Cholamandalam Health Insurance

Chola MS General Insurance Company has been formed as a joint venture between two leading companies – the Murugappa Group and Mitsui Sumitomo Insurance Company Limited. The Murugappa Group is a leading Indian financial services company with its name established in the gold loan segment. Mitsui Sumitomo, on the other hand, is a Japan-based insurance company with multinational operations. Chola MS offers different types of general insurance policies whether it is for individuals or for corporates. Health insurance plans are also offered by the company in different variants so that they can fulfil individual coverage requirements.

Things to know about Chola MS

Here are some facts about Chola MS which make the company a formidable insurance player in the market –

1. The company is spread across India with a network of 87 branches and more than 34,000 agents selling its products
2. Ever since the company was established, it has been growing at a steady pace. In the year 2018, the company crossed the INR 40 million mark and collected a Gross Written Premium of INR 41, 026 million
3. The company has won various awards in the field of insurance. Some of these awards include the Golden Peacock Award for Risk Management, Best CSR Practice Award, etc.
4. The company has more than 89 lakh customers and it has an average claim settlement of 2.2 lakh claims in a year

Key features of Cholamandalam health insurance plans

Besides other general insurance plans, Chola MS also offers a variety of health insurance plans which have the following key features –

1. All health plans offered by the company promise lifelong renewals without any cover ceasing age
2. Indemnity health plans offered by the company cover the cost of hospitalisation in case of any injury or illness
3. Fixed benefit plans are also offered by the company which pay a lump sum benefit irrespective of actual medical costs that you incur
4. The premiums that you pay for Cholamandalam health insurance plans are allowed as a deduction under Section 80D of the Income Tax Act

Why choose Cholamandalam health insurance plans?

Here are some reasons which make Cholamandalam health insurance plans ideal solutions for your health insurance needs –

1. Cholamandalam health insurance offers a good combination of inbuilt as well as optional coverage benefits
2. The premiums of the plans are low and competitive allowing you to enjoy affordable health insurance coverage
3. A range of discounts are offered under Cholamandalam health insurance plans which help in lowering the premium that you pay
4. The company offers a Slice of Health Program which promotes healthy living among its policyholders
5. The company’s claim process is easy and it is tied up with all leading hospitals in the country to offer you cashless claim settlements

Health insurance plans offered by Chola MS

Chola MS offers four types of health insurance policies which are discussed below –

1. Chola Healthline Plan

Chola Healthline is a comprehensive health insurance plan which covers the actual hospitalisation costs. The plan is, therefore, an indemnity oriented health insurance plan offered by the company. The plan has an extensive scope of coverage which allows coverage for most medical costs. The salient features of the plan are as follows –

1. The plan is offered in four variants which are Value Healthline, Freedom Healthline, Enrich Healthline and Privilege Healthline. The sum insured and coverage features vary across the different variants
2. Maternity and newborn baby coverage is available with Privilege Healthline variant
3. The sum insured is doubled for critical illnesses and accidental claims under Enrich and Privilege plan variants
4. Free health check-ups are available in all variants except Value Healthline
5. You get premium discounts for choosing long term coverage and also depending on your location
6. No co-payment is applicable under any variant of the plan except the Value Healthline variant

Eligibility conditions of Chola Healthline Plan

Entry age	Adults – 18 years to 65 years Dependent children – 90 days to 26 years
Sum insured	INR 2 lakhs to INR 25 lakhs
Term of the plan	1 year to 3 years
Pre-entrance health check-ups	Not requireduntill 45 years of age
Waiting period for pre-existing illnesses	48 months
No claim bonus	5% increase in the sum insured after every claim-free year subject to a maximum of 25% for Value plan, 50% for Freedom and Privilege Plan. For Enrich Plan, the no claim bonus is a 50% increase in the sum insured subject to a maximum of 100%

2. Chola MS Critical Healthline Plan

This is a critical illness policy which offers the payment of a fixed amount if the insured suffers from any of the covered critical illnesses. This benefit can then be used by the policyholder for meeting any type of financial requirement. The salient features of Chola MS Critical Healthline Plan are as follows –

