Chola MS Health Insurance

Overview of Cholamandalam MS Health Insurance:

Chola MS General Insurance Co. Ltd. was formed a decade ago on its core philosophies of Trust, Transparency and Technology.

Headquartered in Chennai, it has grown to be a general insurer of choice by ensuring customer-satisfaction through innovation and operational effectiveness. The company has an extensive branch-network of about 90 centres all over India. It reaches its customers primarily through its 7,000-strong agent network, duly supported by alternate distribution channels viz. bancassurance partners, tie-ups with auto majors and other strategic partnerships.

Chola MS General Insurance has a number of product lines catering to retail customers including Auto, Travel, Home and Personal Insurance, to name a few, alongwith business protection solutions for commercial clients.

Chola MS, being one of the leading health insurance providers in India, offers a number of health insurance plans. The health insurance plans offered by Cholamandalam MS come with a lot of attractive features and benefits, and provide comprehensive health insurance coverage at affordable rates.

Key features of Cholamandalam MS Health Plans:

Listed below are main features of health insurance plans from Chola MS:

• A select number of Chola MS Health plans provide double coverage for accidents and critical illnesses.
• They also provide for domiciliary hospitalization and you canenjoy lifetime coverage with these plans.
• Enjoy cashless hospitalization at over 4300 hospitals across the country.
• Select health plans provide cover for 20 major critical illnesses.
• Get paid for the cost involved in room rent on selected health plans.
• Lifetime renewal facility is available.
• Get tax benefit under section 80 (D) of the Indian Income Tax Act, 1961.
• 24x7 claim assistance service.
• These plans also provide cover for over 140 Day-care procedures.
• Pre and post hospitalization expenses are covered by most of the health plans offered by Chola MS.
• Enjoy easy claim settlement procedure.

Why choose Health Insurance Plans from Chola MS:

There are number of reasons why you choose Chola MS Health Plans. These plans offer a host of attractive benefits which include:

• You can enjoy cashes hospitalization in 4300 hospitals plus hospitals in India.
• Chola MS Health would pay for your pre and post hospitalization expenses up to up to 30 days prior to hospitalization and up to 60 days after discharge.
• Select Chola MS Health plans also include ambulance service within its cover and they will pay for your ambulance charges.
• You may enjoy special benefits when you renew your health insurance policy, provided you have made no claim on your health insurance cover in the previous year. You can also enjoy free medical check-up for not making no claims.
• Under section 80D of the Income Tax Act, 1961, you may get tax benefits on the premiums paid for your health insurance policy.
• You can opt for voluntary deductibles and reduce your premium amount mentioned in the policy. Co-pay facility is available in select health insurance plans.
• Nearly 20 critical illnesses are covered under this policy.
• You can easily purchase these plans online without facing the trouble of manually contacting your health insurance provider.

Types of Health Insurance Policies Provided by Chola MS:

1. Chola MS Healthline Insurance
2. Chola Swasth Parivar Health Insurance Plan
3. Chola Tax Plus Healthline
4. Chola MS FamilyHealthline Insurance
5. Chola MS Individual Healthline Insurance Policy
6. Chola MS Top Up Healthline Insurance Policy
7. Chola MS Critical Healthline Insurance Plan
8. Chola MS Hospital Cash
9. Chola MS Individual Health
10. Chola MS Family Health Insurance

Key details of each of the plans are elucidated and tabulated below:

• Chola MS Healthline Insurance

This policy comes with three sub-plans viz.

• Value Healthline
• Freedom Healthline
• Enrich Healthline

They are similar in terms of features but differ in terms of coverage amounts/sub-limits.

• Chola Swasth Parivar Health Insurance Plan

This policy features two sub-plans viz.

