Reliance Critical Illness Plan

Reliance General Insurance is one of the leading general insurance companies in India. With 139 offices and more than 28,900+ intermediaries across India, Reliance General Insurance offers a wide range of insurance products and solutions such as motor, health insurance, travel, home, marine, employee liability, group mediclaim, shopkeeper’s insurance, Reliance Health insurance etc.

Vision, Mission and Goals of Reliance General Insurance

Vision

We want to score perfectly for world-standard services & products, and want to be your first choice in domestic as well as global markets.

Mission

• Satisfy your need of insurance cover in that crucial hour
• Offer incomparable customer service
• Provide innovative products
• Better reach through presence across India and abroad

Goals

• Make affordable insurance accessible to all
• Keeping you, our customers, as focal point in all our operations
• Protect policyholders’ interests
• Be the most innovative in product development

Note: All information has been sourced from the official website of Reliance General Insurance

Reliance Critical Illness Insurance Policy is a comprehensive health plan which provides cover against life-threatening diseases.

List of Diseases/Illnesses Covered

Category I – Life-Threatening

• Cancer
• Major Organ Transplant
• Multiple Sclerosis
• Third Degree Burns
• Aorta Graft Surgery

Category II - Lifestyle Disabling

• Heart Valve Replacement or repair
• Coma of Specified Severity
• Coma Quadriplegia (persisting more than 90 days post-diagnosis without any significant recovery)
• Total Blindness
• End-Stage Renal Disease requiring regular dialysis

Inclusion of Reliance Critical Illness Insurance Plan

The inclusions under this plan cover 10 specified illnesses/diseases as listed above in category I and category II.

Exclusion of Reliance Critical Illness Insurance Plan

The exclusions under this plan are:

1. All Pre-existing diseases / illness / injury / conditions
2. Critical illness contracted or evident through sign and symptoms within 3 months of the inception date of this policy, pregnancy or childbirth
3. Certification / diagnosis by a family member or any diagnosis that is not scientifically recognized
4. Certification / diagnosis from a person not registered as Medical Practitioners under respective medical councils
5. Critical illness arising out of any congenital illness or condition or disorder whether internal or external
6. Critical illness/condition resulting, directly or indirectly, caused by, contributed to or aggravated or prolonged by childbirth or from pregnancy
7. Critical illness due to alcohol, smoking, other tobacco intake or drug abuse
8. Treatment/surgery for change sex or any cosmetic surgery or treatment/surgery/complications/illness
9. HIV/AIDS/STDs
10. Self-exposure to needless perils except in an attempted to save human life
11. Participation in extreme sports - speed contest or racing of any kind (other than on foot), bungee jumping, parasailing, ballooning, parachuting, skydiving, paragliding, hang gliding, mountain or rock climbing necessitating the use of guides or ropes, potholing, abseiling, deep-sea diving using hard helmet and breathing apparatus, polo, snow and ice sports
12. Disease critical illness, directly or indirectly, caused by or arising from or attributable to foreign, invasion, act of foreign enemies, hostilities (whether war be declared or not), civil war, revolution, insurrection, military or usurped power, riot or civil commotion, act of terrorism
13. Critical illness caused by ionizing radiation or contamination by radioactivity from any nuclear fuel or from any nuclear waste from the combustion of nuclear fuel
14. Critical illness, directly or indirectly, caused by or contributed to by nuclear weapons/materials or radioactive contamination
15. Critical illness arising or resulting from the Import committing any breach of law or participating in an actual or attempted felony, riot, crime, misdemeanor or civil commotion
16. Treatment of illness/procedure performed outside India

Eligibility Criteria for Reliance Critical Illness Insurance Plan

The minimum entry age to purchase a Reliance critical illness policy is 18 years and above. The maximum entry age to purchase a Reliance critical illness policy for Rs. 5 lakhs sum insurance is 65 years. The maximum entry age to purchase a Reliance critical illness policy for Rs. 7 lakhs sum insurance is 60 years. The maximum entry age to purchase a Reliance critical illness policy for Rs. 10 lakhs sum insurance is 55 years. The maximum entry age for sum insured of Rs. 20 lakh is 50 years. The policy provides life long renewals subject to no claims have been made.

What is the Claim Procedure for Reliance Critical Illness Insurance Plan?

In case of a claim/medical emergency, the policyholder is required to notify Reliance General Insurance either at the call centre or in writing immediately and within 7 days of the occurrence of such an insured event. Also, the policyholder needs to furnish the following details:

1. Policy Number
2. Name of the Policyholder
3. Name of the insured person in whose relation the claim is being made
4. Nature of Illness/Injury
5. Name and address of the attending Medical Practitioner and Hospital
6. Date of Admission
7. Any other information as requested by Reliance General Insurance Company

Documents Required to claim Reliance Critical Illness Insurance Plan

The standard list of documents required for submission are:

1. Duly completed and signed claim form, in original
2. Medical Practitioner's referral letter advising hospitalization
3. Medical Practitioners prescriptive advising drugs / diagnostic tests / consultation
4. Discharge card from the hospital / medical practitioner
5. Original pathological / diagnostic test reports and payment receipts
6. Indoor case papers
7. First Information Report/ Final Police Report, if applicable
8. Postmortem report, if available
9. Any other document as required by the insurer to assess the claim