Key highlights of the company
Reliance General Insurance Company is known for its best customer service experience combined with innovation and robust technology which makes the company one of the leading private sector insurance providers in India. Some key highlights of the company are as follows:
| Gross written premium |
Rs 10,489 crores in the financial year 2022-23 |
| Network hospitals |
8600+ network hospitals |
| Number of branches |
131 + Branches across India |
| Number of intermediaries |
90,000+ intermediaries across India |
| Asset under management |
Rs 14,506 crores |
| Number of policies issued |
71,79,927 policies issued till March 31st, 2021-22 |
| Number of employees |
3457 employees as of 31st March 2021 |
Reliance General Insurance Awards and Achievements
Reliance General Insurance in its endeavor to incorporate excellence in every aspect of its products has been recognised in various awards and accolades along the way. Here are some of the awards received by the company:
- Reliance General Insurance was recognized for the ‘Best Digital Customer Experience’ and ‘Best Experimental Marketing Communication’ awards in the 12th Customer First Show, 2020.
- Reliance insurance product was considered ‘The Innovative Product of the Year’ in the Insurance Alerts Excellence Awards, 2020.
- Reliance General Insurance was awarded as ‘Asia’s Best Insurance Company’ in 2020.
- The Economic Times Best Brand of the Year, 2020 recognized Reliance General as the ‘Best Brand of the Year Insurance Company.’
Reliance Health Insurance Key Features
You can select a health plan based on a variety of coverage benefits. Some common key features of Reliance health plans are stated briefly as follows:
| Features |
Meaning |
| Inpatient-hospitalization cover |
Whenever you have an injury or illness, you might be hospitalized for treatment. The costs associated with hospitalization and treatment will be covered by your insurance company if your stay is longer than 24 hours |
| Pre-hospitalization cover |
Before a hospitalization, if you incur medical expenses on consultations or diagnostics, the same would be covered under the policy up to a specific number of days |
| Post-hospitalization cover |
Medical expenses will be reimbursed to the patient following treatment and discharge from the hospital. This coverage is allowed for a specific number of days |
| Daycare cover |
Daycare treatments do not require hospitalization for 24 hours. Such treatments include admission and discharge within the same day. Reliance health insurance plans cover such treatments |
| Ambulance cover: |
Ambulance cover includes the costs incurred in hiring an ambulance for hospitalization. Such costs are covered up to specific limits |
| Organ donors cover |
In an organ transplant surgery, coverage is also allowed for the donor’s hospitalization costs and the cost of harvesting the organ. |
| AYUSH cover |
Besides allopathic treatments, Reliance health insurance plans also cover treatments taken through non-allopathic means like Ayurveda, Homeopathy, Unani, and Siddha. |
| Domiciliary cover |
If you are hospitalized at your own home because of a lack of hospital beds or if your medical condition is not stable, such hospitalization is called domiciliary hospitalization. Reliance health insurance plans cover such hospitalization |
| Free health check-ups |
Reliance health plans allow free health check-ups after specified intervals which help you monitor your health condition regularly. |
Common Exclusions of Reliance Health Insurance Plans
In addition to the inclusive coverage mentioned above, Reliance health plans have certain exclusions. All exclusions are mentioned in the policy document. The following are some of the common exclusions in a health plan:
- Any illness or hospitalization during the first 30 days of the plan will not be entertained.
- Pre-existing illnesses are covered after a specified waiting period.
- The claim is not payable for lenses, hearing aids, eyeglasses, or hearing aid batteries.
- For some illnesses and treatments, a two-year waiting period might be required like joint replacements, fissures, cataracts, etc.
- The cost incurred for weight loss surgery and cosmetic surgery would not be paid
- HIV and AIDS are usually excluded.
- Claims resulting from human disasters such as due to war, nuclear threats, mutinies, revolts, and similar events would not be covered.
- Certain activities such as adventure sports, hazardous activities, and criminal activity are also excluded.
- Claims arising from self-inflicted injuries, suicide attempts, drug abuse drugs, or excessive alcohol consumption are also excluded.
- Treatments that do not follow a doctor's prescription or are not scientifically proven will not be covered by Reliance General Insurance.
Health insurance plans offered by Reliance
Reliance General Insurance offers different types of health insurance plans. One of its most comprehensive policies, also offered by PayBima is Health Gain. Here’s a look at the policy in brief –
Health Gain offers a comprehensive scope of coverage with inbuilt and optional coverage benefits. Some of the salient features of the policy are as follows –
Reliance guarantees quick policy issuance. If, however, the policy is not issued within 10 working days, the company guarantees an additional sum insured of Rs.10,000 or Rs.20,000 to compensate you for the delayed coverage.
- Coverage for accidental death
If you don’t make a claim in your policy and renew it, you can enjoy an additional accidental death cover of Rs.1 lakh. This benefit would be paid in a lump sum in the case of accidental death.
- Free renewals on critical illness
If the insured suffers from a critical illness covered under the policy, the plan would allow a free renewal, once during the policy period. This means that you would not have to pay the renewal premium and avail of the coverage free of cost.
- Sum insured reinstatement
If you use up the sum insured in any policy year and then incur another claim within the same year, the plan will reinstate 100% of the basic sum insured. This additional sum insured can then be used to pay for the subsequent claim without running out of coverage.
Besides providing guaranteed quick issuance, the company also guarantees quick claim settlements. If there is a delay in the approval of cashless claims beyond 6 business hours, the company would pay an additional claim amount ranging from 1% to 6%. In the case of reimbursement claims, if there is a delay in a settlement beyond 21 working days, the company pays an additional interest of 1% to 6% on the claim amount.
