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Individual Health Insurance Plans

Medical emergencies usually strike unexpectedly, leading to overwhelming hospital bills and associated expenses. Health insurance is an essential financial support system that helps you manage today's ever-increasing medical costs.

Whether you need coverage for unexpected hospitalisations, treatments or surgeries, a reliable individual health insurance plan can help you prioritise your health without depleting your savings.

At Reliance General Insurance, we offer tailored health insurance for individuals that cater to your unique and diverse healthcare needs. Our individual health insurance plans are designed to provide comprehensive coverage and financial support, ensuring you can efficiently manage your healthcare expenses.

For example, our Reliance Health Global Plan is an international health insurance policy that provides coverage for planned treatments abroad and for planned and emergency treatments in India. Meanwhile, our Reliance Health Infinity Plan is a single insurance plan that allows you to "Live Life without Limits" by offering limitless coverage.

Reliance Individual Health Insurance plans ensure that you get the 360-degree protection you need and deserve. As your #HealthKaYaar, we promise to support you always during health emergencies.
5 Crore +
Happy Customers*
100%*
Claim Settlement Ratio
₹243 per month*
Affordable Premiums
10,000+
Network Hospitals
Health Insurance
What is Car Insurance

An individual health insurance policy is designed to provide medical coverage for a single person.

It covers expenses related to inpatient and outpatient treatments, medications, pre & post-hospitalisations and many other healthcare services. Unlike a family floater plan that covers multiple family members under one policy, individual health insurance focuses solely on the needs of one person.

Understanding individual health insurance is essential for making an informed decision about your healthcare needs. You can buy a separate policy for yourself, your spouse and your ageing parents based on everyone’s unique medical requirements. This ensures that each insured will have an individual health insurance policy with a dedicated sum insured.

For example, if a single health insurance has a sum insured of ₹10 lakhs, the policyholder can claim up to ₹10 lakhs for medical expenses within the policy period. This assistance allows you to focus on recovery without any financial strain. Note that you need to make regular premium payments to maintain coverage.

Reliance General Insurance offers a range of health insurance policies, including Reliance Health Global, Reliance Health Infinity, Reliance Health Gain and Reliance Health Super Top-Up, to cater to different individual health insurance needs.

Reliance Health Global Plan provides comprehensive protection worldwide, including coverage for listed critical illnesses. It also offers beneficial services such as second medical opinions from global experts. This plan ensures that you are well-supported and protected, whether you are at home or abroad.

Meanwhile, our Reliance Health Infinity Plan offers extensive coverage that goes beyond basic medical attention. It includes unique benefits such as unlimited restoration of the sum insured, coverage for maternity and newborn baby expenses, modern treatments and medical equipment. The plan also offers optional add-ons like air ambulance services, home care treatments, coverage for medical equipment and more.

Importance of Individual Health Insurance

Here are some key aspects regarding the importance of individual health insurance:

Financial Protection

A single health insurance plan offers financial safeguards by covering a range of medical expenses, including diagnostic tests, doctor consultations, ambulance services and more. This support allows you to focus on recovery without worrying about the costs.

Comprehensive Coverage

The best personal health insurance plans offer broad coverage with high-sum insured options, ensuring ample financial support for various medical expenses, from routine check-ups to major medical procedures.

Tax Benefits

Investing in an individual health insurance policy offers tax benefits under Section 80D of the Income Tax Act. You can claim deductions up to ₹1 lakh* (if both you and your parents are senior citizens) for the premiums paid.

Cashless Everywhere

With the Cashless Everywhere feature, Reliance General Insurance allows you to access cashless treatment anywhere in India - network and non-network hospitals. This benefit allows you to receive treatment without having to worry about any upfront payments.

Customisable Plans

One of the benefits of individual health insurance plans is that they can be customised. This allows you to add specific coverages such as maternity benefits, critical illness coverage and more, ensuring your plan fits your unique health needs.

