Cholamandalam MS Health Insurance

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Highlights
Claim SettlementDedicated Team
Claim Settlement Ratio50.01%
COVID-19 CoverYes
Network Hospitals8,000+
Policies Sold1,03,232
RenewabilityLifelong

About Cholamandalam MS

The Cholamandalam MS General Insurance Company Limited is a joint venture between the Murugappa Group, India and Mitsui Sumitomo Insurance Company Limited, Japan. The company offers a diverse range of insurance products such as Health Insurance, Motor Insurance, Property Insurance, Accident Insurance, Engineering Insurance, Liability Insurance, Marine Insurance, Travel Insurance and Crop Insurance for individuals, families and corporates. In 2018, it acquired a Gross Written Premium (GWP) of Rs. 41,026 million. Cholamandalam MS has 87 branches and over 34,000 agents across the country. 

Cholamandalam MS General Insurance believes in building trust, maintaining utmost transparency and adopting advanced technology to make processes simple and deliver a great customer experience. The insurance provider provides different types of health insurance plans that include hospitalisation plans, critical illness plans, super top-up plans and daily benefit plans for its policyholders. It has also been recognised and awarded on different podiums with which it has bagged several awards like Best CSR Practice Award, Golden Peacock Award 2017 for Risk Management, Dream Companies to Work for in Private Insurance Sector 2107 and many more. 

How to Purchase Cholamandalam MS Health Policy at InsuranceDekho?

Policyholders can buy health insurance policies of Cholamandalam MS Health Insurance through online and offline methods at InsuranceDekho.

Buy Cholamandalam MS Health Insurance Plan Online at InsuranceDekho

Follow the steps given below to buy a Cholamandalam MS Health Insurance policy at InsuranceDekho:

Step 1: Visit InsuranceDekho website, i.e, www.insurancedekho.com and choose the health tab.

Step 2: Select your Gender and fill your Name and Mobile Number. This will get you an OTP, please enter that.

Step 3: Select the time when you want to buy the insurance plan. Click on the ‘View Instant Quotes’ to continue.

Step 4: Select the family members you want to include in the health insurance plan along with yourself.

Step 5: Select the age of the family member you have included in the health insurance policy and click ‘Continue’.

Step 6: Enter your Email ID and City and click on the ‘Submit and View Quotes’ button. Various insurance plan quotes will appear as per your selections. Then, select an insurance plan according to your budget and requirement. 

Step 7: Select the insurance policy term for the chosen health insurance policy. Enter the details required and pay for the amount to complete the insurance plan purchase process.

Buy Cholamandalam MS Health Insurance Plan Offline at InsuranceDekho

To buy a Cholamandalam MS Health Insurance plan offline at InsuranceDekho, you can connect with us at 7551-196-989 between 9.30 AM to 6.30 PM (Monday-Sunday).

For any further assistance, please feel free to write to us at customersupport@insurancedekho.com.

Top Cholamandalam MS Health Insurance Plan Types

Cholamandalam MS Health Insurance provides coverage to its policyholders against medical expenses which may arise due to the treatment of any injury and/or illness. Here are the top 5 health insurance policies offered by the Cholamandalam MS Health Insurance:

1. Flexi Health Insurance Policy – The Flexi Health Insurance Plan offers cost-effective methods to safeguard you and your family members against unexpected health complications. It provides customisation services for the choice of the sum insured, payment method and policy tenure. This plan offered coverage to people between the age of 3 months and 65 years. The sum insured options of this cover range from Rs. 50,000 to Rs. 25 lakh. It offers several benefits such as in-patient hospitalisation expenses, pre-hospitalisation and post-hospitalisation, day care treatments,  AYUSH coverage, domiciliary hospitalisation, organ donor hospitalisation expenses and so on. 

2. Cholamandalam Healthline Insurance Policy – The Cholamandalam Healthline Insurance Plan is a comprehensive policy that offers insurance coverage on Individual as well as on a family floater basis. This health insurance policy comes with four variants namely Value Healthline, Freedom Healthline, Enrich Healthline and Privilege Healthline. The sum insured options of this plan range from Rs. 3 lakh to Rs. 15 lakh, while the entry age is between 18 years and 65 years. Besides the common benefits, this plan offers some salient offerings too, which include no co-payment, no sub-limit, 141 day care procedures, lifelong renewability and so on. 

