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 15 lakh.

Suited for

It is suitable for a young and growing family.

What does it do?

This is the third variant of Family Healthline policy. It offers a family floater cover where 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. Insurer further widens the coverage by including OPD dental treatment, ayurvedic treatment and external aids such as contact lenses, spectacles etc. 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

A comprehensive policy meant for young and a growing family that allows lifetime renewal. Co-payment clause acts as a limitation. Check the additional premiums required to waive Co-pay clause. Try to avoid such clauses if you are young an healthy. It also caps room rent and boarding expenses which is another deterrent.

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

Policy Term (years)

1

Sum Insured (Rs)

Maximum

15 lakh

Minimum

6 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

Grace Period for Policy Renewal

15 days

Co Payment Clause

Policyholder has to bear 10% of the admissible claim amount

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

customercare@cholams.murugappa.com

Call to

044-3044 5400, 1800-200-5544 (Toll Free)

SMS

SMS "CHOLA" to 56677

Network Hospitals

Http://www.cholainsurance.com/nwhosp/

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 500 per day for upto 14 days with 1 day deductible

General health check-up & eye examination

1.0% of Sum Insured per family

Emergency ambulance

3000

Home hospitalization

upto 25% of Sum Insured, maximum Rs 1 lakh

Maternity expenses

Rs 25000 for normal delivery and Rs 40000 for caesarean

Minor accompaniment daily cash

Rs 250 per day for max 14 days with 1 day deductible

Outpatient dental treatment

1% of Sum Insured s.t, max of Rs 5000 with 30% co-payment

Ayurvedic treatment( only for specific treatments mentiond in policy document)

7.5% of Sum Insured with 20% co-payment applicable

External aids (specs, contact lenses, hearing aids once in a block of 2 years)

1% of Sum Insured, max Rs 5000 with 30% co-payment

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

Cosmetic, beauty or slimming treatment.AIDS or any related illnessTreatment of any mental or related disease