Pradhan Mantri Suraksha Bima Yojana (PMSBY): Eligibility, Coverage & Benefits

In a country like India, where healthcare expenses can be a significant burden on individuals and families, having adequate health insurance coverage is essential. Recognizing this need, the Indian government introduced the Pradhan Mantri Suraksha Bima Yojana (PMSBY) to provide comprehensive health insurance to its citizens, with a special focus on senior citizens.

Features and Benefits of Pradhan Mantri Suraksha Bima Yojana

The PM Suraksha Bima Yojana offers a range of comprehensive coverage and benefits for policyholders between the ages of 18 and 70 years. The policy covers policyholders against a specific list of scenarios within the policy’s tenure. If any of the events mentioned below occurs, the insurance company will settle the claim within the scope of coverage. If the insured person sustains any injury caused by an accident, which in turn, is caused by outward, violent, and visible means, then the company shall approve the claim made by the policyholder. The scenarios that the policy covers are:

1. Accidental injury which leads to the policyholder’s death within 12 months of the accident. The insurance company will pay the sum insured of ₹ 2 Lakh.
2. Accidental injury causing one of the following within 12 months of the accidents: - Irrecoverable harm to both eyes - Inability to use both hands or feet - Loss of sight of one eye - Loss of use of hand or foot In this case, the insurance company will pay the sum insured of ₹ 2 Lakh.
3. Accidental injury causing total and irrecoverable loss of sight of one eye, or loss of use of one hand or a foot. In this case, the insurance company will pay the sum insured of ₹ 1 Lakh.

The total sum insured that the policy offers is ₹ 2 Lakh. Hence, in any of the above cases, the maximum coverage you will receive is ₹ 2 Lakh whether it is regular coverage or health insurance for senior citizens. Claims are subject to terms and conditions set forth under travel insurance policy.^

How to Apply PMSBY ?

Applying for the Pradhan Mantri Suraksha Bima Yojana (PMSBY) is a straightforward process. Here are the steps involved in applying for this health insurance policy:

Obtain the PMSBY Form

The Pradhan Mantri Suraksha Bima Yojana form can be obtained from several sources, including insurance companies, banks, and the official government website. You can fill out the format online in the digital format or through a physical copy of the form.

Fill in the Form

Provide accurate and complete information in the PMSBY form. This includes personal details such as name, age, address, contact information, and Aadhaar Card details.

Medical History

You might have to give details regarding your medical history during your application. This could also include information any pre-existing conditions. Provide this information truthfully as it will impact the coverage and premium calculation.

Nominee Details

Indicate the details of the nominee who will receive the benefits in case of the policyholder’s demise. Ensure that the nominee details are correctly filled, to avoid any complications in the future.

Submit the Form

Once the form is filled, submit it to the concerned authority. This can be done through authorized insurance providers, banks, or any other designated collection centres.

Premium Payment

Pay the premium amount for the Pradhan Mantri Suraksha Bima Yojana policy. The premium can be paid through various modes such as online payment, bank transfer, or cheque, depending on the options provided by the insurance provider.

Acknowledgment

After submitting the form and premium payment, you will receive an acknowledgment receipt. Keep this receipt safely as proof of your enrolment in the PMSBY scheme.

Affordability

One of the key advantages of the Pradhan Mantri Suraksha Bima Yojana is its affordability. The premiums for PMSBY are kept low to make it accessible to a wide range of individuals, including those belonging to lower-income groups. The government subsidies and provisions ensure that senior citizens can secure quality health insurance coverage without straining their finances. To make the process of choosing a suitable health insurance plan more transparent and convenient, individuals can utilize the health insurance premium calculator. This online tool helps estimate the premium amount for various health insurance policies, including those offered under PMSBY.

Conclusion

In conclusion, the Pradhan Mantri Suraksha Bima Yojana (PMSBY) is a commendable initiative by the Indian government to provide comprehensive health insurance coverage to senior citizens and the broader population. With its affordable premiums, wide-ranging benefits, and emphasis on preventive healthcare, PMSBY ensures that individuals can safeguard their financial well-being in the face of medical emergencies. By utilizing tools such as the health insurance premium calculator, individuals can make informed decisions about their health insurance needs. It is crucial for senior citizens and their families to explore and leverage the benefits of PMSBY to secure their health and financial stability.   *Standard T&C Apply. Insurance is the subject matter of solicitation. For more details on benefits, exclusions, limitations, terms, and conditions, please read the sales brochure/policy wording carefully before concluding a sale.