Cholamandalam MS General Insurance Company Ltd (Chola MS) is a joint venture between the Murugappa Group, an Indian conglomerate, and the Mitsui Sumitomo Insurance Group (MSIG), a Japanese assurance company. Headquartered in Chennai, offering products like Motor Insurance, Health Insurance, Travel Insurance, Personal Accident & Home Insurance.
Features | Specifications |
Network Hospitals | 2600+ |
Waiting Period for Pre-existing Disease | 4 years |
Incurred Claims Ratio | 72.91% |
Number of Policies Issued | 75189 |
Grievances Solved | 99.56% |
Renewability | Lifetime |
Listed below are main features of health insurance plans from Chola MS:
There arenumber of reasons why you choose Chola MS Health Plans. These plans offer a host of attractive benefits which include:
Key details of each of the plans are elucidated and tabulated below:
This policy comes with three sub-plans viz.
They are similar in terms of features but differ in terms of coverage amounts/sub-limits.
Entry Age | 18 yrs. to 65 yrs. |
Policy Period | 1, 2 or 3 yrs. |
Renewability | Lifetime |
Medical Screening | Required; Costs reimbursed up to 50% (Value or Freedom Plans) and 100% (Enrich Plan) on qualification |
Basis | Individual or Floater (Family includes self, spouse, dependent children/parents/parents-in-law/siblings) |
Sum Assured | – Value Healthline: Rs.2 lakhs – Freedom Healthline: Rs.3, 5 or 7.5 lakhs – Enrich Healthline: Rs.3, 5, 7.5 or 10 lakhs No-claim Bonus: Enhancement of chosen sum assured on renewal for every claim-free year awarded in the following way – Value Healthline: 5% (max. 25%) – Freedom Healthline: 5% (max. 50%) – Enrich Healthline: 50% (max.100%) |
Premium | – Value Healthline: Rs.1,957 to Rs.24,919 – Freedom Healthline: Rs.3,801 to Rs.72,916 – Enrich Healthline: Rs.5,265 to Rs.90,212 Premiums depend on the chosen sum assured, age of insured members, policy tenure, basis of chosen plan and number of members covered. (Floater plans – premium based on age of the oldest member) |
Discounts | 6% for a 2 yr. tenure; 12% for a 3 yr. tenure |
Co-payment | 10% – Only on the Value Healthline Plan for members over 55 yrs. |
Coverage | The following expenses are met within the chosen sum assured: – Inpatient hospitalisation expenses: Room charges: For coverage option of Rs.2 lakhs: Max.Rs.3,000; other coverage options: Actuals of single A/C room – 141 day care procedures – Pre/Post-hospitalisation expenses: Up to 30/60 days respectively (Value Plan) and Up to 60/90 days respectively (Freedom or Enrich Plans) – Domiciliary Hospitalisation expenses: Up to 7 days – AYUSH treatment – Organ donor hospitalisation expenses – Ambulance costs: Rs.1,000 (Value Plan) and Rs.2,000 (Freedom or Enrich Plans) – Health-check costs: On completion of 3 / 2 claim-free year (Freedom/Enrich plans respectively) – Pre-existing diseases: After a 4-yr. waiting period |
Add-on Covers | Available on the Enrich Healthline Plan: – Cash Allowance: Rs.500 per day (max.7 days) per hospitalisation ( of a child) – Convalescence Benefit: Rs.10,000 for hospitalisation beyond 10 days – Critical Illness/Accident Cover: 2 times the chosen sum assured |
This policy features two sub-plans viz.
