Reliance Critical Illness Insurance Plan
Reliance Critical Illness Insurance Plan is designed to cover the expenses arising out of a critical illness and to protect the person insured against life-threatening diseases such as heart attack, cancer, renal failure, etc. This critical illness life insurance policy from Reliance health insurance provides a lump-sum amount on the detection of critical illness. Since these diseases often have higher medical costs as compared to the treatment of other health conditions, the sum insured offered is also higher. The cash payout helps in covering for the overruns where typical health insurance policies fall short.
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What is Reliance Critical Illness Insurance Plan?
Reliance Critical Illness health insurance is created to provide coverage for those who are diagnosed with critical diseases. It offers a lump-sum amount to prevent the person insured from facing any financial constraints due to the treatment against such diseases. The sum insured offered by this plan lies between Rs 5 lakh and 10 lakh which is only paid on confirmed detection of critical illness. The amount of sum offered depends on the disease being life-threatening or if it leads to any kind of disability of the person insured.
Features of the Reliance Critical Illness Insurance Plan
Features of Reliance Critical Illness Insurance are:
- Critical Illness Coverage - The plan provides coverage against 10 major critical illnesses like cancer, tumor, kidney failure, or heart ailments, among others.
- Lump-sum Payment - On confirmed diagnosis of critical illness, the insurance provider pays a lump-sum amount to treat the covered illness.
- Easy Claim Processing - The policyholder can easily get a claim by showing the documents that prove the detection of one of the critical illnesses.
- Waiting Period - It has a low waiting period due to which the plan provides instant coverage.
- Loss of Income - The policy covers the other unavoidable financial expenses as well. If the policyholder is the main earning member and unable to earn due to the illness, the policy will cover the financial crunch faced by his/her family, due to the loss of income.
- Tax Benefit: Premiums paid for this policy are eligible for tax benefits under section 80(D) of the Income Tax Act (1961).
Benefits of the Reliance Critical Illness Insurance policy
Benefits of this Critical Illness Insurance policy are:
- This policy has cashless hospitalisation facilities for its policyholders.
- Medical tests are not required until 45 years of age.
- The plan covers 10 critical illnesses.
- The plan offers lump sum payment for the treatment of such diseases.
- Premiums paid are eligible for tax benefits under section 80(D) of the Income Tax Act (1961).
- The premiums offered in the plan are affordable in comparison to other health plans.
- These lump-sum payout plans offer various rebates.
- The policy provides a 30-day grace period during which the policyholder can pay for due premiums without any extra charges if the due date of the policy has been missed.
- Free-look Period - If the policyholder is not satisfied with the terms and conditions of the policy then he/she can choose to return the policy at no extra costs within 15 days from the commencement date of the policy.
Inclusions of Reliance Critical Illness Insurance Plan
Reliance Critical Illness Insurance Plan offers coverage for the following:
For category I disease, the policyholder must survive for at least 30 days after diagnosis of the critical illness. After a survival period of 30 days, the policy provider company will pay the lump-sum amount.
- Category I – Life-Threatening Diseases
- Aorta Graft Surgery
- Major Organ Transplant
- Multiple Sclerosis
- Third Degree Burns
For category II diseases, the policyholder must survive for at least 60 days after diagnosis of the critical illness. After a survival period of 60 days, the policy provider will pay the lump-sum amount.
- Category II – Disability causing diseases
- Coma of specific severity
- Heart valve replacement surgery or repair
- Renal disease end-stage resulting in regular dialysis
- Total blindness
For category III diseases, the policyholder must survive for at least 90 days after diagnosis of the critical illness. After a survival period of 90 days, the policy provider company will pay the lump sum amount.
- Category III – Less severe diseases
- Coma Quadriplegia without any significant recovery
Exclusions of Reliance Critical Illness Insurance Plan
The policy becomes null and void when it comes to covering the following conditions:
- Any type of pre-existing illnesses, diseases, or injuries
- Any breach of law or involvement in an actual or attempted riot, felony, misdemeanor, crime, civil commotion, war, nuclear weapons or terrorism
- Alcohol consumption, tobacco intake, drug abuse, and smoking
- Critical illness which is diagnosed or contracted within 3 months from the date of commencement of the policy
- Childbirth or pregnancy
- Cases in which death of the policyholder occurs within 30 days from the date of the diagnosis or surgery
- Cosmetic or sex-change treatment/surgery
- Diagnosis is made by a family member or anyone who is not a registered professional as a medical practitioner
- Diagnosis is not scientifically recognised
- HIV infection / AIDS
- Intentional self-injury, suicide or attempted suicide
*This list is only indicative and not exhaustive. One can consider the policy document for the complete list of exclusions.
Waiting Period under Reliance Critical Illness Insurance Plan
Reliance Critical Illness Insurance Plan has a waiting period in which if any diseases contracted or diagnosed within 90 days from the date of commencement of the policy through signs and symptoms will not be considered eligible for the claim. Any critical diseases diagnosed after 90 days will be considered eligible for a claim.
Eligibility Criteria of the Reliance Critical Illness Insurance Plan
The eligibility of the plan is as follows:
Minimum entry age of the adult
18 years and above
Maximum entry age of adult for critical illness plan for Rs 5 lakh sum insured
Maximum entry age of adult for critical illness plan for Rs 7 lakh sum insured
Maximum entry age of adult for critical illness plan for Rs 10 lakh sum insured
- The policy has lifelong renewals depending on no claims having been made.
