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https://www.insurancemall.in/I-Opener/post/2008/04/Product-Review-Reliance-Healthwise.aspx
Name : Reliance Healthwise Gold
Category : Regular Health Insurance/Mediclaim
Product Rating : 4.0 on 5 Stars
Service and Response Record : 2.0 on 5 Stars
Claims Record : Not measurable, as relatively new product
Product Features
- For the first time in India, Critical Illnesses are also covered in a Health Plan
- A separate Double Sum Insured is automatically available as soon as any of the listed critical illnesses is diagnosed.
- 24 hours cashless facility at more than 3000 network hospitals.
- Income Tax benefits under Section 80 D.
- Options in duration of coverage – 1 year/2 year policies available.
- Family Floater benefit giving comprehensive protection to your family members under one single Policy.
- Discount on renewal premium for claim free policy.
- Coverage of pre-existing conditions after 2 years/4 years as per plan opted.
What does this Policy cover?
Depending on the Plan opted by you, your Reliance HealthWise Policy covers:
Hospitalisation Expenses - Expenses incurred towards
- Hospital (room, boarding and operation theatre)
- Doctors & nurses
- Medical tests
- Medicines, blood, oxygen, appliances etc.
Day Care Treatment - Medical expenses towards specific technologically advanced day care treatments/surgeries where 24 hours of hospitalisation is not required.
Domiciliary Hospitalisation - All expenses related to a medical treatment, which is being administered at home, subject to specific conditions applicable.
Pre and Post Hospitalisation - Medical expenses related to your treatment before and after hospitalisation for a specified number of days.
Pre-Existing Diseases - Coverage of pre-existing diseases after two/four continuous renewals with us.
Critical Illness - Your Sum Insured is automatically doubled separately for treatment of Cancer, Coronary artery bypass surgery, First heart attack, Kidney failure, Multiple sclerosis, Major organ transplant, Stroke, Aorta graft surgery, Paralysis and Primary pulmonary arterial hypertension.
Donor Expenses - All hospitalisation expenses incurred by the Donor in case of major organ transplant are covered.
What are the value added benefits available?
Reliance HealthWise Policy offers a host of value added benefits, depending on the Plan opted by you. These include:
- Daily Hospitalisation Allowance for a maximum period of seven days.
- Nursing Allowance for a maximum period of five days, on recommendation of the treating Medical Practitioner.
- Reimbursement of charges towards Local Road Ambulance Services.
- Recovery Benefit of Rs. 10,000/- in case of hospitalisation for more than ten consecutive days.
- Expenses of an Accompanying Person at the Hospital/Nursing Home for a maximum of five days.
- Cost of Health Check up at the end of a block of four years, provided there were no claims reported.
What are the additional features of this Policy?
- Family Floater - Covers your family on a floater basis applicable to a maximum of four persons comprising of you, your spouse and two dependent children under the age of 21 years. Example- If Mr. Sharma and his family choose a regular health insurance plan with Rs. 1 lakh Sum Insured each; they would have to pay individual premiums for each member of the family. In addition, the cover for each Insured member would be only up to one lakh, even if the treatment costs beyond Rs. 1 lakh. But, if they take a Policy of Rs. 3 lakhs for the entire family under a floater Plan offered by Reliance HealthWise Policy, anyone from the family can claim up to Rs. 3 lakhs.
- Renewal Discounts - Equivalent to 5% of renewal premium, if there are no claims in the previous year.
- Income Tax Benefit - Premium eligible for deduction under Section 80 D of the Income Tax Act.
Who are covered under the Policy?
- Children above the age of three months and adults below the age of 65 years.
- Children between three months and five years can be covered only if one or both the parents are covered.
- Maximum age to enter the Plan is 65, 60 and 55 for Standard, Silver and Gold Plan respectively.
