Chola MS Tax Plus Health Line Plan

Product Overview

Chola MS Tax Plus Healthline Plan is an hospitalization policy, which covers inpatient treatment for a minimum period of 24hrs, along with other benefits like day care treatments, Ayurvedic treatment, etc.

Unique Features of Cholamandalam MS Tax Plus Health Line Plan

• No Medical Test up to 55 years
• No Claim Bonus
• Out-patient medical expenses covered up to plan limits
• Pre Hospitalisation-60 days/Post Hospitalisation-90 days
• Some Organ Specific are Covered after 1 year like Cataract, benign prostratic hypertropy, etc

Critical features of Cholamandalam MS Tax Plus Health Line Plan

• Room rent:
  Limits imposed towards room and ICU rent expenses
  1% of the Sum Insured per day
  ICU-2% of the Sum Insured per day
• Co-Pay:
  Specific % of admissible claim amount to be borne by Insured
  Sub-limits Against Diseases

1. Cataract - 7.5% of the Section 1 SI, max RS 20,000 per eye
2. Hernia or Hydrocele -10% Section 1 the of SI, max RS 30,000
3. Fistula in Anus, Anal Fissure, Piles - 10% Section 1 of the SI, max RS 30,000
4. Sinusitis -10% Section 1 of SI, max RS 30,000
5. Tonsilitis or Adenoids -15% of Section 1 SI, max RS 40,000
6. Knee & Joint replacement surgery - 50% co-pay applicable

• 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 plans has a waiting period of 4 years is case of pre-existing diseases

Eligibility Criteria

• Minimum Age of Entry:- Children-91 days to Female-35 years,Male-25 years/Adult-18 years
• Maximum age of Entry:- 65 years
• Renewal Age:- Life Long Renewal
• Sum Insured:- 1/2/3/4/5 Lakhs
• Policy Tenure:- 1 & 2 years
• 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 Prostratic Hypertropy, Hysterectomy for Menorrhagia or Fibromyoma, Hernia, Hydrocele, Fistula, Piles, Sinusitis & related disorders, Gall stones.Spondilitis, Spondilosis, Knee / Hip joint replacement, Heart diseases, Internal congenital diseases
• Covered after 2 Years:
  sterectomy for non-malignant lesions, gall bladder stones, gastric or duodenal ulcer, all benign lumps and tumours, knee replacement surgery (other than caused by an accident), joint replacement surgery (other than caused by an accident), Spondylosis / Spondylitis and other Degenerative Disc Disorders, chronic kidney disease/chronic renal failure, Prolapses of intervertebral disc (other than caused by accident), Varicose veins and Varicose ulcers, Thyroiditis and treatment of Goitre, Fibroid in Uterus and Prolapsed Uterus Deviated Nasal Septum, Dilatation And Curettage, Gout And Rheumatism, Cataract, Sinusitis, Renal calculi, Arthritis, Glaucoma, Tympanoplasty, Mastoidectom

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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