Religare Health Insurance – Care – Review and comparison

by Manikaran Singal on July 24, 2012 Total Views: (1504)


New kid on the block, Religare health insurance has come up as the 4th stand-alone health insurance company in India after Star, Apollo Munich and Max Bupa. It has launched its first maiden product with the name CARE. This post is all about the features of this new product and its comparison with the other similar products available among stand-alone health insurers.

goodmoneying.com

Features of Religare Health Insurance Care

Though the features are very much comparable to existing products of different insurers. It is a bit different as it seems to be a mixture of plans of Max Bupa and Apollo Munich in its features. Let me point out some of the USPs of Religare Health Insurance – Care .

1.      Lifelong Renewability.

After Apollo Munich and Max Bupa, Religare health Insurance also has come up with Life time Renewability, through Religare Health insurance –care.

2.      Wide range of sum assured – up to Rs 60 lakh.

Max bupa is the only other company which offers the coverage up to Rs 50 lakh, and now this huge coverage is available in Religare Health Insurance care

3.      Annual Health check-up for insured members – regardless of claim history

Only Max Bupa heartbeat has this feature till now.

4.      Automatic Policy recharge if the claim amount exhausts the current coverage.

Religare health insurance Care has broken the monopoly of “Apollo Munich optima restore” with this feature.

5.      Waiting Period – Only 30 days for any illness except injury

Manikaran Singal

Founder and Chief Financial Planner at Good Moneying Financial Solutions
He’s MBA ( Finance) gold medalist, a CERTIFIED FINANCIAL PLANNER and SEBI Registered Investment adviser. An ex banker , having a decade long experience in financial services industry he manages clients across the globe. He’s an active member of Financial Planners’ Guild India ( An association of practicing SEBI registered Investment advisers). He's very passionate in the financial planning space and with a view to spread financial literacy among masses he writes blog articles and also contributes and quoted in various media publications like Money control, Indian express, Business Bhaskar, Dainik Bhaskar, Money mantra magazine etc. He also delivers training on Various personal finance topics to various corporate houses. You may get in touch with him at info@goodmoneying.com

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{ 91 comments… read them below or add one }

Vicky July 25, 2012 at 7:27 am

i think the Ambulance cover starts from 1500 and goes upto 3000.

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Manikaran Singal July 26, 2012 at 7:48 am

Agree. It ranges from Rs 1500/- to Rs 3000/-, depending on the coverage amount.

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anil koul July 25, 2012 at 4:48 pm

Thks manikaranjee for update -However we need to check the premium comparison too for different age Groups.

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Manikaran Singal July 26, 2012 at 7:51 am

Thanks anil ji. Sure. Premium calculation is must to check the affordability aspect. Premum calculator is very much available on Religare health insurance website.

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rajni July 30, 2012 at 7:11 am

why star health is not in comparision chart

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Manikaran Singal August 6, 2012 at 6:58 am

Rajni, actually at the time of writing article i was not aware about star’s new launch.
Readers, Star has also come up with a comparable and decent health insurance option with the name “Comprehensive”.

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ankit August 7, 2012 at 11:17 am

but in Star Comprehensive” plan star will load your renewal premium because you claimed or fell ill after taking policy.
and Star only providing 101 Day-care treatments in Comprehensive” plan. but in religare or other campny providing all day care .

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amit August 7, 2012 at 11:47 am

Star Health Insurance Company just here to make money out of innocent people by showing their attractive rate cards. Star Health is never concerned us and the loss we had to bear by opting for such a pathetic company. The sales reps just try to grasp you in buying the policy and later when the policy holder is admitted they try to turn their backs.. ! They just try to find stupid and baseless reasons to deny your claim and even don’t reimburse your expenses..!
The worst part is the people handling your claim are senseless bloody MBA guys and not educated people who would understand better..!
Please never opt for Star Health, I myself am a victim here…!

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Raghu Kulkarni June 3, 2014 at 8:26 am

Star health and Indian Health Organization are two companies with worst reputation, be away from these crooks as much possible.

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Manikaran Singal June 13, 2014 at 11:35 am

Raghu, you seem to have a bad experience with these 2 companies. Do you want to share it for the benefit of other readers?

Hina Lakhani July 31, 2012 at 9:36 am

Bought a policy online from religare health insurance website for myself and my two kids. The site does seem easy to use and they gave an instant policy….

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Manikaran Singal August 6, 2012 at 6:59 am

Thanks for sharing your experience. Hope religare people to be this fast even at the time of claim.

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sandeep kumar tekriwal April 9, 2013 at 11:58 am

Thanx hina for ur comment i am also planing to take policy for my family so r u satisfied with religare health insurance?