Basis | Family floater |
Sum Assured | Rs.3, 4 or 5 lakhs |
Premiums | Rs.5,005 to Rs.10,351 |
Co-payment | 15% compulsory; 10% voluntary (at non-network hospitals) |
Coverage | – Inpatient hospitalisation expenses: Room charges: 1% of chosen sum assured ICU: 1.5% of chosen sum assured (per day) – Costs of treating medical professionals, consumables etc. required for treatment – 141 day care procedures – Pre/Post-hospitalisation expenses: Up to 30/60 days respectively – Day care treatment: At network hospitals only – Pre-existing diseases: After a waiting period of 4 yrs. |
Add-on Covers | Personal Accident Cover: Death and Total Permanent Disablement: Rs.7.5 to 10 lakhs (self) and Rs.3.75 to Rs.5 lakhs (spouse); Rs.1.5 to Rs.2 lakhs (per child) Partial Permanent Disablement: Rs.3.75 to Rs.5 lakhs (self) and Rs.1.87 to Rs.2.5 lakhs (spouse); Rs.75,000 to Rs.1 lakh (per child) |
Entry Age | 18 yrs. to 65 yrs.; 3 months for children |
Medical Screening | Required for entrants above 55 yrs. |
Sum Assured | Rs.1 to 5 lakhs in increments of Rs.1 lakh No-claim Bonus: 5% enhancement in chosen sum assured for every claim-free year, max.50% |
Coverage | – Inpatient hospitalisation expenses: Room charges: 1% of the chosen sum assured (per day) ICU charges: 2% of the chosen sum assured (per day) – Pre-hospitalisation expenses: Up to 60 days (max. 5% of actuals) – Post-hospitalisation expenses: Up to 90 days (max.Rs.50,000) – Ambulance costs: Rs.3,000 per hospital stay – Cataract: 7.5% of chosen sum assured (max. 20,000) per eye – Hernia: 10% of chosen sum assured (max. 30,000) – Fistula/Piles: 10% of chosen sum assured (max.30,000) – Sinusitis: 10% of chosen sum assured (max.30,000) – Tonsillitis / Adenoids: 15% of chosen sum assured (max.40,000) – Knee/Joint Replacement Procedures: 50% co-payment – Outpatient cover – Pre/Post-Natal Expenses – Pre-existing diseases: After a 4-yr. waiting period – Dental – Treatment under branches of Indian medicine (not naturopathy) – Prescribed glasses, contact lenses, hearing-aids, prosthetics etc. |
This policy comprises the following plans:
Basic features are common to all plans but the amount and depth of coverage varies along with the premiums payable.
Entry Age | 18 yrs. to 65 yrs. 3 months for children |
Medical Screening | Required for entrants above 55 yrs. |
Basis | Family Floater (Family includes self, spouse, dependent children) |
Sum Assured | – Standard: Rs.2 to 5 lakhs in increments of Rs.1 lakh – Superior: Rs.4 to 10 lakhs in increments of Rs.2 lakhs – Advanced: Rs.6 to 12 lakhs in increments of Rs.2 lakhs; Rs.15 lakhs No-claim Bonus: 5% enhancement of chosen sum assured for every claim-free year |
Premium | – Standard: Rs.5,845 to Rs.1,42,297 – Superior: Rs.10,516 to Rs.2,47,593 – Advance: Rs.18,707 to Rs.3,50,661 Depends on age of insured (based on oldest member), chosen sum assured, chosen plan and family size i.e. up to two adults and 3 kids |
Co-Payment / Discounts | 10% discount on premiums, if 10% co-payment is opted for |
Coverage | – Inpatient hospitalisation expenses: Room charges (per day): Up to Rs.3,000 (Standard), Up to Rs.3,000 for Rs.4 lakh cover or 1% of the chosen sum assured for Rs.6, 8 or 10 lakhs cover (Superior) or 1% of the sum assured (Advanced) – Daily Cash Allowance: Rs.250 (Standard) and Rs.500 (Superior and Advanced); per day, up to 7 days, deductible of 1 day – Accompanying a child: Rs.250 (Superior and Advanced); per day, up to 7/14 days respectively, deductible of 1 day – Health-check costs including eye-checks: 0.5% or 0.75% or 1% of the chosen sum assured (Standard or Superior or Advanced respectively), once after 2 claim-free years – Ambulance costs: Rs.1,000 or Rs.2,000 or Rs.3,000 (Superior and Advanced, respectively), once a policy year, per insured member – Domiciliary hospitalisation: 15% or 25% of the chosen sum assured, max. Rs.75,000 or Rs.1 lakh (Superior and Advanced, respectively) – Maternity