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.
Let’s discuss the health insurance plans offered by Reliance –
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 –
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-
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’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 –
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 –
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 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 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 –
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 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 –
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
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 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 –
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 –
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 –
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 –
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.
To renew your health plan through Turtlemint, the steps are as follows –
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 –
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.
The following documents would have to be submitted to make a claim in a health insurance policy –
The insurance company might require additional documents depending on the claim. Once the documents are submitted, the company settles the claims at the earliest.
Yes, you can buy as many health insurance plans that you want. However, when you buy another plan, mention the details of the earlier plan as well.
In the case of multiple policies, you can make your health insurance claim under any policy that you want. However, if one policy is insufficient to cover the claim and you are utilising the other policy that you have, make sure to submit all the attested copies of the medical bills and reports to the second insurance company. Inform the second company of the previous claim so that the company would accept the attested photocopies of the documents required and settle your claims based on them.
Yes, many health insurance plans allow coverage for dependent parents under a family floater plan. Reliance’s HealthGain allows dependent parents to be covered. However, under HealthWise, coverage for dependent parents is not allowed. You should check the plan to see if it would allow coverage for your dependent parents under its floater variant.
No, a critical illness policy covers specified critical illnesses only. Thus, you will be able to claim if you happen to suffer from any of the mentioned critical illnesses.
Health insurance premiums are allowed as a deduction under Section 80D. You can claim a maximum deduction of up to INR 25,000 if you buy a policy for yourself and your family. If you are a senior citizen, the limit increases to INR 50,000. Moreover, an additional deduction can be claimed if you are buying a separate policy for your dependent parents. If you are buying a separate policy for your parents and paying the premium, you can claim an additional deduction of up to INR 25,000. If your parents are senior citizens, the limit increases to INR 50,000. So, you can claim deductions of up to INR 1 lakh if you and your parents are senior citizens and you buy separate policies for yourself and your parents.