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Health Insurance in Maharashtra

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Health Insurance

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​​Maharashtra has witnessed a significant number of individuals being affected by vector-borne diseases every year. Respiratory infections and lifestyle diseases have also left many individuals facing ongoing health concerns.​​​

These health challenges among people across different age groups make the need for reliable health insurance in Maharashtra more important than ever.

Reliance General Insurance offers affordable health insurance in Maharashtra with extensive coverage for a wide range of illnesses and diseases.

Importance of Health Insurance in Mah​arashtra

  • ​​​ High Incidences of Vector-Borne Diseases - M​aharashtra faces frequent outbreaks of vector-borne diseases that can lead to high unforeseen medical expenses.

  • Increasing Prevalence of Lifestyle Diseases - Lifestyle diseases, such as hypertension and diabetes, are increasingly common in Maharashtra. It can lead to severe complications and need timely medical attention.

  • Widespread Respiratory Illnesses - Respiratory illnesses are also prominent among the residents of Maharashtra, demanding robust health insurance coverage to prevent serious complications.

  • Comprehensive Financial Security - By purchasing the best health insurance policy in Maharashtra, you can ensure comprehensive financial protection. It can cover a wide range of diseases and their related healthcare services.

Health Statistics and Major Health Problems in Maharashtra

  • Vector-Borne Diseases - Number of Cases in Maharashtra

Year

Dengue

Malaria

Chikungunya

2019

14888

11433

1646

2020

3356

19484

782

2021

12720

31160

2526

2022

5268

20579

787

  • Respiratory Illnesses

Disease

2019

2020

2021

2022

Acute Respiratory Infection/ Influenza-like Illness

3269158

1620250

1106268

1020832

Suspected Influenza Cases

48618

20650

11888

18495

Influenza A

2287

121

387

3620

Source:State Action Plan on Climate Change and Human Health

Why Do You Need Health Insurance in Maharashtra?

  • To Manage High Medical Costs - From the previous section, it is evident that timely medical attention is important. However, with the rising cost of medical treatments today, having a health insurance policy is crucial.

  • To Ensure Quality Medical Treatments - During an emergency or a planned treatment, seeking quality healthcare services is essential. With adequate coverage under health insurance in Maharashtra, you can get access to quality healthcare services without the burden of high costs.

How Much Health Insurance Coverage Do You Need in Maharashtra?

The health insurance coverage required for your healthcare expenses will be based on your age, health condition, family medical history and more. For instance, if you have a pre-existing health condition or your family members have suffered a critical illness such as cancer, you need to determine the coverage required to pay for such related treatment expenses in your locality.

If you have no idea about your future healthcare requirements, you can consider a coverage of 50% of your annual income. You can use our Reliance Health Insurance Premium Calculator to determine the premium for the coverage desired for your healthcare services.

Let us have a quick look at a simple illustration of health insurance coverage requirements and their respective premium rates.

Category

Coverage Needed (₹) (Approx)

Monthly Premiums (₹) (Approx)*

Individual (33 years old, female)

10 lakhs

536

Family with 2 Adults and 1 Child (Eldest member, 43 years old)

20 lakhs

1,728

Parents (Father and Mother) Eldest member - 61 years old)

15 lakhs

5,138

*Prices are indicative and can differ for individual circumstances. Use our online health insurance premium to determine the right premium quote for your health insurance coverage.

Also Read: Understanding Health Insurance Premiums: How Age Affects Your Costs

Reliance Health Insurance Plans in Maharashtra

Reliance Health Global Plan

● Offers comprehensive coverage for planned medical treatments abroad

● Get a sum insured of up to USD 1 Million.

● Coverage for visa charges, travel and accommodation expenses

● Cashless hospitalisation worldwide for a wide range of illnesses

● Emergency medical evacuation and repatriation

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Reliance Health Infinity Plan

● Extensive coverage for in-patient care, pre-and post-hospitalisation, daycare treatments, critical illnesses and more.