3. Critical Healthline Insurance Policy – The Critical Healthline Insurance Policy protects you against some specified critical illnesses by offering a lump-sum equal to the sum insured on getting diagnosed with any of the critical illnesses. The plan is segregated in two plans such as standard plan and advanced plan, where the former offers coverage for 10 critical illnesses and latter offers 12 critical illnesses. People between the age group of 5 years and 65 years can avail this cover forever with lifetime renewability option. The sum insured options of this policy are Rs. 3 lakh, Rs. 5 lakh and Rs. 10 lakh. 

4. Super Top Up Insurance Policy – The Super Top Up Insurance Policy is an aggregate top-up plan, which offers higher medical coverage on an individual sum insured basis and on a floater sum insured basis. It will cover the medical expenses up to the sum insured in excess of the deductible limit. This plan can be purchased by anyone between 18 years and 70 years for 1 year, 2 years and 3 years of policy term with lifelong renewability option. It holds the sum insured options between Rs. 3 lakh and Rs. 25 lakh with deductible options from Rs. 1 lakh to Rs. 20 lakh.

5. Cholamandalam MS COVID 19 Insurance Policy – The Cholamandalam MS COVID 19 Insurance Policy is a specialised health insurance plan to shield you against Novel Coronavirus (COVID-19). The policy is designed to offer a lump sum benefit to insured persons if he or she gets diagnosed with Novel Coronavirus (COVID-19) during the policy period. This cover can be availed by persons aged between 03 months and 65 years, while the proposer should be of minimum 18 years. The sum insured options under this plan range from Rs. 10,000 to Rs. 50,000 and the policy can be availed for a policy term of 1 year.

What Is A Health Insurance Top-up Plan and Why Should I Buy It?

A top-up health insurance policy offers you extra coverage in addition to your present health insurance policy. It provides you with an additional sum insured for a single claim after your existing policy’s threshold limit is crossed during a medical contingency. On the other hand, a super top-up health insurance plan provides a similar type of coverage but for multiple claims. So, this plan allows you to use its coverage for as many claims as you want in a policy term after the exhaustion of your sum insured amount. 

The Cholamandalam MS Health Insurance offers a super top-up plan namely Cholamandalam Super Top-Up Insurance Policy. It is available in two variants such as Supreme Plan and Premier Plan. The entry age under this policy is between 18 years and 70 years, where no pre-policy health check-up is required for proposers of below 55 years of age. It comes with the sum insured option that ranges from Rs. 3 lakh and Rs. 25 lakh with deductible options from Rs. 1 lakh to Rs. 20 lakh. The basic benefits offered under this plan are in-patient hospitalisation expenses, pre-hospitalisation and post-hospitalisation expenses for 60 days and 90 days respectively, day care procedures, domiciliary hospitalisation, emergency ambulance cover, AYUSH coverage and so on. 

Why Choose Cholamandalam MS Health Insurance Company?

Cholamandalam MS Health Insurance Company offers a wide variety of offerings to its customers. Some of them are as follow:

  • 24x7 Customer Support – The insurance provider offers 24x7 customer support for its policyholders through call, email and online chat system. You can get all your insurance-related queries resolved by getting in touch with our experienced and qualified support staff.
  • 8,000+ Network Hospitals – There are more than 8,000 hospitals available in the network of this insurance provider. It means you can get cashless treatment of premium quality in any of these network hospitals of the insurer without any hassle.
  • Direct Claim Assistance Without TPA – The insurer is widely appreciated for its quick & hassle-free claim settlement procedure. It holds no third-party administrator (TPA) tie-ups and offers direct claim settlement to its policyholders.
  • Awards and Recognitions – The Cholamandalam MS Health Insurance has been conferred with prestigious awards for its services such as Golden Peacock Award 2017 for Risk Management, Best CSR Practice Award, and many more. It shows its value in the market and reliability among the customers.

