Products and Services

Why Health Insurance

Life is a surprise package of joys, happiness, challenges and setbacks. Sudden illness, accidental injuries and medical emergencies can throw us off guard anytime. While they drain us emotionally, owing to the soaring prices of medical services, the hospitalization and medicinal expenses can burn a big hole in your pocket. A good health insurance policy is mandatory to combat these tough times as it covers you and your loved ones completely against sudden financial burden caused by medical emergencies. Having a good health insurance plan ensures an immense peace of mind and assurance that you can focus on the healing and recuperation of your loved ones, instead of financial worries.

Top up - HealthlineCritical HealthlineHealthline - Enrich Plan
Sum Insured Options (Rs.)- in Lakhs 0.50/ 2/ 3/ 5/6/10 /15 (Hospitalisation Sum Insured over and above the excess) Standard Critical Healthline - Flexible sum insured
Advanced Critical Healthline - Flexible sum insured
3/ 5/ 7.5/ 10
What is the coverage under the Policy? Expenses up to 60 days before hospitalisation. Up to 5% of admissible hospitalisation claim payable. Expenses up to 90 days after hospitalisation. Up to 10% of admissible hospitalisation claim payable or RS 50,000 whichever is less. In Standard - coverage is for 10 illnesses In Advanced - coverage is for 12 illnesses + ambulance cover. (on diagnosis of the listed illness mentioned in the Policy) Hospitalisation for 24hrs or more, Pre & Post hospitalisation, Day care procedures, Emergency ambulance expenses, Domiciliary hospitalisation, Child hospitalisation allowance, extended hospitalisation cover, Renewal benefit-Health check-up & Cumulative bonus, Prosthetic device inplant coverage, Organ donor cost.
Minimum Entry Age For adults - 18yrs, For child - 3months For adults - 18yrs, For child - 5 years 90 days
Maximum Entry Age For adults - 65yrs, For dependent female child - 35yrs, For dependant male child - 25yrs For adults - 65yrs, For child - 25yrs For adults-65, For dependant children normally 19 and age 20-26 if they are unmarried pursuing education & primarily dependent
Medical Check-up required No medical check-up till 55 yrs of age No medical check-up till 55 yrs of age No medical check-up till 55 yrs of age
Life covered Self, Spouse & upto 3 dependant children Self, Spouse & upto 3 dependant children Individual policy - Self, Spouse, upto 4 dependant children, parents & Parents-in-law. Floater policy - Self, spouse, upto 4 dependant Children
Renewal Age Life time Life time Life time
Reimbursement of Cost of Medical test 50% of medical test cost after approval and policy issuance 50% of the cost will be reimbursed by us after approval of policy application 100% of the cost
Claim Free Bonus Not Applicable Not Applicable 50% of Sum Insured every claim free year subject to maximum of 100% of Sum Insured; Once after 2 claim free years
Coverage for Pre-Existing Diseases After 4 Years Not Applicable After 4 Years
Waiting Period A waiting period of 30 days will apply to all claims from the commencement date of the policy except in case of injuries due to accidents. This exclusion does not apply for subsequent renewal with CholaMS without a break.Specific dieseases exclusion of one year & two years applicable. Initial waiting period of 90 days applicable. Survival period of 30 days applicable and waiting periods as mentioned in the definitions of Critical Illness applicable A waiting period of 30 days will apply to all claims from the commencement date of the policy except in case of injuries due to accidents. This exclusion does not apply for subsequent renewal with CholaMS without a break
Other Inclusions Hospitalisation includes doctors' fee, nursing, room charges (subject to per day limits as mentioned in the policy schedule), ICU charges, diagnostics, medicines, anaesthesia, blood, oxygen, operation theatre charges, surgical appliances, prosthetic and other devices implanted internally during a surgical procedure, organ donor costs. Cancer, Stroke, First Heart attack, Open chest CABG, kidney failure requiring regular dialysis, multiple sclerosis, Major organ or bone marrow transplant, Permanent paralysis of limbs, Surgery of Aorta, Primary pulmonary arterialhypertension, Parkinson's disease (Only in Advance plan), Motor neuron with persistent symptoms (only in Advance plan). Hospitalisation includes doctors' fee, nursing, room charges (subject to per day limits as mentioned in the policy schedule), ICU charges, diagnostics, medicines, anaesthesia, blood, oxygen, operation theatre charges, surgical appliances, prosthetic and other devices implanted internally during a surgical procedure.
Cashless Hospitalisation Applicable Not Applicable Applicable
Payment In Non-Network hospitals Payment must be made upfront to the hospital by customer and reimbursement will be effected on submission of relevant documents to Chola MS Not Applicable Payment must be made upfront to the hospital by customer and reimbursement will be effected on submission of relevant documents to Chola MS
No. of claims in a year No limits on number of claims. Suminsured is the limit Maximum liability - upto the Sum Insured specified in the Schedule on diagnosis of Critical Illness No limits on number of claims. Suminsured is the limit
Day care procedures (without hospitalisation) Not Applicable Not Applicable 141 Day care procedures covered
Ayurveda, Unani, Siddha & Homeopathy Treatments Not Applicable Not Applicable Ayurveda, Unani, Siddha & Homeopathy treatments covered