Chola MS Classic Health Family Floater Plan

Product Overview

Chola MS Classic Health Family Floater Plan is an inpatient hospitalization policy, admission as an inpatient for a minimum period of 24hrs is required, except for day care treatments.

Unique Features of Chola MS Classic Health Family Floater Plan

• No Co-payment/Ayurvedic Treatment Covered
• Pre Hospitalisation-60 days/Post Hospitalisation-90 days
• Some Organ Specific are Covered after 1 year like Cataract Benign Prostatic Hypertrophy Hysterectomy etc
• Hospital Daily Allowance Covered
• External Aids and Appliances Covered
• Home Nursing Care Allowance Covered

Critical features of Chola MS Classic Health Family Floater Plan

• Room rent:
  Limits imposed towards room and ICU rent expenses

1. Room Rent-(Up to Rs 1000/- for Sum Insured 1 Lac)(Up to Rs 1500/- for Sum Insured 2 Lacs)(Up to Rs 2000/- for Sum Insured 3 Lacs)
2. Room Rent-(Up to Rs 2500/- for Sum Insured 4 Lac)(Up to Rs 3000/- for Sum Insured 5 Lac)

• Co-Pay:
  Specific % of admissible claim amount to be borne by Insured
  This Plan does not have co-payment clause
• No Claim Bonus:
  Health Insurance policies may offer Cumulative Bonus wherein for every claim free year, the Sum Insured is increased by a certain percentage at the time of renewal
  5% of basic sum insured up to a maximum of 50 % for each unclaimed year in case opted for(The cumulative bonus is reduced by 5 % of sum insured once a claim is made)
• Pre-Existing Diseases:
  Means any condition, ailment or injury or related condition(s) for which you had signs or symptoms, and / or were diagnosed, and / or received medical advice/ treatment, within 48 months prior to the first policy issued by the insurer
  This plan has a waiting period of 4 years is case of pre-existing diseases

Eligibility Criteria

• Minimum Age of Entry:- 91 days
• Maximum age of Entry:- 65 years
• Renewal Age:- Life Long Renewal
• Sum Insured:- Rs. 1 lakh to Rs. 5 lakhs
• Policy Tenure:- 1yr
• Premium Calculated on Basis of:- Age, (i.e. sum Insured Chosen)

Waiting Period

• Covered from Day 1:
  Accidental Injuries.
• Covered after 30 Days:
  All incidences apart from specified surgeries, Permanent exclusion & Pre-existing diseases (if any)
• Covered after 1 Years:
  Cataract, Benign Prostatic, Hypertrophy, Hysterectomy for Menorrhagia, or Fibromyoma, Hernia, Hydrocele, Fistula in anus, Piles, Congenital Internal anomaly, Sinusitis & related disorders.

Exclusions

• Treatment with alternative medicines like acupuncture, acupressure, osteopath, naturopathy, chiropractic, reflexology and aromatherapy.
• Treatment arising from or traceable to pregnancy (whether uterine or extra uterine) and childbirth including caesarean section, and/or any treatment related to prenatal and postnatal care.
• All expenses related to AIDS and related diseases.
• Use/Abuse of intoxicating drugs or alcohol,any hazardous activities.
• War or any act of war, invasion, intentional self-injury or attempted suicide.
• Treatment of obesity,,Cosmetic treatments,mental disorders,external congenital diseases.
• Personal comfort and convenience items or services.

 

Note: Any claims arising out of or attributable to any of the following is not covered

Tax Benefits

The premium paid for health insurance policy is liable to get a tax rebate under section 80D of the Income Tax Act, 1961.

Claim Process

In case you would like to know about the Claim Process or would like to register a Claim please click the link below

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