Expenses: After a 5-yr. waiting period, Rs.15,000 or Rs.25,000 (Superior and Advanced, respectively) – 141 day care procedures – Specific Ayurvedic treatment: Up to 7.5% of the chosen sum assured, 20% co-payment – Dental: After a 3-yr. waiting period, 1% of the chosen sum assured, max. Rs.5,000, 30% co-payment – External Aids: 1% of the chosen sum assured, max. Rs.5,000, every 2nd year, 30% co-payment – Cataract (per eye): 7.5% of the chosen sum assured, max.Rs.20,000 – Hernia: 10% of the chosen sum assured, max. Rs.30,000 – Fistula/Piles: 10% of the chosen sum assured, max. Rs.30,000 – Sinusitis: 10% of the chosen sum assured, max. Rs.30,000 – Tonsillitis: 15% of the chosen sum assured, max. Rs40,000 (Cataract to Tonsillitis: covered under the Standard Plan within limits mentioned above; Cataract only covered under the Superior Plan;Cataract to Tonsillitis: covered under the Advanced Plan on basis of actuals) |
Benefits | Chola MS Wellness Service: Rs.350 or Rs.500 per person (SMS reminders) |
Suited for protection of an individual, it provides three coverage options under plans titled Standard, Superior and Advanced. The sub-limits applicable to the various expenses depend on the plan chosen by the proposer and the coverage option therein.
Entry Age | 18 yrs. to 65 yrs.; 3 months for children |
Renewability | Required above the age of 55 yrs. |
Medical Screening | Required above the age of 55 yrs. |
Sum Assured | – Standard: Rs.1 to 5 lakhs in increments of Rs.1 lakh – Superior: Rs.3.5 to 5.5 lakhs in increments of Rs.1 lakh – Advanced: Rs. 4.5, 5.5, 7.5 or 10 lakhs No-claim Bonus: 5% increase in sum assured, every claim-free year |
Premiums | – Standard: Rs.2,619 to Rs.31,688 – Superior: Rs.3,136 to Rs.32,304 – Advanced: Rs.5,320 to Rs.56,181 |
Discounts | 10% discount for 10% voluntary co-payment |
Coverage | – Inpatient hospitalisation expenses: Room charges: Up to Rs.1,000 or Rs.3,000 per day depending on chosen coverage (Standard); Up to Rs.3,000 per day (Superior); Up to Rs.3,000 or 1% of chosen sum assured depending on chosen coverage – Pre/post-hospitalisation expenses: Up to 60 / 90 days – Ambulance costs: Rs.1,000 or Rs.2,000 or Rs.3,000 (Standard, Superior, Advanced, respectively) – 141 day care procedures – Daily Cash Allowance (hospitalisation): Rs.250, max. 7 days (Standard); Rs.500, max. 7 days (Superior); Rs.500, max.14 days (Advanced) per day, deductible: 1 day – Health-check costs: 0.5% or 0.75% or 1% of chosen sum assured (Standard, Superior, Advanced respectively), every 2nd claim-free yr. – Cash Allowance for accompanying a hospitalised minor (Superior/Advanced): Rs.250 per day, max.14 days; deductible: 1 day – Domiciliary hospitalisation: 15% (max. Rs.70,000) or 25 (max. Rs.1 lakh) of the chosen sum assured (Superior/Advanced respectively) – Maternity Expenses: Up to Rs.25,000 or Rs.40,000 (Superior/Advanced respectively) – Ayurvedic Treatment: Up to 7.5% of chosen sum assured; 20% co-payment (Advanced) – OPD Dental: 1% of chosen sum assured, max. Rs.5,000; 30% co-payment (Advanced) – External Aids: 1% of chosen sum assured, max. Rs.5,000; 30% co-payment; (Advanced) Cataract (per eye): 7.5% of the chosen sum assured, max.Rs.20,000 – Hernia: 10% of the chosen sum assured, max. Rs.30,000 – Fistula/Piles: 10% of the chosen sum assured, max. Rs.30,000 – Sinusitis: 10% of the chosen sum assured, max. Rs.30,000 – Tonsillitis: 15% of the chosen sum assured, max. Rs40,000 (Cataract to Tonsillitis: covered under the Standard Plan within limits mentioned above; Cataract only covered under the Superior Plan; Cataract to Tonsillitis: covered under the Advanced Plan on basis of actuals) |
Benefits | Chola MS Wellness Service: Rs.350 or Rs.500 per person (SMS reminders) |
This is a health insurance policy which enhances the cover of a basic health plan. Taken in-addition to an existing policy, this makes coverage more comprehensive.