Benefits of Cholamandalam MS Health Insurance Plans

Here are the salient health insurance benefits are given by the Cholamandalam MS Health Insurance Plan:

  • Portability Option – With this benefit, the policyholders of any other insurers can easily port to a similar type of health insurance plan of this insurance provider with the same sum insured and continuation of benefits. It helps them avail better insurance services from a better insurance provider without losing their unique features and coverage.
  • Lifelong Renewability – The lifelong renewability option allows the policyholders to continue to stay insured till lifetime under the health insurance plan with the continuous renewal of the policy without any break.
  • Free Health Check-Up – The insurer offers free health check-ups to its policyholders once in every 2 claim-free years and 3 claim-free years. This benefit is a kind of value-added offering for policyholders to being associated with the insurer.

Cholamandalam MS Health Insurance Claim Settlement Ratio

The Claim Settlement Ratio of an insurance company refers to a ratio of the number of health insurance claims settled out of the total health insurance claims received during a financial year. Cholamandalam MS Health Insurance Company has managed to raise its Claim Settlement Ratio for its Health section in the last two consecutive years, which are as follow:

Financial Year

Claim Settlement Ratio 

FY 2017-2018

48.53%

FY 2018-2019

50.01%

(Source: IBAI’s General Insurance Claim Insights Handbook For Policyholders - 3rd & 4th Edition)

Network Hospitals of Cholamandalam MS Health Insurance Company

The network hospitals are the healthcare facilities which are affiliated with the insurance provider and provide cashless treatment to its policyholders. When the insured person is treated in a network hospital, the insurer directly pays off the medical expenses incurred to the network hospital. The insurers with a strong network of hospitals are always preferred as it will enhance the chances of policyholders to find a cashless treatment providing hospital nearby any location in the country. The Cholamandalam MS Health Insurance has 8,000+ hospitals in its network.

Cholamandalam MS Health Insurance Policy Terms

Here are the descriptions of the health insurance policy terms of features provided by the Cholamandalam MS General Insurance Company. However, the conditions of these insurance-related offerings may vary from policy to policy:

Minimum Age of Entry

91 days

Maximum Age of Entry

No Limit

Policy Renewal

Cholamandalam MS Health Insurance offers a lifelong renewability option to its policyholders. They just have to constantly renew their plans for this option. It will help them stay associated with their health insurance plan forever and can continue to avail its benefits.

Co-Payment

The co-payment is a cost-sharing system under a health insurance plan according to which the policyholders are required to bear a certain percentage of the admissible claim amount in a specified condition. Under the plans of this insurer, 10% co-payment is applicable on the claim amount for insured persons of more than 55 years of age.

Waiting Period

30 days of waiting period is applicable on the treatment of any type of illness other than the medical expenses incurred due to the treatment of injuries sustained by an accident. Also, pre-existing diseases are covered only with 36 consecutive months of continuous coverage.

Cholamandalam MS Health Insurance Claim Process

The health insurance claim is a process where the insured person raises a request for a claim, against his or her medical expenses incurred, from the insurance provider. A health insurance claim can be processed in two ways such as cashless claim and reimbursement claim.

What is the Cashless Claim Process of Cholamandalam MS Health Insurance?

When an insured person gets treated at a network hospital of his or her insurer, the claim is processed in a cashless manner, i.e., the insurer pays off the medical expenses directly to the hospital.

Here are simple steps to raise a cashless claim with Cholamandalam MS Health Insurance:

Step 1: Intimate the Insurance Provider

Inform Cholamandalam MS General Insurance Company about your hospitalisation at least 72 hours prior to the admission, in case of planned hospitalisation, and within 48 hours of admission, in case of emergency hospitalisation at 1800-208-5544.

Step 2: Pre-Authorisation Request

Approach the insurance desk of the network hospital and show them your Cholamandalam MS Health card, Photo ID, and the medical reports. Also, get the claim form and submit it at the hospital after getting it duly filled and signed by the policyholder.

Step 3: Verification of Documents

The hospital will share all the details of the insured person with our in-house claim settlement team. They will verify the claim form, documents and medical details provided to them.

