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Reliance Health Gain Health Insurance

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Reliance Health Insurance
Health Gain
Cashless Approval TAT4 hour Cashless Claim Processing
Claim Settlement100%
Network Hospitals8,600+
Pre-existing Disease Waiting Period1 year
Special BenefitsMore Cover, More time, More Global
Starting Premium for Rs. 5 lakhs coverageRs. 243/month

About Reliance Health Gain Health Insurance

Health Gain by Reliance Health Insurance is a smart health insurance plan that empowers policyholders to beat the heat of medical inflation and gain several health insurance benefits. Available as both individual and family floater plans, the Reliance Health Gain plan offers multiple benefits. The policy can be bought in easy installments and you can also get long-term discounts, a wide range of sum insured, renewability, free-look cancellation, an easy claim process, and a lot more. Read on to find out more about the Reliance Health Gain Health Insurance plan.

Reliance Health Gain Health Insurance Plan at a Glance

Coverage

Individual and family

Riders

Smart Cover, Family Care cover, Convenience Cover, etc

Variants

Plus, Power, and Prime

Key features

Girl child discount, No room-rent limit, Extensive coverage, etc

Inclusion

Pre and post expenses, AYUSH treatment, modern treatment, etc

Exclusion

Any unproven treatment, Weight control treatment, Change of gender treatment, etc

Key Features of Reliance Health Gain Health Insurance

Some of the key features of the Reliance Health Gain Health Insurance plan are as follows:

  • Girl Child Discount: The Reliance Health Gain Health Insurance offers discounts for a girl child and a single woman. A maximum discount of 5% is given to girl children and single women so that they can save on the Reliance Health Gain Health Insurance premiums.
  • Coverage: Reliance health insurance, under this plan, also provides wellness services like discounts from chemists, free health checkup, restoration benefits, accidental death cover without any claim renewal, and accidental rider.
  • Variants: The HealthGain insurance policy has 3 variants, Plus, Power, and Prime. All the variants are almost the same except for certain features on the cover and health insurance premiums. To know about the coverage under these variants, you can check the policy document.
  • No Room Rent Limit: The Reliance Health Gain Health Insurance plan comes with no limits on room rent. You can always lower or increase the hospital cash limit as well as the room type.
  • Intercity Road Ambulance: This is a standout feature of the Reliance Health Gain Health Insurance plan that provides road ambulance costs up to actuals beyond 100 km.
  • Additional Benefits: The Reliance Health Gain Health Insurance plan also provides enhanced coverage, smart coverage, and preventive healthcare coverage, so that policyholders can get comprehensive coverage under this health insurance plan.

Eligibility Criteria of the Reliance Health Gain Health Insurance plan

Listed below are the eligibility criteria for the Reliance Health Gain Health Insurance plan:

Parametres

Eligibility Criteria

Minimum entry age for adult

91 days

Maximum entry age for adult

25 years

Minimum entry age for child

18 years

Maximum entry age for adult

65 years

Policy period

1, 2, or 3 year

Exit age

No exit age

Maximum number of adults under the family plan

Plus variant: 2 adults
Power variant: 4 adults
Prime variant: 6 adults

Benefits of Buying Reliance Health Gain Health Insurance Plan

Listed below are some of the reasons why you should buy the Reliance Health Gain Health Insurance plan:

  • Sum Insured: The Reliance Health Gain Health Insurance offers policyholders the flexibility to choose the sum insured of their choice. With the Plus variant, they can choose the sum insured of either Rs. 3 lakhs or Rs. 5 lakhs. Under the Power variant, you can choose a sum insured of Rs. 10 lakhs, Rs. 15 lakhs, or Rs. 20 lakhs, and under the Prime variant, you can choose a sum insured of Rs. 25 lakhs, Rs. 30 lakhs, Rs. 50 lakhs, or Rs. 100 lakhs.
  • Discounts: The Reliance Health Gain Health Insurance Plan offers multiple discounts such as girl child discounts, family discounts, long-term discounts, and many more. While the family discount offers discounts on family plans, long-term discounts are eligible if you are buying the plan for a longer policy term.
  • Coverage: The Reliance Health Gain Health Insurance Plan provides coverage for daycare procedures, pre and post hospitalisation, organ donor expenses, AYUSH treatment, ambulance cover, room rent, restoration benefits, and many more,
  • Add-ons: With the Reliance Health Gain Health Insurance Plan, you can also get additional coverage with add-ons such as restoration benefits, consumables cover, vaccination cover, annual health check-ups, and a lot more. However, to get these additional benefits, you also need to pay higher premiums.

