SBI Group Health Insurance

SBI Group Health Insurance

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Calculate your premium estimates

Number of Employees

*Value should be between 2 and 500

20
  • 2
  • 100
  • 200
  • 300
  • 400
  • 500

Total estimated yearly premium

*only basic terms and conditions applied

100,000

₹ 5,000 per life

Talk to our experts to get exact premium estimates

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Claim settlement ratio (2019-20)

66.08%

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Network hospitals

6000+

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TPA

In-house TPA

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Total GHI lives insured (2020-21)

46.5 Lakhs

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Total GHI claims incurred (2020-21)

Rs. 684.9 crores

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About SBI group health insurance

SBI General Insurance Company Limited, a joint venture between State Bank of India and Insurance Australia Group (IAG), started offering its service from 2010 and has been able to be the most promising insurance provider over the years. The company offers a range of insurance products in the categories of motor, group health, home, and travel. SBI General Insurance Company is also known for providing the best corporate insurance products like group health insurance, group personal accident cover along with rural and liability insurance products.

SBI group health insurance started out with the vision of becoming India’s most trusted insurance company. The company strives to achieve its goal by providing simple yet innovative group health insurance to its customers. For instance, it has unique products like Arogya Shield which provides both health and life insurance covers, and loan insurance policy which provides coverage for critical illness, job loss, and personal accidents.

Just by purchasing your SBI group health insurance from Pazcare, you are choosing to get the best service for your employee. All your administration work can be managed in a hassle-free manner with the Pazcare dashboard. Trusted by more than 500+ companies in India, you can manage the policy, add/delete employees, and manage endorsements by just using the user-friendly Pazcare dashboard. Set your insurance on autopilot now with Pazcare.

How to buy SBI group health insurance at Pazcare?

Looking for SBI group health insurance? Just by following these simple steps, you can purchase your SBI group health insurance online at Pazcare.

  1. Firstly, visit https://www.pazcare.com/ and click on the products drop down. Now select group health insurance.
  2. Click on the get insurance button and a form will appear on your screen. Fill up all your basic information - your name, work email, phone number, company name, and the number of employees you wish to insure.
  3. Once you submit the form, our health insurance consultant will contact you within 24 hours. Do communicate your requirements and we will get it customized for you.
  4. Kindly wait till we get back. We will offer competitive quotes from SBI group health insurance and a few other insurers.
  5. After you decide on the insurer and accept the terms and conditions of the policy, now you will have to start the payment process.
  6. Your onboarding process will be carried out within 24 hours of making the payment.

For further information, write to us at support@getpaz.com or call our customer care at +91 78291 11300. Alternatively, connect with us on Whatsapp using the number +91 81973 79596.

Why choose SBI group health insurance as your insurance partner?

SBI group health insurance is the preferred choice of many corporations because of its wide offerings and coverages. Here’s why you should choose SBI group health insurance as your insurance partner:

6,000+ network hospitals

SBI Health Insurance has a strong presence of network hospitals with more than 6,000+ hospitals. You can avail of cashless treatment for the illness covered under your health insurance policy. The process of cashless hospitalization at SBI is extremely easy in case of a planned or emergency hospitalization.

iAAA Rating for “Highest Claim Paying Ability”

SBI general insurance has received a rating from IAAA indicating the highest claim paying ability. This shows how credible SBI group health insurance policy is.

Quick Assistance

SBI group health insurance offers great customer care with quick assistance. In fact, it has a tab for “Quick Assistance” on the website where the customers can download policy, check claim status, check policy details, and locate the network hospitals.

Transparent & Fast Claim Settlement Process

SBI group health insurance has a super quick and transparent claim settlement process. You do not have to deal with a delayed claim settlement process with SBI.

SBI group health insurance claim settlement ratio

You can calculate your Claim Settlement Ratio (CSR) by dividing the total number of claims settled by the total number of death claims volume. Higher the ratio, the more reliable the insurer. Therefore, CSR shows the credibility of the insurer.

Financial Year Claim settlement ratio
2019-20 66.08%
2018-19 78.00%

Also Read: Claim Settlement Ratio- Definition, Significance and Types

Network Hospitals of SBI group health insurance

SBI health insurance is known for its strong tie-ups with its network hospitals across India where one can avail of cashless treatment as per the terms and conditions of your health insurance policy. SBI health insurance has more than 6000 network hospitals in its network. You can easily enjoy a cashless treatment in these hospitals in a hassle-free manner.