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ruma mondal August 17, 2012 at 8:03 am

Can I go for a mediclaim for my father whose age is 68?
Is pre-existing diseases covered?and what is the waiting period?

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Manikaran singal August 20, 2012 at 6:40 am
Priyank August 30, 2012 at 9:04 pm

Pretty simply htealh care is more than extremely expensive. Just routine testing which should be done on a yearly basis is very necessary in preventative care and at the same time very expense without htealh care insurance coverage. I work in a Laboratory and do the billing. It’s incredible! Even if you have a htealh care plan that requires such things as deductibles and co pays and employee contribution, it still is worth every penny when you are ill and need medical treatment. Of course there are a ton of variety of plans out there that cater to different needs. Therefore it is always wise to do your research if your employer gives you options in htealh care plans to choose from.

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sagar sehgal September 1, 2012 at 4:04 am

Respected 2 all,

I have a 3 options..
1.max bupa heart beat plan
2.apollo munich easy health care
3.Religare health ‘CARE’ plan
My age is 21.
Suggest me.. Iwant to get health insurance…if i compare the premium of these plan,religare has 2300 rs. Premium..

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Ravi sharma September 21, 2012 at 1:49 pm

If u want to buy 2 lac S.I. then you should go for apollo easy health (2843) bcz there are no limit in room rent & ICU as well as other benifit like religare 1% for room & 2% for ICU bt u can Think about Religare 5 lac bcz your prm will be 3313-/ only and u will get 1 free anual health chekup also.

Regard.
besthealthinsurancepolicy@gmail.com

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Ashish October 25, 2012 at 8:55 am

trying to find answer of 1 query -
In religare’s ‘CARE’ plan, it has a feature of automatic recharge which is equal to the original SI which customer has opted in the beginning. suppose if i go for this plan along with spouse for 5 lac SI, and whole amount exhausts in the treatment of one of us, does additional recharge will automatically come into the picture and cover all expenses beyond 5 lac Rs.
OR
the recharge is applicable to rest of the family members only and an individual is limited to 5 lacs only i.e. SI.
further,
if 5 lacs is consumed completely in the illness of one family member, do others are eligible for remaining 5 lacs, or its just one additional treatment above 5 lac Rs for any amount (and not multiple treatments)

Do let me know if my query is difficult to understand

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Vikram October 26, 2012 at 12:39 pm

Dear Ashish,
With regards to your query please find the respone below

Benefit of Recharge of Sum Insured is available only once in a Policy Year and cannot be claimed for the same ailment by the same insured. Further it is clarified through an illustration as under:

a. Mr. A, his wife and his son are covered under a 5 Lac floater policy in CARE.
b. In case where Mr. A is hospitalized for heart ailment and entire 5 Lac is exhausted, then additional 5 Lac would be available to all the members (Mr. A, his wife and his son) under recharge.
c. The 5 Lac of recharge cannot be used by Mr. A for any hospitalization related to any heart disease or similar condition. However, Mrs. A and son can claim even for any heart related ailment.
d. The 5 Lac of recharge is available and the members can claim as many times as required up to 5 Lac.

For further details, we request you to read Benefit 6 of Policy Terms and Conditions.

http://www.religarehealthinsurance.com

Incase of any further query please feel free to get in touch

Vikram

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Mayank November 28, 2012 at 8:02 am

I have been trying to get a policy for my parents aged 54 years.. However, I am too confused with so many policies.

I have shortlisted two companies:

Religare
Apollo Munich

Both policies are having almost the same benefits with Religare being a bit better. However, I need to know the claim settlement reviews.. They may offer awesome benefits but at the end if I do not get a claim then it is all useless.

Please help me in this regard.

Thanks,
Mayank

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Manikaran Singal November 28, 2012 at 10:40 am

Mayank, as far as claim settlement is concerned , being a new company Religare does not have that much experience…so can’t be commented on. Apollo Munich has a good claim settlement ratio, so it would be better for you to go with apollo. If you feel religare features to be good then you may try to switch your insurer next year by opting for portability. Till then we can easily figure out the claim experience of religare too.

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Mayank November 28, 2012 at 10:48 am

Thanks for the reply.. Would you like to comment on Max Bupa’s Health Companion Plan? They launched this plan to compete against apollo munich… premium comes out to be around 19k for 2 adults aged 54.. no day care exclusions.. Am I missing anything or Max Bupa’s is better?

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Manikaran Singal November 29, 2012 at 8:02 am

Max bupa’s product is also good. But i don’t like 2 features in their product
1. rather than increasing sum asssured as a no claim bonus they offer some shopping vouchers of different brands. I personally feel that the way medical costs are increasing one cover should also gets increased, and No claim bonus is one way of supplimenting the cover.

