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Chola MS Family Healthline- Standard

Objective

An online health insurance policy that aims to cover a family of up to two adults and three children under a single policy for a maximum sum insured of 5 lakh.


Suited for

It suits you if you are looking for a basic medical insurance.


What does it do?

This is the first and the most basic variant of Family Healthline policy. It covers on a family floater basis which means the Sum Insured can be utilized by any of the insured members. It covers hospitalisation expenses for treatment taken as an inpatient, day care procedures, emergency ambulance, pre and post hospitalisation expenses and also provides a daily cash amount for choosing shared accommodation. This policy offers additional discount on premium if policyholder agrees for a co-payment clause wherein, the policyholoder will have to bear 10 per cent of admissible claim each time except in case of treatments which already contain a co-pay clause specific to them. Policyholder may also avail reminder or alert facility known as Chola Wellness Health Alert Services (CWHAS) from insurer by paying an additional premium.


Pros

It pays a bonus for every claim-free year on an annual basis.
It allows lifelong renewal.
Chola Wellness Health Alert Services will prevent missing on important events.
It is available online for purchase.
Policy premium qualifies for taxation benefit under section 80D of Income Tax Act.


Cons

There is a cap on room rent, boarding and nursing expenses.
No-claim bonus will be reversed by 10 per cent in the event of any claim.


Our View

Like other basic insurance plans it offers to cover hospitalisation expenses but co-payment clause acts as a deterrant. You should avoid co-pay if you are young and healthy. Such clauses are usually attached to Senior Citizen policies. Lifetime renewal is an advantage. There are sub-limits on room rent and boarding expenses. Check for the additional premium required to waive the co-pay clause else go for policy from other insurers which donot ask for any co-payent.

Eligibility
Entry Age (years) 
Minimum18; 3 Months for Children
Maximum65; 35 for Children
Maximum Policy Renewal Age (years)Lifetime renewal
Coverage TypeFamily floater
Sum Insured (Rs) 
Maximum5 lakh
Minimum2 lakh
Policy Term (years)1
No Claim Bonus5% of Sum Insured for each claim free year
Grace Period for Policy Renewal15 days
Policy TerminationEither of insurerd or policyholder may terminate this policy by giving a notice period of 15 days. If no claim has been made, insurer will return premium on a pro-rata basis
Customer Service 
AddressRegistered Office:Cholamandalam MS,
General Insurance
Company Ltd,
2nd Floor, "Dare House",
No.2, NSC Bose Road,
Chennai - 600001, India
Mail to[email protected]
Call to044-3044 5400, 1800-200-5544 (Toll Free)
SMSSMS "CHOLA" to 56677
Network HospitalsHttp://www.cholainsurance.com/nwhosp/
Additions to the Plan
Scope of Cover
Cashless facilityavailable if treated at network hospital
Reimbursement facilityavailable if treatment taken in an non-network hospital
Pre and post hospitalisationcovered from 60 days prior to hospitalisation and upto 90 days after discharge from hospital
Inpatient hospitalisationcovered
Room, boarding and nursing expensesupto 1% of Sum Insured
Day Care Procedures141 in number are covered
Daily cash for choosing shared accommodationRs 250 per day for upto 7 days with 1 day deductible
General health check-up & eye examination0.5% of Sum Insured per family
Emergency ambulance1000
Exclusions and Waiting Period
Pre-existing diseasesnot covered upto 48 months of continuous coverage from first policy year
No claim Period30 days from commencement of the policy
Waiting period5 years for maternity benefits3 years for OPD dental expenses3 years for external aid benefitscataract, hernia, sinusitis and certain other illnesses will be covered after 1 yearCertain other illnesses such as cysts, internal tumours, surgery of varicose veins and varicose ulcers etc. will be covered after 2 years
General ExclusionsNaturopathy Cosmetic, beauty or slimming treatment.AIDS or any related illnessTreatment of any mental or related disease
Annual Premium
Age (in years)Sum Insured (in Rs)
2 lakh3 lakh4 lakh5 lakh
2 Adults
18-355202640474088281
36-458237103941087812886
46-5011132152351798820927
51-5515773203092406627302
56-6021847279603301837372
61-6526853345444090346372
66-7041100532816334071983
2 Adults + 1 Kid
18-355711707382099500
36-458546108001267515321
46-5013393171752031124707
51-5516242209252480230247
56-6023962307423634842123
61-6530190389334615853570
66-7044044571526797479036
2 Adults + 2 Kids
18-3572379080981111328
36-4510258130521537017373
46-5015527199822299227542
51-5520455264643143635714
56-6029251376954467450676
61-6538868503445982167965
66-70577817521589603101958
2 Adults + 3 Kids
18-359442119791408315900
36-4513420172102136024209
46-5019294249363355641517
51-5527476367234371849733
56-6039826516026132669680
61-6549549643897663787157
66-707151893280111232126644
2 Adults + 1 Kid
18-355117629272758128
36-4566928362975510964
46-5010505133781576417825
51-5513434172312038123097
56-6019732251792968833571
61-6525518327883880143974
66-7038157494105870566694
1 Adult + 2 Kids
18-3562197435864310003
36-458308100041172013655
46-5010819137901625818389
51-5514994192832283725901
56-6021847279603301837372
61-6528188362994300548772
66-7040119519916179570220
1 Adult + 3 Kids
18-3567288545997213157
36-459783118951398518398
46-5015841203952416627415
51-5519674254383020734312
56-6027347351924167747254
61-6534195442005246459567
66-7049931648937724487852
Premiums are exclusive of service tax and cess

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