Reliance General Insurance Company is a part of one of the leading conglomerates of India – Reliance Anil Dhirubhai Ambani Group. The company was founded in the year 2000 when private insurance companies were allowed in the market. Ever since it was founded, the company has been providing general insurance solutions to individuals, organisations as well as the small and medium sector enterprises.
Health insurance plans are one of the general insurance products sold by Reliance. Other products include car insurance, two-wheeler insurance, travel insurance and commercial insurance plans. Health insurance plans offered by Reliance General are quite popular as they provide good coverage at affordable premiums. Moreover, as health insurance policies help in taking care of your medical bills, they are also in demand.
Features and benefits of Reliance General’s health insurance plans:
- The company offers both indemnity health plans as well as fixed benefit plans. While indemnity plans pay the actual medical costs suffered, fixed benefit plans pay a lump sum benefit irrespective of the costs incurred.
- Wellness benefits are offered under the company’s health insurance plans which let you track your health and live a healthy life.
- Premium discounts are offered if a girl child is covered under the health insurance plans.
- Discount coupons and vouchers are offered which can be used at specified wellness centres.
- The health insurance premiums qualify as a deduction under Section 80D up to INR 25,000. If you also cover your senior citizen parents and pay their premiums, you can claim an additional deduction of up to INR 50,000.
- The company offers a claim settlement guarantee. If you have submitted all the documents of the claim and the claim is not settled within 6 hours, the company would pay an interest of 1% of the claim amount for delay of every 6 business hours.
Health insurance plans offered by Reliance General Insurance:
Let’s discuss the health insurance plans offered by Reliance –
Reliance HealthGain Plan:
Reliance’s HealthGain is an indemnity health insurance plan which covers the actual cost of hospitalisation.
The salient features of the plan include the following –
- The plan can be taken by individuals and also by families.
- There are two plan variants – A and B.
- There is a premium discount of 5% if the plan is bought by a single independent women and also if the plan covers a girl child.
- There is an inbuilt critical illness cover under plan B. If you are diagnosed with any of the covered illnesses during the policy tenure, the policy tenure extends by a year without you having to pay any premiums.
- If you are an existing customer of the company who has bought a car insurance policy, you can enjoy a 5% additional premium discount.
- If an individual policy is taken and you choose to add family members, you can get a premium discount of 5% to 10%.
- The sum insured under the policy gets doubled if there are no claims in four successive policy years.
- Extended family can also be covered under the family floater variant of the plan.
- The plan can be bought by paying the premiums in four affordable EMIs.
- The company offers a policy service guarantee. If there is a delay in policy issuance, an additional sum insured of INR 10,000 in Plan A and INR 20,000 in Plan B is promised without additional premium.
- The policy can be taken for 1 or 2 years.
Coverage benefits of Reliance HealthGain Plan:
The following are the coverage features of the plan –
|Coverage features||Plan A||Plan B|
|Ambulance cover||Up to INR 1500||Up to INR 3000|
|Accidental death cover||NA||There is a cover of INR 1 lakh payable in case of accidental death if the insured does not make a claim in the last policy year. The accidental death cover is promised on renewal of the policy|
|Pre hospitalisation cover||Up to 60 days||Up to 60 days|
|Post hospitalisation cover||Up to 60 days||Up to 60 days|
|Sum insured reinstatement||The sum insured is reinstated fully if it is exhausted in a policy year. However, for the same illness, the sum insured is restored by 20%||The sum insured is reinstated fully if it is exhausted in a policy year. However, for the same illness, the sum insured is restored by 20%|
|Hospitalisation expenses||Covered up to the sum insured||Covered up to the sum insured|
|Daycare treatments||Covered up to the sum insured||Covered up to the sum insured|
|Organ donor expenses||Covered up to 50% of the sum insured subject to a maximum of INR 5 lakhs||Covered up to 50% of the sum insured subject to a maximum of INR 5 lakhs|
|Domiciliary treatments||Covered up to 10% of the sum insured subject to a maximum of INR 50,000||Covered up to 10% of the sum insured subject to a maximum of INR 50,000|
|No claim bonus||The sum insured increases by 1/3rd after every claim-free year||The sum insured increases by 1/3rd after every claim-free year|
Exclusions of Reliance HealthGain Plan:
The following claims are not covered by the policy-
- Pre-existing illnesses in the first 3 years
- Named illnesses in the first 2 years
- Any illness which occurs within the first 30 days of buying the policy
- Self-attempted injuries or suicide
- Maternity and related costs
- Illnesses or injuries due to war, nuclear perils or related conditions