2. Second point is that in max bupa policy there’s a clause of Co payment(20%) after 65 years of age. Though this does make the premium cheap as compared to other one’s but this the buyer has to decide. whether to pay high premium or go with co payment clause.

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Mayank November 29, 2012 at 2:45 pm

About the co pay, as far as I know, there is a co pay if the entry age is 65+. If I take the policy now and keep on renewing it then I guess there would be no copay.

Could you give your suggestion as to which out of Max Bupa and Apollo Munich is better in terms of hassle free claims, exclusions etc. (assuming similar premiums for both and ignoring the no claim bonus).

Ashwani December 5, 2012 at 6:52 am

Sir, supoose i am having religare health policy and after policy within a month i need to go for any type of surgery . will then it will be covered by the religare or i have to bear all the hospital expenses …

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Manikaran Singal December 9, 2012 at 8:19 am

Ashwani, if this health issue is pre existing then you have to bear expenses from your pocket but if not then you can claim the expenses from the company.

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Ashwani December 10, 2012 at 1:01 pm

Thankyou sir.
Sir i had already taken the religare policy of 5L, plz tell me that whether my decision was right towards taken the religare policy or not?

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sumit December 9, 2012 at 8:13 am

Hello Sir,

I am planing to buy a Health insurance of 3Lac SI for my family…. want to know which one is better Apollo easy Health standard/ religare Care..

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Manikaran Singal December 10, 2012 at 10:53 am

Sumit…in comparison definitely Religare scores over Apollo…but do keep in mind that religare does not have much claim servicing experience.

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sumit December 13, 2012 at 12:14 pm

thanx sir…. but religare is new company… in the field of insurance…. how about optima restore by apollo as compared to care…. the plan seems to be same… as it seems to me… plz do let me know

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sumit December 9, 2012 at 8:14 am

which one is Better Reliagare Care / Apollo easy health for 3lac SI

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Rajeev Shrma December 15, 2012 at 3:25 pm

Kindly suggest a policy for my family between Apollo munich , max bupa and religare . Sum insured looking is for 15 lacs. Kindly suggest

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Manikaran Singal December 21, 2012 at 4:54 pm

Rajeev, there’s no specific comparison which leads to the selection of the policy. As per me all these policies are almost same as far as basic features are concerned . Personally i have had bad experience with max bupa on services. Also the feature of not giving no claim bonus and having 20% copayment after 65 years of age makes the max policy less attractive. I find Religare as a mixture of Apollo and max, but since this is a new company so one may want to give it sometime to settle down and experience some claims too. Apollo has a strong underwriting and standard waiting periods.
I would advise you to go through the specific policy brochures and select as per requirement.

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Harsh Gupta January 11, 2013 at 8:10 am

Religare, on it’s website states that there shall be no loading on premium payable because of claims made (premium may increase because of age but shall not increase because of claim made).
However, it is silent on this in the policy document. It only states in its policy document that it may, at it’s sole discretion, revise the premium.
What are the IRDA guidelines on this issue (claim based loading of premium). How can I ensure that what Religare is writing on its website is followed by it.
Thanks in advance for your response.

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Manikaran Singal January 13, 2013 at 6:30 am

harsh if there’s nothing of this sort mentioned in the policy wordings then you may write to religare customer care and get the clarification. and if at any time during renewal they increases the premium due to claim made than the reply from customer care would be the suitable and sufficient proof with you.

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rajan tandon January 24, 2013 at 5:05 pm

Kindly suggest me one ideal policy for my family out of appollo or religare for sum insured of 3 lac in comparision of all features available of these.I am very much confused about it.please give me the reply as soon as possible because I want to buy it in these one or two days.
Thanx

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Manikaran Singal January 25, 2013 at 5:40 am

Well Rajan, I encourage you to go through both company’s policy wordings or product brochure. There are some features on which religare is better than Apollo. But as apollo is comparatively old company and has a good claim servicing ratio so from other angle Apollo seems to be good. There’s nothing good or bad, choice is purely personal.

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rajan tandon January 25, 2013 at 9:33 am

Sir leave all the matter and just put your finger only on one policy which is suitable for my family of four members, two at the age of 40 years, two kids at the age of 10 years. My family is just a mediocker family,so just taken into care pros and cons of all the policies, just name any one out of all.

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Rahul January 28, 2013 at 10:25 am

Rajan, i believe that though religare is a good product but looking at the experience of the company and product, you should go with apollo. Later on…sometime next year or so , if you feel like porting to religare you can do that…and till that time market will also experienec more of religare servicing.