Variants Available with Reliance Health Gain Health Insurance plan

There are three variants available with the Reliance Health Gain Health Insurance plan, Plus, Power, and Prime. Almost all the coverage is offered under these variants, yet there are a few differences that have been enlisted below:

Parametres

Plus

Power

Prime

Sum insured

Rs. 3 lakhs/ Rs. 5 lakhs

Rs. 10,15, 20 lakhs

Rs. 25, 30, 50, or 100 lakhs

Domestic road ambulance

Up to Rs. 500 per hospitalization

Up to Rs. 3000 per hospitalization

As per actual expenses

Policy service guarantee

Rs. 10,000

Rs. 20,000

Rs. 20,000

Modern treatment

Up to 50% of sum insured

Up to 100% of sum insured

Post-hospitalisation

Up to 60 days

Up to 90 days

Organ donor expenses

Up to 10% of SI, maximum up to Rs. 5 lakhs

Up to 10% of SI, max up to Rs. 10 lakhs

Second opinion expenses

Up to Rs. 3000

Up to Rs. 5000

Add-ons Available with Reliance Health Gain Health Insurance plan

Some of the add-ons you can include in your Reliance Health Gain Health Insurance plan:

  • Enhanced Cover: This cover includes a Guaranteed Cumulative Bonus, Reinstatement of Sum Insured, and Consumable Cover. With these covers, you can enjoy the benefits of keeping the unutilized cumulative bonus intact, restoration of the sum insured, and coverage for miscellaneous expenses, respectively.
  • Smart Cover: With this cover, you can change the limits of modern treatment, get coverage for a second opinion, and expenses for vision correction.
  • Preventive Care Cover: This provides coverage for annual health check-ups and vaccination expenses.
  • Family Care Cover: Under this, you can get coverage for home care treatment, companion cover, and child care cover.
  • Convenience Cover: This add-on allows modification in pre-hospitalization expenses limit, coverage for air ambulance, and convalescence cover.
  • Reduction in PED Waiting Period: With this cover, you can get the waiting period for pre-existing conditions reduced from 24 to 12 months.

Inclusions and Exclusions of Reliance Health Gain Health Insurance Plan

Inclusions:

  • In-patient Care: This includes expenses for in-patient treatment, there is no sub-limit on these expenses.
  • Day care procedures: All daycare procedures are covered within the sum insured.
  • Domiciliary hospitalization: This includes expenses that do not require hospitalization and the coverage offered is under the sum insured.
  • Organ donor: The expenses related to organ donor is covered within the sum insured.
  • AYUSH Benefit: This plan also provides coverage for alternative treatment including AYUSH, up to the sum insured.
  • Ambulance cover: The cover for ambulance expenses is within the sum insured.
  • Pre and post hospitalization expenses: The Reliance Health Gain Health Insurance plan also provides coverage for pre and post hospitalization expenses.

Exclusions:

  • Rest and rehabilitation cure
  • Weight control treatment
  • Change of gender treatment
  • Any injury due to involvement in hazardous activities
  • Dietary supplement expenses
  • Overseas treatment
  • Outpatient treatment
  • Any expenses due to war
  • Any kind of unproven treatment

Documents Required to Buy Reliance Health Gain Health Insurance Plan

Listed below are some essential documents to buy the Reliance Health Gain Health Insurance plan:

  • A duly-filled application form
  • PAN card
  • Aadhaar card
  • Bank account details
  • Pre-existing medical condition details
  • Copy of previous health insurance plan
  • Passport
  • Income proof
  • Nominee details

How to Buy Reliance Health Gain Health Insurance Plan?

