Chola MS Family Healthline - Standard Plan

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Chola MS Family Healthline- Standard

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 5 lakh.
Suited for		It suits you if you are looking for a basic medical insurance.
What does it do?		This is the first and the most basic variant of Family Healthline policy. It covers on a family floater basis which means the 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. 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.
What does it do?		This is the first and the most basic variant of Family Healthline policy. It covers on a family floater basis which means the 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. This policy offers additional discount on premium if policyholder agrees for a co-payment clause wherein, the policyholoder will have to bear 10 per cent of admissible claim each time except in case of treatments which already contain a co-pay clause specific to them. 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 is available online for purchase. Policy premium qualifies for taxation benefit under section 80D of Income Tax Act.
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.
Cons		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		Like other basic insurance plans it offers to cover hospitalisation expenses but co-payment clause acts as a deterrant. You should avoid co-pay if you are young and healthy. Such clauses are usually attached to Senior Citizen policies. Lifetime renewal is an advantage. There are sub-limits on room rent and boarding expenses. Check for the additional premium required to waive the co-pay clause else go for policy from other insurers which donot ask for any co-payent.
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	5 lakh
Minimum	2 lakh
No Claim Bonus	5% of Sum Insured for each claim free year
Grace Period for Policy Renewal	15 days
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 250 per day for upto 7 days with 1 day deductible
General health check-up & eye examination	0.5% of Sum Insured per family
Emergency ambulance	1000

 

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

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