- AYUSH treatments
- OPD expenses
- Unproven or experimental treatments which are not recognized and approved
Plan parameters and other conditions of Reliance HealthGain Plan:
|Pre-entrance health check-ups||For Plan A health check-ups would be required if the insured is aged 46 years and above at the time of buying the policy|
For Plan B health check-ups would be required if the insured is aged 18 years and above at the time of buying the policy
|Minimum age at entry||Individual policies can be bought by individuals aged 5 years and above|
In family floater plans, children aged 91 days and above and up to 4 years can be covered if another covered member is at least 21 years old
|Maximum age at entry||65 years under both plan variants. However, if the sum insured is INR 3 lakhs, there is no bar on the entry age|
|Sum insured||Plan A – INR 3 lakhs, INR 6 lakhs and INR 9 lakhs|
Plan B – INR 12 lakhs, INR 15 lakhs and INR 18 lakhs
|Number of members covered||Individual plan – up to 6 members in the same policy|
Floater plan – up to 6 members in the same plan. The members can be a maximum of 4 children and 2 adults aged 21 years and above
|Co-payment||20% of the claim amount if the insured is aged 61 years and above|
Reliance HealthWise Plan:
Reliance’s HealthWise Plan is also an indemnity oriented health insurance plan which covers the cost of hospitalisation.
The salient features of the plan include the following –
- The plan comes in three variants of Gold, Silver and Standard
- There is an inbuilt critical illness benefit under the Gold Plan which pays a lump sum benefit if the insured is diagnosed with any of the covered critical illnesses during the term of the policy
- There are no sub-limits on room rent and a single private room is allowed for inpatient hospitalisation
- 7% premium discount is allowed for covering two girl children under the plan. If one daughter is covered, the discount allowed is 4%
- 5% premium discount is allowed every year if you do not make a claim in the previous policy year. The maximum no claim discount which you can avail is up to 20%
Coverage benefits of Reliance HealthWise Plan:
|Inpatient hospitalisation||Covered up to the sum insured||Covered up to the sum insured||Covered up to the sum insured|
|Domiciliary treatments||Covered for up to 10% of the sum insured||Covered for up to 10% of the sum insured||Covered for up to 10% of the sum insured|
|Daycare treatments||Specified treatments are covered up to the sum insured||Specified treatments are covered up to the sum insured||Specified treatments are covered up to the sum insured|
|Pre hospitalisation expenses||Covered for up to 30 days||Covered for up to 60 days||Covered for up to 60 days|
|Post hospitalisation expenses||Covered for up to 60 days||Covered for up to 90 days||Covered for up to 90 days|
|Free health check-ups||Covered for up to 1% of the sum insured for individual plans and 1.25% of the sum insured for floater plans after 4 claim-free years||Covered for up to 1% of the sum insured for individual plans and 1.25% of the sum insured for floater plans after 4 claim-free years||Covered for up to 1% of the sum insured for individual plans and 1.25% of the sum insured for floater plans after 4 claim-free years|
|Critical illness cover||NA||NA||Available|
|Organ donor expenses||NA||Covered up to the sum insured||Covered up to the sum insured|
|Daily hospital cash allowance||NA||NA||INR 250/day for a maximum of 7 days|
|Nursing daily allowance||NA||INR 250/day for a maximum of 5 days||INR 300/day for a maximum of 5 days|
|Ambulance costs||Covered up to INR 500||Covered up to INR 750||Covered up to INR 1000|
|Recovery benefit||NA||A lump sum of INR 10,000 is paid if hospitalisation exceeds 10 continuous days||A lump sum of INR 10,000 is paid if hospitalisation exceeds 10 continuous days|
|Expenses for the accompanying person||INR 200/day for a maximum of 5 days||INR 250/day for a maximum of 5 days||INR 300/day for a maximum of 5 days|
Exclusions of Reliance HealthWise Plan:
Reliance’s HealthWise Plan offers good coverage benefits. However, there are some exclusions too which are not covered by the plan. Common exclusions include the following –
- Illnesses like cataract, fibromyoma, fistula, piles, hysterectomy, etc. are not covered in the first policy year
- Under the Standard Plan variant, pre-existing illnesses are not covered in the first 4 policy years. However, under the other two plan variants of Gold and Silver, pre-existing illnesses are not covered for the first 2 years
- Illnesses suffered within 30 days of buying the policy are not covered
- Maternity related treatments and costs of childbirth are not covered
- HIV, AIDS or any other sexually transmitted ailments are not covered
- Costs of spectacles, lenses or hearing aids are not covered
- Treatments due to war, nuclear contamination and related perils are not covered
- Congenital illnesses are not covered
Plan parameters and other conditions of Reliance HealthWise Plan:
|Pre-entrance health check-ups||No health check-ups are required of the insured is aged up to 45 years when buying the policy. For higher entry ages, however, pre-entrance medical check-ups would be a must.|
|Minimum age at entry||Children – 3 months.|
Adults – 18 years.
