Reliance Health Insurance

Reliance Health Insurance: An Overview

Reliance General Health Insurance is an independent subsidiary of Reliance Capital and a part of the Reliance Anil Dhirubhai Ambani Group. Established in 2000, the company now has 131 offices and over 90,000 intermediaries across India, offering easy accessibility and support. Reliance Health is a leading health insurance company that has earned trust, value, and a loyal customer base over the past two decades.

What Does Reliance Health Insurance Offer?

Reliance Health Insurance offers several health insurance products to meet the healthcare needs of various consumer groups. These include individual plans, family floater plans, critical illness plans, and group mediclaim health insurance policies. They offer a hassle-free purchase, renewal, and claim process.

Key Highlights

• 9100+ Network Hospitals
• 81.06% Incurred Claims Ratio
• 1.5 Solvency Ratio
• UP TO 5 Cr Sum Insured
• 127 Pan India Presence

Interesting Facts About Reliance Health Insurance

• They offer unique and exclusive plans for their customers.
• You can purchase 1-year and 3-year plans from the company.
• The claim settlement ratio of the company is 98.65%.

Reliance Health Insurance Awards and Accolades

1. 'World Leadership Congress and Awards, 2021'
2. 'Business Leader of the Year'
3. 'The Best Brand of the Year 2021'
4. 'India's Most Trusted Brand Awards, 2021'
5. 'Best Video Content in a 360-degree campaign'

A Quick Outlook

Why Choose Reliance Health Insurance Plans?

Reliance General Insurance is one of the leading companies in the Indian Insurance Industry. They have health insurance policies that offer coverage up to Rs 5 Crore. There are many reasons for choosing Reliance Health for your health insurance coverage. Read below to know more.

• Over 3 Crore Policyholders

  Reliance Health Insurance has gained the trust of over 3 crore policyholders, making it a very popular health insurance company in India.

• Fast Claim Process

  Reliance Health offers a fast claim process. You can apply for the claim process online, for both cashless and reimbursement claims.

• Network Hospitals

  Reliance Health Insurance is empanelled with 9100+ network hospitals where a policyholder can easily avail of the cashless facility. Cashless hospitalization allows you to get treated without paying any money from your pocket in case of a medical emergency. With such a large network of hospitals, you don't have to run here and there to arrange funds for treatment during critical situations. Along with a cashless facility, it also serves you with complimentary health checkups, pre and post-hospitalization expenses, and provides coverage for pre-existing illnesses.

• Claim Settlement Rate

  According to the IRDAI Annual Report 2021-22, Reliance Health Insurance settled 98.65% of claims within 3 months, demonstrating its strong ability to process claims efficiently.

• Annual Premium

  As per the IRDAI Annual Report 2021-22, the company's annual premium was 9,408.96 crores, reflecting significant growth.

• Solvency Ratio

  The solvency ratio indicates an insurer's financial strength to meet its long-term obligations. IRDAI mandates a healthy solvency ratio of 1.5. As per the IRDAI Annual Report 2021-22, Reliance Health Insurance's solvency ratio is 1.67.

• Lifelong Renewability

  Reliance Health Insurance offers lifelong renewability, providing continuous coverage and financial security against medical expenses.

Why Choose Reliance Health?

• Versatile and affordable health insurance plans for diverse needs
• 24X7 customer support for easy claim settlement
• Over 9100 network hospitals all over India
• Offers comprehensive coverage at affordable premiums
• Tax benefits under Section 80D of the Income Tax Act

What Is Covered by Reliance Health Insurance?

Pre and Post Hospitalization Expenses

Reliance Health Insurance plans cover pre and post-hospitalization expenses related to in-patient hospitalization.

AYUSH Treatments

Reliance Health Insurance plans include coverage for AYUSH treatments (Ayurveda, Unani, Siddha, and Homeopathy).

Hospitalization Expenses

Reliance health insurance plans cover hospital expenses such as room rent, ICU charges, surgery, and doctor consultations.

Day Care Treatments

Many Reliance health insurance plans cover daycare procedures that do not require 24-hour hospitalization.

Domiciliary Hospitalization

Reliance health insurance plans cover domiciliary hospitalization (medical care at home) up to specified sub-limits, as recommended by a doctor.

What Is Not Covered by Reliance Health Insurance?

Self-Inflicted Injuries

Reliance health policies do not cover injuries or hospitalization caused by self-harm.

Cosmetic Procedures

Reliance Health Insurance plans do not cover cosmetic surgeries or treatments.

Adventure Sports

Reliance Health Insurance plans do not cover hospitalizations or accidents caused by adventure sports.

Obesity or Weight Control Treatments

Reliance Health Insurance plans generally do not cover treatments related to obesity and weight management, such as bariatric surgeries.

Involvement in Illegal Activities

Reliance health insurance plans do not cover hospitalization or injuries caused by unlawful activities.

Waiting Period in Reliance Health Insurance Company

The waiting period is the duration during which you cannot make a claim after purchasing the policy. This period typically ranges from 15 days to 4 years, depending on the policy.

