Objective

An online health insurance policy that aims at covering hospitalisation medical expenses and other incidental expenses in case insured person gets hospitalized.

Suited for

It can be bought as an individual or family floater covering your spouse and 2 children under the same policy.

What does it do?

Apart from expenses incurred while hospitalized, this policy also provides for treatment taken at home on advice of the doctor, day care treatment for illnesses or procedures which do not require an overnight stay in hospital due to technological progress and hospitalisation expenses of donor if a major organ transplant happens. Recovery Benefit worth Rs 10000 post discharge, Daily Cash Allowance to pay for expenses which are otherwise not covered under the policy and Critical Illness Benefit are also on offer. Critical Illness benefit pays a lumpsum equal to the basic sum insured if any of the insured member contracts a listed illness. Ambulance expenses are covered too.

Pros

There is no capping on room rent or ICU rent.
There are no sub-limits on different illnesses.
This policy can be bought online as well.
Premiums paid towards this policy enjoy a tax benefit under Section 80D.

Cons

It does not allow lifelong policy renewal.

Our View

Critical Illness benefit is useful if you had a family history of any of the stated illnesses. The policy offers a satisfactory coverage, however, the policy does not allow to renew beyond 75 years of age. Old age is the time when chances of contacting the diseases is highest. Health insurance becomes crucial during that time period. Prefernce should be to buy a policy that offers lifetime renewals.

Eligibility

Entry Age (years)

Minimum

18; 3 months for children

Maximum

55; 18 years for children

Maximum Policy Renewal Age (years)

75

Coverage Type

Individual/ Family floater

Policy Term (years)

1

Sum Insured (Rs)

Maximum

5 lakh

Minimum

2 lakh

No Claim Bonus

5% no claim bonus for every claim free renewal till it reaches 20% of initial sum insured

Pre Policy Medical Check Up

Mandatory above 45 years of age. Insurer reimburses 50% of the cost if proposal gets accepted

Policy Termination

Either of the parties may terminate this policy by giving a 15 days notice. The insurer would pay proportionate premiums if no claim has been made.

Customer Service

Reliance General Insurance Company Ltd., Regd Office: Reliance Centre, 19, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001

Customer Service

Mail to

Services.Rgicl@relianceada.com

Call to

1800 3002 8282(toll free) ; 022 3989 8282(charges apply)

SMS

Type 'protect' and send it to 55454

Network Hospitals

Http://www.reliancegeneral.co.in/insurance/cashless-hospitals.aspx

Scope of Cover

Cashless Facility

available if treatment taken in network hospital

Reimbursement facility

available if treatment taken in a non-network hospital

Pre and post hospitalisation

covers medical expenses during a period for upto 60 days prior to hospitalisation and 90 days post discharge respectively

Inpatient hospitalisation

covered

Domiciliary hospitalisation

covered upto 10% of basic sum insured

Day Care treatment

covered subject to the list mentioned in the policy document

Nursing allowance

pays Rs 300 per day for a maximum of 5 days. However, in case of listed critical illnesses, the above mentioned reimbursement will be extended to maximum 10 days

Health check up

pays 1% (individual policy) or 1.35%(for floater policy) of average sum insured after 4 claim free years on a reimbursement basis

Critical illness

pays an additional amount equal to the basic sum insured under the policy if diagnosed with any of the listed sum critical illnesses. It covers Cancer, Coronary Artery Bypass Graft, First Heart Attack, Kidney failure, Multiple Sclerosis, Major Organ Transplant, Stroke, Aorta Graft Surgery, Paralysis, Primary Pulmonary Arterial Hypertension

Donor Expenses

covers donor's medical expenses

Value Added Covers

Daily hospitalisation Allowance

pays Rs250 for each day completed in hospital as an inpatient if hospitalisation exceeds 3 days. This allowance will be granted upto maximum of 7 days in a policy year

Ambulance expenses

covered upto maximum of Rs 1000

Expenses on accompanying person (payable if hospitalised for 5 days or more)

pays Rs 300 per day for maximum of five days

Recovery benefit

convalesence benefit of Rs 10000 is paid in lumpsum if hospitalisation exceeds 10 days. This benefit is applicable for all insured members in a floater policy irrespective of the number of occurrences subject to the sum insured

Exclusions and Waiting Period

Pre-existing diseases

covered after 2 years of continuous renewal

No claim period

first 30 days of policy commencement

Waiting period

Certain diseases such as cataract, Hernia, sinusitis etc.shall be covered after first policy year elapses

Other exclusions

Naturopathy treatment or any other Non-Allopathic treatment