Chola MS Family Healthline - Advanced Plan

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Chola MS Family Healthline- Advanced

	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

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