renew without a break and increase your benefit amount, the 1, 2 and 3-year waits apply again only to the increased amount.
ICU days are paid at twice the daily benefit for up to 7 days in each hospitalisation and 15 days in a policy year. Accident stays are paid at twice the daily benefit for up to 5 days in each hospitalisation and 10 days in a policy year.
If you complete 10 consecutive days in hospital in a single admission, SBI General pays a lump sum of three times your daily benefit, or ₹5,000 if that is less. It is paid only once in a policy year.
Per the prospectus, a ₹500 daily benefit with 30 days of cover costs ₹216 a year up to age 18, ₹335 for 19 to 35, ₹498 for 36 to 45 and ₹733 for 46 to 55. A ₹2,000 benefit costs ₹882 for 19 to 35 and ₹1,344 for 36 to 45. The rates exclude tax and may have changed, so get a quote.
Adults can join from 18 to 65 years, and children from 90 days if a parent is also insured. There is no exit age, but renewal after 70 carries extra loading. A first-time buyer aged 60 or above can take only ₹500 a day for 30 days.
Any illness waits 30 days at the start of the policy, except accidents. Listed conditions wait 1, 2 or 3 years, and pre-existing diseases are excluded unless SBI General accepts them and endorses the policy. Waiting periods do not restart when you renew without a break.
One year applies to ulcers, hernia, hydrocele, piles, tumours and cysts, and tonsil and ear surgeries. Two years applies to cataract, hypertension, heart disease, diabetes, arthritis, stones, sinusitis, spinal and knee disorders, varicose veins and chronic renal failure. Three years applies to joint replacement for degenerative conditions.
Anyone above 45, and anyone with an adverse medical history, needs a satisfactory medical examination before acceptance. You pay for the tests, and SBI General reimburses 50% of the cost if your proposal is accepted. Loadings of up to 50% apply for risk factors such as smoking, alcohol, hypertension and diabetes.
No. Day care treatments, Ayurvedic and homeopathic treatment, and other alternative medicine are excluded, and the benefit is paid only for hospital stays of 24 hours or more.
A health policy reimburses your hospital bills. This plan pays a fixed amount for each day in hospital whatever the bills are, so it is meant to cover extra costs such as travel and food that your health policy does not. It does not replace a health policy.
Contact SBI General's Accident and Health claims team at sbig.health@sbigeneral.in, or call the toll-free numbers 1800 210 3366 or 1800 210 6366. The 24x7 customer line is 1800 102 1111. You will need documents that show your hospitalisation and diagnosis.