1. There are two plan variants which are Standard and Advanced
2. Standard Plan covers 10 critical illnesses while the Advanced Plan covers 12 critical illnesses
3. Ambulance charges of up to INR 1000 are also covered under the Advanced Plan

Eligibility conditions of Chola MS Critical Healthline Plan

Entry age	5 years to 65 years
Sum insured	INR 3 lakhs, INR 5 lakhs and INR 10 lakhs
Term of the plan	1 year
Pre-entrance health check-ups	Not required until 55 years of age

3. Chola Super Top-up Healthline Plan

This is a supplemental health insurance plan which comes with a deductible limit. If the total claims of a policy year exceed the deductible limit that you have selected, the super top-up policy would pay the exceeding claim. For instance, if the deductible limit is INR 2 lakhs and you incur two claims of INR 1 lakh and INR 1.5 lakhs in a policy year, the super top-up plan would become effective in the second claim and pay a claim of up to INR 50,000. Other features of this policy are as follows –

1. You can buy the policy on an individual sum insured or on a floater sum insured basis
2. There are two coverage options under the plan – Premier Plan and Supreme Plan
3. There are a range of sum insured and deductible options available under both plan variants for you to select from
4. There is no maximum cover ceasing age even for children
5. There are more than 7760 cashless hospitals across India at which you can avail cashless settlements
6. If three or more family members are added to the coverage, you get a premium discount ranging from 5% to 10%
7. You get a premium discount of 6% for a two-year cover and 12% for choosing a three-year coverage
8. If you buy the policy online from the company’s website, another 10% premium discount would be available
9. AYUSH treatments are also covered under the plan

Eligibility conditions of Chola Super Top-up Healthline Plan

Entry age	3 months to 70 years
Sum insured	INR 3 lakhs to INR 25 lakhs
Deductible limit	INR 1 lakh to INR 20 lakhs
Term of the plan	1 year to 3 years
Pre-entrance health check-ups	Not required until 55 years of age
Waiting period for pre-existing illnesses	Premier Plan – 48 months Supreme Plan – 36 months

4. Chola Hospital Cash Healthline Plan

This is also a fixed benefit health insurance plan which covers hospitalisation. If you are an insured member is hospitalised for 24 hours or more, the plan would pay daily cash allowance for each day of hospitalisation. This allowance is fixed and does not depend on your medical expenses. The plan, therefore, helps you meet the incidental expenses of hospitalisation which are not covered under regular health insurance policies. The features of Hospital Cash policy are as follows –

1. If you are admitted to the ICU, the cash allowance would double
2. If hospitalisation exceed a period of 20 continuous days, a lump sum convalescence benefit would also be paid
3. There are six plan variants to choose from and the daily benefit would depend on the plan option selected
4. If two members are covered under the plan you get a premium discount of 5%. The discount increases to 10% if 3 or more members are covered

Eligibility conditions of Chola Hospital Cash Healthline Plan

Entry age	Adults – 18 years to 65 years Dependent children – 90 days to 26 years. Unmarried daughters can be covered up to 36 years
Hospital daily cash benefit	INR 1000 to INR 3000
Term of the plan	1 year to 3 years
Pre-entrance health check-ups	Not required until 55 years of age
Waiting period for pre-existing illnesses	48 months

5. Cholamandalam Flexi Health Plan

Indemnity health cover is essential nowadays because of the rising number of uncertain health problems. Thus, Flexi health insurance offers you a cost-effective way of prevention against unexpected health problems with better control over your health care, selection of doctor, and choice of services. In short, it moulds itself around your life.