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Manikaran Singal January 28, 2013 at 10:30 am

I agree with Rahul. We should give more time to Religare to prove its credibility.

rajan tandon January 28, 2013 at 10:46 am

SIR
IS THERE IS NO PLACE FOR MAX BUPA IN COMPARISON TO APOLLO MUNICH?

Manikaran Singal January 29, 2013 at 3:34 pm

Rajan, that’s why i wanted you to go through the fine print of different plans. There should not be any doubt left after purchasing the policy.

Pratik February 5, 2013 at 3:51 am

which is the best product out of Religare “CARE” & Appollo “Restore” for 2A(32&30yrs) +1C (1 yr.). what is the difference between restore(appollo) and auto-recharge(Care)? which one is more advisable and best to opt. please guide……

thank you.

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NITHYA February 16, 2013 at 7:58 am

I LOVE RELIGARE, BECAUSE I TOOK POLICY FROM RELIGARE, NOW , I AM NOT WORRY ABOUT MY HOSPITAL EXPENSES.,

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amar r k February 17, 2013 at 11:00 am

hi mr. manikaran,
first of all nice initiative. i have a employer insurance of about 4lacs for us family of three.and 2lacs for parents.over and above that was planning to buy new policy.i am 35 wife 32 and 2.5 year old daughter. i also want to add my mother 59years to the list.i have thought about apollo and max…i am open to other suggestions.also let me know about top up plans.since i will be claiming in company first is having fresh policy suitable as i will be submitting my documents in company policy.
regards
amar

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Manikaran Singal February 24, 2013 at 2:43 pm

Thanks Amar.
This is a wise thought of getting a separate cover in addition to the employer’s provided cover. One should never be dependent on employer for his personal responsibilities.
Regarding policy, you may not be able to add your mother in the same policy which you buy for your immediate family. There are few policies which allows the addition of Parents in the same plan. Max bupa Family first is one of them.
http://goodmoneying.com/financial-planning/max-bupa-family-first-review-2
In the age of 59 there’s complete universe of policies available for your mother. Max bupa has only one feature which personally i don’t like which is co payment after crossing 65 years of age. But otherwisse the feature of annual health check up is an attractive one in this particular age group.
Top up policies comes with a fixed deductible, (3 lakh, 4 lakh or 5 lakh). Whatever is over and above the deductible will be taken care by the insurance company.
In nutshell, no policy can be called as best …you have to understand the features and select as per premium affordability. Go through Apollo, max, Religare or icici. Even national and oriental has comparable policies.

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amar r k February 25, 2013 at 6:07 am

hi there
thanks alot mr. manikaran.but is it advisable to go for a top up kind of plan or a entirely new policy? will i be able to further claim after exhausting my company limit or will it be a problem in fresh policy?in apollo do they have a top up option? incase they have can we convert into regular plan in future? ii know thats a lot of q? but can’t help it.

regards
amar

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Manikaran Singal February 27, 2013 at 11:46 am

Amar, top up plans helps in extending the cover at less cost. Thus if you are looking for a big cover , which sometimes is not available in your choice of product…you may buy a top up plan to enhance the coverage. You can claim from your separate policy after exhausting your company’s coverage or even without claiming from your company’s policy. But the same amount can’t be claimed from both.
Apollo do have top up option. But amar, its better if you first understand the difference between top up and super surplus policies. Top is what apollo offers, super to up is with United and HDFC.

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Ravi February 17, 2013 at 2:59 pm

Religare does not have any critical illness rider, so which company has a critical illness rider?

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Manikaran Singal February 19, 2013 at 5:06 pm

Critical Illness rider is available with apollo munich only. But you will find stand alone critical illness policies with all general insurance companies.

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Ravi February 20, 2013 at 5:18 am

Standalone critical illness cover very few are offering as current age is 59.
Also the premium is quite high.

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Manikaran Singal February 24, 2013 at 2:55 pm

Well Ravi, don’t expect critical illness rider/policy to be cheap in this particular age. Mostly CI policies expires at the age of 65 -70 i.e mostly companies don’t renew CI policies after 65-70 years of age, but Max bupa has one policy which continues with the cover after this age also
http://goodmoneying.com/insurance-planning/max-bupa-health-assurance-product-review
CI policy will come into effect once patient gets diagnosed with a particular defined illness with specified severity. I am always of the view that rather than having a CI policy one should increase the hospitalisation cover and maintain a savings fund specific for CI .
http://goodmoneying.com/insurance-planning/critical-illness-policy

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Pavithra February 18, 2013 at 2:38 pm

HI Manikaran,

Good initiative taken!!
Myself Pavithra, I wanted to take up health insurance policy to my parents and was doing research and their found this article…..
Lot of confusion I had in my mind!!
My parents had met with an accident, they have undergone surgery and its been two years now. Dad gonna step into 60yrs this August. Planning to take Religer SI 5lakh package.