Claim SBI group health insurance

SBI group health insurance cashless claim

In order for you to avail cashless claims at SBI group health insurance, the insurance company has made the process extremely hassle-free. Here’s how you can make cashless and reimbursement claims under the SBI group health insurance plan smoothly.

Follow these steps to avail of cashless treatment under your SBI group health insurance plan.

Step 1: Go to the nearest network hospital

For you to avail of cashless treatment, get hospitalized at the nearest network hospital that is under the SBI network.

Step 2: Present identity proofs

Show your health insurance ID card, company ID card, and proof of identity.

Step 3: Fill and submit the pre-authorization form

Make sure you fill up the pre-authorization form, which the hospital will then forward to SBI Health Administration Team (HAT).

Step 4: Request review

Wait till your documents are sent for verification purposes to SBI. After they are done verifying all your details with your policy benefits, SBI will then inform the hospital about the decision.

Step 5: Claim settlement

In the claim settlement process, you really do not have to do anything. Your insurer will settle all your medical bills directly with the hospital. Kindly wait till your claim request gets approved. Once it is approved they will notify you within 60 minutes.  SBI will directly settle at the hospital on your behalf.  

SBI group health insurance reimbursement claim process

For you to avail reimbursement claim facility under your SBI group health insurance plan, make sure you follow these steps:

Step 1: Get admitted to a non-network hospital

Make sure you get hospitalized and get the treatment from a non-network hospital nearest to your place or of your choice.

Step 2: Payment at the hospital up-front

Clear all the bills at the hospital upfront from where you received the medical treatment.

Step 3: Collect all the documents

Collect all the original bills and supporting documents required. Contact us at support@pazcare.com

Documents required for SBI group health insurance claim settlement

Make sure you submit all these documents for a group health insurance reimbursement claim settlement with SBI.

Original discharge summary document

  • All laboratory and test reports
  • Original hospital bills and other receipts
  • Copy of stickers/invoice/barcode in case of implants
  • KYC form
  • First consultation letter from the doctor

Step 4: Documents Submission

After you collect all the required documents, submit them to the nearest SBI health insurance branch. Do it under 15 days of discharge.

Step 5: Claim processing

Once you are done submitting all the required documents mentioned above, SBI will validate the documents. SBI will either approve or reject the reimbursement claim process. Once it is settled, it will get deposited in your bank account.

You can also contact us at support@pazcare.com. We will guide you through the whole process. We provide 24X7 claim assistance for your employees.

SBI group health insurance renewal process

Make sure you renew your SBI group health Insurance before it expires. It saves you from losing the benefits. Here are all the steps for your renewal process:

Step 1: Contact Pazcare and submit a form containing your personal details like name, company details, employee strength, number of employees you are looking to insure etc.

Step 2: Consultants at Pazcare will reach out to you once you submit the form. Submit the following documents along with the form.

  • Active data of the employees - name, age, gender
  • Claim analysis report
  • Claim dump report from the insurer/TPA
  • Policy copy

Step 3: You have the option to choose additional add-ons to your existing policy. This includes your dental insurance riders, maternity benefits, and more. Pazcare offers you a wide range of additional add-ons like wellness and therapy sessions, unlimited medical consultations, and several other comprehensive packages.

Step 4: Our consultants will get back to you with competitive quotes for SBI group health insurance. They will quickly go through your claim report and the add-ons you have selected. Your insurance premium might vary from the previous financial year.  

Step 5: Now the consultants will put forward the terms and conditions. Once you agree to it, the premium should be paid to the SBI group health insurance policy.

Step 6: With Pazcare, your onboarding is completed within 24 hours. Our team members will reach out to you if any additional information is required from your end.

With the help of Pazcare dashboard, your insurance journey will be seamless and completely hassle-free.

Step 7: Verify all your documents and once done your insurance provider will let you know if any additional documents are required from your end.

Step 8: Once your documents get verified, and the claim has been made per the policy terms and conditions, the payment will be made within 7 working days. Your claim settlement process will be smooth with Pazcare.

What is covered under your SBI group health insurance?

