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?

A basic health insurance policy that covers against shospitalisation expenses. It 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. Ambulance expenses and health check up 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

A positive factor is that it has no sub-limits and no capping on expenses. Only drawback is that it doesn't allow lifelong policy renewal. Old age is the time when the chances of falling ill increase. Buying a new policy at higher age is tough and expensive as well. Preference should be given to the policies that offer lifelong renewal facility.

Eligibility

Entry Age (years)

Minimum

18; 3 months for children

Maximum

60; 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 250 per day for as maximum period of 5 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

Donor Expenses

covers donor's medical expenses

Value Added Covers

Ambulance expenses

covered upto maximum of Rs 750

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

pays Rs 250 per day for maximum of five days

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