Step 4: Claim Approval

If our in-house claim settlement team requires any other detail, they may ask for them too. Also, they can reject the requests as well, if they find the provided documents or details inadequate or false. In such a situation, the policyholder will have to pay the bills but can submit the claim documents for reimbursement.

Step 5: Settlement of Claim

If the claim settlement team of the insurer finds all the documents and details appropriate and valid, then the insurance provider will coordinate with the network hospital directly and settle the bills after the insured patient is discharged.

How To Make A Cholamandalam MS Health Insurance Reimbursement Claim?

Whenever a policyholder gets medical treatment at a non-network hospital of Cholamandalam MS Health Insurance, the claim settlement is processed in a reimbursement manner. Under this procedure, the policyholders have to pay for their medical bills, but later they can raise a claim reimbursement request with their insurance provider.

Here are the steps to raise a reimbursement claim with Cholamandalam MS Health Insurance:

Step 1: Avail Medical Treatment
Get medical treatment at a non-network hospital and make complete payment of the hospital bills. Also, collect all the relevant medical documents, forms, bills and invoices, and certificates signed by the attending physicians.

Step 2: Submit Required Documents
Submit the completely filled and signed claim request form along with the necessary documents to the Cholamandalam MS General Insurance Company. The claim documents as listed in the policy terms have to be submitted to the insurance provider within 30 days from date of discharge.

Documents required for Cholamandalam MS Health Insurance Reimbursement Claim:

  • Claim form duly filled and signed
  • Doctor’s prescription advising the admission
  • Discharge card issued by the hospital
  • Final hospital bill and payment receipt
  • Medical investigation reports
  • Medicine bills with prescriptions
  • Invoice for implants, if used in the surgery
  • Other bills or documents related to the treatment
  • First Information Report (FIR) or Post Mortem Report, if required
  • Cancelled Cheque of the bank account to make the claim payment through NEFT.

Step 3: Verification of Documents
The in-house claim settlement team of Cholamandalam MS Health Insurance will verify the claim form and medical documents provided. If they find them inadequate, they can ask for some more information or documents or even can reject the claim requests.

Step 4: Settlement of Claim
If the in-house claim settlement team finds all the information and medical documents right and relevant, they will approve the claim request of the insured person and reimburse all the admissible amount after making relevant deductions, co-payments etc. Also, they will make payment only (unless already paid directly to the service provider/hospital) to the policyholder or his or her nominee.

Cholamandalam MS Health Insurance Renewal Process

The policyholders can easily stay associated with a health insurance plan of Cholamandalam MS Health Insurance and can continue to avail its benefits through the renewal process. During the renewal process, you can also make modifications in your plan such as increasing the sum insured, adding the add-ons, etc., to prepare yourself against any medical emergency in future.

Here are the simple steps to renew your Cholamandalam MS health insurance policy:

Step 1: Visit the website of Cholamandalam MS Health Insurance Company i.e., www.cholainsurance.com

Step 2: Select the ‘Health’ section from the product’s list offered, then click on the ‘Renew’ tab

Step 3: Please type in the policy number without the slash (/) symbol and click on proceed button

Step 4: Review the details of health insurance plans details and premium amount for renewal

Step 5: Make payment for the health insurance policy amount online via the insurer's payment gateway.

Cholamandalam MS Health Insurance Tax Benefits

The Cholamandalam MS Health Insurance Policy secures your health along with your savings. The policyholders of the insurance provider can get tax waivers from their taxable income, equal to their premium amount, according to the section 80D of the Income Tax Act. Below are the tax benefit details that can be availed with the Cholamandalam MS health insurance plans:

Situations

Premium Paid

Deduction under Section 80D of the Income Tax Act

Self, Family, Children

Parents

When Policyholder and Parents are below 60 years

Rs. 25,000

Rs. 25,000

Rs. 50,000

When Policyholder and family members are below 60 years with parents above 60 years