Support for Preventive Care

One key health insurance benefit for individuals is coverage for preventive care, such as vaccinations and annual health check-ups. This proactive approach helps in the early detection and management of potential health issues.

Coverage for Alternative Medicine

Many individual health insurance plans cover AYUSH (Ayurveda, Yoga, Unani, Siddha and Homeopathy benefits). This provides a holistic approach to healthcare, giving you the flexibility to choose treatments that suit your health needs and treatment preferences.

24x7 Emergency Assistance

Individual health insurance provides 24x7 emergency assistance, ensuring that you have access to medical help whenever you need it. This round-the-clock support can be crucial during medical emergencies, providing immediate assistance and guidance.

Cumulative Bonus

One of the standout individual health insurance features is the provision of cumulative bonuses for claim-free years. This means that your sum insured can increase without additional premiums, providing greater coverage over time.

Peace of Mind and Well-being

The peace of mind that comes with knowing that your healthcare needs are covered is invaluable. Health insurance gives you access to necessary medical care without having to worry about costs, allowing you to focus on your health and recovery.

Why Should You Choose Reliance Individual Health Insurance?

Reliance General Insurance offers a range of affordable and comprehensive individual health insurance plans to address your unique healthcare requirements. Our policies provide broad coverage for a number of medical expenses, including inpatient care, OPD visits, pre-and post-hospitalisations, routine check-ups, surgeries and planned international treatments. We also offer cashless hospitalisation across India, ensuring you receive the best possible care when you need it the most.

That said, here are some top reasons why you should choose Reliance Individual Health Insurance:

Comprehensive Coverage

Our individual health insurance policies offer extensive coverage with numerous sum insured options designed to align with your healthcare needs. You can choose an option to select and/or enhance your sum insured from ₹5 lakhs to ₹5 crores (based on your plan).

High Claim Settlement Ratio

Our 100%* claim settlement ratio is a testament to the fact that Reliance General Insurance is committed to handling your claims swiftly and smoothly. Our claim settlement team ensures that you receive all the support you need during difficult times.

Diverse Product Offerings

Our single health insurance plans cater to a wide array of needs, offering both domestic and international coverage. Whether you’re looking for a standard or customised policy, we have an ideal individual health insurance plan for your every requirement.

Satisfied Customer Base

Our customer base of 5 crore+ happy policyholders* highlights our dedication to providing comprehensive health insurance plans at affordable rates, top-notch services for zero inconvenience and exceptional customer support. You can trust us for your health and well-being.

Competitive Premium Rates

At Reliance General Insurance, we believe in offering cost-effective health insurance plans that provide comprehensive coverage and maximum benefits. Our personal health insurance cost starts at just ₹243/month* to ensure you get the protection your health needs.

Reliance Individual Health Insurance - Features and Benefits

Key Features Benefits of Reliance Individual Health Insurance
Sum Insured ₹5 Lakhs - ₹5 Crore
Policy Type Individual
Cashless Hospitalisation 10,000+ cashless hospitals, including non-network hospitals with the 'Cashless Everywhere' feature
Claim Settlement Ratio 100%* claim settled
Pre & Post Hospitalisation Covered up to a specified limit
Tax Benefits Up to ₹1 lakh* under Section 80D
Paperwork Zero Paperwork
online policy purchases are available
Voluntary Co-payment Option available
COVID-19 Cover Available in all health policies
Add-ons Worldwide emergency cover, unlimited restore benefit, maternity cover and more
Critical Illness Cover Covers all illnesses, including specific critical illnesses, under Reliance Health Global policy
Daycare Procedures Offers coverage for advanced treatment procedures that do not require a 24-hour hospital stay
AYUSH Treatment Offers coverage for alternative treatments under AYUSH
Renewability Lifetime renewability, ensuring continued coverage without any restrictions of age or health condition
Digital Convenience Online policy management and easy claim process
Personal Health Insurance Cost Premium rates starting at ₹243/month*

Choose Reliance General Insurance for reliable and extensive individual medical insurance that caters to all your healthcare needs.