In-Patient hospitalization expenses

Your SBI group health insurance plans protect you from in-patient hospitalization if you get sick or have an accident. Hospital room rent fees, nurse costs, hospital ICU costs, surgeon costs, operating room costs, etc are some of the expenses covered under your SBI group health insurance.

Pre- hospitalization and post-hospitalization expenses

Under SBI group health insurance plans, cover 60 days of pre-hospitalization and 90 days of post-hospitalization expenses.

Maternity-related expenses

You can cover all the maternity-related expenses for a normal and c-section delivery. You just have to opt for a maternity insurance rider under your SBI group health insurance.

Ayurvedic, homeopathic, and Unani medicine coverage

Your SBI group health insurance cover all your ayurvedic, homeopathic, and Unani medicine under its policy. You can opt for this as an add-on to your existing insurance policy.

Accidental hospitalizations coverage

Your SBI group health insurance policy covers any hospitalization costs you incur as a result of a car accident. These hospital stays, however, must be longer than 24 hours. Remember that India is the only country covered.

Ambulance charges

If you fall sick and have to rush to the hospital, an ambulance facility is covered under your SBI group health insurance plan.

What is not covered under SBI group health insurance?

Nutritional supplements

SBI group health insurance plans do not cover you for your unprescribed vitamins, tonics, or any nutritional supplements.

Injuries caused by self-harm

SBI group health insurance does not cover you against any diseases caused by the intention of self-harm.

Treatment arising from the abuse of substances

SBI group health insurance plans do not cover you against the disease or treatment caused due to the abuse of any substances like drugs, alcohol, etc.

Unproven Treatments

SBI group health insurance plans do not cover you against any treatment which is not yet proven.

SBI group health insurance benefits

The appealing benefits of SBI group health insurance make it the most preferred choice for many. Here are some of the benefits discussed: 

Easy Portability Option

For instance, if you are not happy with the insurance provided by your current insurance provider, at the time of renewal you can easily switch to a similar SBI group health insurance plan. SBI allows you to continue with a similar SBI group health insurance plan without you losing the benefits of your existing policy. 

Wide Range of Sum Insured Options

 SBI group health insurance plans is available with a wide sum insured range. The lowest starting price is from Rs. 1 lakh and goes up till Rs. 50 lakh.

Tax benefits with tax exemption Sec 80 D

The premium paid for SBI group health insurance plans are eligible for tax benefits under Section 80D of the Income Tax Act, 1961. However, you need to keep in mind that you can only avail of tax benefits if the premium is paid in any mode other than cash. 

Coverage for the entire family 

Under SBI group health insurance, you have coverage for your entire family. This safeguards you and your family members against any health emergencies.

SBI group health insurance premium

With the help of SBI group health insurance premium calculator, you will be able to calculate premium for your policy. Here are some of the main factors that play a vital role in deciding the premium of ICICI Lombard group health insurance.

Age

Your age will be considered while determining your insurance premium. This factor helps in assessing the risk. For instance, younger people have better immunity compared to older people. This results in fewer health risks, and the premium would be relatively lower.

Nature of the job

Risk-averse jobs will have lower insurance premiums in comparison to risky jobs. Therefore, the nature of the job is considered a significant factor while calculating the premium.

Sum insured

The sum insured in a policy is the maximum amount that the insurer will pay for all of the employee's health and medical costs. Simply said, the bigger the insured amount, the higher the premium.

Your Claim history

Your insurer takes into account your claim history while determining the policy's premium. When renewing the insurance, the insurer will review all of the prior claims to determine whether any additional premiums are due.

Add-on covers

The cost will go up if you choose to customize your insurance plan with additional coverage. However, the employee is given the option of a typical group health insurance plan.

Also Read: Chola Group Health Insurance

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SBI group health insurance claim process

1

Intimate your insurer

Make sure to notify the SBI group health insurer of your claim. In case of emergency, make sure it is within 48 hours or at least 3 days beforehand. This pertains to hospitalization that was prearranged.

2

Identity Verification

Have all the necessary documents ready with you. Your proof of identity - policy number/health insurance ID card, company ID, and a valid unique govt. ID card.

3

Submission of pre-authorization form

Fill up the pre-authorization form and submit it to the hospital

4

Claim settlement

The claim will be settled directly at the network hospital once all your details are verified.

5

Contact us for any queries

For any queries or help, contact Pazcare at support@getpaz.com or call us at +91 78291 11300.