Rs. 25,000

Rs. 50,000

Rs. 75,000

When Policyholder, family members and parents are above 60 years

Rs. 50,000

Rs. 50,000

Rs. 1,00,000

Members of HUF

Rs. 25,000

Rs. 25,000

Rs. 25,000

Non-resident Individuals

Rs. 25,000

Rs. 25,000

Rs. 25,000

Cholamandalam MS Health Insurance Premium Calculation

The amount of premium of health insurance policies gets affected by a host of factors. The knowledge about such factors can help you find relevant health insurance policies as per their budget and requirement. Here are the factors that can affect the premium amount of health insurance plans of Cholamandalam MS Health Insurance:

  • Harmful Habits – People who smoke, chew tobacco and consume harmful substances on a regular basis are more likely to experience health risks. The insurers offer health insurance plans to such people by charging higher premiums from them as compared to policyholders with healthy lifestyle and habits.
  • Age – Young people are less susceptible to diseases in comparison to older people. It means the latter will take medical help more frequently than the former and the insurer will have to compensate more and more medical expenses of old people. Therefore, the premium amount goes up with age as the body starts facing more health complications.
  • Occupation – The amount of premium depends on the nature of work of policyholders and the amount of risk involved in it. Insurance providers charge lesser premium from those who are in professions with little or negligible health risk than people in a profession with higher health risk. Hence, the occupation of policyholders influences the premium amount.
  • Sum Insured – To select a higher sum insured, policyholders will have to pay a higher amount of premium. With a higher amount of sum insured, the insurers become entitled to compensate for a higher amount of claim during a medical emergency. Therefore, the sum insured of a health insurance plan affects its amount of premium.
  • Family Medical History – Being a member of a family that holds a medical history of some diseases like high blood pressure, heart attacks, diabetes, cancer, etc., in the past, you may be charged with a higher premium amount for your health insurance plan than people with a relatively unblemished family medical history. It means family medical history affects the premium amount.

What All Is Covered Under Cholamandalam MS Health Insurance Policies?

Policyholders can avail the following inclusions under the health insurance plans of Cholamandalam MS Health Insurance:

  • In-Patient Hospitalisation – The insurance provider pays for hospitalization expenses that require more than 24 hrs of hospitalization for accidental bodily injury or any illness up to the amount of sum insured. This feature covers the cost of room and boarding, nursing charges, intensive care unit, physician’s fee, oxygen, blood, medicines and drugs, etc.
  • Pre-Hospitalisation and Post-Hospitalisation Expenses – The insurer will compensate for the medical expenses incurred within 30 days prior to hospitalisation and within 60 days after the discharge from the hospital. This pre-hospitalisation and post-hospitalisation period vary from plan to plan.
  • Day Care Procedures – It denotes any procedure or treatment that requires less than 24 hours of hospitalisation. The insurance provider will pay for such medical expenses incurred in a day care treatment or procedures up to the limit of sum insured. A total of 141 day care procedures are covered under this insurance company.
  • Domiciliary Hospitalisation – It is a situation where the insured person is treated at home only due to inability to move to hospital or unavailability of beds in the hospital and the insurer pays for the medical expenses towards domiciliary hospitalisation. However, there lies a condition that hospitalisation should continue for at least 3 days, then only the insurer compensates its costs for a maximum of 7 days per insured person in a policy year.
  • AYUSH Coverage – The insurer provides the compensation for medical expenses incurred due to hospitalization for more than 24 hrs for the treatment of accidental bodily injury or any illness through non-allopathic treatments such as Ayurveda, Homeopathy, Yoga and Naturopathy, Unani, and Siddha for up to the amount of the sum insured.

What All Is Not Covered Under Cholamandalam MS Health Insurance Policies?

Policyholders can not avail the following exclusions under the health insurance plans of Cholamandalam MS Health Insurance:

  • War-like Conditions – No coverage is offered for the treatment of illness or injury occurred due to war or any act of war, invasion, acts of foreign enemies, insurrection, mutiny, martial law and so on.
  • Alcohol or Drug Abuse – Treatment of injuries or illnesses sustained due to the use, misuse or abuse of alcohol, tobacco and related products, banned substances or narcotic drugs will not be covered by the insurer.
  • Self-Harming Actions – The insurer will not cover the treatment of injuries or illness sustained by any insured individual due to committing or attempting any action related to self-injury or attempted suicide.
  • Cosmetic or Plastic Surgery – The medical expenses arising due to cosmetic treatments, plastic surgery, or any aesthetic procedure will not be covered by the insurer unless necessitated by traumatic injury, burns, etc.
  • Sexually Transmitted Disease – No insurance coverage will be offered by the insurance provider for the treatment of sexually transmitted disease or illness.