● Sum insured of up to ₹5 crores

● Wide range of optional covers for customised health insurance coverage

● Unlimited restoration of the sum insured

● Windfall of discounts

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Reliance Health Gain Plan

● Extensive health insurance coverage for individuals and families

● Sum insured of up to ₹1 crore

● Choice of room category

● Unlimited restoration of the sum insured

● Coverage for organ transplantation, AYUSH treatments, daycare procedures and more

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Reliance Super Top-Up Plan

● Option to increase the coverage extensively

● Sum insured of up to ₹1.3 crores

● Extensive coverage for a wide range of illnesses at an affordable premium

● Extensive discounts

● Covers overseas medical expenses

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Reliance Hospi Care Insurance Plan

● Sum insured ranging from ₹1 lakh to ₹10 lakhs

● Lump sum cash benefit for certain specified illnesses

● Daily cash for ICU up to 15 days

● Daily cash for hospitalisation up to 60 days

● Cash benefit for surgical procedures up to 100% of the sum insured

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Reliance Specially Abled Health Insurance

● Specially curated for differently-abled individuals

● Lifelong renewability

● Covers the cost of emergency ground ambulance

● Sum insured of ₹4 lakhs and ₹5 lakhs

● Covers AYUSH and modern treatments

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Reliance Group Mediclaim Insurance

● Covers medical expenses of employees (7 to 1000) within an organisation

● Option to include coverage for family members

● Waiting period not applicable to pre-existing diseases

● Flexible and affordable

● Covers employees in the age group of 18 - 60

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Why Choose Reliance Health Insurance – Key Features and Benefits

Key Features

Reliance Advantage

Affordable Health Insurance Coverage

Starts at ₹243/month*

Extensive Sum Insured

₹3 Lakhs to ₹5 Crores

Network Hospitals

Over 10,000 across India

In-Patient Hospitalisation

Pre and Post-Hospitalisation

Day Care Treatment

Domiciliary Hospitalisation

Cashless Hospitalisation

Restoration of Sum Insured

Modern Treatment

Critical Illness Cover

Organ Donor

AYUSH Treatment

Emergency Ambulance

Room Rent

Types of Health Insurance Coverage Offered

Individual, Family and Group

Purchase Process

Online with Zero Paperwork

Discounts

For online purchases, existing customers, long-term policies and more

High Claim Settlement Ratio

100%

Wide Range of Optional Add-Ons

Maternity Cover, Unlimited Restoration of Sum Insured, Critical Illness Add-on, Reduction in Waiting Period, and more

Why Buy Online Health Insurance in Maharashtra from Reliance General Insurance?

  • Simple Process - Purchasing health insurance in Maharashtra online is a simple process. It is easy to understand and less time-consuming.

  • Quick Process - After providing the required information and choosing a suitable policy, you will get the health insurance plan in a few minutes.

  • Compare Health Insurance Plans - You can compare the health insurance policies available based on their coverage and benefits to choose the best health insurance policy in Maharashtra.

  • Discounts - When you buy health insurance online, you can get a discount on your premium of up to 40%.

  • Zero Paperwork - By purchasing health insurance online, you can avoid the hassle of gathering all the documents and securing them for the purchase physically.

  • Transparent Process - Online purchase provides a transparent platform that lets you know what happens at every step and the breakdown of the premium for your health insurance in Maharashtra.

  • Customer Support - Our dedicated customer support team is available 24/7 to clarify your doubts and assist you with any of our processes.

Types of Reliance Health Insurance in Maharashtra

Types of Health Insurance Plans

What does it Cover?

Individual Health Insurance

Medical expenses for a single individual.

Family Health Insurance

Medical expenses for the individual family members, including spouse, dependent children and parents

Senior Citizen Health Insurance

Medical expenses of senior citizens (individuals aged 60 years and above)

Group Health Insurance

Medical expenses of the employees in an organisation

Top-Up Health Insurance

Medical expenses for the insured person with the option to enhance the coverage when the existing sum insured gets exhausted

Critical Illness Insurance

Medical expenses for critical illness treatments, such as for cancer, cardiac issues, etc.

International Health Insurance

Medical expenses for planned treatments abroad

What is Usually Covered and Not Covered in Reliance Health Insurance in Maharashtra?