There are 7 coverage options viz. Plan A, B, C, D, E, F and G. Each plan features a deductible which is the amount the proposer bears on admissible claims. Sub-limits on the various expenses covered under this policy also vary according to the chosen plan.
Entry Age | 18 yrs. to 65 yrs.; 3 months for children |
Policy Period | 1, 2 or 3 yrs. |
Renewability | Lifetime |
Medical Screening | Required above the age of 55 yrs. |
Basis | Individual or Floater |
Sum Assured | Plan A: Rs.50,000; applicable deductible:Rs.30,000 Plan B: Rs.2 lakhs; applicable deductible:Rs1 lakh Plan C: Rs.3 lakhs; applicable deductible: Rs.2 lakhs Plan D: Rs.5 lakhs; applicable deductible Rs.3 lakhs Plan E: Rs.6 lakhs; applicable deductible: Rs.4 lakhs Plan F: Rs.10 lakhs; applicable deductible: Rs.5 lakhs Plan G: Rs.15 lakhs; applicable deductible: Rs.5 lakhs |
Premiums | – 1 yr. policy: Rs.2,472 to Rs.14,029 – 2 yr. policy: Rs.4,749 to Rs.27,244 – 3 yr. policy: Rs.6,808 to Rs.38,802 Premiums are based on the oldest insured member and depend on chosen sum assured, number of insured members, age and policy tenure. |
Coverage | – Inpatient hospitalisation expenses: Including charges for treating medical professionals, consumables, equipment, supplies, OT etc. Up to Rs.80,000 (A); Rs.3 lakhs (B); Rs.5 lakhs (C),Rs.8 lakhs (D), Rs.10 lakhs (E), Rs.15 lakhs (F), Rs.20 lakhs (G) Room charges: Rs.500 (A), Rs.2,000 (B), Rs.4,000 (C), Rs.5,000 (D), Rs.6,000 (E), Rs.7,500 (F), Rs.10,000 (G) – Pre-hospitalisation expenses: Up to 60 days, max.5% of actuals – Post-hospitalisation expenses: Up to 90 days, max.10% of actuals (up to Rs.50,000) – Ambulance costs: Up to Rs.3,000 per hospitalisation – Pre-existing diseases: After a 4-yr. waiting period |
This plan can be taken in addition to a basic health plan to make coverage more comprehensive. Basic plans do not cover critical illnesses whereas this plan specifically targets these events.
There are two options based on the number of critical illnesses covered i.e. 1. Standard Plan: Covers 10 illnesses 2. Advanced Plan: Covers 12 illnesses
Entry Age | 18 yrs. to 65 yrs.; 5 yrs. for children |
Renewability | Lifetime |
Medical Screening | Required above the age of 55 yrs. |
Basis | Individual |
Sum Assured | Rs.3, 5 or 10 lakhs |
Premium | Standard: Men – Rs.825 to Rs.65,370 Women – Rs.776 to Rs.60,665 Advanced: Men – Rs.928 to Rs.67,018 Women – Rs.839 to Rs.61,247 Premium depends on chosen sum assured, age and gender of the insured |
Coverage | Lump sum payment on diagnosis of specified critical illnesses, subject to a survival period varying of 30 to 180 days. Standard Plan: Cancer, Stroke, First Heart Attack, CABG, Renal Failure, MS, Major Organ/bone marrow transplant, Permanent Paralysis, Aorta Surgery, Primary Pulmonary Hypertension Advanced Plan: Cancer, Stroke, First Heart Attack, CABG, Renal Failure, MS, Major Organ/bone marrow transplant, Permanent Paralysis, Aorta Surgery, Primary Pulmonary Hypertension, Parkinson’s Disease, Motor Neuron Disease + Ambulance costs: Rs.1,000 once in a policy year. |
This policy offers holders a way to meet expenses during hospitalisation. The three medical insurance plans mentioned below offer varying levels of cover. Customers can avail of this policy, based on their affordability, given the range of premiums charged under Plan A, Plan B or Plan C.
