Reliance General Insurance is one of the popular insurance firms in India. It has a wide customer base that comprises individuals, SMEs, and corporates. The firm has 139 branch offices located across the country with over 26,587 insurance intermediaries working to offer quality insurance solutions to the clients.
Critical illnesses are ailments that can threaten the host’s life depending on their severity. People suffering from such ailments have to often undergo expensive and strenuous medical procedures for short or long periods. The overall expense of the medicines, medical examinations and procedures can cause the patient immense stress that can worsen his/her condition. This is when the critical illness insurance plan has a vital role to play. The policyholder of a critical illness policy will always be financially protected under the plan against medical bills that would otherwise be difficult to manage for the patient. The issued policy document will have all the ailments covered under the policy mentioned.
In case where the policyholder is diagnosed with any of the critical illnesses, the insurer will offer a lump-sum amount to the policyholder to manage the financial aspect of the situation, as mentioned under the policy. The amount offered in lump sum will help the policyholder to manage the financial aspect of the situation free of stress. To enjoy all the benefits offered under the insurance policy, the policyholder has to pay the premiums on time, not allowing the policy to lapse. To make use of the insurance policy fully, the policyholder has to make sure that the critical illness he/she is suffering from is covered under the insurance policy. Critical illnesses include kidney failure, cancer, heart attack, open chest, etc. that are covered under the policy. Critical illnesses for each insurer will vary, therefore check before you make a claim.
Eligibility of Reliance Critical Illness Insurance Plan
The eligibility criteria to avail a Reliance Critical Illness Plan are as follows:
- Anyone who is 18 years and above can purchase this Reliance critical illness insurance plan.
- The maximum age limit of a person to avail a Reliance critical illness insurance plan for an insured amount of Rs.5 lakh is 65 years.
- The maximum age limit of a person to purchase a Reliance critical illness insurance plan for an insured amount of Rs.7 lakh is 60 years.
- The maximum age limit of a person to buy a Reliance critical illness insurance plan for an insured amount of Rs.10 lakh is 55 years.
Benefits and Features of Reliance Critical Illness Insurance Plan
A Reliance Critical Illness Plan comes with the following benefits and offers the following features:
- Insurance coverage for 10 significant critical illnesses and corresponding medical surgeries.
- A policyholder has multiple options to choose from when it comes to the claim amount. A policyholder can choose to by a plan for Rs.5 lakh/Rs.7 lakh/Rs.10 lakh
- Medical check-up is not a mandatory prerequisite for policyholders upto 45 years of age.
- A policyholder can save money by availing this plan due to Income Tax exemptions applicable under Section 80D of the Income Tax Act.
- Hassle-free and quick claim settlement process.
- Instant booking of insurance policy online for prospective policyholders up to 45 years of age.
- Facility to purchase the policy online and make payment for the same conveniently via any of the available payment options such as net banking, UPI, debit card, credit card, etc.
- A policyholder receives the claim amount in lump sum, helping him/her to clear off the financial aspect of the illness.
- Anyone who is 18 years and above can purchase the Reliance Critical Illness Plan.
- The policyholder can avail the critical illness insurance cover for a period of one year or three years.
- Tie-up with more than 4000 hospitals for easy and convenient cashless claim settlement as availed under the insurance policy.
Inclusions of Reliance Critical Illness Insurance Plan
Claim amount is paid in lump sum if you have been diagnosed with any of the following critical ailments and/or if you have to undergo any of the following surgeries with respect to the ailment:
Category I – illnesses that threatens one’s life
- Any kind of cancer
- Third degree burns
- Major organ transplant
- Aorta graft surgery
- Multiple sclerosis
Please note that the policyholder will only receive the claim amount if he/she survives the ailment for more than a month after being diagnosed of any critical illness enlisted under category I.
Category II – illnesses that disables one’s lifestyle
- Heart valve replacement/repair
- Total blindness
- Coma of specified severity
- End stage of renal disease which requires regular dialysis
- Coma Quadriplegia - only if the ailment persists for more than 3 months after the person has been diagnosed with it, without any notable recovery
Please note that the policyholder will only receive the claim amount if he/she survives the ailment for more than 2 months after being diagnosed of any critical illness enlisted under category II, except if he/she is suffering from Quadriplegia for which the claim amount will be offered after 3 months of the person being diagnosed with the ailment.