Individual Health Insurance Plans Offered by Reliance General Insurance

The table below provides key features of individual health insurance plans offered by Reliance General Insurance:

Feature/Plan Reliance Health Infinity Insurance Reliance Health Global Insurance
Sum Insured Options Up to ₹5 Crores* Up to USD 1 Million*
Coverage Type Comprehensive health coverage International and domestic coverage
Cashless Treatment Available with the 'Cashless Everywhere' feature in India Available both in India and worldwide
Critical Illness Cover Optional Covers all illnesses
Maternity and Newborn Baby Covered Not covered
Daycare Procedures Covered Covered
OPD Expenses Covered Covered
Pre-Existing Disease Waiting Period 2-4 years, based on the plan 2-4 years, depending on the plan chosen
Renewability Lifetime Lifetime
Add-ons/Optional Covers Maternity Cover, Unlimited Restore Benefit, Medical Equipment Cover and more Optional cover for treatment in India, Waiver of Co-payment, Change in Pre-Existing Disease Waiting period and more
Tax Benefits* Up to ₹1 lakh* under Section 80D of the Income Tax Act Up to ₹1 lakh* under Section 80D of the Income Tax Act
Digital Convenience Online policy management Online policy management

Key Inclusions and Exclusions of Reliance Individual Health Insurance

Reliance General Insurance offers one of the best individual health insurance plans in the market, with wide coverage and transparency regarding inclusions and exclusions. You must carefully read the inclusions and exclusions of an individual insurance policy.

Inclusions Detailed Explanation
Hospitalisation Covers all major medical expenses during hospitalisation, including room rent, ICU, surgeon’s fees and other medical costs.
Pre and Post Hospitalisation Covers medical expenses up to 90 days before hospitalisation and up to 180 days after discharge (under the Reliance Health Infinity Plan).
Daycare Procedures Covers medical treatments and surgeries that do not require a 24-hour stay due to recent technological advancements and innovations.
Ambulance Charges Covers costs for travelling to the hospital and back home, ensuring comprehensive financial assistance for emergency medical transport.
AYUSH Treatment Covers treatments under AYUSH. This gives you the flexibility to opt for alternative treatments.
Organ Donor Expenses Covers medical expenses for the organ donor during organ transplant procedures, easing the financial burden associated with organ donation procedures.
Exclusions Detailed Explanation
Pre-existing Conditions Conditions existing before the policy start date have a waiting period, which can be reduced with add-ons.
Cosmetic Procedures Unnecessary procedures for appearance enhancement, like plastic surgery, are excluded unless accident-related.
Self-inflicted Injuries Injuries due to attempted suicide or self-harm are not covered in the individual mediclaim policy.
Substance Abuse Treatments arising out of the use of alcohol, drugs or other intoxicants are not covered.
Illegal Activity Injuries or illnesses incurred from illegal activities are not covered in single health insurance plans.
War and Nuclear Risks Any claims arising from war, invasion or explosion of nuclear materials are not included.
Understanding these key inclusions and exclusions can help you make informed decisions about the best medical insurance plans for individuals.

Eligibility Criteria for Reliance Individual Health Insurance

Understanding the eligibility criteria when buying individual health insurance online is important to finding the right plan and ensuring smooth processing. This knowledge helps you choose the best policy that fits your needs and circumstances.

Eligibility Specifications
Age 18 - 65 years of age
Note: Dependent child (aged 91 days to 25 years) can be insured under our family floater health insurance plans
Nationality Indian
Medical History Your current health and medical history

How to Buy Reliance Individual Health Insurance Policy Online?

