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*All savings are provided by the insurer as per the IRDAI approved insurance plan. Standard T&C Apply
Cholamandalam health insurance is one of the renowned names in the health insurance segment. The insurer believes in offering comprehensive yet customized health insurance products, which can be bought for individuals,
Stands on the three philosophical pillars of Trust, Transparency, and Technology, the Chola MS General Insurance Company Limited is a merger between Japan’s famous company Mitsui Sumitomo Insurance Company Ltd. and Murugappa Group, India.
Headquartered in Chennai, it is one of the leading insurance providers. Offering excellent healthcare service and great customer satisfaction, it has received awards from the Government of India and is internationally acclaimed.
The Cholamandalam Health Insurance is one of the most preferred insurance products that designed keeping the individuals’ needs in mind. Some of the highlights of this plan can be categorized as:
|
HIGHLIGHTS |
SPECIFICATIONS |
|
Wide Network of Hospitals |
8200+ with Cashless Procedures |
|
Renewability |
Lifelong |
|
Number of Members |
Up to 3 children and 2 adults |
|
Waiting Period for Pre-Existing Diseases |
4 years |
|
Pre and Post Hospitalization Cover |
Expenses covered before hospitalization (30 days to 60 days)and post-hospitalization (60 days to even 90 days in some plans) for related medical expenses |
|
Incurred Claim Settlement Ratio |
39.96% |
When compared to other health insurance policies, the Cholamandalam Health Policy provides the following benefits:
Some of the unique features and benefits of health insurance plans offered by Chola MS are:
The Cholamandalam Health Insurance policy offers the following customized options to choose from, in India:
It covers families on the individual and floater-sum basis. For floater-sum coverage, the spouse and dependent children are also covered in the policy. The individual coverage extends to parents, parents-in-law, and even siblings can be included.
This policy is divided into the following categories:
The key features and benefits of these plans are tabulated below:
|
Type of Policy |
Sum Insured |
Main Benefits |
|
Value Healthline |
Rs (2, 3, 5, 7.5 or 10) lakh |
· Sum insured value of Rs 2 lakh · Cashless hospital benefits · Ambulance charges up to Rs1,000 is covered · Pre hospitalization expenses covered for 30 days · After discharge expenses covered up to 60 days · Exclusive 5% to 50% discount on pharmacies, laboratories and fitness places all over the country · It also offers AYUSH benefits for undergoing Ayurveda, Unani, Sidha, and Homeopathy treatments. |
|
Freedom Healthline |
Rs (3, 5, 7.5, 10 or 15) lakh |
· Sum insured value of Rs (3, 5 or 7.5) lakh · Cashless hospital benefits in the Network Hospitals · Emergency ambulance charges up to Rs 2,000 · Pre and post hospitalization charges covered up to 60 and 90 days respectively · Offers AYUSH benefits which include Ayurveda, Unani, Sidha and Homeopathy · Domiciliary treatments are covered up to 7 days. · Daycare procedures up to 141 days are covered, which do not require 24 hours hospitalization |
|
Enrich Healthline |
Rs (3, 5, 7.5, 10, 15, 20 or 25) lakh |
· Sum insured value of Rs (3, 5, 7.5 or 10) lakh · Cashless hospital facilities are ensured. · Ambulance charges up to Rs 2,000 are covered · Pre hospitalization expenses for 60 days and post-hospitalization expenses for 90 days are covered · In-patient treatment is taken under Ayurveda, Unani, Sidha, and Homeopathy are covered under AYUSH benefits · Organ transplantation expenses are covered · An allowance of Rs 10,000 is provided if the insured is hospitalized beyond 10 days · A daily allowance for 7 days basis if a child is hospitalized |
|
Privilege Healthline |
Rs (5, 7.5, 10, 15, 20 or 25) lakh |
· Rs 5,000 is provided for every hospitalization as ambulance charges · Maternity expense of Rs 1 lakh is provided for delivery. · The policy also covers newborn babies up to the floater-sum insured for the mother · Out-patient expenses like dental covers, spectacles, contact lenses, and hearing aids are covered up to Rs. 10,000 every 2 years |
This policy covers hospitalization charges of the insured. The cash benefit is doubled for every 24 hours spent in the Intensive Care Unit. Moreover, a lump-sum is also paid for continuous hospitalization of 20 days.
Health checkups are offered for members above the age of 55 years. A 5% savings is offered on premium for new family members joining the policy, with a maximum saving of 10%.