Please suggest.
Pavithra

PS: Once again Keep up the Good work Going!!!

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Manikaran Singal February 24, 2013 at 3:00 pm

Pavithra…thanks for your appreciation.

As your parents had undergone a surgery so you may face exclusion or pre existing clause for this particulr treatment in any policy you buy for your parents. As they are below 60 years of age, so you may also look at the features of other policies too like apollo, max, icici etc. which are more experienced than Religare.

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gaurav singh February 23, 2013 at 11:18 am

Hello everyone,
I want to buy a comprehensive health insurance policy for my father (59 yrs, 9 months), mother 50 yrs, and younger brother (24 years). I have done lot of research while going through plans of various companies, but still i am totally confused, which one to go for? ‘Religare care’ and ‘Max Bupa Heart Beat Family First’ seemed to be ok to me now. My main concerns are Critical illness coverage, life long renewal and hassle free claim settelment . Religare seems not to have critical illness coverage. In Apollo Munich i found too many exclusions compared to others. Based on your experience and knowledge, please help me selecting a better health insurance policy.

thanks and Regards

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Manikaran Singal February 24, 2013 at 3:03 pm

Gaurav, i would advise you to understand the Critical illness policy features first.
http://goodmoneying.com/insurance-planning/critical-illness-policy

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Vinayagamoorthi February 25, 2013 at 7:52 pm

Hi sir,
My name is Vinayagamoorthy ( age 41 but my passport mentioned age 47) I’m currently working outside of India, but my family they are in India, I lake to take for them the best health insurance policy, they are four members, my wife age 39, and my three children is age between 11 to 16, kindly suggest me witch health insurance policy is best for them, And also want to know I can joint with the same policy, even I’m out of India.

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Manikaran Singal March 1, 2013 at 2:51 pm

As i always say, there’s n single health insurance policy that can be called as best. Also, almost 80% features are nowdays same in most of the policies. Better to have a look at some of them. I would like to you see apollo munich in standalone health insurer, ICICI Lombard in general Insurance policies and Oriental happy family floater in Nationalised health insurer. and then decide as per suitability.

Yes , you can also be part of your family’s policy, but for that you need to be present in india. Also pls note that you will not be able to claim such policy outside india.

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Karthik February 27, 2013 at 3:15 pm

Hi Manikaran

As per my understanding on top of health insurance, its advisable to have a critical illness cover as well.

In that case if I go for an HI SI of 10L with Relgare Care, which product should I go for a critical illness cover?

Regards
Karthik

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Manikaran Singal March 1, 2013 at 2:59 pm

Karthik, personally i am not in favour of any Critical illness policy. I may be wrong. But the reason of my objection is the policy wordings of CI policy. It says that diagnose of illness is not enough, but it should be of specific severity. And in that severity i don’t think anyone will be able to survive or can be treatment out of hospital. So in both cases, as the stay in hospital is going to be longer, so better to have a extensive hospitalisation cover.

Its better to do some savings and keep it as medical corpus for such kind of medical condition. Till the time you don’t accumulate such amount, you may take CI cover.
http://goodmoneying.com/insurance-planning/critical-illness-policy

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Seth March 8, 2013 at 8:34 am

I am 52 and my spouse is 51 now; Can I take Religare Care Policy for myself and spouse online ? shall we need to do any medical test for same?

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Kulpreet Singh March 11, 2013 at 11:23 pm

Hi,
I am 29 years old and I am looking for a good coverage, preferably 20-25 lacs. I am bit confused between religare and apollo. my query is about auto-renewal, Lets say someone got a policy of 25 lacs (auto recharge)and he consume 24 lacs in 8-9 months and after that in 11th month he undergoes hospitalization for 3 lacs, Now my ques is “will i have to pay rest 2 lacs by my own or it will be covered under the policy”. I want to know the exact meaning of “exhaust” in the policy term which both religare and apollo are telling.

*If due to claims made, you ever exhaust your health cover, we reinstate the entire sum insured of your policy, in the policy year. All this at no extra cost! …… RELIGARE
*Automatic re-instatement of the basic sum insured, if the basic sum insured and multiplier benefit has been exhausted during the policy year. ……. APOLLOMUNICH.