Reliance General Insurance offers a seamless and hassle-free process to purchase individual health insurance online. Follow these steps to secure your individual medical insurance:

  • Visit the website and navigate to the ‘Health Insurance’ section.
  • Enter your mobile number, name and pin code, and after that, click ‘View Prices’.
  • Select who you wish to cover - self, family, parents, or in-laws. Choose the type of coverage you need, such as hospitalisation, hospitalisation + OPD, maternity, global or top-up.
  • Select your sum insured, add-ons and policy tenure to tailor the plan to your specific needs.
  • Provide all necessary personal details, make the payment online through secure payment options, and receive your policy via e-mail.

How to Renew Your Reliance Individual Health Insurance Policy

You can renew your individual health insurance policy online through the Reliance General Insurance website or the Reliance Self-i app. Follow these simple steps for a hassle-free individual health insurance renewal:

On the website:

  • Visit the Renewal Section: On the Reliance General Insurance homepage, navigate to Renewal > Health Insurance.
  • Enter Policy Details: Input your individual medical insurance policy number and its expiry date.
  • Complete Payment: Click “Go” and follow the payment instructions to complete the renewal process.

On the Reliance Self-i App:

  • Download the App: Download the Reliance Self-i app from the app store.
  • Access Your Policy: As an existing customer, log in to the app to access all your policy details.
  • Renew Your Policy: Select the individual health insurance policy you want to renew and complete the payment process.

Factors to Consider Before Choosing Individual Health Insurance

Here are some of the key factors to consider before selecting an individual health insurance policy:

Coverage Options:

Check if your policy covers a range of medical expenses, including planned and emergency treatments, OPD and daycare procedures.

Premiums:

Compare premiums across different individual health insurance companies. Prefer plans that offer extensive coverage at affordable rates.

Network Hospitals:

Check for your insurer’s list of network hospitals. A vast network ensures timely treatment during medical emergencies.

Claim Settlement Ratio:

Choose an insurer with a high claim settlement ratio. This ensures that your claims will be settled without problems.

Customer Reviews:

Before you buy personal health insurance, read the company's customer reviews and testimonials to make an informed decision.

Add-ons:

Select policies that offer add-ons. This will help you enhance your existing policy as per your healthcare requirements.

Consider these factors to determine if individual health insurance is worth buying for your needs. This will ensure comprehensive coverage and peace of mind.

Tax Benefits of Individual Health Insurance

Under Section 80D of the Income Tax Act of 1961, you can claim tax deductions for premiums paid on health insurance plans for you and your dependent parents.

Here’s how it works:

  • Self and Family (Below 60 years): ₹25,000* deduction on premiums.
  • Self and Family (Above 60 years): ₹50,000* deduction on premiums.

You can claim additional deductions for health insurance premiums paid for dependent parents:

  • Parents (Below 60 years): ₹25,000* additional deduction.
  • Parents (Above 60 years): ₹50,000* additional deduction.

If both you and your parents are above 60 years, you can claim:

  • Self and Family (Above 60 years): ₹50,000* deduction on premiums.
  • Parents (Above 60 years): ₹50,000* additional deduction.

This way, the total permissible deductions can sum up to ₹1 lakh*, maximising your savings while ensuring comprehensive health coverage for your entire family.

  • Preventive Health Check-ups: You can also claim a deduction of up to ₹5,000* for preventive health check-ups within your ₹25,000* or ₹50,000* limit, as applicable.

Eligibility Criteria to Avail Tax Benefits of Individual Health Insurance

  • The policyholder must be a taxpayer
  • The policyholder must be a resident of India
  • Premiums must be paid by any mode other than cash
  • Premiums must be paid for the relevant financial year. For policies with single premium payments covering multiple years, the deduction is allowed proportionately for each financial year

Difference between Group Health Insurance and Individual Health Insurance

Choosing between group health insurance and individual health insurance depends on various factors, including your employment status, personal health needs, and financial considerations. Here is a detailed comparison to help you understand the key differences and make an informed decision.

