Religare Enhance Health Insurance Policy
Religare Enhance Health Insurance is a customized deductible health insurance for individuals and their family members.
Key Features
Cashless treatment at 4100+ hospitals
Annual Health check-ups for insured members
Covers 170-day care procedures.
No Claim-based loading.
Lifelong renewability.
Can be purchased online without any paperwork
Benefits
All plans come without any cap on vital expenses like doctor/surgeon fees, operation theater & allied charges, room rent charges, etc.
If you are admitted to a hospital for in-patient care, for a minimum period of 24 consecutive hours, the policy pays room charges to operation theatre charges and more. Policy also pays for your medical expenses if you undergo even a day care treatment at a hospital that requires hospitalization for less than 24 hours. 170 day care treatments are covered which is the highest in industry. You will also get cashless treatment at our over 3500+ network hospitals and reimbursement in any other hospital of your choice.
Medical expenses incurred by 30 days before hospitalization are covered. There may also be follow-up visits to your medical practitioner, the medication that is required, etc. Medical expenses incurred after hospitalization are also covered for a period of 60 days.
All policies from the Company are eligible for claiming deduction for Tax Benefit under section 80D, Floater Cover, Ambulance expenses covered, Organ donor medical expenses covered, Increase your Policy’s Sum Insured even later, 10% discount on 3 year & 7.5% Discount on 2 year policy terms, online instant health insurance buy and more.
| Features/plan (Sum Insured ) | Enhance | |
| Deductible (or existing Policy Sum Insured) | 1 Lac,2 Lac,3 Lac,4 Lac or 5 Lac | 6 Lac,7 Lac,8 Lac,9 Lac or 10Lac |
| Sum Insured | 1 Lac to 25 Lac (As multiple of 1,2,3,4 or 5 time of deductible) |
6 Lac to 30 Lac (As multiple of 1,2 or 3 time of deductible) |
| In patient Care | Up to Sum Insured | |
| Pre Hospitalization | 30 Days | |
| Post Hospitalization | 60 Days | |
| Day Care Treatment | Yes | |
| Room Rent Category | Single Private Room | |
| ICU charges, Doctor's fee etc. | No Limit | |
| Health check-up | Yes | |
| Organ Donor Cover | Yes | |
Tax Benefit
Tax benefits as a deduction from the taxable income each year under section 80D of the Income Tax under the existing tax laws of the Income Tax, 1961, on premiums paid up to Rs. 15,000 in case of individuals and Rs 20,000 for senior citizens
Eligibility
| Minimum | Maximum | |
| Sum Assured (in Rs) | 3,00,000 | 30,00,000 |
| Policy Term (in years) | 1, 2, 3 | |
| Entry age | 1 day | No limit |
| Renewal age | - | Lifelong Renewability |
| Grace period | 30 days from the date of expiry to renew the policy | |
| Policy Terms | |
| Renewal premium | The premium payable on renewal and on the subsequent continuation of cover is subject to change with prior approval from IRDA. |
| Co-payment | If you enroll at the age of 61 years or more, you will have to pay 20% of the claim amount under the policy. 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 |
| Underwriting loadings | Based on the assessment of the extra risk on account of medical conditions by the underwriter, the premium shall be loaded accordingly (15%, 30%, or 50%) |
| Group discount | 5 to 20%, depending upon the group size. |
| Complete care | After 4 years of continuous coverage, you have the option to convert your deductible plan to Comprehensive Health Insurance Plan (without any deductible) |
Exclusions
The standard policy exclusions are -
- Any pre-existing ailment/injury that was diagnosed /acquired within 48 months prior to issuance of the first policy.
- Any diseases contracted during the first 30 days of the policy start date except those arising out of accidents
- Non-allopathic treatment
- Expenses attributable to self-inflicted injury (resulting from suicide, attempted suicide)
- Expenses arising out of or attributable to alcohol or drug use/misuse/abuse
- Cost of spectacles/contact lenses, dental treatment
- 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
FAQs
What is the difference between a family floater and critical illness or hospital cash insurance?Individual or family floater health insurance works on the principle of indemnity. This means that these insurance policies will pay you only what you have spent for medical treatment in the hospital. On the other hand, critical illness or hospital cash insurance pays you the amount insured, irrespective of the amount spent on medical treatment. These are benefit-based policies.
Do I need to undergo a medical check-up while buying a health insurance policy?You may be required to undergo a medical check-up after you buy, in case any member to be insured is above 45 age.
What is beneficial for me - floater insurance or an individual insurance?Buying an individual cover or a floater cover is an individual’s perception. However, as a general rule, at younger ages floater cover is advisable. As you grow older, you should go for an individual cover.
What is Co-payment?Co-pay is that part of your claim amount, which you have to bear. Co-pay can be in % terms or an absolute amount. For example, in case of a co-pay of 20% and a claim of Rs. 10,000, the insurance company will pay Rs. 8,000 (80% of 10K) and you will bear 20% (Rs. 2,000).