*All savings offered by the insurer are as per the IRDAI approval. Standard T&C apply
Features
It is an individual basis policy covering the insured, spouse, and up to three dependent children. This Fixed Benefit Policy gives a lump-sum for critical ailments that are listed without any hospitalization bills.
It pays on the diagnosis of a life-threatening disease.
There are two options to choose from:
Features
It provides coverage for higher medical expenses. Claim reimbursement is provided up to the sum insured above the deductible. A deductible is an amount that cannot be claimed in the policy year. It is a cost-sharing policy. The policy sum insured can be availed up to Rs 25 lakh.
Features:
Personal Accident Plan
This is a policy launched to cover tragic events like death, physical injuries, and disabilities due to an accident. The sum insured can be Rs 5 lakh to Rs 1 crore.
Features
It is a unique health insurance plan to cover coronavirus and expenses arising while diagnosed.
Features
It is a standard health insurance policy introduced by IRDA on April 1st 2020, in the wake of COVID-19 pandemic. All health insurers across the country are advised to offer a standard health insurance coverage up to Rs 5 lakh under this policy.
Features
Flexi Health is an indemnity-based policy that offers insurance protection during a medical emergency. The policy can be customized with multiple sum insured options as per your insurance needs.
Features
Following are the instances when the Chola MS Health Insurance cannot be claimed:
Plan-specific Exclusions:
|
TYPES OF POLICY |
EXCLUSIONS |
|
Healthline Insurance |
· Pre-existing diseases are not covered until four years waiting period is completed · Injury due to war · Vaccination, unless it is part of post animal bite treatment · Non-medical expenses during hospitalization · Other specific diseases mentioned in the policy until two years from the purchase |
|
Hospital Cash Healthline |
· Pre-existing diseases are excluded until the 48-month time period has elapsed since the commencement of the policy · For the first individual Hospital Cash benefit policy, an illness diagnosable or diagnosed within 30 days of the policy period · Few other diseases mentioned in the policy are excluded for the first two years |
|
MS Critical Healthline Insurance Plan |
· Any critical disease arising due to pre-existing conditions · Any critical illness diagnosed within the first 90 days · Death of insured before the survival period for specific diseases · Any ailment or injury due to misuse of alcohol or drugs |
|
Super Top Up Insurance |
· Pre-existing diseases are not covered until a waiting period of 36 months in the Supreme plan and 48 months in Premiere plan has elapsed · Few diseases mentioned in the policy are not covered in the first year |
|
Personal Accident Plan
|
· Intentional or self-inflicted injury or suicide. · Death or injury due to war or similar conditions · Participation in naval, military or air force activities leading to death or injury · Any loss sustained under the influence of drugs or alcohol |
|
Minimum Entry Age |
18 years Child: 90 days to 26 years |
|
Maximum Entry Age |
65/70 years |
|
Policy Term |
1,2,3 years |
|
Sum Insured |
Rs 1 lakh to 25 lakh |
The claim process can be a cashless or reimbursement type.
In case, the cashless pre-authorization claim is rejected, one can apply for the reimbursement claim.
The policy can be renewed online by completing the following steps:
The policy has thus been renewed without any hassle of manually doing so. Otherwise, the nearest branch can be visited to pay the premium amount and renew the policy.
The MS Health Scheme can be purchased online easily through Paisawiki.com. Here are a few steps to make the process easy:
Cholamandalam Health Insurance is thus bought online.
A: To settle claims, the following documents should be presented.
A: Kids can be covered from the age of three months in various Chola MS plans.
A: The maximum amount that is paid for delivery is Rs 1 lakh.
A: Yes, Chola MS provides portability. According to IRDA norms, one can change and transfer their health insurance plan to Chola MS without losing any benefit.
A: Chola MS provides a couple of plans that cover parents in their schemes like the CholaHealthline, Chola Hospital Cash Healthline, and Chola Critical Health.
A: The premium is calculated based on gender, age, and monetary amount of the insurance scheme chosen.
A: Yes, the many plans under the Cholamandalam Health Insurance covers out-patient department (OPD) expenses like spectacles, contact lenses, prosthetics, and hearing aid.
A: Yes, one can pay the policy premiums online by using Debit or Credit card on the website.
A: No, under the critical illness policy, lump-sum is paid on merely confirming the diagnosis of a critical illness mentioned in the list of the policy.
A: Yes, it is possible to have another Critical Illness policy. Both can be claimed in the time of need.
