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) | |
Minimum | 18; 3 Months for Children |
Maximum | 65; 35 for Children |
Maximum Policy Renewal Age (years) | Lifetime renewal |
Coverage Type | Family floater |
Sum Insured (Rs) | |
Maximum | 5 lakh |
Minimum | 2 lakh |
Policy Term (years) | 1 |
No Claim Bonus | 5% of Sum Insured for each claim free year |
Grace Period for Policy Renewal | 15 days |
Policy Termination | Either 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 | |
Address | Registered Office:Cholamandalam MS, General Insurance Company Ltd, 2nd Floor, "Dare House", No.2, NSC Bose Road, Chennai - 600001, India |
Mail to | [email protected] |
Call to | 044-3044 5400, 1800-200-5544 (Toll Free) |
SMS | SMS "CHOLA" to 56677 |
Network Hospitals | Http://www.cholainsurance.com/nwhosp/ |
Additions to the Plan
Scope of Cover | |
Cashless facility | available if treated at network hospital |
Reimbursement facility | available if treatment taken in an 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 |
Room, boarding and nursing expenses | upto 1% of Sum Insured |
Day Care Procedures | 141 in number are covered |
Daily cash for choosing shared accommodation | Rs 250 per day for upto 7 days with 1 day deductible |
General health check-up & eye examination | 0.5% of Sum Insured per family |
Emergency ambulance | 1000 |
Exclusions and Waiting Period | |
Pre-existing diseases | not covered upto 48 months of continuous coverage from first policy year |
No claim Period | 30 days from commencement of the policy |
Waiting period | 5 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 Exclusions | Naturopathy 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 lakh | 3 lakh | 4 lakh | 5 lakh | ||
2 Adults | |||||
18-35 | 5202 | 6404 | 7408 | 8281 | |
36-45 | 8237 | 10394 | 10878 | 12886 | |
46-50 | 11132 | 15235 | 17988 | 20927 | |
51-55 | 15773 | 20309 | 24066 | 27302 | |
56-60 | 21847 | 27960 | 33018 | 37372 | |
61-65 | 26853 | 34544 | 40903 | 46372 | |
66-70 | 41100 | 53281 | 63340 | 71983 | |
2 Adults + 1 Kid | |||||
18-35 | 5711 | 7073 | 8209 | 9500 | |
36-45 | 8546 | 10800 | 12675 | 15321 | |
46-50 | 13393 | 17175 | 20311 | 24707 | |
51-55 | 16242 | 20925 | 24802 | 30247 | |
56-60 | 23962 | 30742 | 36348 | 42123 | |
61-65 | 30190 | 38933 | 46158 | 53570 | |
66-70 | 44044 | 57152 | 67974 | 79036 | |
2 Adults + 2 Kids | |||||
18-35 | 7237 | 9080 | 9811 | 11328 | |
36-45 | 10258 | 13052 | 15370 | 17373 | |
46-50 | 15527 | 19982 | 22992 | 27542 | |
51-55 | 20455 | 26464 | 31436 | 35714 | |
56-60 | 29251 | 37695 | 44674 | 50676 | |
61-65 | 38868 | 50344 | 59821 | 67965 | |
66-70 | 57781 | 75215 | 89603 | 101958 | |
2 Adults + 3 Kids | |||||
18-35 | 9442 | 11979 | 14083 | 15900 | |
36-45 | 13420 | 17210 | 21360 | 24209 | |
46-50 | 19294 | 24936 | 33556 | 41517 | |
51-55 | 27476 | 36723 | 43718 | 49733 | |
56-60 | 39826 | 51602 | 61326 | 69680 | |
61-65 | 49549 | 64389 | 76637 | 87157 | |
66-70 | 71518 | 93280 | 111232 | 126644 | |
2 Adults + 1 Kid | |||||
18-35 | 5117 | 6292 | 7275 | 8128 | |
36-45 | 6692 | 8362 | 9755 | 10964 | |
46-50 | 10505 | 13378 | 15764 | 17825 | |
51-55 | 13434 | 17231 | 20381 | 23097 | |
56-60 | 19732 | 25179 | 29688 | 33571 | |
61-65 | 25518 | 32788 | 38801 | 43974 | |
66-70 | 38157 | 49410 | 58705 | 66694 | |
1 Adult + 2 Kids | |||||
18-35 | 6219 | 7435 | 8643 | 10003 | |
36-45 | 8308 | 10004 | 11720 | 13655 | |
46-50 | 10819 | 13790 | 16258 | 18389 | |
51-55 | 14994 | 19283 | 22837 | 25901 | |
56-60 | 21847 | 27960 | 33018 | 37372 | |
61-65 | 28188 | 36299 | 43005 | 48772 | |
66-70 | 40119 | 51991 | 61795 | 70220 | |
1 Adult + 3 Kids | |||||
18-35 | 6728 | 8545 | 9972 | 13157 | |
36-45 | 9783 | 11895 | 13985 | 18398 | |
46-50 | 15841 | 20395 | 24166 | 27415 | |
51-55 | 19674 | 25438 | 30207 | 34312 | |
56-60 | 27347 | 35192 | 41677 | 47254 | |
61-65 | 34195 | 44200 | 52464 | 59567 | |
66-70 | 49931 | 64893 | 77244 | 87852 | |
Premiums are exclusive of service tax and cess |