Hospitalisation expenses in this caseincludes ICU charges and extended stay and payout is given as a lump sum once claims are successfully processed.
Entry Age | 18 yrs. to 65 yrs.; 3 months for children |
Renewability | Lifetime |
Medical Screening | Required above the age of 55 yrs. |
Premium | – Plan A: Rs.762 to Rs.6,817 – Plan B: Rs.1,317 to Rs.13,355 – Plan C: Rs.1,872 to Rs.19,893 |
Discounts | 5% for every additional member covered, max.10% |
Coverage | – Hospitalisation Cash Benefits:: Rs.1,000 (A), Rs.2,000 (B), Rs.3,000 (C); per day – ICU charges: Rs.2,000 (A), Rs.4,000 (B), Rs.6,000 (C); per day – Convalescence Benefit: Lump sum payment; Rs.10,000 (A), Rs.15,000 (B), Rs.20,000 (C); per day – Pre-existing diseases: After a 4-yr. waiting period |
This plan gives the client a chance to enhance their cover by paying additional premium.
Entry Age | 18 yrs to 65 yrs. |
Policy Period | 1 year |
Renewability | Lifetime |
Medical Screening | Required above 45 yrs. |
Sum Assured | Rs.1, 1.5, 2, 3, 4, 5, 7.5 or Rs.10 lakhs No-claim Bonus: 5% enhancement of sum assured for every claim-free year; max. 50% |
Premium | Basic: Rs.1,643 to Rs.24,555 Basic + Extra: Rs.1,811 to Rs.29,200 Premiums depend on chosen coverage and age of insured member |
Discount | Family discount: On total premium for additional members covered |
Coverage | – Inpatient hospitalisation expenses: Room, services of medical professionals, consumables, equipment, supplies etc. – Pre/Post-hospitalisation expenses: Up to 60/90 days respectively – Pre-existing diseases: After a 4-yr. waiting period – Ambulance costs: Depending on chosen sum assured – 141 day care procedures |
Coverage | – Inpatient hospitalisation expenses: Room, services of medical professionals, consumables, equipment, supplies etc. – Pre/Post-hospitalisation expenses: Up to 60/90 days respectively – Pre-existing diseases: After a 4-yr. waiting period – Ambulance costs: Depending on chosen sum assured – 141 day care procedures |
Add-on Covers | Extra Health Cover for extra premium (sub-limits apply) |
Benefits | Chola MS Wellness Health Alerts Service |
This is similar to the Individual Policy but offered on a floater basis to cover not just the proposer but his/her entire family as well.
Entry Age | Up to 65 yrs. |
Renewability | Lifetime |
Medical Screening | Not required |
Basis | Floater |
Sum Assured | Rs.2 to 5 lakhs |
Premium | Rs.5,223 to Rs.18,173 |
Coverage | – Inpatient hospitalisation expenses: Room, services of medical professionals, consumables, equipment, supplies etc. – Pre/Post-hospitalisation expenses: Up to 60/90 days respectively – Pre-existing diseases: After a 4-yr. waiting period – Daily Cash Allowance – Domiciliary nursing – Ambulance costs: Depending on chosen sum assured – 141 day care procedures – External Aids |
Benefits | Chola MS Wellness Health Alerts Service |
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