- Sum insured - 5 lakh, 7 lakh and 10 lakh
- Policy tenure - 1 year or 3 years
- No tests required till 45 years of age, after which the following tests are required.
- Complete Blood count
- Fasting Blood Sugar
- Serum Creatinine
- Urine Routine
- Medical Examination Report done by a reputed medical practitioner
*The above information is subject to change as per the norms of the insurance provider.
Claim Process of the Reliance Critical Illness Insurance Policy
The policy can be claimed for availing cashless and reimbursement benefits. For the cashless claim, the steps are mentioned below:
- To initiate the claim process, which is cashless go to the insurer’s website or directly contact to their customer care team. Make sure to inform the insurance provider with 7 days before hospitalisation for a particular treatment if pre-planned. In case of emergency or accidental hospitalization, make sure to the intimate insurer within 24 hours of hospitalisation.
- After getting admitted, ensure to show the required documents to the helpdesk of the hospital - ID proof of the policyholder, other important documents for availing cashless treatment and health card provided by the insurer.
- Fill the pre-authorisation letter with the TPA and submit. If applying through the website, then after completing the claim by uploading the documents wait for the insurer to notify the person insured.
- The provider will inform the insured about the claim approval in few hours.
- Once the person insured gets discharged, keep the documents like bills at the hospital. Make sure to pay the necessary payment which isn't covered. The insurer pays the bill after completion of the above procedures.
Reimbursement Claim Process
If the treatment of the policyholder is availed at a non-network hospital, then reimbursement process is the only option for the claim processing.
- One must visit the required hospital for treatment and inform the insurance company 15 days prior. For accidental hospitalisation, ensure to intimate the policy company in 24 hours of hospital
- Once the treatment gets over & the person insured is discharged, collect all the bills, prescriptions and other necessary Pay the hospital bill against the treatment undergone by the patient or the policyholder.
- Inform the insurer on the claim and fill the claim form. Include all the documents asked by the Reliance General Insurance Company for the claim. The policyholder is required to submit only original prescriptions, medical receipts and invoices.
- On attaching the documents, Reliance will check & verify it and will approve or reject the claim. On accepting the claim, the insurer will process the claim by depositing it to the insured’s bank account.
Documents Required for Claim
The various documents required to submit are:
- An indoor case paper
- A medical report stating no existence pre-existing diseases
- First consultation letter
- Prescription of the doctor
- Dully signed claim form
- Various medical certificates
Reliance will notify about the claim on submission of necessary documents.
How to Buy the Reliance Critical Illness Insurance Policy?
The Reliance Critical Illness Insurance can be bought by this stepwise process.
- Visit Paisawiki.com website to buy the plan.
- Enter Reliance Critical Illness Insurance Policy in the search box to buy. Select on 'Buy Now' button.
- The policyholder is required to fill up the details asked for creating a new account. Choose on the 'continue' option.
- It will ask the policyholder to confirm the email provided and phone number to generate an OTP. Enter it.
- The customer can compare online with other critical insurance policy and select on the 'continue' option.
- In this step, enter all policy details.
- There is an option to add riders for higher coverage. Select the 'proceed' button.
- Click next to add other relevant details.
- Attach the KYC documents.
- Agree to the terms & conditions of the policy.
- Input the bank details to pay the premium amount.
- The policyholder is sent the policy documents.
If not, one can also buy the policy from the nearest branch of the Reliance General Insurance Company and get the policy coverage.
Required Docs to Buy the Reliance Critical Illness Insurance plan
The documents required to apply Reliance Critical Illness Insurance are:
- Coloured photograph
- For Age Proof: Driving License, School or College Leaving Certificate, Birth Certificate, Voter Card, Passport, PAN card, Adhaar Card
- For Address Proof: Ration Card, Electricity Bill, Utility Bill, Bank A/C statement, Postpaid Bill, Telephone Bill and Passport
- Photo ID Proof: Voter ID, Passport, Driving License, PAN card or Aadhar Card
Renewal Process of the Reliance Critical Illness Insurance plan
The renewal process of the this health insurance plan is very easy. One can renew the Reliance Critical Illness policy through paisawiki.com as well. Here’re the renewal steps to be followed:
- Visit paisawiki.com.
- Choose the policy renewal option. Enter the plan details & number. Click next to continue.
- Here enter all the policy details to proceed further.
- Select the renew plan button.
- A policyholder can add family members or riders in this step.
- On adding family members, enter necessary details in the policy. Upload documents as asked by the insurance company.
- For new riders or members, generate the premium amount using health calculator.
- Click the next option.
- After adding details, the person insured must ensure the new policy terms. Pay the renewal premium by entering bank details. On payment, the new plan documents are
One can also buy the policy offline by visiting a nearest branch of the Reliance General Insurance Company and follow the paperwork with the insurance officer there.
Ans: Yes, one can change the nominee in between the policy tenure.
Ans: Yes, the claim can be made only once during the policy period.
Ans: Some of the factors affecting the premium amount are-
The cover opted
Age of the policyholder
Ans: No, the policyholder cannot change the sum assured during the mid-term.
Ans: The payment can be done through various options are UPI, Net banking, Credit card, Debit Card, NEFT, etc.
Written By: Paisawiki - Updated: 09 April 2021