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Cholamandalam MS Accident Protection Health Insurance

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Cholamandalam Health Insurance
Accident Protection Policy
Cashless Approval TAT70 mins Cashless Claim Processing
Claim Settlement Ratio94%
Network Hospitals11,000+
Pre-existing Disease Waiting Period3 years
Special BenefitsHigh Coverage
Starting Premium of Rs. 5 lakhs SIRs. 407/month

About Cholamandalam MS Accident Protection Health Insurance

Chola Accident Protection Policy offers financial security to you and your family in case of a misfortunate event or an accident. The policy ensures that your family gets the support that it requires in difficult times. The policy covers people aged between 6 months and 69 years. People aged more than that can be covered at the discretion of the company on merits. The policy term for Accident Protection Policy is 1 year and it can be issued to an individual and/or family. The policy can cover you for different sum insured options that start from as low as Rs. 5 Lakh and go up to Rs. 1 crore.

Chola Accident Protection Policy offers cover in case of accidental death of the insured individual consequential of an accident, accidental injury causing Permanent Total Disability, and Permanent Partial Disability if arising due to accidental injury. Apart from these covers, the policy provides you additional benefits as well such as weekly compensation, broken bones, modification of residences or vehicle, family transportation benefit covers, fee of private tuition, hospital daily cash, repatriation of mortal remains, cost of cremation, etc. In short, the policy is an affordable one and invests in our family’s safety as well as offers peace of mind.

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Key Inclusions and Exclusions of the Plan

What's Included

  • Accidental death of the insured as a result of an accident
  • Accidental injury causing Permanent Total Disability
  • Permanent Partial Disability arising due to accidental injury
  • Weekly compensation for loss of income due to disability caused by an accident
  • Fixed compensation in case of bone fracture(s) due to an accident

What's Not Included

  • Intentional or self-inflicted injury like suicide or any attempt of suicide
  • The insured committing breach of law is not covered under the policy
  • War, invasion, capture, act of foreign enemy, mutiny, civil war, arrest, rebellion, etc
  • Participation in naval, military or air force operations
  • Loss sustained or contracted due to the insured being intoxicated

Add-ons to Enhance Benefits

  • Hospital Daily Cash

    This add-on cover provides you a daily allowance in case of a misfortunate event of an accident that requires hospitalisation. You can buy this add-on cover at the time of policy purchase, by paying an extra premium.

Claim Process at Cholamandalam 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.

FAQs on Accident Protection Policy Health Insurance Plan

  • What are the sum insured options available under Chola Accident Protection Policy?

    Chola Accident Protection Policy comes with sum insured options ranging between Rs. 5 Lakh and Rs. 1 crore that the insured can choose as per your requirement.  

  • What is covered under the Permanent Total Disability benefit offered under the Accident protection Policy?

    In case of accidental injury that causes the insured Permanent Total Disability and such disability continues for 12 consecutive months, then the insurer will pay the insured a percentage of sum insured as specified below: 

    • Loss of sight of both eyes-up to 100% of sum insured
    • Loss of two entire hands or two entire feet-up to 100% of sum insured
    • Loss of one entire hand and one entire foot-up to 100% of sum insured
    • Loss of sight of one eye and such loss of one entire foot, or hand-up to 100% of sum insured
    • Complete loss of hearing of both ears and complete loss of speech-up to 100% of sum insured
    • Complete loss of hearing in both ears or complete loss of speech and loss of one limb or loss of sight of one eye-up to 100% of sum insured
  • What am I covered for under the Permanent Partial Disability benefit in the Chola Accident Protection Policy?

    In case of an accidental injury that leads to Permanent Partial Disability, which leads to disability has continued for 12 continuous months, then the company will pay the insured the percentage of sum insured as specified below:    

    • Loss of toes: all-20%, great: both phalanges-5%, great: one  phalanx-2%, other than great, if more than one toe lost, each-2%
    • Loss of hearing-both ears-60%
    • Loss of hearing-one ear-30%
    • Loss of speech-60%
    • Loss of 4 fingers and a thumb of a hand-40%
    • Loss of 4 fingers-35%
    • Loss of thumb: both phalanges: 25%, phalanx-10%
    • Loss of index finger-3 phalanges or 2 phalanges or 1 phalanx-10%
    • Loss of middle finger-3 phalanges or 2 phalanges or 1 phalanx-6%
    • Loss of ring finger-3 phalanges or 2 phalanges or 1 phalanx-5%
    • Loss of little finger-3 phalanges or 2 phalanges or 1 phalanx-4%
    • Loss of metacarpals-1st or 2nd, 3rd, 4th or 5th-3%
    • Sense of smell-10%
    • Sense of taste-5%
    • Sight of one eye-50%
    • One hand-50%
    • One foot-50%
  • What is the age criteria to be covered under Chola Accident Protection Policy?

    Any person who is aged between 18 years and 69 years can buy this policy. You can also cover dependent children aged up to 25 years, under the family option.    

  • Can I avail tax benefits under Section 80D of the Income Tax Act, 1961 on the premium paid for this policy?

    No. There are no tax benefits on the premium paid for this policy, under Section 80D of the Income Tax Act, 1961.

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