Chola MS Individual Healthline - Advanced Plan

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Chola MS Individual Healthline- Advanced

	Objective			An online health insurance policy that covers maternity expenses and OPD treatment .
Suited for			It is available as an individual cover. A family can also be covered but on an individual sum insured basis. This policy is more suitable for young females as it covers maternity expenses as well.
What does it do?			This is the third and most comprehensive variant of this policy. Besides hospitalization expenses, it also covers maternity expenses, Ayurvedic treatment, Out patient treatment, and external aids like spectacles, hearing aids. All the benefits under this policy are constrained to sub-limits as mentioned in policy document. It also covers day care treatment, daily cash benefit, home hospitalisation and ambulance services. Chola Wellness Services that send policy related alerts and reminders can also be added by paying an extra premium. This poilicy can be bought as an individual cover or as a a family policy but it will cover all family members on an individual sum insured basis.
Pros			It can be purchased online through company's website. It allows lifetime renewal. Policy premium qualifies for taxation benefit under section 80D of Income Tax Act.
Cons			Each benefit is capped to some specific amount or percentage of sum insured.
Our View			It allows customizing the policy as per one's requirement and providing lifelong renewals to its policyholders. Advanced variant is an all-inclusive health insurance policy. It covers broad variety of health related risks upto a sum as huge as Rs 10 lakh. Sub-limit on benefits act as a drawback.
Eligibility
Entry Age (years)
Minimum		18; 3 Months for Children
Maximum		65, 35 years for dependent female child and 25 years for dependent male child
Maximum Policy Renewal Age (years)		Lifetime
Coverage Type		Individual/ family
Sum Insured (Rs)
Maximum		10 lakh
Minimum		4.50 lakh
No Claim Bonus		5% of Sum Insured for each claim free year
Pre Policy Medical Check Up		Not required upto 55 years of age
Customer Service
Address		Registered Office:Cholamandalam MS, General Insurance Company Ltd, 2nd Floor, "Dare House", No.2, NSC Bose Road, Chennai - 600001, India
Mail to		customercare@cholams.murugappa.com
Call to		044-3044 5400, 1800-200-5544 (Toll Free)
SMS		SMS "CHOLA" to 56677
Network Hospitals		Http://www.cholainsurance.com/nwhosp/
Policy Term (years)		1

 

	Scope Of Cover
Cashless facility		available at network hospital
Reimbursement facility		available if treatment taken in a non-network hospital.
Pre and post hospitalisation		covered from 60 days prior to hospitalisation and upto 90 days after discharge from hospital
Inpatient hospitalisation		covered with sub-limits on certain treatments
Room, Boarding & Nursing Expenses		Sum Insured Rs4.5/5.5 Lakhs - AC single room up to Rs3000 per day; Sum Insured Rs 7.5 & 10 Lakhs: Maximum 1% of the Sum insured
Day Care Procedures		141 in number are covered
Daily Cash for choosing shared accommodation		Rs 500 / day for a maximum of 14 days with 1 day deductible
General Health Check up & Eye Examination		covered
Emergency ambulance		Rs 3000 per insured per policy year
Minor Accompaniment Daily Cash		Rs250 / day for a maximum of 14 days with 1 day deductible
Home Hospitalization		Up to 25% of SI (Maximum of Rs 1 lakh)
Maternity Expenses		Rs25,000 for normal & Rs 40,000 for caesarean
Ayurvedic Treatments		Up to 7.5% of SI (specifictreatments only) and 20% co-payment
OPD Dental		1% of SI -Maximum of Rs5000 with 30% co-payment
External aids (Specs, Contact lens, Hearing aids)		1% of SI -Maximum of Rs5000 once in a block of 2 years with 30% co-payment by insured

 

	Exclusions and Waiting Period
Pre-existing diseases		not covered uto 48 months of continuous coverage from first policy year
No claim Period		30 days from commencement of the policy
Waiting period		Maternity expenses will be covered after a waiting period of five years.Certain illnesses such as cataract, hernia, sinusitis etc. will be covered after one year from commencement of the insurance policy.Certain illnesses such as spondilitis, heart disease, gout & rheumatism etc. after 2 years have elapsed since inception of the policy.

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