Reliance Health Insurance generally adds the following waiting periods:

Initial Waiting Period

This waiting period applies for the first 30 days from policy commencement. During this time, you cannot file a claim except for emergency hospitalization due to an accident.

Pre-existing Disease Waiting Period

As per IRDAI, pre-existing diseases are those diagnosed 48 months before purchasing a health insurance plan. Diseases like diabetes, thyroid, and hypertension may have specific waiting periods.

Specific Diseases Waiting Period

This waiting period applies to specific diseases such as cataracts, ENT disorders, joint replacement surgery, and mental illness. The waiting period for these can be up to 24 months, depending on the chosen plan.

Maternity Benefit Waiting Period

Maternity benefits typically begin after a waiting period of 1 to 4 years from policy purchase, depending on the specific plan. Plan your family accordingly.

Mental Illness Waiting Period

Many policies now cover mental illness, but claims can be availed after a specific waiting period, usually 1 to 4 years.

Reliance Health Insurance Plans Buying Process

To purchase Reliance Health Insurance online, follow these simple steps:

1. Step 1: Visit the PolicyX Health Insurance Page

   Enter your details such as name, age, number of members to be covered, and city.

2. Step 2: Compare Plans

   Click on 'Get free quotes' and compare Reliance Health Insurance Plans as per your needs.

3. Step 3: Select and Pay Premiums

   Select and pay premiums online for the purchased Reliance health insurance plan of your choice.

4. Step 4: Receive Assistance

   Our team of insurance experts at PolicyX will provide assistance with claims and other queries after your purchase.

Documents Required for Reliance Health Policy Claim Settlement

Submit the following documents when filing for Reliance health claims:

• Duly completed and signed claim form (original)
• Valid photo-ID proof
• Medical practitioner's referral letter and prescription (original)
• Original bills, receipts, and discharge summary from the hospital/medical practitioner
• Original bills from pharmacy/chemists
• Original pathological/diagnostic test reports, radiology reports, and payment receipts
• Indoor case papers
• First Information Report (FIR) and final police report, if applicable
• Post-mortem report, if conducted
• Any other document required by the company to assess the claim

How to Calculate Premiums?

Compare and calculate health insurance premiums using the PolicyX premium calculator with these simple steps:

1. Step 1: Visit the Official Website

   Visit the official website of 'PolicyX'.

2. Step 2: Fill in Details

   Fill in details such as name, number of family members to be covered, city, and other relevant information.

3. Step 3: Get Quotes

   Click on 'Get Quotes'.

For assistance with Reliance health insurance policy renewal, connect with PolicyX health insurance experts at 1800-4200-269.

Reliance Health Insurance Plan Claim Process Steps

You can file for cashless or reimbursement claims for your Reliance Health Insurance Plans by following these easy steps:

1. Step 1: Access the Claim Form

   Visit the Reliance Health Insurance website, select the "Claim" option, then click on "Claim Intimation" to access the form.

2. Step 2: Provide Information

   Select "health claim" and provide the requested information, such as policy number, date of birth, and other details.

3. Step 3: Select Claim Type and Authorize

   Select the "claim type" (cashless or reimbursement). Click "authorize" and you will receive an OTP on your verified number.

4. Step 4: Verify and Fill Hospital Information

   Verify with the OTP and fill in the required hospital admission information. Select the hospital, and if it's a non-network hospital, provide its details.

5. Step 5: Upload Documents

   Upload the requested documents and click "review".

6. Step 6: Submit Intimation

   After reviewing, submit the intimation for the company's review. You will receive a claim intimation number; please note it down for future reference.

Reliance Health Insurance Renewal Process

To renew your Reliance Health Insurance policy, follow these steps:

1. Step 1: Visit the Official Website

   Visit the official website of the company.

2. Step 2: Locate Renewal Option

   Locate the 'Renewal' option on the top menu, then select 'Renew Health Insurance'.

3. Step 3: Enter Mobile Number and OTP

   Enter your registered mobile number. An OTP will be sent to this number; enter the OTP.

4. Step 4: Access User Dashboard

   This will take you to the user dashboard, where you can make policy changes or continue with the existing policy term, benefits, and coverage amount.

5. Step 5: Make Payment

   Click on the 'Payment' option and select your preferred mode of payment.

6. Step 6: Receive Confirmation

   Receive confirmation.

For assistance with Reliance health insurance policy renewal, connect with our insurance experts at 1800-4200-269.

How to Port to Reliance Health Insurance?

To port your existing health insurance policy to Reliance Health Insurance, follow these steps:

1. Step 1: Submit Portability Form

   Fill out the portability form and submit the application to Reliance Health Insurance Company at least 45 days before your existing health plan's renewal date.

2. Step 2: Insurer Cross-Checks Details

   As per IRDAI guidelines, the new insurance company will cross-check your medical and claims history with your previous insurer within 7 days of receiving the portability form.

3. Step 3: Receive Decision

   Once the policyholder's details are verified, the new insurance company must communicate its decision (approval or rejection) within 15 days.