Cholamandalam Health Insurance Policies

Chola Health Insurance (Individual Plan)

It covers:-

• Hospitalization. 

• Post - Hospitalization. 

• Day Care.

• Local Ambulance Service. 

• Indicative Premium.  

Schedule of benefits - Chola Health Insurance Plan
Benefit Type		A	B	C	D
	Level of Benefits	Limits	Limits	Limits	Limits
General limit per person per policy year	Applicable on sections	Rs 1,000,000/-	Rs 7,50,000/-	Rs 5,00,000/-	Rs 4,00,000/-
Co-Insurance per person per policy year	Applicable on eligible expenses caused by Non-network provider subject to being pre-authorized	10%	10%	10%	10%
Hospitalization class	CLASS A	CLASS B	CLASS B	CLASS B	CLASS B
Section Basic Hospitalization Services Co-Insurance	100% of eligible expenses up to the General Limit	Covered	Covered 15% if class A	Covered 15% if class A	Covered 15% if class A
Section Pre- Hospitalization	100% of eligible expenses up to the General Limit	60 days prior to Hospitalization	60 days prior to Hospitalization	60 days prior to Hospitalization	60 days prior to Hospitalization
Section Post- Hospitalization	100% of eligible expenses up to the General Limit	90 days after Hospitalization	90 days after Hospitalization	90 days after Hospitalization	90 days after Hospitalization
Section 1d Day Care Services	100% of eligible expenses up to the General Limit subject to Pre-authorization; otherwise it is not covered	Covered	Covered	Covered	Covered
Section 1e Local Ambulance Services	100% of eligible expenses up to the General Limit	Covered up to 2,000,00/- per person per policy year	Covered up to 2,000,00/- per person per policy year	Covered up to 2,000,00/- per person per policy year	Covered up to 2,000,00/- per person per policy year
Benefit Type	E	F	G	H	I
	Limits	Limits	Limits	Limits	Limits
General limit per person per policy year	Rs 300,000/-	Rs 200,000/-	Rs 150,000/-	Rs 100,000/-	Rs 50,000/-
Co-Insurance per person per policy year	10%	10%	10%	10%	10%
Hospitalization class	CLASS B	CLASS B	CLASS B	CLASS C	CLASS C
Section Basic Hospitalization Services Co-Insurance	Covered	Covered 15% if Class A	Covered 15% if Class A	Covered 15% if Class B 25% if Class A	Covered 15% if Class B 25% if Class A
Section Pre- Hospitalization	60 days prior to Hospitalization	60 days prior to Hospitalization	60 days prior to Hospitalization	60 days prior to Hospitalization	60 days prior to Hospitalization
Section Post- Hospitalization	90 days after Hospitalization	90 days after Hospitalization	90 days after Hospitalization	90 days after Hospitalization	90 days after Hospitalization
Section Day Care Services	Covered	Covered	Covered	Covered	Covered
Section Local Ambulance Services	Covered up to 1,000,00/- per person per policy year	Covered up to 1,000,00/- per person per policy year	Covered up to 1,000,00/- per person per policy year	Covered up to 1,000,00/- per person per policy year	Covered up to 1,000,00/- per person per policy year

Indicative Premium for Chola Health Insurance Plan (Individual Plan)
Plan Type	A	B	C	D	E	F	G	H	I
Limit	10 Lakhs	7.5 Lakhs	5 Lakhs	4 Lakhs	3 Lakhs	2 Lakhs	1.5 Lakhs	1 Lakhs	0.5 Lakhs
Basic Health Cover (Premium in Rs.)
<18 years	5,765/-	5,285/-	4,805/-	4,000/-	3,200/-	2,120/-	1,665/-	1,210/-	800/-
18-35 years	6,370/-	5,840/-	5,200/-	4,300/-	3,450/-	2,465/-	1,935/-	1,405/-	950/-
36-45 years	7,480/-	6,675/-	5,700/-	4,800/-	3,850/-	2,745/-	2,125/-	1,560/-	1,100/-
46-55 years	11,465/-	10,300/-	9,140/-	7,695/-	5,935/-	4,000/-	3,130/-	2,255/-	1,400/-
56-65 years*	16,650/-	14,670/-	12,690/-	10,535/-	8,045/-	5,250/-	4,090/-	2,925/-	1,800/-
66-70 years*	20,470/-	18,175/-	15,880/-	13,070/-	9,805/-	6,510/-	5,020/-	3,530/-	2,150/-