The notable features of the Chola MS Flexi health plan are as follows:

1. There are two types of coverages available:
• Individual cover: The insured person can avail of separate coverage for all family members, including self, parents, spouse, children, parents-in-law, and siblings, based on individual SI. Each of the covered persons will enjoy an independent sum insured limit in the same policy.
• Family floater cover: Here, self, spouse and children, up to a maximum of six family members can enjoy this coverage under one policy. The coverage for self remains mandatory, and a single sum insured floats among the members of the family.
2. A lump sum amount equal to 100% of the sum insured can be availed for unrelated claims.
3. This policy covers your alternate treatments besides allopathy.
4. The insured individual can personalize his or her sum insured, tenure, and premium mode under the policy.
5. The premium payment options are flexible. They are discussed below:
• Single premium payment before starting the date of cover: The premium needs to be paid only once before the policy commences.
• Annual payment mode: Premiums are paid on a yearly basis.
• Monthly payment mode: Premiums are paid every month.
• Quarterly payment mode: Premiums are paid every three months.
• Half-yearly payment mode: Premiums are paid every 6 months.
6. There is also the availability of a location-based premium rating system.
7. Besides, recharge benefits, i.e., an extra insured sum for related claims, are also available.
8. An additional SI for road traffic accidents of up to 25% of the insured sum, subjected to Rs. 3 lakhs or even more is also available along with this policy.
9. Daily cash benefits of Rs. 500 each day are available for the person who accompanies the insured person regularly.
10. For pre-existing diseases or conditions, the waiting period is just 36 months.
11. The availability of cashless facilities in more than 8100 network hospitals.
12. You do not require any third-party administrator for the claim processing. There is a feature of direct claim settlement for this policy.
13. The insured person also gets to opt for lifelong renewability of the policy.
14. Pre-policy health check-up is also applicable for persons who are more than 50 years old.
15. The policy incurs pre-hospitalization expenses up to 30 days, post-hospitalization expenses up to 60 days, daycare procedures, AYUSH coverage, domiciliary hospitalization expenses, organ donor hospitalization expenses, and newborn baby coverage.
16. The policy covers emergency ambulance expenses up to 1% of the sum insured to a maximum amount of Rs. 2,000 per hospitalization.
17. It offers free medical health check-ups every 2 years of a claim-free policy.
18. The Chola MS Flexi health plan facilitates reimbursement for travel and 2nd medical opinion and provides repatriation of mortality remains.

Eligibility Parameters:

Age	Adult: 18-65 years for a maximum of 6 people Children: 3 months – 26 years
Type of Policy	Individual basis and Family Floater Basis
Long term discount for a single payment	2 years- 5% 3 years- 10%
Policy Term	1 year -3 years
Sum insured options	INR 1 lakh – 20 lakhs

6. Chola Arogya Sanjeevani Plan

Medical issues can take place at any time, in the most unwanted and unexpected circumstances. And these situations can drain all of your money and make you financially unstable. So, the Chola Arogya Sanjeevani Plan takes care of all your financial needs during such medical contingencies.

The salient features of Arogya Sanjeevani Policy Chola MS are described below:

1. An individual can choose from a wide range of sum insured options and offers.
2. It covers in-patient hospitalization expenditures provided that the individual is hospitalized and treated for a minimum of 24 hours.
3. The policy offers room limits up to a max of Rs. 5000 each day.
4. It provides ICU/ICCU expenses up to Rs. 10,000 each day.
5. As per Indian law, tax benefits are also available in case of this policy.
6. There are no sub-limits on the expenses incurred while staying in an AYUSH hospital.
7. Dental treatment and plastic surgery required because of any disease or injury are covered in this plan.
8. The company also incurs expenses of daycare treatments and emergency on-road ambulances. The latter offers a max of up to Rs. 2,000 per hospitalization.
9. Pre-hospitalization expenses are also covered by this plan for a maximum of up to 30 days before the patient is admitted to an authorized hospital or nursing home.
10. Post-hospitalization expenses are covered for a maximum of up to 60 days after the patient is discharged from the hospital or nursing home.
11. There are four modes of premium payments available:
1. Monthly: The premiums are made every month.
2. Quarterly: The premiums are paid every three months.
3. Half-yearly: The premiums are paid every six months.
4. Yearly: The premiums are paid on a yearly basis.
12. The plan is available in two options:
1. Individual: The insured person can avail of separate coverage for all his or her family members, including self, parents, spouse, children, parents-in-law, and siblings, based on individual sum insured. Each of the covered persons will enjoy an independent sum insured limit in the same policy.
2. Family floater: In this case, individual self, spouse, children, parents, and parents-in-law can get the coverage under a single policy for the whole family. The single sum insured floats among all the included members of the family.
13. A pre-policy health checkup is not needed for individuals below the age of 50 years.
14. This policy is supported by more than 8,200 in-network hospitals. In these hospitals, cashless treatment facilities are provided to the insured individual.
15. The Arogya Sanjeevani Policy Chola MS policy also facilitates AYUSH coverage under Siddha, Yoga & Naturopathy, Homeopathy, Ayurveda, and Unani.
16. This insurance doesn’t offer benefits to those suffering from any already existing diseases until consecutive 48 months of consistent coverage.
17. It does not incur expenses for domiciliary hospitalization, unproven treatments, and OPD treatments.