If there are no claims for four successive policy years, you can exercise the call option and double your sum insured by paying an additional premium.
Eligibility conditions
| Entry age |
Adults – 18 years to 65 years
Dependent children – 91 days to 25 years under floater plan. for an individual plan, the minimum entry age is 5 years if any adults are covered |
| Sum insured |
Rs.3 lakhs to Rs.18 lakhs |
| Policy term |
1 year or 2 years |
| Pre-existing waiting period |
3 years |
The process to buy Reliance Health Insurance Policy Online
You can buy a Reliance health insurance policy online through PayBima in a very simple and easy manner. Paybima not only provides a very easy buying process but also assists in selecting the right insurance policy for yourself. Here are the steps to buy a health insurance policy through PayBima:
- Visit PayBima’s health section
Visit PayBima.com and click on the health insurance option to go to the health insurance segment of the website.
Once you select the health insurance option, a form will appear on your screen in which you will have to provide personal and medical details such as your gender, name, location pin code, sum assured in your plan, age, etc. PayBima uses this information to calculate the amount of premium for the available plans that best suit your requirements and eligibility. You can also provide your contact details in the form to get
a personalized consultation to buy the policy easily.
You will find a list of available plans at PayBima once you enter the relevant information. You can compare the available plans based on coverage benefits and premium cost and then select the one that best suits your insurance needs at an affordable premium.
- Fill up the proposal form
When you have finalized the insurance policy, the proposal form should be filled out precisely. Complete and correct information on the proposal form is crucial to expedite the claim processing time.
- Pay the insurance premium
Once everything is finalized the last step is to make the payment online and your policy will be issued instantly. On the website, you can use PayBima's secured payment gateway which will be easy to access and pay. When the insurance company receives your proposal form, it underwrites the form and issues the policy provided there is no adverse medical declaration.
- Pre-entrance medical screening
In some cases, pre-entry screenings are required depending on your age, sum insured
, or lifestyle habits. It may be necessary to undergo a health screening before entry if a high risk is involved. You can avail of the medical screening at any of Reliance’s network hospitals.
The process to Renew Reliance Health Insurance Plan
Health insurance policies allow lifelong renewal. You can enjoy the coverage benefits of your health insurance policy as long as you keep renewing it within the prescribed time.
PayBima’s official website lets you renew your policy by entering your details and your policy number. Once you fill in your policy number and other relevant details, you will be able to review your policy details and make changes to them before renewal, if required. You can increase the sum assured in the plan, add riders, buy top-ups
, or make other relevant changes as per your changing insurance requirements. The premium for the changes will be automatically adjusted and you will have to pay the revised premium at the time of renewal. For any assistance or guidance in the renewal of the health plan, you can contact us at 1800 267 6767 or email us at
paybima.care@mahindra.com.
The process to claim Reliance Health Insurance Policy
Reliance General Insurance provides an easy and quick claim settlement process with zero hassles. All you need to do is follow some simple steps. You can either make a cashless claim or get reimbursement for the cost incurred. The process to claim PayBima is enumerated below:
- Identifying network hospitals
In the event of a claim, you can get yourself admitted to a network hospital where you won’t have to pay the bills and your claim would be settled on a cashless basis. Cashless claims, however, are only available at hospitals in the organization's network
and can be found online on the company's website. Visit the website of the company and locate the nearest hospital.
When getting admitted to a networked hospital, show your ID card and health card to confirm your admission.
- Fill out and submit the Pre-authorization form
When applying for a cashless claim, you will need to fill out the pre-approval form. The form can be downloaded from the company’s website. You can also get the form from the insurance desk of the network hospital. It is important to complete all required fields precisely and correctly to reduce the claim processing time. Except in case of emergency, you should submit this form three to four days before your hospitalization. However, you can also submit the form within 24 hours of emergency hospitalization.
After submission of the pre-authorization form, the company will validate your claim and send approval to the hospital to begin the treatment. Cashless medical facilities start once the preauthorized claim forms are approved.
- Reimbursement Claim Facility
In case of reimbursement claims, inform the insurance company about the claim before you are admitted to a non-network hospital. In such cases, what you have to do is initiate a claim by submitting a claim form before planned admission. Next, you must pay all the bills after you are discharged from the hospital. Then file for reimbursement by submitting all original bills along with the form to get the reimbursement. All the bills and reports will be assessed by Reliance General Insurance, after which it will credit the reimbursement amount to your bank account as per the details provided by you.
Our customer care representatives are available via email at
paybimacare@mahindra.com or by phone at 1800 2676767 if you require assistance regarding the renewal of the Reliance health plan.
For the successful settlement of an insurance claim, you will have to submit certain documents. Some of these documents include:
- Valid ID proof and health card
- Doctor’s prescription suggesting hospitalisation.
- For reimbursement claims, bank account details such as account number, IFSC code, and bank account holder’s name need to be provided to credit the reimbursement amount.
- You must provide original medical reports and bills along with the claim form.
- Doctor’s consultation notes, original medical reports, etc.
- Pre-authorization form duly filled and signed.
Review of Reliance Health Insurance Plans
Reliance health insurance policies are very comprehensive in their scope of coverage and are very competitively priced. Some highlights of its health plans are stated as under:
- Reliance General Insurance Company has a whooping claim settlement ratio of 98.65% in the financial year 2021-22.
- The company offers customized and innovative products to meet the individual needs of customers like the first over-the-counter health insurance policy in India.
- ‘Health Infinity’ insurance plan was awarded the Product Innovator of the Year award in 2020.
- The health plans are also available online and can be purchased within minutes in a hassle-free manner.
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