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 | [email protected] |
| 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 |
Additions to the Plan
| 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. |
| Annual Premium | |||||
| Age (in years) | Sum Insured (in Rs) | ||||
| 4.50 lakh | 5.50 lakh | 7.50 lakh | 10 lakh | ||
| < 18 | 4735 | 5230 | 5719 | 7121 | |
| 18 - 25 | 8299 | 9095 | 10080 | 12509 | |
| 26 - 30 | 9187 | 10091 | 11185 | 14041 | |
| 31 - 35 | 10077 | 11087 | 12291 | 15574 | |
| 36 - 40 | 11992 | 13235 | 14698 | 18662 | |
| 41 - 45 | 13087 | 14461 | 16059 | 20549 | |
| 46 - 50 | 14939 | 16753 | 18847 | 24753 | |
| 51 - 55 | 17383 | 19494 | 21888 | 28970 | |
| 56 - 60 | 26517 | 29360 | 32656 | 42320 | |
| 61 - 65 | 30971 | 34351 | 38196 | 50001 | |
| Chola Wellness Service (Optional) | Rs 500 per Individual | ||||
| Premiums are exclusive of service tax and cess | |||||
