Health

Reliance Health Insurance : all that it covers

Reliance General Insurance is India’s one of the best general insurance companies. This Company has a wide and strong customer base that has involvement of individuals, corporates and SMEs. Reliance General has a range of products such as health insurance, motor insurance, travel insurance etc. This general insurance company is one of the leaders in the private sector insurance providers in India.

The corporate vision of this Company is to provide the best services with innovative products and lead the domestic and global markets as well. Reliance General Insurance wish to provide affordable insurance products which would be accessible to each single individual, protect the policy holders interests and offer incomparable customer service.

Reliance General Insurance Company has around 139 offices across India.

 Features – Reliance Health Insurance

The features of Reliance Health Insurance are mentioned below:

  • of members- The plan covers maximum 4 members of your family that may include up to 2 children and 2 adults.
  • Lifelong Renewal – The plans offered are lifelong renewable, hence it saves you from the financial burden and stress caused by a medical emergency and keeps you well prepared to handle any situation.
  • No Sub-Limits on Room Rent – As sub-limits on room rent practically eat into your sum insured, Reliance Health Insurance scores brownie points for their plans without any sub-limits on the room rent.
  • Pre & Post hospitalization cover– The plan covers medical expenses for 30 days prior to hospitalization and 60 days post hospitalization only for related medical expenses.
  • Health Check-ups – On successful completion of 4 claim-free years, the health check-up expenses are reimbursed.
  • Pre-existing diseases– Pre-existing diseases are covered after 4 years of waiting period.

Co-payment– The plan has no co-payment policy.

The benefits of buying Reliance Health Insurance are mentioned below:

  • Discounts: Reliance Health Insurance provides a discount of 5% for a girl child or for single women. Offers a premium discount of 5% for Reliance Private Car Package Policy customers
  • Coverage: Offers coverage to immediate and extended family members under an individual mediclaim insurance policy
  • Cashless facility: Offers cashless facility with a network that ranges more than 4000 hospitals
  • Flexibility: Offers flexibility to make the premium payments via UPI, Paytm, Netbanking, Debit/Credit card etc. as per your convenience
  • Re-instatement: Offers re-instatement of sum insured if get exhausted from your basic sum insured of your health insurance
  • Mediclaim settlement: Offers quick and hassle-free claim settlement services
  • Tax benefits: Section 80C and 10(10D) under the Income Tax Act, provides tax benefits for premiums paid regularly

Products offered – Reliance Health Insurance

  1. Reliance HealthGain

Reliance HealthGain is one of the best health insurance plans in India. It is further sub-divided into Plan A & Plan B. The features of Plan B are more comprehensive. The overall features of and eligibility criteria of both the plans are mentioned below:

Entry Age
Plan A

5 years minimum & 65 years maximum

Plan B

5 years minimum for individual/floater and maximum 65 years

Policy Period 1 years and 2 year plans
Medical Tests
Plan A

Aged 45 years and above

Plan B

Aged 18 years and above

Sum assured
Plan A

Rs.3 lakh, 6 lakh , 9 lakh

Plan B

Rs.12 lakh, 15 lakh, 18 lakh

 

  • This plan offers pre-hospitalization coverage for covering medical expenses for 60 days and 60 days post-hospitalization coverage for meeting your medical expenses
  • Offers in-patient treatment for covering illnesses in case the insured is hospitalized for more than 24 hours
  • Offers day-care treatments in case the insured is hospitalized for less than 24 hours
  • Offers domestic road ambulance services to any of the nearest hospital for cases like life threatening emergencies. This covers charges up to Rs.1,500 under Plan A and Rs.3,000 under Plan B
  • Covers organ donor’s expenses up to 50% of the basic sum insured and a maximum of up to Rs.5 lakh
  • Offers domiciliary hospitalization in case the treatment continues for minimum of three days
  • In case you exhaust your basic sum insured as well as cumulative bonus, and yet there is a requirement of hospitalization for related and unrelated illnesses, Reliance Health Insurance refills the entire sum insured free of cost
  • Offers cumulative bonuses of 33.33% on your basic sum insured free of cost, if you do not make any claim in a policy period
  • In case you do not make any claim in 4 policy years consecutively, Reliance Health Insurance offers a cumulative bonus equal to your basic sum insured. You can use the call option in your 5th policy year, to double your sum insured by adding cumulate bonus
  • This plan offers an accidental death cover of Rs.1 lakh under Plan B, after every claim-free year with the Company
  • Section 80C and 10(10D) under the Income Tax Act, provides tax benefits for premiums paid regularly

