Reliance Health Plans

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KEY FEATURES
Plan Type Individual & Family Floater Individual & Family Floater Individual & Family Floater
Minimum Entry age Children - Age> 3months
Adults - Age < 65 years
Children between 3 months and 18 years can be covered only if one or both parents are covered.
Children - Age> 3months
Adults - Age < 60 years
Children between 3 months and 18 years can be covered only if one or both parents are covered.
Children - Age> 3months
Adults - Age < 55 years
Children between 3 months and 18 years can be covered only if one or both parents are covered.
Maximum Entry Age 65 Years. Assured renewal till 75 years 60 Years. Assured renewal till 75 years 55 Years. Assured renewal till 75 years
Pre-policy Health check-up Age>45 years Age>45 years Age>45 years
No Claim bonus Yes Yes Yes
Family discount - - -
KEY BENEFITS
Hospitalization Expenses Covered Covered Covered
Domiciliary hospitalisation Limited to 10% of the Sum Insured opted by the Insured Limited to 10% of the Sum Insured opted by the Insured Limited to 10% of the Sum Insured opted by the Insured
Room Rent No Limit No Limit No Limit
ICU Charges No Limit No Limit No Limit
Pre hospitalization expenses 30 Days 60 Days 60 Days
Post hospitalization expenses 60 Days 90 Days 90 Days
Ambulance charges Maximum of Rs. 500/- Maximum of Rs. 750/- Maximum of Rs. 1000/-
Daily Allowance - - In addition to hospital expenses, where the hospitalization is for more than 3 days, a daily hospital cash allowance of Rs 250 per day up to 7 days will be paid to cover daily expenses starting from day 4 to day 10. However, in case of hospitalization for critical illness, the said cash allowance will be paid up to 14 days.
Nursing Allowance - Allowance towards charges for medical services of a nurse at the residence of Insured/Insured Person or during the period they are hospitalized is payable provided they are confirmed to be necessary by the attending medical practitioner and relate directly to the disease, illness or injury for which the Insured/Insured Person has been hospitalized. The allowance is payable at of Rs. 250/- per day for a maximum period of 5 days Allowance towards charges for medical services of a nurse at the residence of Insured/Insured Person or during the period they are hospitalized is payable provided they are confirmed to be necessary by the attending medical practitioner and relate directly to the disease, illness or injury for which the Insured/Insured Person has been hospitalized. The allowance is payable at Rs. 300/- per day for a maximum period of 5 days. However, in case of listed critical illnesses the said reimbursement will be extended to maximum 10 days.
Recovery Benefit No No If in case a person is hospitalised for more than 10 days, a lump-sum of Rs. 10, 000 will be paid. This condition is applicable for all the members of the floater separately irrespective of the number of occurrences during the Policy period subject to overall limit of Sum Insured
Expenses on accompanying person at the Hospital Subject to the Insured/Insured Person(s) being hospitalised for a period of 5 days at a given time, an allowance towards expenses of accompanying person at the hospital is payable at Rs.200 per day for a maximum of 5 days (i.e. from the 6th day to the 10th day of hospitalisation). Subject to the Insured/Insured Person(s) being hospitalised for a period of 5 days at a given time, an allowance towards expenses of accompanying person at the hospital is payable at Rs.250 per day for a maximum of 5 days (i.e. from the 6th day to the 10th day of hospitalisation). Subject to the Insured/Insured Person(s) being hospitalised for a period of 5 days at a given time, an allowance towards expenses of accompanying person at the hospital is payable at Rs. 300 per day for a maximum of 5 days (i.e. from the 6th day to the 10th day of hospitalisation).
Cashless facility Available Available Available
Member Reimbursement Available Available Available
Daycare procedures Covered Covered Covered
Health check-up End of 4 claim free years End of 4 claim free years End of 4 claim free years
Co-Payment - - -
Deductible - - -
Waiting period 30 Days 30 Days 30 Days
Pre-Existing Diseases 4 Years 2 Years 2 Years
Critical Illness(Separate Sum Insured) Additional Sum Insured Not Applicable Additional Sum Insured Not Applicable An additional amount equivalent to the Sum Insured opted under hospitalisation will be available
Organ Donor Cover - Hospitalisation expenses incurred towards the donor is covered in case of major organ transplant within the overall limit of Sum Insured. Hospitalisation expenses incurred towards the donor is covered in case of major organ transplant within the overall limit of Sum Insured.
Auto-Recharge of Sum Insured No No No
Care Anywhere(Worldwide) - - -
Income tax benefit Section 80D Section 80D Section 80D