|Maximum age at entry||65 years.|
|Sum Insured||INR 1 lakh to INR 5 lakhs in multiples of INR 1 lakh.|
|Number of members covered||Self and spouse can be covered. Dependent children aged 3 months to 18 years can be covered if anyone parent is covered.|
|Co-payment||25% of the claim amount if the policy is bought in one geographical Zone and a claim is made in another Zone.|
Reliance Critical Illness Insurance Plan:
Reliance Critical Illness Insurance policy is a fixed benefit critical illness plan. The plan covers a list of specified illnesses and major treatments. If the insured is diagnosed with any of the covered illnesses or undergoes any covered treatment, the policy pays the sum insured in lump sum. The sum insured is paid irrespective of the actual medical costs incurred. The amount of benefit received can be used to pay for medical treatments or to fulfil any other financial obligations that you have.
The salient features and benefits of Reliance’s Critical Illness Insurance Policy are as follows –
- Coverage is available for 10 critical illness
- There is no need to undergo pre-entrance medical check-ups to buy the plan
- The policy can be taken for 1 years and 3 years
Coverage benefits of Reliance Critical Illness Insurance Plan:
The critical illnesses covered under the plan are divided into two categories – life threatening illnesses and non-life threatening illness. The covered illnesses under each category include the following –
|Life threatening illnesses||Non-life threatening illnesses|
|Major organ transplant||Coma of specified severity|
|Cancer||Repair or replacement of heart valve|
|Third degree burns||Coma quadriplegia which continues for 90 days post diagnosis without recovery|
|Multiple Sclerosis||End stage renal disease|
|Aorta Graft Surgery||Total blindness|
Exclusions of Reliance Critical Illness Insurance Plan:
These are the common exclusions under the plan where a claim is not paid –
- Pre-existing illnesses or diseases are not covered
- HIV, AIDS or STDs are not covered
- Illnesses within 3 months of buying the policy would not be covered
- Illnesses due to pregnancy, war, nuclear threats, breach of law, alcohol usage or smoking, attempted suicide, etc. would not be covered
- Cosmetic treatments and surgeries are not covered
- If the insured dies within 30 days of diagnosis of the illness, claim would not be paid
- If the diagnosis is not done by a recognized medical practitioner or if it is not scientifically recognised, claim would not be admissible.
Plan parameters and other conditions of Reliance Critical Illness Insurance Plan:
|Pre-entrance health check-ups||Not required|
|Minimum age at entry||18 years|
|Sum Insured||INR 5 lakhs, INR 7 lakhs and INR 10 lakhs|
Reliance Personal Accident Insurance Plan:
Reliance Personal Accident policy is also a fixed benefit health insurance plan which pays a lump sum benefit in case of accidental contingencies. The salient features of the plan include the following –
- The sum insured increases by 5% after every claim-free year. The maximum increase in sum insured allowed under the plan is up to 50%
- The coverage is allowed worldwide
- The add-on of reimbursement of medical expenses can be availed by paying an additional premium. This add-on would cover the cost of medical expenses incurred after an accident
- The policy can be taken by an individual for self or as a family package cover for the whole famil
- Individuals are underwritten as per the risk class they belong to. Risk class depends on your occupation. There are three risk classes of I, II and III. Premiums are higher at higher risk classes.