Listed below are the steps in which you can buy the Reliance Health Gain Health Insurance plan:

  • Visit the “Health Insurance” section on the official InsuranceDekho website.
  • Choose "Reliance Health Insurance" from the list of health insurance companies.
  • Then, select "Reliance Health Gain Health Insurance Plan" from the available health insurance plans.
  • Read the policy documents carefully
  • Upload all the necessary documents to complete the KYC process
  • After finishing the KYC process, pay the premium online
  • Finally, you will receive the policy document in your registered email

Claim Process of Reliance Health Gain Health Insurance Plan

You can raise two types of claims with your Reliance Health Gain Health Insurance Plan, cashless and reimbursement claims. To get your claim approved, you need to inform the insurance company about hospitalisation. In case of planned hospitalisation, you need to inform Reliance Health Insurance at least 48 hours to hospitalisation and for unplanned hospitalisation, you need to inform within 24 hours of hospitalisation.

Cashless Claims

  • First, locate a nearby network hospital
  • Submit all the relevant documents and policy papers to the TPA
  • Fill out the pre-approval form
  • The form along with the documents will be sent to the insurance company for verification
  • Once Reliance Health approves all the documents, your hospital bills will be directly settled at the network hospital

Reimbursement Claim

  • Choose a nearby hospital to get started with the treatment
  • In this case, you need to first pay for the medical expenses from your own pocket
  • Next, raise a claim on the company website
  • Submit all the documents
  • Reliance Health will then verify the claim request
  • Once approved, all the medical expenses will be reimbursed

Health Insurance Calculator

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Couple
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Father
Mother

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  • You

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Choose required Coverage for yourself?

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Disclaimer : Actual Premium might vary basis your location, age and number of members
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Key Inclusions and Exclusions of the Plan

What's Included

  • Pre and post hospitalisation expenses covered up to 30 and 60 days respectively
  • In-patient treatments, like room rent, doctor’s fee, nursing expenses, etc. up to the Sum Insured
  • Daycare treatment for specified procedures or surgeries are covered under the policy
  • Domiciliary hospitalisation (treatment at home) up to 10% of the sum insured, subject to a maximum of Rs. 50000
  • Charges for domestic road ambulance up to Rs. 1500 per claim

What's Not Included

  • Claims for medical expenses within 30 days from the day the policy purchased unless problems occur due to an injury
  • Intentional self-injury, injury under influence of alcohol, drugs or criminal acts
  • Non-allopathic, cosmetic, diagnostics, aesthetic treatment, self-medication, unproven treatments
  • Maternity, fertility-related conditions, HIV / AIDS or STDs and dental treatment
  • Expenses for injuries due to war, chemical, nuclear or biological injuries

Health Gain Plan Details

Features/PlanPlan A (3, 6, 9 Lakh)Plan B (12, 15, 18 Lakh)
Restoration Benefit
Up to 100% of SI, subject to 20% of related illness
Up to 100% of SI, subject to 20% of related illness
No Claim Bonus
Up to 100% of SI
Up to 100% of SI
Pre and Post Hospitalization
Up to 60 days
Up to 60 days
Day Care Procedure
All
All
Organ Donor
Up to 50% of SI, max of Rs. 5 lakh
Up to 50% of SI, max of Rs. 5 lakh
Domiciliary Hospitalization
Up to 10% of SI, maximum of Rs. 50000
Up to 10% of SI, maximum of Rs. 50000
Ambulance Cover
Up to Rs. 1500 per hospitalisation
Up to Rs. 3000 per hospitalisation
Co-Pay
20% of copay if entry age exceeds 60 years of age
N/A
Initial Waiting Period
30 days
30 days
Specific Illness Waiting Period
2 years
2 years
Waiting Period of PED
3 years
3 years
Additional Features
N/A
Rs. 1 lakh personal accident inbuilt
Special Feature
5% premium discount in case of girl child or individual woman, Policy service guarantee otherwise penalty of Rs.10000, Wellness program
5% premium discount in case of girl child or individual woman, Policy service guarantee otherwise penalty of Rs. 20000, Wellness program
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9120 Reliance Cashless Network Hospitals in India

Health Gain User Reviews

Write your review
What users are saying
  • All
  • Great coverage

    I read about the Reliance Health- Gain at InsuranceDekho and really liked the coverage benefits so bought it without any second thought. I will recommend everyone to buy the policy by following a few easy steps online.

    S
    By Suresh Gupta
    On: Aug 24, 2023
  • Complete flexibility

    The Reliance- Health Gain has exceeded my expectations in terms of coverage and flexibility. I've had to visit various specialists, and the policy has covered a significant portion of the costs. The online portal is user-friendly, allowing me to easily track claims and manage my policy. I'm grateful for this policy from InsuranceDekho.