Feature Individual Health Insurance Group Health Insurance
Sum Insured Flexibility Customisable as per individual need.
For example, Reliance Health Infinity offers coverage up to ₹5 Crore.
Predetermined by employer/group.
The sum insured is lower but covers a larger group of people.
Coverage Scope Covers the individual and family members opted for. Covers all employees/members of the group and their families under the same policy, such as Reliance Group Mediclaim.
Premium Payment Paid by the individual. Paid by the employer/group.
Policy Customisation Higher flexibility in plan selection, with options to add riders. Standard plan for all members with limited customisation options.
Waiting Period for Pre-Existing Diseases Shorter or as per policy terms. Generally shorter or waived, especially in corporate plans like Reliance Group Mediclaim.
Renewability Lifelong renewability, ensuring continuous coverage regardless of employment status. Tied to employment or membership, coverage stops when employment ends.
Maternity benefits Available based on the chosen plan. For example, Reliance Health Infinity offers comprehensive coverage, including pre and post-natal care, delivery expenses, and newborn care, ensuring extensive support during maternity. Often included in group policies with immediate coverage in some cases.
Network hospitals Access to an extensive network of over 10,000 hospitals. Depends on the group policy but usually includes a wide network of hospitals.
Tax benefits Tax deductions up to ₹25,000* for individuals and ₹50,000* for senior citizens. If you are paying premiums for yourself and your senior citizen parents, the total deduction can go up to ₹1 lakh*. Benefits are mostly to the employer, but employees can also claim deductions on the premium they pay.
Claim process Directly involves the individual. Reliance General Insurance offers a simple claim process. Managed by the employer/group. This can simplify the process for employees.
Portability Easy portability between individual medical insurance plans, ensuring continuous coverage. Limited to group policy terms; may not be easily portable to an individual policy.

By understanding the key differences between group health insurance and individual health insurance, you can make an informed buying decision based on your specific needs and circumstances.

Difference between Individual Health Insurance and Family Floater Health Insurance

It is critical to assess your health insurance needs before buying any policy online. The table below provides key differences between individual health insurance and family floater health insurance to help you make an informed decision:

Feature Individual Medical Insurance Family Floater Health Insurance
Coverage Scope Covers only the individual policyholder. Covers the entire family under a single policy.
Flexibility High flexibility with options to add riders and customise the policy as per personal requirements. Less flexibility as the policy is standardised for all family members.
Renewability Lifelong renewability, allowing continuous coverage regardless of age or health status. Typically tied to the head of the family's coverage.
Maternity benefits Available based on the chosen plan. For example, Reliance Health Infinity offers pre and post-natal care, delivery expenses, and newborn care, which ensure extensive support during maternity. Maternity benefits are often available in family floater plans, providing coverage for pregnancy and childbirth-related expenses.
Network hospitals Access to a wide network of over 10,000 hospitals providing cashless facilities. Similar network access, providing cashless facilities for all insured family members.
Tax Benefits* The individual policyholder avails tax deductions Tax benefits are availed by the proposer, and not all family members

Compare Individual Health Insurance Plans Online

Buying an individual health insurance requires careful deliberations. Comparing individual health insurance plans online can help you select a policy that offers the required value, coverage and benefits. The table below compares individual health insurance plans offered by Reliance General Insurance and other insurers in the market.