Thanks

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Manikaran Singal March 15, 2013 at 5:02 am

Its a very good point raised Kuldeep. See, this feature is different in apollo and religare. Answering out of your example…in case of Apollo, on second claim, only 1 lakh will be paid and balance to be paid from own pocket. Now as the complete basic cover has been exhausted , so if there comes another claim of Rs 2 lakh in the same year then it will be paid from the restore of cover amount.
In case of Religare, it is different as if the second claim itself crosses the basic limit as you have mentioned in your example…full claim will be paid. part from the basic limit and part from the recharge limit.
But do note in both the cases recharge/restore amount will be paid only when the claim is for illness other than already claimed for.

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Sandeep March 23, 2013 at 7:05 am

Hi, I guess you are right in advising readers not to go with the new player. Your reason was that the company’s not that experienced in health insurance space , but i feel that for new company and especially like religare which doesn’t have that big standing in the financial market (be it religare securities, religare mutual fund etc.) one should be more cautious.

You need time to understand the product features too, as…. they say that all that glitters is not gold, and the same thing applies in this product too. So many good features and as you rightly said that this is a mix of apollo and max, are enough to raise doubts on the product.

I would like you to go through the Policy wordings – page no. 2 – 2.1 (hospitalisation benefit), specially 2.1 (c) iii)…This clearly tells that there’s sub limit of 25% on the surgeon’s fees.

The definition of Single private room is also ambiguos and creates doubt that whether my complete claim will be passed or not.

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Tushar Ambre March 29, 2013 at 3:05 pm

Hi, I am little bit confused to compare between Religare Care and Apollo Munich Optima Restore. I want to buy policy of Rs. 3 L. Please suggest me, which is best?
Besides this all these companies are new in Market as compare to government insurance policies. How much faith we can keep in these private companies.
Why government companies cannot give best service than private even though they are very old in Market?

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Kalpajit Panda April 7, 2013 at 11:28 am

Sir, i want a hospital cash benefit plan with daily cash of rs 1000. can you suggest me a good plan and also my options….

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Manikaran Singal April 10, 2013 at 9:27 am

This specific benefit is available with mostly all life insurers health policy. better to chk with them- LIC, icici pru etc.

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MOHD June 17, 2013 at 6:19 am

DEAR SIR WHICH HEALTH INSURANCE PROVIDER IN INDIA IS HAVING BEST NETWORK HOSPITALIZATION WITH THEM AND HAVING VERY GOOD CUSTOMER GENERIC APPROACH TOWARDS MAKING CLAIM.

I M AGED 26 AND FROM LUCKNOW(UP) LOOKING TO BUY ONE INDIVIDUAL HEALTH PLAN I HAVE SOUGHT TWO PLAN
1-APOLLO OPTIMA RESTORE
2- ICICI LOMBARD COMPLETE HEATH COVER

OTHER THAN ABOVE TWO IF YOU CAN SUGGEST SOME OTHER COMPANIES ALSO WHICH HAVING GOOD NETWORK HOSPITAL AND HASSLE FREE CASHLESS FACILITY WHENEVER CLAIM RAISED. KINDLY SUGGEST

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Manikaran Singal June 22, 2013 at 5:29 am

Mohd, it very good that you have understood the importance of health insurance in such a young age. It will definitely pay you in future.
See, as far as network hospital is concerned, it is very difficult to find out the best networked health insurer, almost all insurers has same kind of hospital list. I would encourage you to go through the list after zeroing on the policy. I mean , this network keeps on changing. Hospitals comes in and go out without intimating to the insured. So this should not be the only criteria while buying policy. Apollo and ICICI , both has decent policies with them, with one major difference that icici has a provision to increases your premium based on claim ratio which apollo won’t. You may also check out policies of Religare and max bupa. I believe that one should go with a company which has in-house claim settlement, their claim servicing is much better (as far as i have experienced)

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Paramjit Verma June 20, 2013 at 1:43 pm

Dear Mr. Manikaran Singal,

I am 55 and my wife is 49 years old. We are currently covered under corporate health insurance provided by my company. I have been taking medicines fro hypertension and high cholestoral for the last 15 years and my wife has been taking medicines for high cholestoral. I would like to by a health insurance plan to cover us after I retire at 60 years.

I will be grateful to you if you would suggest the best/most suitable cash-less plan for us.

Best regards,

P.Verma

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Manikaran Singal June 22, 2013 at 5:36 am

Mr Verma, based on your health condition and age, you should be prepared for the loading which insurers might charge on your premium.
Without considering premium which in any case is going to increaese with increase in age and Sum assured, and keeping in mind with the policy benefits, i believe you should look at Religare care , Apollo Munich Easy health. Though policy of max bupa is also good, but due to the condition of Co pay after 65 years of age, i don’t prefer it for old age people. You may also look for Topping up your policy with “Super surplus” policy if you want to go with less sum assured in your base policy.

