Group Mediclaim Insurance Policy vs Criticare Plus Health Insurance Plan 2026 | PolicyX

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Reliance General Group Mediclaim Insurance, offered by Reliance Health Insurance, covers employees' health at an economical cost and provides tax benefits. It offers coverage for health-related problems to a group of employees, providing multiple financial benefits and advantages for them and their loved ones.

Reliance Group Mediclaim Policy comes in 3 different variants: Standard, Silver, and Gold plans, which policyholders can choose based on their financial needs.

Reliance Group Mediclaim Policy Details

Reliance General Group Mediclaim Insurance offers numerous features, including:

  • Customization of policy
  • Cover for all employees and their families
  • Cashless claims across Network Hospitals
  • Daycare procedures covered
  • Renewal premium discount for favorable claim experience
  • Lower premium costs
  • Regular health check-ups
  • Tax benefits

Reliance General Group Mediclaim Insurance Plan Eligibility Criteria

The Reliance Group Health Insurance plan can be issued to:

  • Corporates/Small and Medium Enterprises – for employees and their families
  • Clubs/Societies/Other specific groups – for their members
  • The maximum entry age for the Standard, Silver, and Gold Plans is 65, 60, and 55 years, respectively.
  • Members between the ages of 5 and 80 years.
  • The policy also provides health insurance for children between the ages of 3 months and 5 years, if one parent is covered concurrently.
PLAN DETAILS

Group Mediclaim Insurance Policy

Criticare Plus

Product Type Group Health Insurance Critical Illness Health Insurance
Key Features
(Key features of the plan)
  • Coverage for employees
  • 3 variants available
  • Avail tax benefits
  • Cover 1 family member
  • 30% Co-payment
  • Non-allopathic treatments
OPD Details
(In some policies, OPD (Out patient department) expenses are also covered.)
- Not Covered
Room Rent
(A limit of room rent cover during hospitalization if any)
- Covered
Domicillary Hospitalization
(It is the expenses incurred on treatment of the patient at home)
- Not Covered
Pre-hospitalization
(Expenses before the insured is hospitalized)
- Covered
Post-hospitalization
(Expenses after discharge from the hospital)
- Covered
Day Care Treatment Covered
(Day care treatments refers to the treatments that do not necessarily require 24hrs of hospitalization like MRI.)
- Not Covered
Hospital_network
(Number of Hospital Network in city)
9100 14000
Organ Donor Expenses
(Expenses incurred on organ donor in case of organ transplants)
- Covered
Hospital Daily Allowance
(Some plans offer daily allowance to take care of expenses like food, etc)
- Not Covered
Ambulance Charges
(Expenses incurred on ambulance charges)
- Covered
Maternity Benefits
(All Hospitalization cost covered at the time of pregnancy.)
- Not Covered
New Born Baby Covered
(Newborn babies can be covered under the insurance plan after a certain period)
- Not Covered
Health Checkup
(An added benefit of one time full health checkup of policy holder.)
- Not covered
Sub Limit
(Sub-limit is a monetary capping that applies on specific diseases like cataract)
- Applicable
Co-pay
(Mentioned %, if any is to be borne by Insured and rest will be borne by insurer)
- Applicable
Plan Entry Age 18 to 65 years 18 to 65 years
Plan Premium Entry Age and S/A NA 8400
Plan Waiting Period 30 90
Plan Coverage Group medical cover -
Plan Sample Premium NA -
Plan Brochure Brochure URL Brochure URL
Policy Term 1 year 1 Year
ICU Charges - Covered
Covid-19 Treatment - Not Covered
Cataract - Covered
Automatic Restoration - Not Covered
Ayush Treatment - Covered
Modern Treatment - Covered
E Consultation - Not covered
Air Ambulance - Not covered
Global Coverage - Not covered
Claim Ratio 87.50 99.06
Solvency Ratio 2.35 2.21
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