<18 years	7,075/-	6,430/-	5,785/-	4,620/-	3,570/-	2,335/-	1,835/-	1,335/-	915/-
18-35 years	8,040/-	7,300/-	6,450/-	5,095/-	3,935/-	2,745/-	2,160/-	1,575/-	1100/-
36-45 years	9,370/-	8,315/-	7,090/-	5,690/-	4,385/-	3,055/-	2,375/-	1,750/-	1,210/-
46-55 years	13,800/-	12,325/-	10,855/-	8,770/-	6,555/-	4,360/-	3,410/-	2,460/-	1,620/-
56-65 years*	19,800/-	17,350/-	14,900/-	11,900/-	8,820/-	5,690/-	4,435/-	3,170/-	2,050/-
66-70 years*	24,390/-	21,530/-	18,670/-	14,790/-	10,780/-	7,070/-	5,455/-	3,845/-	2,385/-

Rates mentioned above are exclusive of Service tax *Premium to be calculated as per the age of the person against the required SI

• For renewal & dependent parents only.

• Family discount is available (5% for 2 people, 10% for 3 or more people).

• Benefits / rates given in the leaflet are indicative and could vary based on criteria such as Individual's height, weight, blood pressure etc.

• Maximum Entry Age: 55 years for proposer & 65 years for parents.

• Rates not Inclusive of Service Taxes.

• The rates apply only to people living in New Delhi (including NCR), Mumbai (including Thane), Chennai & Kolkata. People living in cities other than the 4 cities mentioned would have an additional discount of 5% on the above rates.
• Class A: Air-Conditioned Single room upwards (i.e. suite, apartment), Class B: Air-Conditioned or Non air-conditioned Standard single room, Class C: Air-Conditioned or Non air-conditioned 2 beds per room.

SECTIONED 80D INCOME TAX BENEFITS:-

Premium up to Rs.10,000 (for Senior Citizen up to Rs.15,000) is eligible for deduction under section 80D of the Income Tax Act, 1961.

Indicative Premium for Chola Health Insurance Plan (Family Floater Plan)

• Hospitalization.

• Post - Hospitalization.

• Day Care.

• Local Ambulance Service.

Indicative Premium for Chola Family Health Insurance (Family Floater Plan)
Plan 1 - 2 Adults (Premium in Rs)					Plan 2 - 2 Adults + 1 Kid (Premium in Rs)
Limit	2 Lakhs	3 Lakhs	4 Lakhs	5 Lakhs	Limit	2 Lakhs	3 Lakhs	4 Lakhs	5 Lakhs
<18 Years	-	-	-	-	<18 Years	-	-	-	-
18-35 Years	4,420/-	6,142/-	7,554/-	8,595/-	18-35 Years	5,141/-	7,144/-	8,786/-	9,997/-
36-45 Years	4,966/-	6,973/-	8,680/-	9,667/-	36-45 Years	5,777/-	8,110/-	10,097/-	11,243/-
Plan 5 - 1 Adult + 1 Kid (Premium in Rs)					Plan 6 - 1 Adult + 2kid (Premium in Rs)
Limit	2 Lakhs	3 Lakhs	4 Lakhs	5 Lakhs	Limit	2 Lakhs	3 Lakhs	4 Lakhs	5 Lakhs
<18 Years	-	-	-	-	<18 Years	-	-	-	-
18-35 Years	4,330/-	6,017/-	7,399/-	8,420/-	18-35 Years	5,051/-	7,018/-	8,635/-	9,822/-
36-45 Years	4,866/-	6,833/-	8,505/-	9,471/-	36-45 Years	5,677/-	7,970/-	9,922/-	11,048/-
Plan 3 - 2 Adults (Premium in Rs)					Plan 4 - 2 Adults + 1 Kid (Premium in Rs)
Limit	2 Lakhs	3 Lakhs	4 Lakhs	5 Lakhs	Limit	2 Lakhs	3 Lakhs	4 Lakhs	5 Lakhs
<18 Years	-	-	-	-	<18 Years	-	-	-	-
18-35 Years	5,867/-	8,145/-	10,022/-	11,399/-	18-35 Years	6,588/-	9,151/-	11,253/-	12,805/-
36-45 Years	6,898/-	9,682/-	12,049/-	13,416/-	36-45 Years	7,744/-	10,868/-	13,536/-	15,068/-
Plan 7 - 1 Adult + 3 Kids (Premium in Rs)					Plan 8 - 1 Adult (Premium in Rs)
Limit	2 Lakhs	3 Lakhs	4 Lakhs	5 Lakhs	Limit	2 Lakhs	3 Lakhs	4 Lakhs	5 Lakhs
<18 Years	-	-	-	-	<18 Years	-	-	-	-
18-35 Years	5,777/-	8,020/-	9,867/-	11,223/-	18-35 Years	3,609/-	5,016/-	6,167/-	7,018/-
36-45 Years	6,788/-	9,531/-	11,864/-	13,211/-	36-45 Years	4,055/-	5,692/-	7,088/-	7,889/-

