Religare Health Insurance - Care policy terms and Procedures
Policy Terms
Policy Terms | |
Minimum entry age | 91 days |
Maximum age | No age bar |
Renewal | Lifelong Renewability. The Policy can be renewed under the then prevailing Health Insurance Product or its nearest substitute approved by IRDA. |
Renewal premium | Premium payable on renewal and on subsequent continuation of cover arc subject to change with prior approval from IRDA. |
Co-payment | No Co-payment in policy, if age of the eldest member insured with us at the time of first policy is below 61 years. 20% Co-payment will be applicable in policy, if age of the eldest member insured with us at the time of first policy is 61 years or above 61 years i.e. you will have to pay 20% of the claim amount under the policy, if any. We pay the rest. |
Waiting period | 30 days for any illness except injury |
Waiting period for pre-existing illnesses | Four years of continuous coverage |
Change in sum insured | You can enhance your sum insured under the policy only upon renewal |
Grace period | 30 days from the date of expiry to renew the policy |
For more details, kindly refer to our health insurance Policy's Terms & Conditions.
Plans Exclusion
The standard policy exclusions are -
- Any diagnosis of diseases / undergoing of surgery / occurrence of event, whose signs or symptoms first occur within 30 days of Policy Period Start date.
- Expenses attributable to self-inflicted injury (resulting from suicide, attempted suicide)
- Expenses arising out of or attributable to alcohol or drug use/misuse/abuse
- Medical expenses incurred for treatment of AIDS
- Treatment arising from or traceable to pregnancy and childbirth, miscarriage, abortion and its consequences
- Congenital disease
- Tests and treatment relating to infertility and in vitro fertilization.
- War, riot, strike, nuclear weapons induced hospitalization.
Claim Processing
Claim Servicing & Deriving Best Customer Experience
5420 +
Vast & growing hospital network for cashless claims
4.7 Lacs +
Count of claims Services
100%
In-house settlement for better management
92%
Delivering Industry best settlement Ratio
37
Less Grievance Ratio per 10,000 claims
Process for Hospitalization

Process for Everyday Care

Claims Procedure

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