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About 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

  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 Why choose Cholamandalam health insurance plans
  5. Here are some reasons which make Cholamandalam health insurance plans ideal solutions for your health insurance needs:
    • Cholamandalam health insurance offers a good combination of inbuilt as well as optional coverage benefits
    • The premiums of the plans are low and competitive allowing you to enjoy affordable health insurance coverage
    • A range of discounts are offered under Cholamandalam health insurance plans which help in lowering the premium that you pay
    • The company offers a Slice of Health Program which promotes healthy living among its policyholders
    • 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

Cholamandalam Claim Settlement Ratio

95%

Cholamandalam

94.21%

Industry Average

Health claim settlement ratio is the percentage of claims settled against the total claims received by the insurance company in a given fiscal year. Cholamandalam has a claim settlement ratio of 95%, as compared to the industry average of 94.21%.

Cholamandalam Health Insurance Plans Overview

Cholamandalam health insurance offers 7 health insurance plans. The premium of these plans starts from Rs. 180/yr. The sum insured ranges from Rs. 1,000 - 25 Lakh. Details of the comprehensive coverage provided by the following 7 Cholamandalam health insurance plans are listed below:

Chola Arogya Sanjeevani Plan

Starting Premium- ₹ 1,482/yr

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: Monthly:The premiums are made every month. Quarterly:The premiums are paid every three months. Half-yearly: The premiums are paid every six months.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

Eligible Age

91 days - 65 years

PED Waiting Period

2 years

Coverage

1 Lakh - 10 Lakh

NCB

5% increase in cover;max upto 50%

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

Eligible Age

90 days - 65 years

PED Waiting Period

3 years

Coverage

10,000 - 50,000

NCB

NA

Chola Healthline Plan

Starting Premium- ₹ 1,957/yr

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

Eligible Age

91 days - 65 years

PED Waiting Period

4 years

Coverage

2 Lakh - 25 Lakh

NCB

5% increase in cover;max upto 50%

Cholamandalam Top-up Plans

Cholamandalam health insurance provides 1 top-up plan. The premium of these top-up plans start from Rs. 1,452/yr. The sum insured ranges from Rs. 3 Lakh - 25 Lakh. Cholamandalam top-up plans provide enhanced coverage and added protection for your well-being. Explore the details of each Cholamandalam top-up insurance policy below:

Chola Super Top-up Healthline Plan

Starting Premium- ₹ 1,452/yr

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

Eligible Age

91 days - 70 years

PED Waiting Period

4 years

Coverage

3 Lakh - 25 Lakh

NCB

NA

Top Features From Cholamandalam Health 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

Exclusions Across Cholamandalam Health 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

  • 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
  • Illnesses which occur within 30-60 days of buying the policy are not covered
  • Specific illnesses and treatments have a waiting period of two years. During this waiting period, they are not covered
  • Any type of self-inflicted injury, deliberate physical harm and/or attempted suicides are not covered
  • Injuries or illnesses which occur due to substance abuse, addiction, criminal activities, wars, nuclear perils, etc. are not covered
  • Cosmetic treatments and circumcision are not covered
  • Dental treatments are usually excluded unless they are specifically covered by the policy
  • Cost of lenses, spectacles, hearing aids, etc. are excluded from the scope of coverage
  • Mental and congenital diseases and disorders are not covered under Cholamandalam health insurance plans
  • Participation in defence activities, hazardous sports and aviation would not be covered

Cholamandalam Premium Calculator

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Cholamandalam Customer Care

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Cholamandalam Claim Process

Cholamandalam supports both cashless claims and reimbursement claims. This section covers the information on how to check Cholamandalam health insurance claim status, fill Cholamandalam health insurance claim form, and the claim settlement process.

  1. Locate a network hospital : Find out Locate a network hospital
  2. Claim Intimation :Inform about the claim before hospitalization by filling the form here or calling customer care at 1800-208-9100
  3. Avail Cashless : Avail cashless by informing hospital insurance desk about your health insurance policy in advance before admission. Keep your policy copy and photo ID proof ready
  4. Pre authorization request : Hospital should share the pre authorization form with us within 24 hrs of admission. The form must be duly filled by the policyholder and the physician. View the form here
  5. Pre authorization/ Initial approval :We will scrutinize the documents and give pre-authorization/ initial approval if the claim is admissible within 2 hrs. We might contact the hospital if any additional details are required
  6. Final claim request during discharge: Hospital will share discharge documents and bills with us for final approval
  7. Final claim approval : We will scrutinize the documents and give final approval along with the approved amount within 2 hrs. Any inadmissible expenses, copayments, deductions will have to be paid by the policy holder

  1. Claim Intimation : Inform Chola MS about the claim before admission by filling the form here or calling customer care at 1800-208-9100
  2. Claim registration : Scan and upload all claim documents (bill, reports etc.) within 30 days of discharge here.Please ensure the documents are self-attested by customer
  3. Claim approval : Chola MS will scrutinize the documents and give approval within 7 working days. Chola MS might contact the customer if any additional details or documents are required
  4. Claim Settlement : Chola MS will make the payment through NEFT on claim approval and receipt of all documents

Cholamandalam Health Insurance Renewal Process

Renewal Process of MS Chola Health Insurance
You are required to renew your health insurance policy after frequent intervals depending on the policy term chosen. Health insurance renewal is a must to continue enjoying benefits under your health insurance plan otherwise it will lapse.
Chola MS General Insurance Co. offers a very simple renewal option via 2 methods

  1. Online Mode
  2. Offline Mode

Read below the process to renew Chola MS Health Insurance policy online or offline


Online Renewal Process of MS Chola Health Insurance
Step 1: Visit the official website of Chola MS Health Insurance. Select ‘Health’ option
Step 2: Provide your policy number and Date of Birth to proceed
Step 3: Get the premium payment amount for your Chola MS Health Insurance plan
Step 4: You will get a confirmation email upon the successful payment of premium and policy renewal.


Offline Process for Chola MS Health Insurance Policy Renewal
If you are not finding the online process convenient then you can choose the offline mode to get your Chola MS health insurance policy renewed. Call on the customer support number of Chola MS i.e 1800-208-9100 or visit their nearest branch for policy renewal. You can also easily renew your policy on
www.turtlemint.com with the help of our expert advisors or download the Turtlemint App here

FAQs

The premiums paid for health insurance plans are allowed as a deduction under Section 80D of the Income Tax Act. The limit of deduction is INR 25,000 for premiums paid for yourself, your spouse and dependent children. If you get your dependent parents covered, you can claim an additional deduction of INR 25,000. The limit increases to INR 50,000 if you and/or your parents are senior citizens. Thus, a total deduction of up to INR 1 lakh can be claimed on health insurance premiums

Yes, some Cholamandalam health insurance plans allow coverage for dependent siblings too. Check the plan’s terms and conditions if you want to cover your siblings under the policy

If you buy long term health insurance plans you get freedom from annual renewals of the policy. Moreover, you can enjoy longer coverage without the fear of lapse. Lastly, Cholamandalam health insurance plans also allow attractive premium discounts if the coverage is taken for a continuous period of 2 or 3 years.
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