Reliance Health Gain Plan | Online Renewal, Reviews and Premium Details
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Health Gain Policy

Comprehensive health insurance provides healthcare coverage for indivi ...Read More

Up to 5 Cr
Sum insured
1
No. of plans
127+
Pan India presence
87.50%
Claim settlement ratio
🛡️ IRDAI Approved
4.4/5 · 2,700 reviews
🏥 9,100+ hospitals
📊 2.35 solvency ratio
87.50% claim settlement

About Health Gain Policy

A quick read on what this Reliance Health Insurance plan covers and why it might be a fit for you.

Health Gain Insurance Plan is a newly launched health plan by Reliance Health Insurance company. The plan allows customers to customize their policy by choosing features as per their needs and paying only for what they choose.

The plan provides coverage for daycare treatments, pre and post-hospitalization, expenses related to COVID-19, and other related hospitalization expenses. Reliance Health Gain Policy is available in individual and family floater options, and offers several benefits such as cashless facilities, restoration benefits, and other add-on features. This plan comes in 3 variants: Plus, Power & Prime.

With so many features and benefits, the Reliance Health Gain policy ensures that all your healthcare needs are looked after and you don't have to burden your pocket during a medical emergency.

Continue reading to explore more about Reliance Health Gain policy benefits and how it works.

Plan at a glance

Eligibility, sum insured options and policy mechanics — pulled straight from the policy wording.

Entry age
91 days to 65 Years
Plan type
Individual and Family Health Insurance
Sum insured options
₹5 L, ₹7 L, ₹10 L, ₹15 L, ₹20 L, ₹25 L, ₹50 L, ₹75 L, ₹1 L
Waiting period
30 days
Renewability
Lifelong
Policy term
1, 2, 3 years

*Initial Waiting Period is the time period between the issuance of the policy and the time it starts actively. During this period, a policyholder has to wait to avail of the benefits offered under a health insurance plan.

Pros & cons

A quick honest summary — the strengths and the trade-offs.

Pros

  • Consumable Cover
  • Unlimited Base SI Reinstatement
  • Room Rent Modification

Cons

  • Global coverage unavailable
  • Breach of law
  • Intentional injury
  • OPD not covered

What's covered

Every CMS-driven coverage flag from the plan wording — only items with a published value render below.

Hospitalization

  • Room rent Covered
  • ICU charges Covered
  • Pre-hospitalization Covered
  • Post-hospitalization Covered
  • Domiciliary hospitalization Covered
  • Day-care treatment Covered
  • OPD charges Not covered
  • Covid-19 treatment Covered
  • Cataract Covered

Bonuses & restoration

  • No-claim bonus Covered
  • Automatic restoration of SI Covered
  • Daily hospital cash Covered

Family & special care

  • Maternity cover Not covered
  • New-born baby cover Not covered
  • IVF treatment Not covered
  • AYUSH treatment Not covered
  • Organ donor expenses Covered

Modern & preventive care

  • Modern treatment Covered
  • Road ambulance Covered
  • Air ambulance Covered
  • E-consultation Not covered
  • Health check-up Covered
  • Second medical opinion Covered
  • Vaccination Covered

Conditions & global

  • Co-payment Covered
  • Sub-limits Covered
  • Compassionate travel Covered
  • Global coverage Not covered

Add-on Features under Reliance Health Gain Policy:

  • Guaranteed Cumulative Bonus: Under this benefit, the company waives the condition of a decrease in Cumulative Bonus if a claim is made in an immediate policy year.
  • Unlimited Reinstatement of Base Sum-insured: The plan with this add-on feature will offer unlimited reinstatement of the base sum insured for unrelated illness or injury, with a sub-limit of 100% of the base sum insured for related illness/injury. However, with this add-on feature, the benefit of Reinstatement of Base Sum Insured will be superseded.
  • Consumable Cover: With this add-on benefit, one can avail coverage for consumable items such as hand wash, shoe covers, caps, cradle charges, comb, etc. For the complete list of consumables, refer to the policy wordings.
  • Double Cover: With this cover, one can avail an additional 100% of the base sum insured on the same claim, in a single hospitalization after exhaustion of the base sum insured under the policy.
  • Change in Room-Rent Limits: Under this benefit, the available rooms are:
    • Plan Category:
    • Plus: Twin sharing
    • Power: Actual or twin sharing
    • Prime: Single Private A.C room
  • Reduction in PED Waiting Period: With this feature, one can reduce the Pre-Existing Disease Waiting Period to 24 months or 12 months.
  • Voluntary Aggregate Deductible: Under this, the plan allows you to choose Voluntary Aggregate Deductible from the following options - INR 10,000, INR 25,000, INR 50,000 & INR 1 Lakh.
  • Removal of Co-payment: This benefit waives the Co-Payment condition of 20% on the Assessed Claim Amount, applicable on policies where the insured's age, first time entering into the policy, is >=61 years.
  • Hospital Cash: The plan offers daily hospital cash for In-Patient Hospitalization and 15 days for ICU Hospitalization. A minimum hospitalization of 72 hours is required. Daily Cash options available under the plan are INR 1,000, INR 1,500, INR 2,000 & INR 2,500, max up to 30 days.
  • Change in Pre/Post Hospitalisation Limit: With this add-on feature, one can enhance the Pre-hospitalization limit to 90 days and Post-Hospitalization limit to 180 days.
  • Air Ambulance: With this add-on feature, one can avail coverage against the expenses incurred during the transfer of the patient from one place to another via air. The plan covers costs up to 7.5% of the base sum insured or INR 5 Lakhs, whichever is higher.
  • Radio Taxi: With this add-on feature, one can get coverage against the expenses incurred during the transfer of the patient from one place to another via a radio taxi. This benefit offers coverage up to INR 1,000 per hospitalization.
  • Convalescence Cover: The plan offers Convalescence Cover if the Insured Person is hospitalized for a minimum period of 7 continuous and consecutive days up to:
    • Plan Category:
    • Plus: INR 10,000 lump sum
    • Power: INR 10,000 lump sum
    • Prime: INR 25,000 lump sum
  • Health Check-up: With this add-on feature, one can avail coverage against annual health check-ups up to INR 3,000.
  • Vaccination Cover: The plan offers vaccination cover against vaccinations like Typhoid, Hepatitis, Anti-Rabies vaccine, etc., up to:
    • Plan Category:
    • Plus: Annual expenses for vaccination covered up to INR 2,000
    • Power: Annual expenses for vaccination covered up to INR 2,000
    • Prime: Annual expenses for vaccination covered up to INR 3,500
  • Change in Modern Treatment Limits: With this add-on feature, the plan allows you to increase the limit of modern treatments:
    • Plan Category:
    • Plus: 100% of base sum insured
    • Power: 100% of base sum insured
    • Prime: NA
  • Vision Correction: This add-on feature covers the medical expenses incurred towards the correction of eyesight due to refractive error. The plan offers coverage up to:
    • Plan Category:
    • Plus: Up to INR 50,000
    • Power: Up to INR 1,00,000
    • Prime: Up to INR 1,00,000
  • Second Opinion: With this add-on rider, get coverage for availing a second opinion from a medical practitioner. The plan offers coverage up to:
    • Plan Category:
    • Plus: Available up to INR 3,000 as an add-on feature
    • Power: Available up to INR 3,000 as an add-on feature
    • Prime: Available up to INR 5,000 as an add-on feature
  • Home Care Treatment: The plan covers medical expenses of the listed home treatments up to 100% of Sum Insured.
  • Companion Cover: The plan covers compassionate travel expenses as an add-on feature wherein the company will pay a fixed daily amount of INR 1,000 for the expenses incurred by the companion towards accommodation, transportation, food, or any other miscellaneous expenses, max up to 30 days. To avail of this benefit, a minimum of 72 hours of hospitalization is required.
  • Child Care Cover: In the event that you are hospitalized and unable to care for your children at home, the company will cover their costs under the add-on feature named, Child Care Cover. The plan offers a fixed daily amount of INR 1,000 towards childcare expenses for any one dependent child covered under the policy up to 12 years of age, for max up to 30 days. A minimum of 72 hours of hospitalization is required.

Inclusions & exclusions

What the plan pays for, and what it doesn't.

Exclusions

  • Hospitalization due to war, riot, strike, and nuclear weapons
  • Intentional self-injury
  • AIDS
  • Miscarriage and abortion
  • Congenital disease
  • Infertility and in vitro fertilization
  • Listed ailments after 24 Months
  • Pre-existing diseases after 36 Months

Who can buy this plan

Eligibility criteria pulled straight from the policy wording.

  • Entry Age: 91 days to 65 Years
  • Sum Insured: 5 Lakh to 1 Crore
  • Initial waiting period: 30 Days
  • Policy term: 1/2/3 Years

Other features & benefits

  • Domiciliary hospitalization
  • Daycare procedures covered
  • Air ambulance services

Reliance Health Gain Policy: FAQs

The 9 most-asked questions about Health Gain Policy, answered.

Yes, the Reliance Infinity Insurance plan offers up to a 30% discount.
You can check the status of your policy from Reliance Health Insurance by visiting the website of Reliance General Company and entering your username and password in the login tab.
The plan offers coverage against: Cancer Open Chest Coronary Artery Bypass Graft (CABG) Stroke Multiple Sclerosis
To cancel the availed policy, submit the policy documents along with the surrender form at the nearest branch or you can submit it online. After the successful submission, the refund gets deposited in the respective bank account of the policyholder.
The following methods are available for paying the premium for a Reliance Health Insurance policy: Credit Card Debit Card Net banking
In the case of cashless treatment, Reliance medical insurance pays for any admissible charges up to the limit of your sum insured.
Reliance health insurance plans cover some daycare treatments that do not require hospitalisation for long periods, such as: Chemotherapy Dialysis Lithotripsy Radiotherapy Curettage and Dilation Tonsillectomy Cardiac Catheterization Cataract
No, you cannot change the sum insured amount in the middle of the policy tenure. However, you can change the sum insured amount at the time of renewal of the policy.
Yes, you can change the nominee at any time during the policy tenure. All you have to do is to intimate Reliance Health Insurance with the updated information.

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