Feature Reliance Individual Health Insurance Policy Individual Medical Insurance by Other Insurers
Coverage Option Comprehensive coverage for planned & emergency hospitalisations, daycare procedures, modern treatments, ambulance charges and more. Basic coverage, which is often limited to hospitalisation and fewer outpatient services.
Claim Settlement Ratio 100%* 85% to 99.06%
Sum Insured Options Up to ₹5 Crore (Reliance Health Infinity) and USD 1 Million (Reliance Health Global) Up to ₹1 Crore
Premium Cost Starting at ₹243* per month Starting at ₹300 - ₹500 per month
Network hospitals 10,000+ hospitals and 'Cashless Everywhere' feature 8,700+ cashless hospitals
Pre and Post-Hospitalisation Up to 90 days pre and 180 days post-hospitalisation covered. Up to 60 days pre and 90 days post-hospitalisation covered.
Maternity benefits Available (e.g., Reliance Health Infinity). It offers comprehensive coverage, including pre and post-natal care, as well as expenses for delivery and newborn care, ensuring extensive support during maternity. May not be available.
Initial Waiting Period Minimum 15 days Minimum 30 days
Guaranteed cumulative bonus Up to 100% May or may not be available
Critical Illness Cover No pre-screening required Usually required
Unlimited Reinstatement Available May or may not be available based on the plan
Co-Payment Optional Fixed co-payment
Room Rent Limit No limit Pay extra to upgrade
COVID-19 Coverage All plans Selected plans

How Much Individual Health Insurance Coverage Should You Have?

Determining the right amount of individual health insurance coverage is crucial to ensure you are adequately protected against medical expenses. Here are a few factors and examples to help you decide the appropriate coverage based on different age brackets and circumstances:

Young Adults (20-30 years):

Coverage Recommendation: Typically, young adults can opt for an individual health insurance plan with coverage starting from ₹5 lakhs.

Reasoning: The likelihood of falling seriously ill is lower at this age, so a basic coverage amount is usually sufficient. This allows for affordable premiums while still providing financial security.

Example: If you are 25 years old with an annual income of ₹10 lakhs, individual medical insurance with a coverage of ₹5-10 lakhs would be adequate.

Middle-Aged Adults (30-50 years):

Coverage Recommendation: Individuals in this age group should consider coverage of at least ₹10-20 lakhs.

Reasoning: Medical needs and risks start to increase in this age bracket. Additionally, many may have dependent family members, increasing the need for higher coverage.

Example: A 40-year-old with an annual income of ₹20 lakhs might opt for a coverage amount of ₹10-20* lakhs to ensure comprehensive protection for themselves and their family.

Senior Citizens (Above 50 years):

Coverage Recommendation: Senior citizens should ideally have a health insurance policy with a coverage of ₹20-50 lakhs or more.

Reasoning: Medical expenses tend to rise significantly with age due to increased healthcare needs. It’s crucial to have a high sum insured to cover potential surgeries and hospitalisations.

Example: For a senior citizen, bypass surgery alone can cost up to ₹2 lakhs. Hence, it is advisable to have coverage of at least ₹20-50 lakhs to ensure sufficient financial protection.

Families:

Coverage Recommendation: For a family of four, a family floater plan with a sum insured of ₹10-15 lakhs is recommended.

Reasoning: Family floater plans provide coverage for all members under a single sum insured, which any member of the family can utilise.

Example: For a family comprising two adults and two children, a health insurance policy with a coverage of ₹10-15 lakhs ensures that the family is well-protected against medical emergencies.

How to Calculate Individual Health Insurance Premium?

Calculating your individual health insurance premium involves understanding the factors that influence the cost and using an individual health insurance premium calculator to get an accurate estimate.

This process helps you determine how much you need to pay for your individual health insurance policy coverage and ensures you choose a policy that fits your financial and healthcare needs.

At Reliance General Insurance, we consider several factors, including your age, policy type (individual/family floater), selected sum insured and add-ons, to calculate your health insurance premium amount. Worry not; you can just follow the below steps to check your Reliance Individual Health Insurance premium:

Step 1: Visit the Official Website

  • Go to Reliance General Insurance and navigate to the Health Insurance page.

Step 2: Enter Your Details

  • Provide your age, phone number and other basic information.

Step 3: Input Coverage Information

  • Specify the individuals you want to insure, the coverage amount you need, and any add-ons you wish to include. Click "Get Price" to see your estimated individual medical insurance cost, along with available discounts.

