Reliance HealthWise - Gold Plan

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Reliance HealthWise- Gold

	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?			Apart from expenses incurred while hospitalized, this policy 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. Recovery Benefit worth Rs 10000 post discharge, Daily Cash Allowance to pay for expenses which are otherwise not covered under the policy and Critical Illness Benefit are also on offer. Critical Illness benefit pays a lumpsum equal to the basic sum insured if any of the insured member contracts a listed illness. Ambulance expenses 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			Critical Illness benefit is useful if you had a family history of any of the stated illnesses. The policy offers a satisfactory coverage, however, the policy does not allow to renew beyond 75 years of age. Old age is the time when chances of contacting the diseases is highest. Health insurance becomes crucial during that time period. Prefernce should be to buy a policy that offers lifetime renewals.
Eligibility
Entry Age (years)
Minimum		18; 3 months for children
Maximum		55; 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 300 per day for a maximum of 5 days. However, in case of listed critical illnesses, the above mentioned reimbursement will be extended to maximum 10 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
Critical illness		pays an additional amount equal to the basic sum insured under the policy if diagnosed with any of the listed sum critical illnesses. It covers Cancer, Coronary Artery Bypass Graft, First Heart Attack, Kidney failure, Multiple Sclerosis, Major Organ Transplant, Stroke, Aorta Graft Surgery, Paralysis, Primary Pulmonary Arterial Hypertension
Donor Expenses		covers donor's medical expenses
Value Added Covers
Daily hospitalisation Allowance		pays Rs250 for each day completed in hospital as an inpatient if hospitalisation exceeds 3 days. This allowance will be granted upto maximum of 7 days in a policy year
Ambulance expenses		covered upto maximum of Rs 1000
Expenses on accompanying person (payable if hospitalised for 5 days or more)		pays Rs 300 per day for maximum of five days
Recovery benefit		convalesence benefit of Rs 10000 is paid in lumpsum if hospitalisation exceeds 10 days. This benefit is applicable for all insured members in a floater policy irrespective of the number of occurrences subject to the sum insured

 

	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

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