Exclusions:

Not anything and everything is covered under the Reliance HealthGain Plan. The exclusion list is mentioned below:
  • Any claim raised for medical expenses within 30 days of the health insurance policy issuance, wouldn’t be covered, unless these medical expenses occur due to an injury.
The below illnesses or surgeries will not be covered for the first two consecutive years since the policy issuance date:
  • Nasal Septum Deviation, Sinusitis (and related disorders)
  • Benign Prostatic Hypertrophy
  • Cataract
  • Arthritis (non-infective)
  • Surgery of Genito-Urinary System (unless necessitated by malignancy
  • Gout
  • Kidney Stone/ Ureteric Stone/ Lithotripsy / Gall Bladder Stone
  • Rheumatism
  • Osteoarthritis and Osteoporosis
  • All Vertebrae Disorders (including, but not limited to, Spondylitis, Spondylosis, Spondylolisthesis & Intervertebral Disc Prolapse)
  • Joint Replacement Surgery
  • Benign Ear, Nose and Throat (ENT) Disorders and Surgeries (including, but not limited to, Adenoidectomy, Mastoidectomy, Tonsillectomy and Tympanoplasty)
  • Hernia, Hydrocele (all types)
  • Internal Tumours, Nodules, Polyps, Breast lumps, Skin Tumours, Cysts, (each of any kind), unless malignant
  • Any medical conditions which were not disclosed within 36 months prior to policy
  • The insured if hospitalized in a room not as per the policy wordings (single room). Any room, beyond the description in a policy wordings, is excluded from the health insurance policy coverage.
The following diseases or conditions are not covered in this plan, under permanent exclusions:
  • Intentional self-injury / injury under influence of alcohol, drugs / criminal acts
  • Congenital diseases (diseases present from birth)
  • Dental treatment or surgery
  • Maternity- or Fertility-related conditions
  • Treatment of mental illness
  • Cosmetic, aesthetic treatment
  • Outside India or Robotic or Stem Cells
  • War / nuclear / chemical / biological injuries
  • Diseases such as HIV / AIDS or STDs
  • Maternity- or Fertility-related conditions
  • Cost of spectacles, contact lenses and hearing aids
  1. Reliance Personal Accident Insurance Policy

Accidents are unpredictable. They can happen anywhere and anytime. To offer you financial security, Reliance offers you a Personal Accident Insurance Policy. The features and eligibility criteria are mentioned below:

Entry Age Minimum age 5 and maximum 70 years & children between 5 & 25 years
Basis Single + Family package
Premiums 0.45 to 1.75 per thousand of the amount of sum assured. For people above 75years, rates would increase

 

  • This plan offers a complete coverage that includes death due to an accident and permanent disability
  • Offers mortals carriage as an add-on wherein an amount in lump sum for transportation is paid which is 2% of the capital sum insured if the death occurs due to accident outside the residence (maximum Rs.2,500)
  • Offers hassle-free documentation
  • Offers 5% increase in CSI
  • Offers extension in case of medical expenses
  • Offers 100% of the sum insured on the death of insured in case of an accident
  • Offers 100% of the sum insured on permanent total disability
  • Offers 100% of the sum insured during loss of two limbs/ two eyes or one limb and one eye
  • Offers 50% of the sum insured in case of loss of one limb or one eye
  • Offers specified percentage of sum insured in case of permanent partial disability
  • Section 80C and 10(10D) under the Income Tax Act, provides tax benefits for premiums paid regularly

 

Exclusions:

The Reliance Personal Accident policy does not cover the following:

  • Any claim raised for more than once during the same duration of disability
  • Any claim in the same period of insurance exceeding the capital sum insured
  • Any death compensation done due to:
  • Suicide, attempted suicide etc.
  • Pregnancy and/or childbirth
  • War and nuclear perils
  • Ionizing radiation or radioactivity
  • HIV / AIDS / or death due to any disease
  • Natural death

Reliance Critical Illness Insurance Policy

Reliance offers a specified plan to take care of life-threatening diseases. The features and eligibility criteria for this plan are mentioned below:

Entry Age For 18 years to 65 years with sum insured Rs.5 lakh

For 18 years to 60 years with sum insured Rs.7 lakh

For 18 years to 55 years with sum insured Rs.10 lakh

Policy period 1 year minimum & 3 years maximum
Medical examination Essential for 45 years and above
Basis Individual
Sum assured Rs.5 lakh, 7 lakh or Rs.10 lakh

 

  • This plan offers a lump sum payout in case you are diagnosed with any critical illness or if you there is a requirement of any surgeries.
  • Offers coverage for 10 types of critical illnesses
  • Offers quick and hassle-free settlement of claims
  • Section 80C and 10(10D) under the Income Tax Act, provides tax benefits for premiums paid regularly
  • Payouts are made only if the patient survives for more than 30 days post diagnosis of the critical illness in category 1 & for category 2 the payouts are made if the patient survives for more than 60 days post diagnosis, unless the disease is Quadriplegia then the benefit would be paid post 90 days
  • There are 2 categories in Critical Illnesses.
Category 1 Category 2
Cancer Heart Valve Replacement or Repair
Major Organ Transplant Total Blindness
Multiple Sclerosis Coma of Specified Severity
Third Degree Burns Coma Quadriplegia
Aorta Graft Surgery End Stage Renal Disease requiring regular dialysis

 

Exclusions:

Not anything and everything is covered under a Critical illness plan. The exclusion list is mentioned below:

  • Pregnancy or child birth​
  • Any pre-existing disease or injuries
  • HIV infection / AIDS
  • Cosmetic or sex change treatment / surgery
  • Alcohol consumption, smoking, other tobacco intake or drug abuse
  • Critical illness contracted or diagnosed arising out of or due to within 3 months of the policy start date
  • Intentional self-injury, suicide or attempted suicide
  • Any breach of law or participation in actual or attempted felony, riot, crime, or civil commotion
  • War, terrorism or nuclear weapons

​Cases, where

  • death occurs within 30 days of the diagnosis or surgery
  • diagnosis is provided by a family member without a medical practitioner
  • diagnosis is not scientifically recognized​
  1. Senior Citizen Health Insurance Plan

We all know that health risks keep increasing as and when your age increases. Having a health insurance policy nowadays would be a blessing in disguise. Buying health insurance for senior citizen above 60 years would be a smarter move to make life even more relaxed and stress-free. Because we all want to age gracefully.

The overall features of and eligibility criteria of both the plans are mentioned below:

  • Reliance Health Insurance provides a discount of 5% for a girl child or for single women. Offers a premium discount of 5% for Reliance Private Car Package Policy customers
  • Offers coverage to immediate and extended family members under the family floater health insurance policy
  • Offers cashless facility with a network that ranges more than 4000 hospitals
  • Offers flexibility to make the premium payments via UPI, Paytm, Netbanking, Debit/Credit card etc. as per your convenience
  • Offers re-instatement of base sum insured if you get exhausted from your senior citizen health insurance policy
  • Offers quick and hassle-free claim settlement services
  • Section 80C and 10(10D) under the Income Tax Act, provides tax benefits for premiums paid regularly

 

Exclusions:

Not anything and everything is covered under the Reliance Senior Citizen Health Insurance Plan. The exclusion list is mentioned below:

  • Any claim raised for medical expenses within 30 days of the health insurance policy issuance, wouldn’t be covered, unless these medical expenses occur due to an injury.
The below illnesses or surgeries will not be covered for the first two consecutive years since the policy issuance date:
  • Nasal Septum Deviation, Sinusitis (and related disorders)
  • Benign Prostatic Hypertrophy
  • Cataract
  • Arthritis (non-infective)
  • Surgery of Genito-Urinary System (unless necessitated by malignancy
  • Gout
  • Kidney Stone/ Ureteric Stone/ Lithotripsy / Gall Bladder Stone
  • Rheumatism
  • Osteoarthritis and Osteoporosis
  • All Vertebrae Disorders (including, but not limited to, Spondylitis, Spondylosis, Spondylolisthesis & Intervertebral Disc Prolapse)
  • Joint Replacement Surgery
  • Benign Ear, Nose and Throat (ENT) Disorders and Surgeries (including, but not limited to, Adenoidectomy, Mastoidectomy, Tonsillectomy and Tympanoplasty)
  • Hernia, Hydrocele (all types)
  • Internal Tumours, Nodules, Polyps, Breast lumps, Skin Tumours, Cysts, (each of any kind), unless malignant
  • Any medical conditions which were not disclosed within 36 months prior to policy
  • The insured if hospitalized in a room not as per the policy wordings (single room). Any room, beyond the description in a policy wordings, is excluded from the health insurance policy coverage.
The following diseases or conditions are not covered in this plan, under permanent exclusions:
  • Intentional self-injury / injury under influence of alcohol, drugs / criminal acts
  • Congenital diseases (diseases present from birth)
  • Dental treatment or surgery
  • Maternity- or Fertility-related conditions
  • Treatment of mental illness
  • Cosmetic, aesthetic treatment
  • Outside India or Robotic or Stem Cells
  • War / nuclear / chemical / biological injuries
  • Diseases such as HIV / AIDS or STDs
  • Maternity- or Fertility-related conditions
  • Cost of spectacles, contact lenses and hearing aids
  1. Cashless Health Insurance Policy