Coverage benefits of Reliance Personal Accident Policy:
The policy covers accidental death, disablements and other financial losses. The instances covered and the claim payable for each are given below –
|Instances of claim||Amount of claim paid|
|Accidental death||100% of the sum insured|
|Permanent total disablement like loss of two limbs, two eyes or one limb and one eye||100% of the sum insured|
|Permanent total disablement like loss of one limb or eye||50% of the sum insured|
|Permanent partial disablement||1% to 75% of the sum insured depending on the disablement suffered and the policy conditions|
|Carriage of mortal remains||2% of the sum insured subject to a maximum of INR 2500|
|Medical expenses reimbursement extension||Lower of 40% of the claim paid or 20% of the sum insured of the policy|
Exclusions of Reliance Personal Accident policy:
The following instances of claims are not covered under the plan
- Any type of claims after a claim has already been paid
- Claims for similar disabilities
- Claims more than the sum insured
- Attempted suicide, criminal acts, sexually transmitted diseases, HIV, AIDS, etc.
- Accidents suffered when you are under the influence of alcohol or drugs
- Maternity and its related complications
- Natural death
Plan parameters and other conditions of Reliance Personal Accident policy:
|Members covered||Self, spouse and dependent children|
|Minimum entry age||Adults – 18 years|
Children 5 years. Children would be covered till they attain 25 years of age
|Sum Insured||For the primary insured, sum insured would depend on income.|
For the spouse of the insured, the coverage would be 50% of the sum insured subject to a maximum of INR 1 lakh
For dependent children, the coverage would be 25% of the sum insured subject to a maximum of INR 50,000 per child
Premiums of Reliance health insurance policies:
Premiums of Reliance General’s health insurance policies depend on a lot of factors. When calculating the premium the company keeps all the factors in mind and then does the calculation. The factors which affect your health insurance premiums include the following –
- Your age – the older you are the higher would be the premium and vice-versa
- The number of members covered – the premium increases with an increase in the number of covered members. Individual plans are, therefore, cheaper than family floater ones
- Sum insured – higher levels of sum insured have higher premiums and vice-versa
- Add-ons selected – if you choose any optional coverage benefit, an additional premium would have to be paid for it
- Coverage features in the plan – the higher the coverage feature the plan has, the higher would be the premium. That is why, under HealthWise plan, Gold variant would be dearer than Standard or Silver variant
- Medical history – if you or any other covered member suffers from any medical complication, the premium would be increased because of the increased medical risk under the policy
- Discounts available – Reliance offers a range of premium discounts in its health insurance policies. If you qualify for the available discounts, the premiums would be lowered
- Policy tenure – long term policies have higher premiums because you pay the premium of the full tenure at once.
How to buy Reliance health insurance plans?
It is very easy to buy health insurance policies offered by Reliance General. You can meet the company’s agent and buy a plan from him/her or visit the company yourself for purchasing the policy that you want. If you want a simpler alternative you can buy the plan online which is easier and quicker.
For buying online, the following steps would have to be taken –
- Visit Reliance General’s official website at https://www.reliancegeneral.co.in/Insurance/Home.aspx
- On the home page choose ‘Health’ and enter the required information like the sum insured that you would like to take, the age of the eldest member to be covered, number of members covered, their age and your contact details
- When the details are entered, you would get to see the plans offered by the company and their respective premiums
- You can choose the most suitable policy, pay the premium online and buy the policy. It is as simple as that.
The Turtlemint way:
There is another way to buy Reliance General’s health insurance policies online. It is through Turtlemint. Turtlemint is an online platform which lets you buy the most suitable health insurance policy after comparing different plans. Turtlemint is tied up with leading insurers like Reliance and you can see the best health insurance plans, compare them and then buy the most suitable one. The process of buying health insurance through Turtlemint includes the following steps –
- Visit Turtlemint’s website at www.turtlemint.com and choose ‘Health’
- Once you choose ‘Health’ you would be directed to a new page wherein you have to choose ‘Buy new policy’
- On the next few pages, you have to provide your details like your age, gender, number of members which are to be covered, your income level, PIN code of your area, etc.
