Chola MS Top Up Healthline Plan

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Chola MS Top Up Healthline

	Objective			A top-up policy that becomes active only with medical expenses above a certain limit. It is meant to be bought as an additional policy to take care of hefty claims.
Suited for			This policy is more effective for those who already have a basic health insurance cover and wish to increase the protection further. Those who do not hold any health insurance policy may also go in for this policy if they can pay small medical bills that are not covered by the top-up policy. This policy is available for both individual and family on a floater basis.
What does it do?			It is a top up plan that gets activated only when the claim crosses the deductible limit. A deductible is that portion of claim which has to be borne either by an existing policy or by the policyholder himself. In this plan, deductible limit applies afresh each time insured person is hospitalized during the policy term. For instance, an insured accesses hospitalisation services twice during a policy term. For the first time the total medical expenses amounted to Rs 2 lakh and Rs 2.5 lakh during second hospitalisation. If the deductible limit on his policy was Rs 3 lakh, the policyholder will not receive insurance benefit of this policy as the admissible claim expenses were below the deductible limit each time. This policy offers a wide range of deductible starting from as low as Rs 30,000 up to Rs 5 lakh. It covers hospitalisation expenses including doctor's fee, nursing, room charges up to the daily limit stated in the policy document, ICU charges, oxygen, OT charges, anesthesia and other expenses incurred as an inpatient. This plan can be bought as an individual or as a family floater policy.
Pros			Premiums paid under this plan qualify for deduction under Section 80D of Income Tax Act. Policyholder can escape from hassle of paying premiums annually by selecting a higher policy term of 2 or 3 years. It provides for lifelong renewals as there is no policy ceasing age. There is no need to undertake pre-policy medical check up upto 55 years of entry age.
Cons			There is capping on room rent expenses. Deductible applies afresh on each claim.
Our View			Add-on plans are not intended to duplicate the existing cover, these plans are rather meant to pay for higher claims which are beyond the reach of basic insurance plans. Instead of buying another insurance policy, a top up is recommended if your current insurance cover seems inadequate. The only constraint to this product is that threshold limit applies to every single treatment undertaken as an inpatient in a hospital. In contrast, there are certain policies in the market that cover each hospitalisation after the expenses of previous hospitalisation(s) put together exceed threshold. Such top-up policies have an edge over the policies where deductible applies on each claim.
Eligibility
Entry Age (years)
Minimum		18, 3 months for children
Maximum		65; 35 for dependent girl child and 25 for dependent male child
Maximum Policy Renewal Age (years)		Life long
Coverage Type		Individual/ Family floater
Policy Term (years)		1 or 2 or 3
Sum Insured (Rs)
Maximum		15 lakhs over and above deductible
Minimum		50000 over and above deductible
Pre Policy Medical Check Up		Mandatory beyond 55 years of age. 50% of medical cost will be reimbursed
Grace Period for Policy Renewal		15 days
Policy Termination		Policy may be terminated by giving a 15 days written notice by either parties. In case no claim has been made under the policy, a pre defined percentage of premium will be refunded. Insurance company will retain a part of premium for coverage provided.
Customer Service
Address		Cholamandalam MS General Insurance Company Limited Dare House 2nd floor, No 2 N.S.C. Bose Road, Chennai 600 001
Mail to		customercare@cholams.murugappa.com
Call to		1800 200 5544
SMS		CHOLA to 56677
Network Hospitals		Http://www.cholainsurance.com/nwhosp/

 

	Scope of Cover
Cahless facility		available if treatment availed in a cashless hospital
Reimbursement facility		available if treatment taken in any other non-empanelled hospital
Pre and post hospitalisation		covers pre hospitalisation for 60 days before hospitalisation upto 5% of admissible claim and post hospitalisation for 90 days upto 10% of admissible claim upto maximum of Rs 50000
Inpatient hospitalisation		covered
Room Rent		covered with sub-limits
Emegency ambulance		covered upto Rs 3000 per hospitalisation

 

	Exclusions and Waiting Period
Pre existing diseases		will be covered after a period of 4 years of continuous renewal.
No claim period		30 days starting from the inception of the policy
Waiting Period		certain diseases such as cataract, hernia piles etc will be covered after first policy year has elapsed. Other diseases such as hypertension, diabetes, varicose veins etc. will be covered after a waiting period of 2 years.
General Exclusions		Expenses towards out patient treatmentCost of organ transplantDomiciliary treatmentPlastic Surgery, slimming or any other beauty related treatments.All diseases or conditions caused by or related to HIV or AIDS.Naturopathy and non allopathic treatment.Any condition arising due to involvement in any illegal or criminal activity

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