Eligibility criteria:

Age	Adults: 18 years – 65 years Dependent children: 3 months – 25 years
Family Discount	5% (for 3-5 family members) 7% (for 6-7 family members) 10% (for 7+ family members)
Co-pay	5% – 50% (as opted)
Tax Exemption	Up to INR 25,000 for normal policyholders Up to INR 55,000 for senior citizens

7. Chola Personal Accident Plan

Accidents are uncertain, and avoiding it can be difficult. So, the Chola Accident Protection Plan secures you and your family’s future in case of uncertain and unfortunate events or unexpected accidents. It makes sure that your family gets the needful financial support in such disastrous accidents.

Here are some of the salient features of the Chola Accident Protection Plan:

1. The characteristics of Chola personal accident plan are as follows:
2. This policy covers you in cases of physical burns, bodily injuries, and even death.
3. It can be availed for your own self, dependent children, and spouse across the world.
4. Weekly compensation is available for the loss of income because of disability or death caused by accidents.
5. Fixed compensation is available when bones are fractured because of an accident.
6. Right from fractures to unfortunate permanent disabilities in case of unforeseen events, Chola personal accident plan provides reimbursements and compensations accordingly.
7. In a state of permanent total disability, the Chola MS Personal Accident Insurance plan will incur the expenses required for modifying its own vehicle or residential accommodation.
8. The company incurs expense towards the transportation of family members to the location where the insured person is in case of permanent total disability or death.
9. Daily cash allowance for hospitalization due to an accident is also available under the policy.
10. Costs are covered in terms of repatriation of mortal remains from the accident site to the hospital, cremation ground, or residence.
11. All the costs of ceremonies are also covered that are needed to perform during the time of post-cremation.
12. Fee for private tuition is available under the policy. The company will compensate the insured person’s tuition fees in case the policyholder is unable to attend school or college because of an accidental injury.
13. In case the insured person dies because of an uncertain accident within the policy period, the nominee will receive the sum insured.
14. In case of accidental injury, which leads to permanent total disability for 12 months consecutively, the company will compensate the percentage of SI as mentioned below:
1. For loss of eyesight: 100% of the sum insured
2. For loss of two entire feet or hands: 100% of the sum insured
3. Loss of one eye, foot, or one hand: 100% of the sum insured
4. Complete loss of hearing and speech: 100% of the sum insured
5. Complete loss of hearing, speech, loss of one leg, or loss of one eyesight: 100% of the sum insured
15. Compensations are also available for a permanent partial disability that typically lasts for up to 12 months, caused by accident ranging from 2% to 50% of the sum insured.
16. The policy also covers the expenses incurred for the modification of the policyholder’s vehicle and home.

Eligibility criteria Chola Accident Protection Plan:

Age	16 years – 69 years Dependent children under 25 years can be covered
Sum Insured	INR 5 lakhs – 1 crore
Policy Period	1 year

8. Chola Covid 19 Plan

COVID-19 cases are rising each passing day. So, proper health insurance is an utmost necessity to protect yourself and your family from this deadly virus. Chola MS thus comes with its COVID-19 insurance plan that offers massive benefits, along with financial strength, to the insured person when he or she is diagnosed with COVID-19 during the period of the policy.