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A Bhattacharya September 19, 2013 at 12:02 pm

I request for your observation regarding Religare’s claim settlements since they are now in the health insurance market for over 2 years

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Saravanan May 23, 2014 at 5:20 am

Hi Manikaran,

I am 35yrs old and looking for health insurance for my family under family floater plan. My employer and my wife employer are both giving us insurance but still we would like to go for it.
After all my researches with icici, apollo, max and religare, i have finalised two of them viz, apollo optima restore and religare care for 5L SI.
Now i am little confused in finalising between these two. cos when it comes to recharge option, premium amount, higher SI(may be useful at later stages of life when medical expenses are going to cost more),annual health check up, religare care scores over. But it has got the limit on room as it offers only single private room which should be the most economical in any treating hospital as per the policy wordings.
Also there is a clause under 3. Special Condition is that “The company’s maximum, total and cumulative liability, for any and all claims incurred during the policy year in respect of all insured persons, shall no exceed the Sum Insured.’
Does it mean that even if my insurance recharged, my total claim amount cannot be more than my SI?
These are the points i get confused with religare than apollo.

Kindly suggest me so that it will help me in finalising my health insurance.

Regards,

Saravanan

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Manikaran Singal May 27, 2014 at 11:41 am

Saravanan , first of all i would like to state that yours going for a separate cover (in addition to employer provided) is a wise decision and i really appreciate that.
Now coming to your choice of health policy. See, among your selected options i believe that both have some attractive features, so one has to weigh as per his own requirement. Religare looks better due to majorly 2 features – 1. is the annual health check up feature and other is recharge feature which is much better than restore. You may check the difference in restore and Recharge here http://goodmoneying.com/insurance-planning/what-is-restore-and-recharge-in-health-insurance
In Religare there’s one more additional feature of NCB super which will grant 50% of SA as NCB benefit each unclaimed year upto maximum of 100%, and this is along with the normal NCB benefit of 10% of SA per year upto maximum of 50%
regarding your doubt as per clause 3 (special condition), it is specifically mentioned that special conditions shall be applicable only if the same is mentioned on the policy certificate. So if your policy gets accepted under special condition only then this condition applies.
Now the benefit of apollo is that unlike religare there’s no condition of room type or surgeon’s expenses.
Room rent is the main condition on which your complete hospitalisation cost depends, but i think single private room is the one which patient generally opts for. I think this room rent condition of single private room is there in max bupa policy also.
I would recommend you to visit any nearby big corporate hospital and check for room rates and figure out the one you or your family will opt for in case of emergency and decide your policy accordingly

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Saravanan May 28, 2014 at 5:10 am

Thank you very much for your useful reply. I will do the check accordingly and decide.

Regards,
Saravanan

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Sudhir June 1, 2014 at 6:39 am

RELIGARE have rejected the proposal of my 14 year old healthy kid on the grounds of the 2-3 years old past medical history of SYNCOPE, although the doctors then had given clean chit after performing ECG, MRI etc.

RELIGARE refused to do a fresh medical examination on him to verify condition of health in case of doubt, stating that state of his current or future health is immaterial.

RELIGARE even refused to arrange for a discussion between me and the underwriter who had rejected his proposal thereby closing all avenues of any discussion. (In all probability, the under-writer has not even understood the old medical reports of my son, sent by me).

Their replies to specific and pointed questions in my emails are vague and round about.

Such a stand by RELIGARE will affect my son’s future since other insurance companies also will tend to go by the precedence of past rejection by RELIGARE and reject his proposals even though he may be enjoying perfect health.

They have only one standard response for everything and they do not answer any specific questions. If this is the state of affairs before policy issual, imagine how they could deal with the insured persons when they put up a claim. You could be up against a wall everytime,

I recommend the readers to be very careful while choosing insurance company for your health insurance and spread such information to your colleagues so that they don’t fall into such a mess with insurance companies like this who do not seem to espouse any value.

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Manoj Singla June 8, 2014 at 12:31 pm

Sir, Kindly let me know your opinion about claim settlement of Religare Health Insurance CARE.

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Manikaran Singal June 13, 2014 at 11:41 am

I personally have not found any problem with the claim settlement of Religare.
Infact i have not experineced any hassle in cash less claim of any company, but once one get into reimbursement process then one should be ready for the hardships.

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Sanjeev June 17, 2014 at 11:29 am

Dear Sir,
I want to buy family floater health insurance plan for myself(31), Wife (31), Daughter (1). I have shortlisted Reliance Health Gain & Apollo Munich Optima Restore. I need Good claim service & affordable renewable premium ( no claim based Loading). In the policy wording of Apollo munich optima restore ..In General Condition -Insured person-100-150% risk loading applicable on premium.Since Apollo munich broacher says no claimed based loading.can you explain this clause? I have read that ICICI lomabard is leader in market share of health insurance. can I go with ICICI lomabrd?
Also please review Reliance health gain plan , I think it is mixture of apollo munich optima restore & religare Care.
Which is best plan according to you? & other plans options I should consider (like ICICI, Religare, Max Bupa ..etc).

