Chola MS Classic Health Individual Plan

Product Overview

Chola MS Classic Health Individual Plan is an inpatient hospitalization policy, which covered inpatient treatment for a minimum period of 24hrs, along with other benefits like day care treatments, Ayurvedic treatment, etc.

Unique Features of Chola MS Classic Health Individual Plan

• Ayurvedic Treatment Covered under this plan
• Pre Hospitalisation-60 days/Post Hospitalisation-90 days
• Some Organ Specific are Covered after 1 year like Cataract Benign Prostatic Hypertrophy Hysterectomy etc

Critical features of Chola MS Classic Health Individual Plan

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

1. Single Room for Sum Insured 1.5 Lacs to 10 Lacs
2. Shared Room for Sum Insured 50 Thousand to Lacs

• Co-Pay:
  Specific % of admissible claim amount to be borne by Insured

1. This Plan has Hospitalisation Class Co-pay
2. For Sum Insured of Rs 50,000 to Rs 1 Lac-15% if opted Class B, 25% if opted Class A
3. For Sum Insured of Rs 1.5 Lac- to Rs 7.5 Lacs-15% if opted Class A

• 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. 50 thousand to Rs. 10 lakhs
• Policy Tenure:- 1yr
• Premium Calculated on Basis of:- Age, (i.e. sum Insured Chosen)

Add-ons

• General Health and Eye Checkup:
  All insured persons underthis policy will be eligible for a General Health and Eye Check Up upto limits mentioned in the schedule of benefits.
• Hospital Daily Allowance:
  Per day allowance for hospitalisation as mentioned in the schedule of benefits, limited to per person and per policy period.

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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