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Chola MS Family Healthline- Superior

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 10 lakh.


Suited for

It is suitable for a young and growing family.


What does it do?

This is the second variant of Family Healthline policy. It offers a family floater cover 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. In addition to these benefits, the policy pays for domiciliary treatment i.e, treatment taken at home, maternity expenses and a daily cash amount in event of an insured minor being hospitalized. This policy comes with a co-payment clause whereby, policyholder will need to pay 10 per cent of admissible claim each time except in case of treatments which already contain a co-pay clause specific to them. Co-pay clause can be waived by paying additional premium. 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 provides an option to waive off the co-payment clause.
It is available online for purchase.
Policy premium qualifies for taxation benefit under section 80D of Income Tax Act.


Cons

The co-payment clause requires policyholder to pay 10 per cent of the admissible claim.
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

Co-pay clause acts as a limitation. Check the additional premium amount required to waive the co-pay clause. Otherwise look for a policy without co-pay clause. There are sub-limits on room rent and boarding expenses. If you are young and healthy, there are many policies available in the market without such clause.

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) 
Maximum10 lakh
Minimum4 lakh
Policy Term (years)1
No Claim Bonus5% of Sum Insured for each claim free year
Pre Policy Medical Check UpNot required upto 55 years of age
Grace Period for Policy Renewal15 days
Co Payment ClausePolicyholder has to bear 10% of the admissible claim amount
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 500 per day for upto 7 days with 1 day deductible
General health check-up & eye examination0.75% of Sum Insured per family
Emergency ambulance2000
Home hospitalizationupto 15% of Sum Insured maximum of Rs 70000
Maternity expensesRs 15000 for normal delivery and Rs 25000 for caesarean
Minor accompaniment daily cashRs 250 per day for max 7 days with 1 day deductible
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)
4 lakh6 lakh8 lakh10 lakh
2 Adults
18-359359125211740220902
36-4512963173432455229624
46-5020579280304062748991
51-5525441324134982359958
56-6035640455156697080328
61-65445935731684239102112
66-706444683481123772150459
2 Adults + 1 Kid
18-3511606150782077424378
36-4515160203272867433799
46-5024705337724237450136
51-5529888381865253962525
56-6039907510527276686333
61-65513806617390789107967
66-7072749943371312201,75,850
2 Adults + 2 Kids
18-3512567163102365427479
36-4517350227933106636194
46-5027275348134565455389
51-5537995488696089671469
56-6050897655338160895837
61-656483383900104741123273
66-7098703128538160959189952
2 Adults + 3 Kids
18-3516039194772653431946
36-4523714267393650144114
46-5036171465365795768035
51-5546593601997516588392
56-606421883087103715122055
61-6579547103289129158152232
66-70114153148895186596220357
2 Adults + 1 Kid
18-359229115951468017447
36-4512109158862037824375
46-5018378230902843033016
51-5523256294463643642460
56-6032580413975121359788
61-6541711534326637177768
66-70616267968099430116979
1 Adult + 2 Kids
18-3510922136711851423117
36-4514707186492693533726
46-5020850270633704344300
51-5526786345444566054596
56-6036710473216247374044
61-6545747596647805692763
66-706616887009113172134615
1 Adult + 3 Kids
18-3511926159592099625640
36-4516339204742513329158
46-5026781341634237449553
51-5533082423955274361800
56-6044569571967110883384
61-65553747143689044104657
66-7080165104109130195153466
Premiums are exclusive of service tax and cess

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