Reliance General Health Insurance

Reliance General Health Insurance – Plans, Coverage & Claim Process

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Overview of Reliance General Health Insurance

Reliance General Health Insurance is the health insurance arm of Reliance General Insurance Company Limited. It offers a range of medical insurance products designed to meet the healthcare needs of individuals, families, and senior citizens in India.

The company focuses on providing accessible health insurance solutions with cashless hospitalisation facilities, essential medical coverage, and customer-oriented service support.

Care Senior Health Plan Specifications

investkraft

2024
Continued focus on strengthening health insurance services and digital customer support

2023
Expansion of the health insurance portfolio and the hospital network reach

2022
Improvements in underwriting and claim settlement processes

2021
Growth in the retail health insurance customer base

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Key Features of Reliance General Health Insurance

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Reliance General Health Insurance Add-on Riders

 

What’s Covered and Not Covered in Reliance General Health Insurance

Reliance General Health Insurance Inclusions

  • Inpatient hospitalisation for illness or injury
  • Room rent, ICU charges, and doctors’ fees
  • Pre-hospitalisation and post-hospitalisation expenses
  • Day-care medical procedures
  • Emergency ambulance services
  • AYUSH treatments as per policy terms
     

Reliance General Health Insurance Exclusions

  • Pre-existing diseases during the waiting period
  • Self-inflicted injuries
  • Alcohol or drug-related treatments
  • Cosmetic procedures, unless medically necessary
  • Infertility treatments and IVF
  • War, riot, or nuclear-related events
 

Claim Process Of Reliance General Health Insurance

More than 9,000+ network hospitals offer cashless treatment through Reliance General Health Insurance across India. For planned hospitalisation, pre-authorisation should be initiated in advance, while for emergency hospitalisation, intimation must be provided within the prescribed timeframe after admission. Cashless claim approval is subject to policy terms, coverage limits, and the insurer’s agreement with the treating hospital.

Cashless Claims Process

  1. Visit a Reliance General Health Insurance network hospital
  2. Inform the hospital insurance desk about your policy
  3. The hospital submits a pre-authorisation request
  4. The claim is reviewed and approved
  5. Treatment begins after approval
  6. The hospital and insurer settle the bill directly

Reimbursement Claims Process

  1. Inform Reliance General Health Insurance about hospitalisation within the required timelines
  2. Pay hospital expenses upfront
  3. Submit the claim form and supporting documents
  4. Claim is assessed by the insurer
  5. The approved amount is reimbursed to the policyholder
 
 

Documents Required for Buying a Health Insurance

  • Valid ID proof like an Aadhar card, voter ID, PAN card, or passport is required.
  • Accepted address proofs include utility bills, rent agreements, and bank statements.
  • Insurance providers must do CDD for new policyholders using provided KYC documents.

Documents Required for Health Insurance Claim Process

  • Filled and signed claim form with name, policy number, illness details and address.
  • Include all medical test reports and relevant documentation.
  • Original hospital bills, discharge summaries and payment receipts are crucial for claim verification.
  • Attach pharmacy bills and corresponding prescriptions for medication used during treatment.
  • Include police FIR and post-mortem report (if applicable) for accident claims.

 

Best Health Insurance Plans in India

The following are some of the best health insurance plans in India that you can buy from InvestKraft:

Insurance Provider Plan Name Coverage Type Sum Insured Range Age Limit (Adults) Important Parameters
Care Advantage Health Insurance Plan Individual & Family Floater ₹2 Lakh - ₹6 Crore 18-65 years
  • Extensive network hospitals
  • Customizable coverage options
  • Wellness programs
Check Premium
ICICI Elevate Health Insurance Policy Individual & Family Floater ₹2 Lakh - ₹6 Crore 18-65 years
  • Extensive network hospitals
  • Customizable coverage options
  • Wellness programs
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IFFCO Tokio Family Health Protector Policy Individual & Family Floater ₹2 Lakh - ₹6 Crore 18-65 years
  • Extensive network hospitals
  • Customizable coverage options
  • Wellness programs
Check Premium
Niva Bupa Aspire Policy Individual & Family Floater ₹2 Lakh - ₹6 Crore 18-65 years
  • Extensive network hospitals
  • Customizable coverage options
  • Wellness programs
Check Premium
Arogya Supreme Policy Individual & Family Floater ₹2 Lakh - ₹6 Crore 18-65 years
  • Extensive network hospitals
  • Customizable coverage options
  • Wellness programs
Check Premium
TATA AIG Medicare Lite Policy Individual & Family Floater ₹2 Lakh - ₹6 Crore 18-65 years
  • Extensive network hospitals
  • Customizable coverage options
  • Wellness programs
Check Premium

Frequently Asked Questions (FAQs)

A.

No, Reliance General Health Insurance is not owned by Mukesh Ambani. It is part of the Reliance Group led by Anil Ambani.

A.

Reliance General Health Insurance is owned by Reliance Capital Limited, which is part of the Reliance Group (Anil Ambani Group).

A.

Reliance General Health Insurance is the health insurance offering of Reliance General Insurance Company, providing medical insurance coverage for individuals, families, senior citizens, and groups.

A.

नहीं, रिलायंस जनरल हेल्थ इंश्योरेंस मुकेश अंबानी के स्वामित्व में नहीं है। यह अनिल अंबानी के रिलायंस ग्रुप का हिस्सा है।

A.

रिलायंस जनरल हेल्थ इंश्योरेंस एक स्वास्थ्य बीमा सेवा है जो अस्पताल खर्च, कैशलेस इलाज और मेडिकल कवरेज प्रदान करती है।

A.

Yes, Reliance General Health Insurance offers health insurance plans for individuals, families, senior citizens, and corporate groups.

A.

Reliance General Health Insurance is suitable for customers seeking affordable health insurance plans with cashless hospitalization and essential medical benefits.

A.

Yes, cashless treatment is available at network hospitals across India, subject to policy terms and approval.

A.

The company offers individual health plans, family floater plans, senior citizen health insurance, top-up plans, and group health insurance.

A.

Claims can be filed through cashless or reimbursement modes by informing the network hospital or submitting required documents as per claim guidelines.

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