Inclusions

Exclusions

In-patient treatment for a wide range of illnesses and diseases

● Coverage for pre-hospitalisation (up to 60 days before hospitalisation) and post-hospitalisation (up to 90 days after hospitalisation) expenses

AYUSH treatments (Ayurveda, Yoga, Unani, Siddha and Homeopathy)

Ambulance charges during an emergency

Daycare procedures that do not take more than 24 hours of hospitalisation

Domiciliary expenses when the insured cannot be transported to a hospital

Modern treatments, such as organ transplantation and robotic surgeries

Organ transplantation surgeries

Preventive health check-ups

OPD treatment that includes doctor consultations, diagnostic tests, prescription drugs, etc.

● Coverage for hospitalisation expenses due to mental illnesses

Cosmetic and Plastic Surgery

Obesity Treatment

Change of Gender Treatments

Cosmetic and Aesthetic treatments

Investigation or evaluation without any treatment, experimental, unproven or unauthorised treatments

Rest, Rehabilitation and Respite Care

Treatment for pre-existing diseaseswithin the waiting period

Maternity expenses, unless included by an add-on

Dental treatment, unless required due to an accident

Self-Inflicted Injuries, Suicide Attempts, treatments related to alcohol or drug abuse

● Cost of hearing aids and spectacles

Treatments for illnesses resulting from a war

Please Note: The inclusions and exclusions can vary for the individual health insurance plans and their optional coverage benefits. Read through the respective policy document before purchasing it.

How to Find the Best Health Insurance in Maharashtra?

  • Analyse your Requirements - Understand your individual circumstances, such as your health condition, age, nature of occupation, family medical history and more to determine your health insurance requirements.

  • Research for Health Insurance Policies in Maharashtra - Find the different health insurance providers and their Maharashtra medical insurance plans that will suit your requirements.

  • Compare for the Best Coverage - Compare the different options for health insurance in Maharashtra based on their features, coverage benefits, and premium rates to strike the best deal.

  • Check for Customisation Options - Find the flexible features and optional covers that can enhance the coverage for your personalised requirements.

  • Check for the Network of Cashless Hospitals - Look out for the insurer’s network of hospitals that provide cashless hospitalisation across India.

  • Determine the Premium - If you have chosen a few policies, compare the cost using the health insurance premium calculator to find the most affordable health insurance in Maharashtra.

  • Understand Policy Terms and Conditions - Be clear about the health insurance policy inclusions and exclusions, waiting periods, and claim settlement procedures to have a smooth experience.

  • Review Customer Feedback - Review customer feedback and claim settlement ratio to find reliable health insurance providers to have a seamless experience.

Also Read: Advantages of Buying a Family Floater Health Plan

Buying and Renewing Reliance Health Insurance in Maharashtra

Reliance Health Insurance Online Purchase Process

  • Step 1: Visit our Reliance Health Insurance Online

  • Step 2: Give the necessary details, such as your name, mobile number, pincode and click on ‘View Prices’.

  • Step 3: Determine the type of health insurance coverage required, whether individual, family, parents, or in-laws and proceed.

  • Step 4: Determine the sum insured and the most suitable health insurance policy. Include add-ons if necessary.

  • Step 5: Pay the applicable premium to buy your health insurance in Maharashtra.

Reliance Health Insurance Online Renewal Process

  • Step 1: Visit our Renew Health Insurance

  • Step 2: Give either your mobile number or policy number to proceed.

  • Step 3: Review the coverage of your existing policy and modify it as required.

  • Step 4: Pay the applicable premium to renew your health insurance in Maharashtra.

Documents Required

  • Proof of Identity (Aadhaar card, passport, PAN, etc.)

  • Proof of Address (Aadhaar card, ration card, driving licence, etc.)

  • Proof of Income (Salary payslips, bank statements, ITR forms, etc.)

  • Health Records (Medical and diagnostic test reports, etc.)

  • KYC Verification

  • Passport-size photographs

How to File a Claim Under Reliance Health Insurance in Maharashtra?

Cashless Claims

  • Step 1: Using any of the following methods, inform us of the claim within 24 hours for emergency hospitalisation and before 48 hours for planned treatments.

  • Step 2: Make the necessary arrangements to go to any of our network or non-network hospitals.

  • Step 3: Fill out the pre-authorisation form with the help of our Third-Party Administrators (TPAs).

  • Step 4: Submit the medical reports and bills at the hospital.

  • Step 5: We will settle your medical bills directly with the hospital.