Here is a quick look at the main features of the Chola Covid 19 Plan:

The intrinsic features of the policy are described below:

1. The base cover offers lump sum advantages equal to 100% of the sum insured when he or she is diagnosed with COVID-19, provided that the test is conducted in an authorized COVID-19 testing centre. It is a one-time benefit applicable for the entire tenure of the policy.
2. There is the availability of daily cash benefits too. In other words, daily benefits for every 24 hours of quarantine and hospitalization are available up to a maximum of 15 days. However, a daily cash benefit is applicable at the policy level. It will not differ for the covered individuals under the policy.
3. The policy offers a daily cash benefit of Rs. 250-1000. This benefit is an additional coverage and lies the base SI.
4. Benefits are also available during the loss of a job. 50% of the sum insured is offered per month up to a maximum of 3 months when the insured person loses his or her job because of COVID-19 or when in quarantine.
5. It doesn’t require a medical health check-up for buying this insurance policy.
6. The proposer should be a minimum of 18 years old on the starting date of the policy.
7. Insurance is available for individual self or all family members, including spouses, up to 2 dependent children, and parents.
8. Each covered person will have an independent limit of sum insured within the same policy.
9. The policy premium needs to be paid at once altogether before the beginning of the date of coverage.
10. The insurance plan comes with a waiting period of 16 days.
11. The insurance and its benefits can be availed only in India.
12. This policy does not apply to those who got tested positive for COVID-19 before the beginning of the plan or who was long ago detected with COVID-19, but it is completely cured now.
13. It is also not applicable for the insureds who travelled outside India in the past 3 months.

Eligibility criteria:

Age	Children: 3 months-25 years Adult: 18-65 years
Policy Period	1 year
Sum Insured	INR 10,000 INR 50,000
Daily Cash Benefit	INR 250/ INR 500/ INR 750/ INR1000 (it depends on the base sum insured)

Coverage benefits under Cholamandalam health insurance plans

The health insurance plans offered by Cholamandalam have a range of coverage benefits which provide coverage for different types of medical expenses. The common coverage features which are available under Healthline and Super Top-up Plans are as follows –

1. Hospitalisation expenses

   Under this head, the expenses incurred on hospitalisation of 24 hours or more are covered. These expenses include room rent, doctor’s fee, anaesthetist’s fee, surgeon’s fee, ICU Room rent, cost of blood, oxygen, medicines, etc. are covered. Coverage for hospitalisation expenses is covered up to the sum insured.

2. Pre hospitalisation expenses

   This covers the expenses covered if they are incurred before hospitalisation. Such expenses incurred include doctor’s fees, consultation charges, medicines, diagnostic tests, etc.

3. Post hospitalisation expenses

   Under this cover, expenses incurred after you are discharged from the hospital are covered. These expenses are incurred on monitoring your health and on diagnostic tests incurred on reviewing your recovery are covered.

4. Ambulance costs

   Costs incurred on hiring an ambulance for taking you to the hospital are covered under this head

5. Daycare treatments

   While hospitalisation cover covers the costs incurred when you are hospitalised for 24 hours or more, there are treatments which do not require hospitalisation for 24 hours. This is because of the advancement of medical technology due to which the treatments are done within a few hours. Such treatments are called daycare treatments and Cholamandalam health insurance plans cover specified or all types of daycare treatments.

6. Organ donor treatments

   Expenses incurred on harvesting an organ from a donor so that the organ can be used in your organ transplant surgery are covered under Cholamandalam health insurance plans. This coverage is available until the sum insured that you have selected.

7. Domiciliary treatments

   Treatments which you are forced to take at home are called domiciliary treatments. Such treatments are covered under Cholamandalam health insurance plans if there are no vacant hospital beds or if you are in no condition to be moved to a hospital. Domiciliary treatments can either be covered for a specified amount or up to the sum insured depending on the plan that you select.