    P
    By Parul Gaur
    On: Jun 19, 2023
  • Policy overviews are genuine

    If you are looking for genuine policy overviews, you must pay a visit to InsuranceDekho. Information related to the claim settlement, business volume of an insurance company, renewability of a health plan, and a number of network hospitals assist a customer to make a well-informed decision. I am very happy with the Reliance General’s Health Gain plan.

    R
    By Rumela Ghosh
    On: Feb 19, 2021
  • Cover for many expenses.

    HealthGain is a plan that offers me many benefits at nominal premium. I brought it for sum insured of Rs. 3 Lakh and people can buy it until 65 years. In case of any doubt, get in touch with the customer care executive who will give you a plan with maximum benefits.   

    H
    By Harish Kumar SA
    On: Feb 27, 2020
  • Very nice plan!

    I received a suggestion of buying this plan online from a friend. I liked the coverage features and wanted to get covered under it. So got in touch with the customer care executives and asked about the buying process. They helped me and I got it within 5 minutes. Thanks to them   

    N
    By Nitin Sain
    On: Feb 27, 2020

Add-ons to Enhance Benefits

  • Accidental Rider

    You can get Accidental Death Cover for No Claim Renewal under Plan B of the HealthGain policy. With this feature, an accidental death cover of Rs. 1 Lakh is provided to the policyholder at the end of every claim-free year.

Reliance Health Gain Expert Review

  • Expert Review

    HealthGain is Reliance General Health Insurance’s most popular health insurance product. A common choice, the plan is an ideal solution if you want your health insurance needs without burning a hole in your pocket. Especially, if your trust on Reliance is strong as always, rest assured HealthGain will never let you face loss, whether in terms of health or financial stability. All in all, it can be said that if you are looking forward to ensuring superior coverage of your family’s health instantly, HealthGain is the one to choose without thinking twice.

    Starting with age criteria, note that minimum entry age for children is 5 years and above. Children between 91 days and 4 years can be covered under floater with at least one member aged 21 years or above. While the maximum entry age is 65 years, there is no maximum entry age bar for sum insured of Rs. 3 Lakh. You can easily buy HealthGain on either individual sum insured basis or family floater basis. Talking about variants, the plan comes in two variants, namely Plan A and Plan B that vary in their sum insured amount and other benefits. Lastly, HealthGain comes with the sum insured range starting from Rs. 3 Lakh to Rs. 18 Lakh.

  • Major Attractions

    HealthGain has multiple features and benefits in store that are of immense help to anyone facing an unfortunate medical emergency. Inpatient treatment, pre & post hospitalisation expenses, day care treatment, organ donor expenses, domiciliary hospitalisation, and domestic road ambulance expenses, are a few basic benefits that you can expect from Reliance’s popular health insurance product. As far as the superior features are concerned, they include -

    • Call option benefit can be exercised up to 60 years of age.
    • Online Wellness solution is offered under the plan
    • Policy service guarantee: Under Plan A Rs. 10,000 and under Plan B Rs. 20,000 is paid for delay in policy issuance.
    • Accidental death cover for no claim renewal under Plan B (Rs. 1 Lakh Personal accident - Death cover for policyholder/insured)
    • Insurance renewal (one-time renewal premium waiver if the policyholder or insured suffers from named critical illness - available if you choose Plan B)
    • Reinstatement of base sum insured (one reinstatement up to 100% of base sum insured, subject to sub-limit of 20% for related illness/injury)
    • Cumulative bonus: 33 1/3 increase in base sum insured for every claim free year; maximum up to 100%. 33 1/3 decrease in base sum insured for every claim year; maximum up to cumulative bonus earned
    • Claim service guarantee: Cashless claims - 1% of claim amount for every delay of 6 business hours beyond 6 hours of receipt of all information/documents; Reimbursement claims - 1% of claim amount for every delay of 21 days beyond 21 days of receipt of all information/documents (maximum 6% for a claim amount)
  • What’s More?