Policy Options
Choose your plan -You may choose any of the following plans
- Reliance HealthWise Policy - Standard
- Reliance HealthWise Policy - Silver
- Reliance HealthWise Policy - Gold
Two-Year Policy - Continuous coverage for two years without the hassles of annually renewing your Policy.
Wide range of Sum Insured
- Standard - 1 lakh to 5 lakhs
- Silver - 1 lakh to 5 lakhs
- Gold - 1 lakh to 5 lakhs
What does the Policy not cover?
some of the major exclusions under the Policy.
- Certain ailments are not covered in the first year of the inception of the Policy. However, they are covered from the second year onwards. These are Cataract, Benign Prostatic Hypertrophy, Congenital Internal Diseases, Fistula in Anus, Piles, Hysterectomy for Menorrhagia or Fibromyoma, Hernia, Sinusitis and related disorders. This exclusion will not be applicable for roll over cases and renewals.
- Pre-existing illness will not be covered for the first two/four years, as per the Plan opted.
- Any disease contracted during the first 30 days of inception of Policy. This exclusion will not be applicable for roll over cases and renewals.
- Treatment of pregnancy & childbirth-related complications.
- Suicide, self inflicted injury or illness, mental disorder, anxiety, stress or depression, use of alcohol or drugs.
- Diseases such as HIV or AIDS.
- Cost of spectacles, contact lenses and hearing aids.
- Dental treatment or surgery of any kind unless requiring hospitalisation.
- Expenses on vitamins and tonics unless forming part of treatment for disease/injury.
- Naturopathy treatment or obesity related treatment.
- War, terrorism and nuclear weapons induced hospitalisation.
Common Questions?
1. Why is it so cheap compared to other plans?
Every Company is free to have its own pricing philosophy.Reliance as a group has always been associated with mass selling, market share grabbing, price driven marketing tactics. This is one of them. So enjoy!
2. Though it is mentioned that Pre-existing is covered after 2 years, you say proposal would be rejected if there is mention of any pre-existing illness/condition? Is this not contradictory?
What this means is that, if the proposal is accepted, pre-existing would be covered from third year. At the same time we would clearly inform you that in 99% of cases we have observed that such proposals are rejected.
3. What is the procedure to buy Reliance Healthwise?
The following is the process, once you have placed the order through the order link:
https://www.insurancemall.in/Forms/frm_G_Search_Page.aspx?qsInsr=L&qsInsrTypId=IT0015
Buying process for below Age 45 Cases:
1. We would send you the Health Cards by courier in 2 working days from the payment day. 2. There would also be enclosed a filled in form. You need to Sign the attached proposal form at 2 places and courier to it in the self addressed envelope sent along with the Health Kit. The Parcel comprises of 2 forms – one pre-filled and one blank, as back up in case you have any changes to make. 3. Kits would be activated in 2 working days from the date of receipt of the signed proposal form 4. Insurance Schedule and Income Tax Certificate will be sent within 15 working days from the day of receiving the signed proposal form
Buying process for Above Age 45 Cases:
Please Note: [Any Diversions/Abnormality observed in the above Health Test reports, may reject the proposal at Reliance, as per their revised guidelines.]
4. Payment Options:
a. Payment through Secured Payment Link from where you can make the payment: https://www.insurancemall.in/forms/frm_T_Pay_Insurancemall.aspx b. You could also send us a cheque favoring Reliance General Insurance Co. Ltd. with the courier mentioned above.5. Post/Courier the same in the envelope provided6. Email us once you have completed Step 1 to 57. We would send you the Health Cards in 7 working days from the day the courier is received by us.8. Insurance Schedule and Income Tax Certificate will be sent within 15 working days.
Quick link and BuyNow
https://www.insurancemall.in/I-Opener/post/2008/04/Product-Review-Reliance-Healthwise.aspx
1 comment:
Life Insurance Corporation of India is targeting to provide health cover to close to 10 million families in the 1 year of the operation / launch of the product and expects over Rs 4000 to 5,000 crore of revenues.
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