Today, medical expenses has reached sky high. It is simply not possible for a common man to have enough cash or back-up for those medical emergencies. Cashless health insurance gives you the comfort of not burning a hole to your pocket and yet utilize the health care services. This is a benefit offered by the insurance company to make use of cashless hospitalization at network hospitals. It is way better than arranging to make the hefty hospital bill payments which otherwise gets paid by Reliance Health Insurance directly to the hospital.

The features of this plan are mentioned below:

  • Reliance Cashless Health Insurance provides a discount of 5% for a girl child or for single women. Offers a premium discount of 5% for Reliance Private Car Package Policy customers
  • Offers coverage to immediate and extended family members
  • Offers cashless facility with a network that ranges more than 4000 hospitals
  • Offers flexibility to make the premium payments via UPI, Paytm, Netbanking, Debit/Credit card etc. as per your convenience
  • Offers re-instatement of base sum insured if you get exhausted from Cashless health insurance policy
  • Offers quick and hassle-free claim settlement services
  • Section 80C and 10(10D) under the Income Tax Act, provides tax benefits for premiums paid regularly

 

Exclusions:

Not anything and everything is covered under the Reliance Cashless Health Insurance Plan. The exclusion list is mentioned below:
  • Any claim raised for medical expenses within 30 days of the health insurance policy issuance, wouldn’t be covered, unless these medical expenses occur due to an injury.
The below illnesses or surgeries will not be covered for the first two consecutive years since the policy issuance date:
  • Nasal Septum Deviation, Sinusitis (and related disorders)
  • Benign Prostatic Hypertrophy
  • Cataract
  • Arthritis (non-infective)
  • Surgery of Genito-Urinary System (unless necessitated by malignancy
  • Gout
  • Kidney Stone/ Ureteric Stone/ Lithotripsy / Gall Bladder Stone
  • Rheumatism
  • Osteoarthritis and Osteoporosis
  • All Vertebrae Disorders (including, but not limited to, Spondylitis, Spondylosis, Spondylolisthesis & Intervertebral Disc Prolapse)
  • Joint Replacement Surgery
  • Benign Ear, Nose and Throat (ENT) Disorders and Surgeries (including, but not limited to, Adenoidectomy, Mastoidectomy, Tonsillectomy and Tympanoplasty)
  • Hernia, Hydrocele (all types)
  • Internal Tumours, Nodules, Polyps, Breast lumps, Skin Tumours, Cysts, (each of any kind), unless malignant
  • Any medical conditions which were not disclosed within 36 months prior to policy
  • The insured if hospitalized in a room not as per the policy wordings (single room). Any room, beyond the description in a policy wordings, is excluded from the health insurance policy coverage.
The following diseases or conditions are not covered in this plan, under permanent exclusions:
  • Intentional self-injury / injury under influence of alcohol, drugs / criminal acts
  • Congenital diseases (diseases present from birth)
  • Dental treatment or surgery
  • Maternity- or Fertility-related conditions
  • Treatment of mental illness
  • Cosmetic, aesthetic treatment
  • Outside India or Robotic or Stem Cells
  • War / nuclear / chemical / biological injuries
  • Diseases such as HIV / AIDS or STDs
  • Maternity- or Fertility-related conditions
  • Cost of spectacles, contact lenses and hearing aids
  1. Reliance HealthGain Policy on Installments

The features of the Reliance HealthGain Policy plan are mentioned below:

  • Reliance HealthGain Policy on Installments provides a discount of 15% on Reliance HealthGain Policy
  • Offers coverage to immediate and extended family members
  • Offers lifelong renewal on your Reliance Health Insurance policy
  • Offers a host of options to select from a family floater health insurance policy, cashless health insurance policy, senior citizen health insurance policy, individual health insurance policy. Also gives an option to choose the sum insured from 3 lakh, 6 lakh and 9 lakh
  • Offers cashless facility with a network that ranges more than 4000 hospitals
  • Offers flexibility to make the premium payments via UPI, Paytm, Netbanking, Debit/Credit card etc. as per your convenience
  • Offers quick and hassle-free claim settlement services
  • Section 80C and 10(10D) under the Income Tax Act, provides tax benefits for premiums paid regularly
  • This plan offers pre-hospitalization coverage for covering medical expenses for 60 days and 60 days post-hospitalization coverage for meeting your medical expenses
  • Offers in-patient treatment for covering illnesses in case the insured is hospitalized for more than 24 hours
  • Offers day-care treatments in case the insured is hospitalized for less than 24 hours
  • Offers domestic road ambulance services to any of the nearest hospital for cases like life threatening emergencies. This covers charges up to Rs.1,500 under Plan A and Rs.3,000 under Plan B
  • Covers organ donor’s expenses up to 50% of the basic sum insured and a maximum of up to Rs.5 lakh
  • Offers domiciliary hospitalization in case the treatment continues for minimum of three days
  • In case you exhaust your basic sum insured as well as cumulative bonus, and yet there is a requirement of hospitalization for related and unrelated illnesses, Reliance Health Insurance refills the entire sum insured free of cost
  • Offers cumulative bonuses of 33.33% on your basic sum insured free of cost, if you do not make any claim in a policy period
  • In case you do not make any claim in 4 policy years consecutively, Reliance Health Insurance offers a cumulative bonus equal to your basic sum insured. You can use the call option in your 5th policy year, to double your sum insured by adding cumulate bonus
  • This plan offers an accidental death cover of Rs.1 lakh under Plan B, after every claim-free year with the Company

Exclusions:

Not anything and everything is covered under the Reliance HealthGain Policy on Instalments Plan. The exclusion list is mentioned below:
  • Any claim raised for medical expenses within 30 days of the health insurance policy issuance, wouldn’t be covered, unless these medical expenses occur due to an injury.
The below illnesses or surgeries will not be covered for the first two consecutive years since the policy issuance date:
  • Nasal Septum Deviation, Sinusitis (and related disorders)
  • Benign Prostatic Hypertrophy
  • Cataract
  • Arthritis (non-infective)
  • Surgery of Genito-Urinary System (unless necessitated by malignancy
  • Gout
  • Kidney Stone/ Ureteric Stone/ Lithotripsy / Gall Bladder Stone
  • Rheumatism
  • Osteoarthritis and Osteoporosis
  • All Vertebrae Disorders (including, but not limited to, Spondylitis, Spondylosis, Spondylolisthesis & Intervertebral Disc Prolapse)
  • Joint Replacement Surgery
  • Benign Ear, Nose and Throat (ENT) Disorders and Surgeries (including, but not limited to, Adenoidectomy, Mastoidectomy, Tonsillectomy and Tympanoplasty)
  • Hernia, Hydrocele (all types)
  • Internal Tumours, Nodules, Polyps, Breast lumps, Skin Tumours, Cysts, (each of any kind), unless malignant
  • Any medical conditions which were not disclosed within 36 months prior to policy
  • The insured if hospitalized in a room not as per the policy wordings (single room). Any room, beyond the description in a policy wordings, is excluded from the health insurance policy coverage.
The following diseases or conditions are not covered in this plan, under permanent exclusions:
  • Intentional self-injury / injury under influence of alcohol, drugs / criminal acts
  • Congenital diseases (diseases present from birth)
  • Dental treatment or surgery
  • Maternity- or Fertility-related conditions
  • Treatment of mental illness
  • Cosmetic, aesthetic treatment
  • Outside India or Robotic or Stem Cells
  • War / nuclear / chemical / biological injuries
  • Diseases such as HIV / AIDS or STDs
  • Maternity- or Fertility-related conditions
  • Cost of spectacles, contact lenses and hearing aids

 

 

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