8. Health check-ups

   Cholamandalam health insurance plans also offer you the benefit of free health check-ups at specified policy intervals. These health check-ups are allowed up to a specified limit and help you track your health and maintain a healthy lifestyle.

Other coverage benefits

The above-mentioned coverage features are the common coverage benefits which are available under both indemnity health insurance plans offered by Chola MS. Besides these coverage benefits, the following benefits can also be found in different plan variants either as inbuilt benefits or as optional covers–

1. AYUSH treatments

   AYUSH treatments involve treatments taken using Ayurveda, Unani, Siddha or Homeopathy means of medicine. These treatments are also called non-allopathic treatments and they are covered either up to the sum insured or up to a specified limit depending on the plan option that you choose.

2. Maternity expenses

   The costs incurred on pregnancy-related treatments and childbirth is also covered under some plans. Moreover, maternity benefit covers the prenatal and post-natal care which might be required for pregnant mothers. For childbirth, both normal and Caesarean deliveries are covered. There is a limit to the coverage amount available and maternity expenses are covered after a specified waiting period.

3. Newborn baby cover

   Under this cover, the newborn baby is covered from birth to three months. If the baby suffers any medical complications, the costs incurred on the required treatments would be covered.

4. Hospital cash allowance

   This offers fixed cash benefit if you or an insured member is hospitalised and the hospitalisation exceeds 24 hours. The allowance is paid per day of hospitalisation and is payable for a limited number of days in a policy period.

5. Sum insured restoration

   This is a benefit which is found in Cholamandalam health insurance plans. Under this benefit, the sum insured is refilled back to its original amount if the coverage is used up in earlier claims which occurred in the policy year. Thus, the benefit gives you the double sum insured coverage and comes in handy in case of multiple claims in a policy year.

6. Convalescence benefit

   If your hospital stay is for a long period of time, usually 10 days, the plan pays a lump sum benefit for the extended hospitalisation that you face.

Exclusions under Cholamandalam health insurance plans

Though the above-mentioned coverage benefits make Cholamandalam health insurance quite comprehensive in their scope of coverage, there are instances which are not covered by the plan. These instances are called exclusions and here is a list of common exclusions which are found in all health insurance policies offered by the company –

1. Illnesses which you suffer at the time of buying the policy. These illnesses are called pre-existing illnesses and they are excluded for a specific period called the waiting period. During this period, any complications due to the illness would not be covered
2. Illnesses which occur within 30-60 days of buying the policy are not covered
3. Specific illnesses and treatments have a waiting period of two years. During this waiting period, they are not covered
4. Any type of self-inflicted injury, deliberate physical harm and/or attempted suicides are not covered
5. Injuries or illnesses which occur due to substance abuse, addiction, criminal activities, wars, nuclear perils, etc. are not covered
6. Cosmetic treatments and circumcision are not covered
7. Dental treatments are usually excluded unless they are specifically covered by the policy
8. Cost of lenses, spectacles, hearing aids, etc. are excluded from the scope of coverage
9. Mental and congenital diseases and disorders are not covered under Cholamandalam health insurance plans
10. Participation in defence activities, hazardous sports and aviation would not be covered

How to buy Cholamandalam health insurance plans?

 When it comes to buying Cholamandalam health insurance plans, there are two ways using which you can buy the policy. They are as follows –

1. Offline

   Under the offline mode, you can buy a policy from the company’s branch office or from an agent of Chola MS. The company has more than 135 branches in India and you can approach the nearest branch office to buy the policy that you want. Alternatively, you can contact an agent of Chola MS and buy a suitable health insurance plan from him/her. Chola MS has a network of more than 8865 advisors and you can get in touch with an agent to buy Cholamandalam health insurance plan.