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Manikaran Singal June 27, 2014 at 5:20 am

Sanjeev, the main point is that you should be adequately insured. Whether with apollo, reliance or icici, it doesn’t matter.
What apollo says is that at the time of accepting case in the first place they may put loading on premium amount depending on their risk assessment of that profile, but once case is accepted there would be no claim based loading.
I will surely review Reliance health gain plan soon.

Thanks

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Sushant Das July 27, 2014 at 1:55 am

Dear Sir
I’m confused between Religare Super NCB, Apollo Munich, Max Bupa ICICI Lombard Family health insurance Plan. I find Religare Super NCB is attractive and affordable for 5L policy for my family of me(50Yrs), Wife(44Yrs) & daughter(14yrs).
I have the symptoms of Diabetic since 2006 on border level with tablets 2 times daily(Under control), wife has BP & Thyroid TSH under medicine daily(quite under control). Whether I shall be rejected by any health insurance co or not !! and if not & accepted then what plan option of which co above cos is best. Kindly advise.

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Manikaran Singal August 5, 2014 at 7:40 am

Sushant, first thing first you should be having health insurance, be it from any company.
Every company has its own underwriting guidelines and your case acceptance purely depends on that . As per my experience apollo is very strict in its terms. and it does not accept Diabetic cases. However it has recently launched “Apollo Munich energy” a special health insurance plans for diabetics which can also be considered (http://goodmoneying.com/insurance-planning/apollo-munich-energy-health-insurance-plan-diabetics) , but before that you should try your luck with other insurers, which sometimes accept controlled diabetic and thyroid cases
You just have to understand the exclusions ,waiting period and sublimits of those plans.

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TS September 5, 2014 at 3:18 am

BEWARE. Religare is very quick to call you on the phone to take payment. At no stage do they inform you that there is a Rs300 fee for declined policies. Your card is charged immediately, without the policy being issued. After a week they inform you that you policy has been declined and it will take 10 working days to process a refund. Why should the card be charged without a policy being issued? And to add insult to injury, a Rs 300 fee is charged for declining the policy. Horrible service

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Vin K October 8, 2014 at 7:09 pm

I have used Max Bupa Heartbeat 2L for 1 year and now i have ported out my policy to Apollo Munich Optima Restore 5K, I am planning to take a new Policy of Religare Care with Super No-Claim Bonus 5L. I will cancel Apollo as i haven’t received documents yet, so i have 15 days time to cancel and go with Religare. I just want to know that am i taking right decision?

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Manikaran Singal October 9, 2014 at 1:19 pm

Vinay, both the policies i.e. apollo restore and religare are equally good. Though religare super NCB has few different features like higher NCB and annual health check up. See if you want to move out from apollo due to the bad service experience or high premium then its fine otherwise doing same exercise to buy new policy does not make sense to me.
Every year you will find companies launching new products, so one should not keep moving between insurers. Stick to any one you like and continue your policy for some years. there’s no point in moving out unless there is some very attractive feature…atleast attractive to you.

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Manikaran Singal November 30, 2012 at 6:10 am

No Mayank its not like that. The feature that you are referring to is in Religare and not in Max Bupa. In Max even if you buy the policy today and keep on renewing it till 65 years, still you would have bear with Co pay after 65.
As i said earlier…i have experienced claim procedures of both – apollo and Max and could not find any difference. To me both sounds OK.

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Mayank November 30, 2012 at 7:58 pm

Thanks a lot! I missed the co pay fine print!!
Max bupa out of the equation now.. :)
Ah.. the painful research has to start again to compare some policy with Apollo Munich and to find out if it is really worth it..

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Mayank December 11, 2012 at 5:18 pm

Hi,
How would you rate ICICI Pru Health Saver compared to Apollo Munich??

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Mayank December 17, 2012 at 6:08 pm

replying to my own query for the benefit of others.. ICICI pru health is just a way to fool people.. rather invest your money in mutual funds separately..

These people take your money and invest in their own MF, which you cannot use for 3 years..
also the use is limited for the use in health claims only..
moreover they are charging very high fund management fees..

In short, they are trying to increase the fund AUM by policies like these.. risk of which is borne by the buyer himself..

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Manikaran Singal December 21, 2012 at 4:55 pm

Thanks for pointing these out Mayank. I will write a product review on icici pru health saver very soon.

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