Chola MS Healthline Plan

Product Overview

Unique Features of Cholamandalam MS Healthline Plan

• Double Sum Insured - For Critical illness and Accidents (Enrich Plan)
• No Claim Bonus up to 100% of the Sum Insured (Enrich Plan)
• Non-Allopathic Treatment Like - Ayurveda / Unani /Sidha / Homeopathy treatments are covered under this plan
• No Co-payment clause under this policy (Freedom & Enrich Plan)
• Pre-Hospitalisation expenses -upto 60 Days covered/ Pre-Hospitalisation expenses - upto 90 days covered (Freedom & Enrich Plan)

Critical features of Cholamandalam MS Healthline Plan

• Room rent:
  Limits imposed towards room and ICU rent expenses
  This Plans has 3 variants Value Healthline,Freedom Healthline,Enrich Healthline
  Single occupancy AC room(except 2 lacs sum insured maximum limit is up to 3000 per day)
• Co-Pay:
  Specific % of admissible claim amount to be borne by Insured
  10% of the claim as co payment(for claims from customers over 55 yrs) in Value Healthlineplan
• 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

1. Value Healthline Plan - 5% of basic sum insured up to a maximum of 25 % for each unclaimed year in case opted for(The cumulative bonus is reduced by 5 % of sum insured once a claim is made)
2. Freedom Healthline Plan- 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)
3. Enrich Healthline Plan- 50% of basic sum insured up to a maximum of 100 % for each unclaimed year in case opted for.(The cumulative bonus is reduced by 50 % 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:- Children-91 days to 26 years/Adults 18 years
• Maximum age of Entry:- 65 years
• Renewal Age:- Life Long Renewal
• Sum Insured:-
  Value Healthline Plan - 2 Lakhs
  Freedom Healthline Plan - 3 Lakhs,5 Lakhs, 7.5 Lakhs
  Enrich Healthline Plan - 3 Lakhs,5 Lakhs, 7.5 Lakhs,10 Lakhs
• Policy Tenure:- 1 & 2yrs
• Premium Calculated on Basis of:- Age, (i.e. sum Insured Chosen)

Add-ons

• Child Hospitalization Allowance per hospitalization:
  Allowance for the accompanying adult if an Insured child aged 18 yrs or less is hospitalized for more than 24 hours. (Enrich)
• Hospital Daily Allowance:
  Per day allowance for hospitalisation as mentioned in the schedule of benefits, limited to per person and per policy period.  (Enrich)
• Double Sum Insured:
  In the event if the insured is g diagnosed with a Critical Illness or/and requiring Hospitalization due to accidental bodily Injury, ifthe Sum Insured is exhausted or not sufficient, then  an additional Sum insured equivalent to the policy Sum insured excluding cumulative bonus will be made available for claims. (Enrich)

Additional discounts

Discount for multi-year polices - 6% discount for opting 2yr policy tenure and for 3yrs tenure 12%

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 2 Years:
  Congenital Internal Diseases, Varicose veins and Varicose Ulcers, Rheumatism and arthritis of any kind, Treatment of diseases on ears/ tonsils /adenoids/ paranasal sinuses / Deviated Nasal Septum, Stones in the Urinary and Biliary systems, Gastric or Duodenal Ulcer, Any type of benign Cyst/ Nodules/ Polpys/ Tumours/ Breast Lumps, Intervertebral Disc Prolapse, and Degenerative Disc / vertebral Disorders, Cataract, Benign Prostatic Hypertrophy, Myomectomy, Hysterectomy unless because of malignancy, Dilatation and curettage (D&C) Anal Fistula, Fissure and Piles, All types of Hernia, Hydrocele, Chronic Renal Failure and Joint replacement Surgery unless because of accident.

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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