    HealthGain is a complete health insurance package. The best way to fight sky-rocketing inflation in the medical field, this plan allows you to take a sigh of relief and feel free from any kind of financial pressure. The benefits offered by the plan are a big support and the key aspect that makes it an absolute choice. However, HealthGain also aims to offer added assistance through its list of vital elements that comprise -

    • Lifelong renewability as there is no exit age
    • Tax deduction under Section 80D of Income Tax Act, 1961
    • 5% premium discount on insuring a girl child or single woman
    • A special 5% or 10% family discount (depending on family size) with an individual policy
    • An extra-special 5% premium discount for Reliance Private Care Package policy customers
    • Free auto-extension of the health insurance policy for an additional year (if diagnosed with critical illness)
  • Conclusion

    An exceptional health insurance product by Reliance General Health Insurance, HealthGain can be chosen without any doubt.

    Those willing to purchase HealthGain online, you are headed in the right direction. Buying the policy online will be a better choice than offline mode as it will get issued sooner. Also, the policy terms and conditions will be more transparent. Talking about the platform of InsuranceDekho for purchasing HealthGain, policy portability, claim settlement support, and various other after-sales services offered would be of great benefit. 

Reliance Health Gain Brochure

  • 325.84 KB
  • PDF Document
  • Apr 09, 2019

Claim Process at Reliance Health Insurance

  • Network Hospital
  • Non-Network Hospital
  • 1

    Claim Assistance

    For any assistance or query, call InsuranceDekho at the toll-free number 755 1196 989.
  • 2

    Claim Intimation

    Emergency hospitalisation needs intimation as soon as it occurs and for planned hospitalisation intimate as soon as it occurs prior to admission.
  • 3

    Claim Processing

    Fill in the pre-authorisation form and hand it over to hospital's insurance/TPA desk to initiate claim request.
  • 4

    Claim Settlement

    Once your request is approved, claim is settled. If not approved, claim for reimbursement after discharge.
  • 1

    Claim Assistance

    For any assistance or query, call InsuranceDekho at the toll-free number 755 1196 989.
  • 2

    Claim Intimation

    Emergency hospitalisation needs intimation as soon as it occurs and for planned hospitalisation intimate as soon as it occurs prior to admission.
  • 3

    Claim Processing

    Submit claim form with original documents such as doctor’s reports, hospital bills, diagnostic tests, etc.
  • 4

    Claim Settlement

    Once your request for reimbursement of expenses is approved, the claim will be settled.

FAQs on Health Gain Health Insurance Plan

  • Is there any additional feature in the HealthGain policy?

    Yes, under the HealthGain policy, Reliance General Insurance provides an accidental death cover of Rs. 1 Lakh to the policyholder in every claim-free year. This benefit is available in Plan B of the policy.

  • What is Policy Service Guarantee under the HealthGain policy provided by Reliance General Insurance?

    Policy Service Guarantee under the HealthGain product means the insurance company offers Sum Insured of Rs. 10,000 for the delay in policy issuance.

  • Can I gain tax benefits if I buy the HealthGain policy online?

    Yes, tax benefits can be availed in any circumstances under Section 80D of the Income Tax Act. No matter you’re buying the policy online, you’re able to enjoy tax benefits. These benefits are available for a longer period if you happen to buy health insurance at a young age.

  • Is the HealthGain health insurance plan available on the individual basis and the family floater basis?

    Yes, HealthGain health insurance plan is available on the individual basis and the family floater basis.

  • What are the key benefits of the HealthGain product?

    As an insured person, you can enjoy several benefits under the said plan, including pre and post hospitalisation expenses up to 60 days, cashless hospitalisation, reimbursement, lower premium and a wide range of sum insured options.

  • What are the benefits of the Wellness program under the HailthGain policy?

    The Wellness program lets you enjoy awesome discounts on a number of value-added wellness services and choice of many online solutions.

  • What is Re-in statement of Base Sum Insured under the HealthGain policy?

    Re-in statement of Base Sum Insured means when you exhaust your entire sum insured and cumulative bonus and the doctor advises for further hospitalisation for any related or unrelated ailment. In that case, the insurance company refills the full sum insured without any additional costs.

  • Is medical check-up mandatory every year?

    No, there is no need for medical check-ups if you renew the policy continuously without a break and no change has been made to the terms and conditions of the policy.

  • Is Organ Donor covered by the policy?

    Yes, the medical expenses for Organ Donor are covered by this policy. But, it is 50% of the sum insured and up to max Rs. 5 Lakh.

  • Can I change the sum insured in the midterm of the policy?

    No, you can’t change the sum insured in the midterm of the policy.

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