The above-mentioned inclusions and exclusion may vary from plan to plan offered by Cholamandalam MS Health Insurance.

 

Cholamandalam MS Health Insurance Plan List

Name of PlanSum Insured
Arogya Sanjeevani Policy Min: 3 months; Max: 65 years1 Lakh - 5 Lakh Get Quotes Now
Corona Kavach PolicyMin: 1 day; Max: 65 years50,000 - 5 lakh Get Quotes Now
Corona Rakshak PolicyMin: 18 years; Max: 65 years50,000 - 2.5 lakh Get Quotes Now
Healthline Policy Min: 90 Days; Max: 65 Years1 Lakh Get Quotes Now
Critical Healthline PolicyMIn: 5 Years; Max: 65 Years3 Lakh Get Quotes Now
Hospital Cash Healthline PolicyMIn: 3 Months; Max: 65 Years1000/day Get Quotes Now

Cholamandalam MS Health Insurance Top Up List

Name of PlanSum Insured
Super Top-up Insurance PlanMIn: 3 Months; Max: 70 Years3 Lakh Get Quotes Now
Top Up Healthline PolicyMin: 3 Months; Max: 65 Years50 Thousand Get Quotes Now

Claim Process at Cholamandalam MS Health Insurance

  • Network Hospital
  • Non-Network Hospital
  • 1

    Claim Assistance

    For any assistance or query, call InsuranceDekho at the toll-free number 755 1196 989.
  • 2

    Claim Intimation

    Emergency hospitalisation needs intimation within 48 hours and for planned hospitalisation intimate within 72 hours prior to admission.
  • 3

    Claim Processing

    Fill in the pre-authorisation form and hand it over to hospital's insurance/TPA desk to initiate claim request.
  • 4

    Claim Settlement

    Once your request is approved, claim is settled. If not approved, claim for reimbursement after discharge.
  • 1

    Claim Assistance

    For any assistance or query, call InsuranceDekho at the toll-free number 755 1196 989.
  • 2

    Claim Intimation

    Emergency hospitalisation needs intimation within 48 hours and for planned hospitalisation intimate within 72 hours prior to admission.
  • 3

    Claim Processing

    Submit claim form with original documents such as doctor’s reports, hospital bills, diagnostic tests, etc.
  • 4

    Claim Settlement

    Once your request for reimbursement of expenses is approved, the claim will be settled.

Cholamandalam MS Health Insurance User Reviews

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Cholamandalam MS Health Insurance Contact Details

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Cholamandalam MS Health Insurance FAQs

  • Does Cholamandalam MS General Insurance Company offer any family floater health insurance policy?

    Yes. Cholamandalam MS provides health insurance policies, which are framed especially for families. The Healthline health insurance plan is a popular product offered for families.

  • Are customers required to go through medical check-ups for buying health insurance policies from Cholamandalam MS insurance firm?

    Yes, under a few plans by Cholamandalam MS the applicants are required to go through pre-acceptance medical screening or test. In case, if the proposal is accepted, 100% cost of the check-up is reimbursed to the applicant.  

  • Does Cholamandalam MS General Insurance Company offer coverage for critical illnesses under any of its policies?

    Yes. Cholamandalam MS insurance firm offers a speficially-designed plan to provide coverage related to critical illnesses.

  • Does Chola MS Insurance Company provide Hospital Cash benefit under any of its health plans?

    Yes, Cholamandalam MS General Insurance Company provides a separate plan known as Chola Hospital Cash Healthline to offer hospital cash benefit to the customers.

  • How to purchase and apply for health insurance policies plans by Cholamandalam MS General Insurance Company?

    To buy a health insurance policy from Cholamandalam MS General Insurance Company applicants can either visit the company’s official website, i.e.  www.cholainsurance.com or can buy it from the leading online broker’s website i.e., InsuranceDekho.com.

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