Individual Health Insurance Claim Process

Individual Medical Insurance: Process for Cashless Claims

  • Register Your Claim: Inform our health insurance claims team about your hospitalisation by calling (+91) 4890-3009, via e-mail or using the Reliance Self-i application. You will need to submit a few documents for claims approval.
  • Visit Hospital for Cashless Treatment: Once your claim documents are approved and our team processes your claim request, you can visit the hospital for cashless treatment.
  • Settle Your Claims Via Hospital’s TPA: After your treatment is complete, the TPA desk of your chosen hospital will contact us and send your medical bills. The claims team will collaborate with the hospital to settle your invoices as per the policy terms.

Individual Mediclaim Policy: Process for Reimbursement Claims

  • Register Your Claim: As soon as you are prescribed a hospitalisation, inform our health insurance claims team by calling (+91) 4890-3009, via e-mail or using the Reliance Self-i app. You will need to submit some required documents for claims approval.
  • Undergo Treatment: After your claim is registered, you can get treatment at any hospital of your choice.
  • Make the Payment: You must pay for the treatment out of your own pocket for a reimbursement claim. Make the necessary payment and collect all the invoices.
  • Submit Your Documents for Reimbursement: Within 7 days of discharge, submit a scanned copy of all your health insurance documents and medical bills to our claims team. Once the documents are received and verified, Reliance General Insurance will release your reimbursement amount as per the inclusions of your health insurance plan.

Documents Required to File a Health Insurance Claim

You need to submit various documents while filing an individual health insurance claim to ensure a smooth and hassle-free process. Here is a list of essential documents you need to provide:

  • Pre-Authorisation Form: This is usually required when you opt for cashless treatment. Here is the pre-authorisation form.
  • Claim Form: Download the relevant health claim form. You need to carefully fill out and submit it to initiate the claim process.
  • Policy Details: We need details about your individual health insurance policy, including your policy number, to verify the specifics of your policy.
  • Identity Proof: To verify your link to the said policy, you need to submit a valid identity proof, such as your Aadhaar card or PAN card.
  • Original Hospital Bills and Receipts: You also need to submit all the original hospital bills and receipts (detailing all the expenses incurred by you and/or during the treatment).
  • Discharge Summary: The hospital provides this document, which details all the treatments received during your hospitalisation.
  • Pharmacy Bills: Submit all original medicine bills (for the medicines used during the hospitalisation). Note that these medicines should correspond to the doctor’s prescriptions.

Here is the detailed Health Insurance Claims Process.

Tips for Managing Your Individual Health Insurance Policy

Managing your individual health insurance policy effectively ensures you maximise your coverage and benefits while minimising costs. Here are some practical tips to help you effectively maintain and manage your policy:

  • Regularly Review Your Coverage: Regularly check for updates and ensure your policy aligns with your healthcare needs. Increase your sum insured if required to maintain comprehensive individual health insurance coverage.
  • Update Personal Information: Keep your insurance provider updated about any changes in your personal information, such as address, contact details and marital status. This ensures smooth communication and accurate policy management.
  • Understand Policy Changes: Stay updated on the changes in terms and conditions of your policy. Carefully read all communication provided by your insurer to stay informed about your coverage.
  • Optimise Your Benefits: Include add-ons provided by your insurer, such as critical illness cover, OPD, etc. This enhances your coverage, ensuring you get the most out of your policy.
  • Maintain Documentation: Keep all policy documents, claim documents, payment receipts, etc. Maintain digital copies as backups to ensure you have access to necessary documents when needed.
  • Discharge Summary: The hospital provides this document, which details all the treatments received during your hospitalisation.
  • Renew on Time: Renew your policy before the expiry date to avoid a lapse in coverage. This is extremely important as it helps to keep your coverage, add-ons and any cumulative bonus intact.

Frequently Asked Questions

  • Individual Health Insurance is a policy that covers the insured person's healthcare expenses. It includes hospitalisation costs, surgeries, OPD expenses, and more, offering financial protection against high medical bills.