• Pearl
• Royale

  Basis	Family floater
  Sum Assured	Rs.3, 4 or 5 lakhs
  Premiums	Rs.5,005 to Rs.10,351
  Co-payment	15% compulsory; 10% voluntary (at non-network hospitals)
  Coverage	- Inpatient hospitalisation expenses: Room charges: 1% of chosen sum assured ICU: 1.5% of chosen sum assured (per day) - Costs of treating medical professionals, consumables etc. required for treatment - 141 day care procedures - Pre/Post-hospitalisation expenses: Up to 30/60 days respectively - Day care treatment: At network hospitals only - Pre-existing diseases: After a waiting period of 4 yrs.
  Add-on Covers	Personal Accident Cover: Death and Total Permanent Disablement: Rs.7.5 to 10 lakhs (self) and Rs.3.75 to Rs.5 lakhs (spouse); Rs.1.5 to Rs.2 lakhs (per child) Partial Permanent Disablement: Rs.3.75 to Rs.5 lakhs (self) and Rs.1.87 to Rs.2.5 lakhs (spouse); Rs.75,000 to Rs.1 lakh (per child)

• Chola Tax Plus Healthline

  Entry Age	18 yrs. to 65 yrs.; 3 months for children
  Medical Screening	Required for entrants above 55 yrs.
  Sum Assured	Rs.1 to 5 lakhs in increments of Rs.1 lakh No-claim Bonus: 5% enhancement in chosen sum assured for every claim-free year, max.50%
  Coverage	- Inpatient hospitalisation expenses: Room charges: 1% of the chosen sum assured (per day) ICU charges: 2% of the chosen sum assured (per day) - Pre-hospitalisation expenses: Up to 60 days (max. 5% of actuals) - Post-hospitalisation expenses: Up to 90 days (max.Rs.50,000) - Ambulance costs: Rs.3,000 per hospital stay - Cataract: 7.5% of chosen sum assured (max. 20,000) per eye - Hernia: 10% of chosen sum assured (max. 30,000) - Fistula/Piles: 10% of chosen sum assured (max.30,000) - Sinusitis: 10% of chosen sum assured (max.30,000) - Tonsillitis / Adenoids: 15% of chosen sum assured (max.40,000) - Knee/Joint Replacement Procedures: 50% co-payment - Outpatient cover - Pre/Post-Natal Expenses - Pre-existing diseases: After a 4-yr. waiting period - Dental - Treatment under branches of Indian medicine (not naturopathy) - Prescribed glasses, contact lenses, hearing-aids, prosthetics etc.

• Chola MS Family Healthline Insurance

This policy comprises the following plans:

• Standard
• Superior
• Advanced

Basic features are common to all plans but the amount and depth of coverage varies along with the premiums payable.

• Chola MS Individual Healthline Insurance Policy

Suited for protection of an individual, it provides three coverage options under plans titled Standard, Superior and Advanced. The sub-limits applicable to the various expenses depend on the plan chosen by the proposer and the coverage option therein.

• Chola MS Top-Up Healthline Insurance Policy

This is a health insurance policy which enhances the cover of a basic health plan. Taken in-addition to an existing policy, this makes coverage more comprehensive.

There are 7 coverage options viz. Plan A, B, C, D, E, F and G. Each plan features a deductible which is the amount the proposer bears on admissible claims. Sub-limits on the various expenses covered under this policy also vary according to the chosen plan.

• Chola MS Critical Healthline Insurance Plan

This plan can be taken in addition to a basic health plan to make coverage more comprehensive. Basic plans do not cover critical illnesses whereas this plan specifically targets these events.

There are two options based on the number of critical illnesses covered i.e. 1. Standard Plan: Covers 10 illnesses 2. Advanced Plan: Covers 12 illnesses

• Chola MS Hospital Cash

This policy offers holders a way to meet expenses during hospitalisation. The three medical insurance plans mentioned below offer varying levels of cover. Customers can avail of this policy, based on their affordability, given the range of premiums charged under Plan A, Plan B or Plan C.

Hospitalisation expenses in this case includes ICU charges and extended stay and payout is given as a lump sum once claims are successfully processed.

• Chola MS Individual Health

This plan gives the client a chance to enhance their cover by paying additional premium.

• Chola MS Family Health Insurance

This is similar to the Individual Policy but offered on a floater basis to cover not just the proposer but his/her entire family as well.

All health assurance and mediclaim policies must be read in conjunction with their individuals terms and conditions. It should also be remembered that every plan lists out certain exclusions i.e. events or circumstances that can lead to disqualification of claims made.

*GST and other charges are to be factored in wherever applicable.