Reimbursement Claims

  • Step 1: Using any of the above-discussed methods, inform us of the claim within 24 hours for emergency hospitalisation and before 48 hours for planned treatments.

  • Step 2: Make the necessary arrangements to go to any authorised hospital.

  • Step 3: Pay for the applicable medical expenses at your end.

  • Step 4: Submit the essential documents, medical bills, and payment receipts.

  • Step 5: We will review your claim and documents to reimburse the approved expenses.

Documents Required

  • Health insurance claim form

  • Health records, including prescrips, diagnostic test reports, medical treatment reports, etc.

  • Original hospital bills

  • Payment receipts

  • Discharge summary

  • Pharmacy bills

  • First Information Report, if applicable

  • Other medical documents specific to your health condition

Reliance Network Hospitals in Maharashtra

Network hospitals refer to hospitals that have established partnerships with us to offer cashless healthcare services. Therefore, when you visit any of our network of hospitals, we will settle your bills directly with the hospital.

We have established a network of over 10,000 hospitals that offer cashless and high-quality medical treatments across India.

To enhance this service of cashless hospitalisation, the General Insurance Council recently announced that cashless services can be offered at non-network hospitals as well. So, now you can go to any of our network of hospitals or other authorised non-network hospitals to get cashless claim benefits.

Wellness and Prevention Tips in Maharashtra

  • Stay protected from the spread of vector-borne diseases by maintaining good hygiene.

  • If you find a symptom of fever, body ache, or headache, get yourself tested immediately.

  • Be aware of vaccination schedules and ensure you promptly receive them.

  • Use mosquito repellents, especially during the monsoon season.

  • Consume nutritious food and stay hydrated for a healthy lifestyle.

  • Keep monitoring your blood sugar and blood pressure levels regularly.

  • Wear a mask wherever you go outside.

  • Practise yoga and breathing exercises to maintain a healthy respiratory system.

Also Read: 6 Ways to Improve Blood Circulation Naturally

Frequently Asked Questions About Health Insurance in Maharashtra

  1. Do you offer NRIs health insurance in Maharashtra?

    Yes, we offer NRIs a wide range of health insurance policies in Maharashtra.

  2. Which health insurance is best in Maharashtra?

    The best health insurance policy in Maharashtra for your specific requirements can be identified by comparing the various products that will suit your healthcare needs. Consider your age, health condition, pre-existing diseases, work environment and income to understand your requirements.

    Compare the different health insurance plans available in Maharashtra based on their coverage features and premiums to find the most suitable and affordable policy.

  3. Why should I buy medical insurance at a young age?

    Buy medical insurance at a young age to benefit from lower premiums and extensive coverage. At a young age, the risk of developing serious illnesses is generally lower. Therefore, you can afford to get extensive comprehensive coverage at an extremely affordable premium.

  4. Is ₹2 lakh health insurance enough in Maharashtra?

    Your coverage for health insurance in Maharashtra should largely depend on your individual circumstances, such as your age, family medical history, pre-existing illnesses and cost of healthcare services in your locality. Get the help of our customer service team if you need assistance determining this coverage.

  5. Does Reliance Health Insurance cover AYUSH treatments in Maharashtra?

    Yes, AYUSH treatments are covered by Reliance Health Insurance in Maharashtra.

Disclaimer: ​ *T&C Apply. For more details on risk factors, terms conditions, brochure, and exclusions, please read the policy wording and CIS carefully before concluding a sale. Customer Count: The total no. of customers insured data is for FY24 and has been picked up from the number of lives insured for Health, Personal Accident, Overseas Travel, Domestic Travel, Workmen Compensation and Crop Insurance, Weather LOB & Fire LOB provided by IRDAI count that is master policy count. Other than these LOBs, we have also provided data for the number of certificates issued. Claim Settlement Ratio: This is the overall claim settlement ratio for FY 2023-24 without claim outstanding at the start of the financial year as per public disclosure of Reliance General Insurance Co. Ltd. Premium: The premium mentioned is excluding taxes for single person aged between 5 years to 20 years with individual health policy for Sum Insured of ₹3 lakhs considering no adverse health conditions/pre-existing disease/medical conditions with waiting period of 3 years. For more details, please refer to the policy wordings. Premium used is 2,919/year converted into a month which gives us Rs.243/month (2,919/12).

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