1

Intimate your insurer

Notify the insurer at least three days in advance or within 48 hours of filing your claim. This is in the case of planned hospitalization.

2

Clear all your bills

Make sure you clear all your bills and collect the original copies of hospital bills, doctor consultation reports, and other essential documents.

3

Document Submissions

Submit all the required documents along with the claim form to the insurer.

4

Claim settlement

The claim will be settled in your bank account directly once all your documents are verified.

5

Contact us for any queries

For any queries or help, please contact Pazcare at support@getpaz.com or call us at +91 78291 11300. The team will make sure you are given the right solution.

SBI group health insurance reviews

4.1 / 5

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Rating based on
(6596 reviews)

Mahima

5 / 5

5 / 5

Want to take this opportunity to thank team Pazcare for amazing service. Wellness programs was so productive too.

Prakash Prabhu

5 / 5

5 / 5

The service from the team was really impressive. Love how everyone at Pazcare is always happy to help.

Manasi

4.5 / 5

4.5 / 5

Liked the coordination among the team members. They made our claim process super quick. Keep up the good work.

Radhika Rastogi

5 / 5

5 / 5

The cashless claim approval process was super quick and efficient. The team really communicated well. Good job!

Aiswarya

4.5 / 5

4.5 / 5

Onboarding process was really smooth. Perfect coordination among the team. Highly recommend it.

Nalin Raj Singh

5 / 5

5 / 5

Loved the coordination and arrangement. Thanks, team Pazcare for making our insurance experience awesome.

4.6 / 5

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Rating based on
(3023 reviews)

Radhika Rastogi

5 / 5

5 / 5

The cashless claim approval process was super quick and efficient. The team really communicated well. Good job!

4.4 / 5

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Rating based on
(2193 reviews)

Prakash Prabhu

5 / 5

5 / 5

The service from the team was really impressive. Love how everyone at Pazcare is always happy to help.

Manasi

4.5 / 5

4.5 / 5

Liked the coordination among the team members. They made our claim process super quick. Keep up the good work.

4.8 / 5

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Rating based on
(913 reviews)

Aiswarya

4.5 / 5

4.5 / 5

Onboarding process was really smooth. Perfect coordination among the team. Highly recommend it.

Nalin Raj Singh

5 / 5

5 / 5

Loved the coordination and arrangement. Thanks, team Pazcare for making our insurance experience awesome.

4.2 / 5

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Rating based on
(1267 reviews)

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Why buy a group health insurance
policy online from Pazcare?

  • Choose the suitable policy with our consulting approach
  • Custom-made plan with health and mental wellness add-ons
  • The tech-enabled Pazcare dashboard to manage endorsements
  • Integrate the dashboard with your HRMS tool
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SBI group health insurance customer care number

For any queries or assistance, reach out to us at any time. We provide 24X7 customer assistance.

SBI group health insurance

SBI group health insurance FAQs

What is SBI health insurance customer care number?

1800 102 1111 is the SBI health insurance customer care number. Alternatively, you can email them at customer.care@sbigeneral.in 

What is the Claim Settlement Ratio of SBI group health Insurance?

The Claim Settlement Ratio of SBI group health insurance for the Financial Year 2019-20 is 78.00%.

How can I go about SBI group health insurance renewal online?

The SBI group health insurance renewal online can be carried out very easily with Pazcare. Get in touch with Pazcare and fill in a basic form containing details like the number of employees work email id and phone number. Once submitted, our insurance consultants will get back to you within 24 hours and help you with SBI group health insurance renewal. Or simply write to us at marketing@pazcare.com.

How can I go about SBI group health insurance log-in?

SBI group health insurance log-in can be carried out by first finding out the TPA associated with your group health insurance policy. Your TPA will send you the login credentials at the start of the policy and policyholders can use the same to log in and download the e-card, and raise the group health insurance claim.

Where can I download the SBI group health insurance policy brochure?

The SBI group health insurance policy brochure can be downloaded from the downloads section under the category of business insurance.

Where can I access SBI group health insurance premium calculator?

The SBI group health insurance premium calculator is accessible from the SBI group health insurance page. The premium for the group health insurance policy is calculated majorly based on certain factors like the number of employees, the average age of the employees, the type of plan opted, the sum insured preferred, the addition of add-ons like maternity benefit, the job risk involved, and many other factors.