Schedule of benefits - Chola Family Insurance Plan
General Limit (per Family per year) Applicable Sections and Room Rent	Rs 5,00,000/-	Rs 4,00,000/-	Rs 3,00,000/-	Rs 2,00,000/-
Co-Insurance (per Family per year) Applicable on eligible expenses caused by Non-network provider subject to being pre-authorized	10%	10%	10%	10%
Room Rent per day	Up to Rs 3,000/-	Up to Rs 2,500/-	Up to Rs 2,000/-	Up to Rs 1,500/-
Basic Hospitalization	Covered	Covered	Covered	Covered
Post- Hospitalization	90 days after Hospitalization	90 days after Hospitalization	90 days after Hospitalization	90 days after Hospitalization
Pre- Hospitalization	60 days prior to Hospitalization	60 days prior to Hospitalization	60 days prior to Hospitalization	60 days prior to Hospitalization
Day Care Services only within Network; subject to Pre-authorization; otherwise it is not covered	Covered	Covered	Covered	Covered
Local Ambulance Services (per Family per policy year)	Rs 1,000/-	Rs 1,000/-	Rs 1,000/-	Rs 1,000/-
Hospital Daily Allowance Daily benefit Maximum days covered per Family per policy year	Rs 500/-14 Days	Rs 400/-10 Days	Rs 300/-7 Days	Rs 200/-7 Days
External Aids and Appliance	Rs 1,000/-	Rs 1,000/-	Rs 1,000/-	Rs 1,000/-
Home Nursing Care Allowance Daily benefit Maximum days covered per Family per policy year	Rs 300/-10 Days	Rs 300/-10 Days	Rs 200/-7 Days	Rs 200/-7 Days

What does the policy cover?

In the unfortunate event of you or your family members meeting with an illness or accident resulting in hospitalization, our Health Insurance gives you a cash free hospitalization in more than 2200 hospitals across India. Our Health Insurance also reimburses the expenses during Pre - Hospitalization and Post - Hospitalization stages of treatment.

• Pre-Hospitalization: Medical expense incurred 60 days prior to the hospitalization are reimbursed. This is the longest time period offered by any Health Insurance policy in India.

• Hospitalization: You will be reimbursed expenses like room and board, doctors' fees, intensive care unit charges, nursing expenses, surgical fees, operating theatre expenses, anesthesia and oxygen administration expenses.

• Post-Hospitalization: Once discharged from hospital, the policy shall pay for medical expenses related to the hospitalization, for a period of 90 days after discharge. This is something unmatched by any other Health Insurance policy in India.

• Day Care Procedure: The policy covers over 141 minor surgeries that require less than 24 hours hospitalization under our Day Care Procedure. These surgeries ordinarily fall outside the scope of Health Insurance Policies available in the Indian market.

• Local Ambulance Service: In the event of an emergency, cover is provided for expenses incurred on ambulance services to the nearest hospital where Emergency Health facilities are available.

Cholamandalam Health Insurance policy ensures comprehensive coverage by offering value added features, at a nominal increase in premium, like:

• General Health and Eye Examination: You will be reimbursed the expenses incurred for general health and eye examination.

• Hospital Daily Allowance: In addition to hospital expenses, a daily hospital allowance will be paid for the period of hospitalization.

• Benefits under Section - 80D (for both individual and family health policy) & 80B (only for individual health insurance policy).

*Premium upto Rs 15,000 eligible under section 80B

What does the policy not cover?

• Illness that commenced during the first 30 days of inception of the first policy.

• Cataracts, Benign Prostatic Hypertrophy, Hysterectomy for Menorrhagia or Fibromyoma, Hernia, Hydrocele, Fistula in anus, Piles, Sinusitis and related disorders, in the first year of insurance. However, on renewal, these exclusions shall not apply. For a complete list of exclusions, refer to the policy.

• Diseases, which have been in existence at the time of proposing this insurance.

Website: www.cholainsurance.com

Disclaimer: This information is extracted from the company’s official website to provide information to the general public. The information is likely to change based on the concerned insurance companies’ discretion. Alterations, deletions and/or additions to the existing policy products, coverage and their premiums may be enhanced or reduced. These figures are only guidelines. We recommend the individual to visit the official website of the insurance company for more details and updated matters.