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

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/

Policy Term (years)

1

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.