Exclusions of Reliance Critical Illness Insurance Plan
Critical illness insurance cover comes with a number of exclusions, a few among them are mentioned below:
- A person with any pre-existing medical condition will not be covered under the policy.
- Critical illness contracted/diagnosed within 3 months of the policy start date will not be covered under the policy.
- Critical illness contracted/diagnosed during pregnancy or birth of a child will not be covered under the policy.
- Critical illness arising out of HIV infection/AIDS will not be covered under the policy.
- Critical illness contracted as a result of cosmetic surgery or sex change treatment will not be covered under the policy.
- Critical illness contracted due to the consumption of alcohol, smoking of tobacco, using of drugs, etc. will not be covered under the policy.
- Critical illness that arises out of intentional self-injury/suicide attempt will not be covered under the policy.
- Any critical ailment of the policyholder will not be covered under the plan if he/she has broken any laws, participated in a felony, taken part in a riot, commited a crime, caused civil commotion, etc.
- Any critical ailment contracted/diagnosed during a war, nuclear perils, terrorism, etc. will not be covered under the policy.
- If the policyholder passes away within one month of medical diagnosis/surgery, he/she will not be covered under the policy.
- The policy coverage will not be applicable if the policyholder was diagnosed as suffering from a critical ailment by a family member or by anyone who isn’t a registered medical practitioner.
- If the medical diagnosis cannot be recognised scientifically, the policyholder will not be covered under the policy.
If required, what are the medical tests that need to be done prior to policy issuance? The following medical tests need to be taken before policy issuance as directed by the insurer:
- Complete Blood count
- Medical Examination Report with BP recordings – By a doctor
- Fasting Blood Sugar
- Urine Routine
- Erythrocyte Sedimentation Rate (ESR)
- Serum glutamic pyruvic transaminase (SGPT)
- Serum Creatinine
- Electrocardiogram (ECG)
In addition to the above, the insurer may ask the policyholder to take other medical tests as well depending on his/her medical history.
Can the policyholder change his/her nominee anytime during the policy period? The insured can change his/her nominee anytime during the policy period, provided he/she gives the relevant and accurate nominee details to the insurer in order to incorporate the change in the policy as well.
- What is a waiting period in Reliance critical illness insurance plan and is it applicable for the cover?
A waiting period is a set period of time in the policy before all parts or some parts of the coverage becomes active. Critical illness that is diagnosed or contracted within 3 months of the policy inception will not be covered under the policy, in this case, the three months is the waiting period for the plan.
How many claims can the insured make during one policy period? The policyholder can raise only one claim during the entire policy tenure.
- What is the claim process for Reliance critical illness insurance plan?
The claim process for Reliance critical illness insurance plan involves the following steps:
- In case the insured is diagnosed with a critical illness that is covered under the policy, he/she has to inform the insurer within a month from the date he/she was first diagnosed with the ailment.
- The insured has to provide relevant and accurate details pertaining to the diagnosed disease, date of surgery, date of diagnosis, etc. along with the supporting documents such as:
- Duly signed and filled claim form
- Doctors’ prescriptions along with medical treatment papers
- Reports on medical diagnosis done via x-ray, ECG, laboratory tests, etc.
- Original copies of the medical bills for medicines, medical treatments, medical tests, etc. as instructed by the doctor
- Hospital discharge card
- Copy of FIR filed by you (in case of injuries/medical condition sustained as a result of mishap)
- The first medical prescription from the doctor treating the insured for the illness along with the date when the symptoms of the ailment was first seen
- A valid certificate from the doctor who specialises in the respective ailment, confirming the medical diagnosis and stating when the symptoms of the illness were first seen
- Relevant and valid reports of medical examination or procedure that confirms the diagnosis
- Hospital admission card
- Any other documents supporting the policyholder’s claim as requested by the insurer