2. Online

   Another popular mode of buying a Cholamandalam health insurance plan is the online mode. Chola MS offers the online purchase mode for its health insurance policies. To buy online, you just have to visit the company’s websitehttps://www.cholainsurance.com/ and choose the plan that you want to buy. Provide your coverage details and the premium would be calculated. You can also choose optional coverage benefits to extend the scope of coverage. When you do so, the premium would be recalculated and displayed. Pay the premium online and you would be able to buy the plan from anywhere without having to visit the company’s branch or look for the company’s agent.

Points to remember before buying Cholamandalam health insurance

Before you proceed to buy Cholamandalam health insurance plans, here are some pointers which you should remember –

1. Ensure that you choose a suitable policy which fulfils your coverage requirements. If you want a complete scope of coverage, choose an indemnity oriented plan which covers the medical costs. If, on the other hand, you have an existing policy and want to increase your coverage, you can opt for super top-up plans as the premiums would be low. So, choose the most suitable policy as per your needs.
2. Read the coverage benefits which the policy offers and understand exactly which costs would be covered under the plan. If needed, choose the required add-ons to make the coverage customised to your needs
3. Also read through the exclusions so that you know the exact coverage benefits and the instances where the claims would not be paid
4. If you have a family who is dependent on you, buy a family floater health plan and cover all your family members under a single policy
5. The sum insured of the plan should be commensurate with the increasing medical costs. If the sum insured is low, you would face out-of-pocket expenses when the coverage proves insufficient in covering the medical costs.
6. The premium of the policy should be affordable so that you can easily renew the plan regularly without fail and enjoy lifelong coverage

How to renew Cholamandalam health insurance plans?

Renewal of Cholamandalam health insurance plans is also simple. The online portal of the company offers you an easy and instant renewal of your policy. Just visit the company’s website and choose to renew the plan. Thereafter you would have to enter in your policy details to check your existing plan. If you want you can make changes in your existing policy and then renew. To renew you would have to pay the renewal premium online and your policy would be instantly renewed.

Making a claim under Cholamandalam health insurance

A health insurance policy proves useful when you face an illness or an injury and need to be hospitalised for treatments. In that case, a claim occurs in your health insurance plan. To make a claim in the policy, you should take the following steps –

1. Inform Chola MS of your claim immediately
2. Fill up a pre-authorization form if you want the cashless settlement of your claims. The form is available at the networked hospital at which you are taking treatment and also on the website of the insurance company. The form should be filled and submitted in time. For planned hospitalisation cases, the form should be submitted to Chola MS at least 3-4 days before you are actually hospitalised. For emergency hospitalisations, however, you can get the form from the hospital and submit it within 24 hours of your hospitalisation
3. Once the company receives the pre-authorization form, your claim would be processed and approved
4. Once the claim is approved, the hospital would give you cashless treatments. The medical expenses associated with your treatments would be automatically settled by Chola MS with the networked hospital
5. After you are discharged from the hospital, fill up the claim form and submit it to the insurance company with the relevant documents needed for the claim
6. The company would assess the documents submitted and then complete the claim settlement process
7. If, on the other hand, you take treatments at a non-networked hospital, you should bear your medical costs from your own pockets. After being discharged from the hospital, fill up the claim form and submit the details of the expenses that you have incurred. Based on the documents submitted, the insurance company would reimburse you for the costs that you have incurred

Documents required for claim settlements

To get your claims duly settled, the following documents would have to be submitted to Chola MS –

• The claim form, filled and signed by the policyholder
• Policy bond
• Discharge summary collected from the hospital
• All the original medical bills and hospital bills associated with your treatment
• All the original medical reports and hospital reports associated with your treatment
• Doctor’s prescriptions where the hospitalisation has been advised
• Any other type of document which Chola MS might need based on your claim

Review of Cholamandalam health insurance

Chola MS offers a good range of health insurance plans of all kinds so that all your health insurance needs can be met. These plans offer a range of sum insured levels under different plan variants so that you can choose the coverage that you need. The premiums are low and there are different types of discounts which make the premiums more affordable. So, you can buy Cholamandalam health insurance plans without a doubt and enjoy a good scope of coverage.