How to File a Claim with Chola MS Health?

Claim settlement is subject to the claim intimation made by the insured member to Chola MS and approval of the claim as per policy terms and conditions. Policyholders can make 2 types of health insurance claims with Chola MS Health:

• Cashless Claim: Visit a network hospital of Chola MS Health and display your health card at the TPA helpdesk along with a photo identity card, and investigation reports. The hospital will submit a pre-authorisation request form to Chola MS Health. Upon approval, the hospital will provide cashless treatment to the insured member and the insurer will settle the medical bills directly with the hospital.
• Reimbursement Claim: Pay the hospital bills upfront out of your own pocket. At the time of discharge, collect all the original medical documents and submit it to the insurer along with a duly-filled reimbursement claim form. The claim will be approved or rejected as per the policy terms and conditions.

Incurred Claims Ratio of Chola MS Health Insurance for the Year 2017-18

Chola MS Health Insurance FAQs:

1. What is a benefit policy?

   The benefit policy allows the insurance company to pay the insured an amount in lump sum, leaving the decision of spending the money on medical treatment or not to the insured.

2. Is the Chola MS Critical Healthline policy the same as the Mediclaim policy?

   No, the Critical Illness policy covers certain specific illnesses and is taken as an add-on to a Mediclaim policy. It is an optional policy that is offered to policy takers in case they are diagnosed with one of the critical illnesses that is listed with the Chola MS Health Insurance.

3. How the premium is decided for the Chola MS health insurance policies?

   Following are the requisites that decide the premium amount of the Chola MS health insurance policies-

• Gender
• Age
• Monetary value of insurance amount chosen

  4. How can the Chola MS Critical Healthline policy be differentiated from the Mediclaim policy?

The Mediclaim policy provides compensation for the medical expenses incurred by the insured whereas the Chola MS Critical Healthline policy provides the insured with the entire amount as lump-sum when the insured is has a diagnosis of a critical illness.

Under the Mediclaim policy, the insured has to pay upfront and confirm treatment before the insurance company pays the insured for the medical attention while under the Critical Illness policy, the insured has to produce confirmation of diagnosis of a critical ailment and the insurance company will pay the insured in lump sum.

5. Are there any discounts that can be availed on the Chola MS Family Healthline policy?

10% discounts on premiums can be availed on the Chola MS Family Healthline policy in the case that 10% co-payment is opted for.

6. What Critical Illnesses are covered by Chola MS Critical Healthline policy?

The following critical illnesses are covered by the Chola MS Critical Healthline policy-

• Terminal Cancer
• Open Chest CABG
• Parkinson’s Disease
• Stroke that has resulted in symptoms that are permanent
• Surgery of Aorta
• Permanent paralysis of the limbs
• Transplant of major organ or bone marrow
• Multiple Sclerosis
• First Heart Attack
• Primary pulmonary arterial hypertension
• Motor Neuron disease with symptoms that are persistent
• Kidney failure that requires regular dialysis

7. Is it possible to get a Chola MS Critical Healthline policy if one already has another critical illness policy?

Yes, it is possible to get another Chola MS Critical Healthline policy even if the insured already has an existing critical illness policy.

In case of an existing Chola MS Critical Healthline policy, the insured needs to declare the existent policy at the time of purchasing the new one.

Furthermore, the insured can claim both of the policies when a critical illness occurs.

8. What is the age of renewability for the Chola MS Individual Healthline policy?

The age of renewability of the Chola MS Individual Healthline policy is the age of 55 years.

9. Does the Chola MS Critical Healthline policy cover pay for alternative medication?

Once the insured is diagnosed with critical illness, the Chola MS Critical Healthline policy pays the insured a lump sum amount. The insured can use this amount at his/her discretion which includes alternative medicines.

10. What is the age limit to be eligible for the Chola MS Individual Healthline policy?

Persons between the ages of 18 years and 65 years are eligible for the Chola MS Individual Healthline policy.

Children from the age of 3 months and onwards are eligible for the Chola MS Individual Healthline policy.

Examples of Network Hospitals in Major Cities:

*Disclaimer - This is not an exhaustive list but an indicative representation of hospitals that form a part of the company's wider network.