- Based on your income and other factors, the recommended coverage level would be shown
- You can also see different health insurance plans offering the recommended coverage and their premium
- You can compare and choose the best health insurance plan
- Pay the premiums online and the policy would be issued instantly
How to renew Reliance General health insurance policies?
Renewal of Reliance’s health insurance plans is also as simple as buying the plan. You can renew through an agent or through the company’s offices. You can also renew the policy online through the following steps –
- Visit the company’s website at https://www.reliancegeneral.co.in/Insurance/Home.aspx
- On the home page select ‘Pay Renewal Premium’ wherein you would have to enter your existing policy number
- Once the number is entered you would be able to check the details of your existing plan. You can make modifications if you want and then renew the plan
- For renewal, you should pay the renewal premium online. Once the premium is paid, the plan would be renewed instantly and you can enjoy continuous coverage.
Turtlemint also allows you the facility of renewing your Reliance health insurance policy online. Through Turtlemint you can even compare your existing Reliance policy with other available health insurance plans offered by leading insurers. You can then choose to continue with the same policy or port to another one.
Renewal through Turtlemint:
To renew your health plan through Turtlemint, the steps are as follows –
- Visit the website of Turtlemint at www.turtlemint.com and choose ‘Health’
- Provide the required details of your health insurance cover to view the available health insurance policies
- Once the details are entered, you can check the different health insurance policies available
- You can compare and choose the best health insurance plan.
How to make a claim under Reliance General’s health insurance plans?
Health insurance claims can be cashless or on a reimbursement basis. Cashless claims is when you seek treatments at a networked hospital which is tied-up with the insurance company. in such claims, the company settles your medical bills directly with the hospital and you don’t have to shoulder the claim yourself. If, on the other hand, you take treatments at a non-networked hospital, you would have to pay the medical costs yourself and the insurance company would, later on, reimburse the claim. The claim process for cashless claims is as follows –
- Once you seek treatment at a networked hospital, contact the hospital’s TPA (Third Party Administrator) desk and fill out a pre-authorization form.
- The pre-authorization claim form should be filled and submitted within 24 hours of emergency hospitalisation. In case of planned hospitalisations, however, the form should be submitted at least 3-4 days in advance.
- Submit the form with a copy of your health card which has been issued by Reliance with your health insurance policy.
- The form would then be sent to the insurance company which would assess it and approve the claim.
- Once the claim is approved, the insurance company would settle the hospital bills directly with the hospital.
- You should leave your Discharge Summary and all the relevant hospital reports and bills with the hospital for submitting them with your health insurance claim. You can keep a photocopy of all the documents for your records.
- For reimbursement claims, you have to pay the hospital bills yourself.
- When you are discharged from the hospital, collect all the original medical bills and reports along with your Discharge Summary.
- Submit your claim with Reliance on all the original medical bills and reports. The company would assess the submitted documents and reimburse you for the medical costs that you incurred.
Another alternative to get your health insurance claim easily settled is through Turtlemint. Turtlemint offers you complete claim assistance without you having to undertake any hassles. You just have to inform Turtlemint’s claim handling department about your health insurance claim and your work is done. Turtlemint, then, coordinates with the insurance company and helps in getting your claims settled at the earliest. To inform Turtlemint of a claim, you can dial their toll-free number which is 1800 266 0101. You can, alternatively, send an email at firstname.lastname@example.org to intimate about your claim. Once intimated, Turtlemint would handle your claim and you can relax.
Documents required for making a health insurance claim:
The following documents would have to be submitted to make a claim in a health insurance policy –
- Claim form
- Identity proof of the insured member for whom the claim is being made
- Discharge Summary issued by the hospital
- All the hospital bills in original
- All medical reports associated with the treatment for which the claim is being made
- All medical prescriptions in original which advise hospitalisation
- Police FIR copy if hospitalisation is due to an accident
- Cancelled cheque of your bank account
- Copy of your health card issued by Reliance
The insurance company might require additional documents depending on the claim. Once the documents are submitted, the company settles the claims at the earliest.