  • Group health insurance is usually purchased by an organisation or employer for its employees. In contrast, individual health insurance is purchased by an individual for their individual healthcare needs.

    Group health insurance usually costs less than individual health insurance. This is because group health insurance provides standard coverage, and individual health insurance offers personalised coverage.

  • A company can offer its employees individual health insurance. This is usually seen in smaller organisations with fewer employees.

  • You can buy individual health insurance at any time, unlike employment-sponsored health plans, which may have a certain enrolment period.

    It is advisable to purchase individual health insurance before you need immediate coverage since there are waiting periods for pre-existing conditions.

  • Individual health insurance usually covers hospitalisation, pre and post-hospitalisation, surgeries, doctor’s fees, hospital room rent and other medical expenses.

    Some plans may also offer coverage for alternative treatments (AYUSH), critical illnesses, daycare procedures, outpatient care and more.

  • Cashless everywhere is a new insurance-industry-led feature. Through this feature, Reliance General Insurance, you can claim cashless facilities at any hospital in India and not just in the insurer’s network hospitals.

    With this facility, you don’t need to make upfront payments, which offers convenience.

  • The best health insurance coverage depends on individual needs, health conditions and budget. Consider plans with extensive coverage, including pre and post-hospitalisation expenses, critical illness coverage, etc.

    Plans like Reliance Health Infinity and Reliance Health Global are highly recommended for wide coverage and extensive benefits.

  • To find the best individual health insurance plan, you must research the plans offered by different insurance providers.

    Compare their features, benefits, additional services, claim settlement ratio, network hospitals, number of satisfied customers and other factors to find the policy that meets your needs.

  • Policy terms include waiting periods for pre-existing conditions, inclusions and exclusions, eligibility criteria, payment clauses, and renewal procedures.

    You must read and understand these terms before purchasing any health insurance policy to avoid any surprises during claim settlement.

  • Health insurance premiums depend on various factors, such as age, sum insured, health conditions, pre-existing conditions, and lifestyle habits. A higher sum insured and add-ons may increase your premium.

  • The cost of individual health insurance can vary depending on factors like the plan you choose, customisations, and coverage details.

    At Reliance General Health Insurance, premiums start at as low as ₹243* per month, which could increase based on the plan chosen and additional services opted for.

  • Group health insurance is usually cheaper than individual health insurance since the risk is spread across a large number of people.

    This helps reduce the cost of premiums per person. Organisations usually opt for group health insurance, making it affordable for employees.

  • The claim process for individual health insurance from Reliance General Insurance involves notifying the company about the hospitalisation. Submit the necessary documents and follow the prescribed procedures.

    Claims can be cashless (settled directly with the hospital) or reimbursement (where you pay first and get reimbursed by Reliance General Insurance).

  • It is very easy to file an individual health insurance claim with Reliance General Insurance. All you need to do is visit the Claim section on the homepage, download the claim forms and submit the duly filled forms via email or Self-i app or website.

  • To file a claim with Reliance General Insurance, you need to submit the following documents: a pre-authorisation form, a claim form, identity proof, original medical bills and a discharge summary.

Disclaimer:
*T&C Apply. For more details on risk factors, terms conditions, brochure, and exclusions, please read the policy wording carefully before concluding a sale. The details mentioned above are for multiple products such as Health Gain Health Insurance Policy UIN -RELHLIP21514V022021, Health Infinity Insurance UIN -RELHLIP21521V032021, Reliance Health Super Top Up UIN- RELHLIP21617V012021, Reliance Health Global UIN: IRDAN103RP0001V01202324.
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).
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.
Sum Insured: The mentioned sum insured are for Reliance Health Infinity and Reliance Health Global policies.
Tax Benefits: Tax benefits are subject to conditions under Section 80D of the Act and amendments thereof. The tax laws are subject to amendments/changes from time to time. Please consult your tax advisor for details.
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.

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