Cholamandalam MS Flexi Health Insurance

Flexi Health Policy by Chola MS is indemnity-based health insurance, which means that the policy compensates you for actual expenses incurred. Covering individuals aged 3 months to 65 years, the policy extends protection to your entire family involving spouse, parents, children, siblings, and parents-in-law.

With a flexible sum insured ranging from Rs. 1 lakh to Rs. 25 lakhs, you can choose a premium payment schedule that suits you, be it monthly, quarterly, half-yearly, or annually, with location-based premium rates. The policy includes a comprehensive range of benefits such as alternative treatments, daycare, newborn coverage, pre and post-hospitalisation expenses, and more. Additional advantages encompass lifetime renewability, tax exemption, cumulative bonuses, and free health check-ups.

Cholamandalam MS Flexi Health Insurance At a Glance

Riders Available With Cholamandalam MS Flexi Health Insurance

Chola MS Flexi Health Insurance offers the following riders:

• International Medical Second Opinion: If you choose to include this add-on cover by paying an extra premium, it means you have the option to seek a second medical opinion from an international specialist. By opting for this add-on, you ensure access to global medical expertise, offering an additional layer of insights and advice regarding your medical condition.
• Road Traffic Accident: If the policyholder is hospitalised due to a road traffic accident, the basic insurance amount will be increased by 25%, with a maximum limit of Rs. 3 lakhs. This benefit is applicable for coverage amounts of Rs. 3 lakhs and above.
• Daily Care Benefit: For every 24 hours of hospitalisation, the policy provides compensation for accompanying individual expenditures, up to a maximum of 10 days per policy year. To be eligible for this payment, an approved inpatient hospitalisation claim is required.

Key Features of Cholamandalam MS Flexi Health Insurance Plan

The following are the key features of the Cholamandalam MS Flexi Health Insurance Plan:

• Wide Coverage for Special Situations: The policy covers special situations like organ donation, the birth of a newborn, and emergency ambulatory expenses. This means you're protected in various unexpected medical scenarios.
• Extra Protection with Added Benefits: The policy goes beyond the basics, offering features like restoring the insured amount for unrelated claims, recharge benefits, and daily care benefits. These additional benefits provide you with extra protection.
• Easy Claim Process: Claiming is made simple with both cashless and reimbursement options. This means less hassle when you need to access your insurance benefits.
• Customisable for Your Needs: You have the flexibility to customise your insurance amounts, choose how often you pay premiums, and decide the duration of your policy. This allows you to tailor the policy to fit your specific needs.
• Cover for Alternative Therapies: In addition to traditional medical treatments, the policy covers alternative therapies like AYUSH Treatment. This means you have the freedom to explore different healing approaches that suit your preferences.

Eligibility Criteria of Cholamandalam MS Flexi Health Insurance Plan

The eligibility criteria for the Cholamandalam MS Flexi Health Insurance plan are as follows:

Benefits of Cholamandalam MS Flexi Health Insurance Plan

This health insurance plan offers the following benefits:

• Flexible Coverage: You can choose the amount of coverage that suits you, and there are various options for how often you want to pay your premiums - monthly, quarterly, half-yearly, annually, or in a single payment.
• Location-Based Pricing: The cost of your insurance is based on where you live.
• Restoration of Coverage: If you make a claim, your coverage amount is restored up to 100% for unrelated health issues.
• Extra Coverage for Related Claims: If your claim is related to a previous health issue, you get an additional sum insured.
• Short Waiting Period: There's a waiting period of only 36 months for pre-existing conditions or diseases.
• Tax Benefits: You can get tax exemptions under Section 80D of the Income Tax Act.
• Lifetime Renewal: You can keep renewing your coverage for life.
• Family Coverage: The plan covers your entire family.
• Bonus for Healthy Living: You get a cumulative bonus of 10% for every year without a claim, up to 50% of your coverage amount.
• Free Health Check-ups: You're eligible for a free health check-up once every two claim-free years.
• No Pre-policy Health Check-up: If you're under 50 years of age, you don't need a health check-up before getting the policy.

Inclusions of Cholamandalam MS Flexi Health Insurance Plan

Inclusions of the MS Flexi Policy of Cholamandalam Health Insurance are mentioned below:

• Hospitalisation Expenses: Expenses (Up to 30 days): The policy covers medical expenses that occur in the 30 days before your hospital stay. Moreover, medical expenses of 60 days after leaving the hospital are also covered by the policy.
• Day Care Procedures: The policy covers medical procedures that typically don't require an overnight stay in the hospital.
• AYUSH Coverage: The policy includes coverage for treatments under AYUSH (Ayurveda, Yoga & Naturopathy, Unani, Siddha, and Homeopathy).
• Domiciliary Hospitalisation Coverage: If you need medical treatment at home, the policy covers those expenses.
• Organ Donor Hospitalisation Expenses Coverage: The policy covers expenses related to the hospitalisation of an organ donor.
• Emergency Ambulance Expenses: The policy covers the expenses of emergency ambulance services, up to 1% of the sum insured, a maximum of Rs. 2,000 per hospitalisation
• New Born Baby Cover: The policy provides coverage for medical expenses for a newborn baby, starting from day one. The mother must be covered continuously for 12 months from the policy's start date.
• Daily Care Benefit: The policy includes a daily benefit for accompanying person expenses, providing financial support for a maximum of 10 days per policy period.
• Second Medical Opinion: If you seek advice from a specialist for a second medical opinion, the policy will reimburse you for the cost incurred. You can be reimbursed up to a maximum of Rs. 25,000.

Exclusions of Cholamandalam MS Flexi Health Insurance Plan

The exclusions in this plan are as follows:

• Initial Waiting Period: For the first 30 days after getting the policy, coverage for all illnesses (excluding accidents) is not applicable. However, this waiting period does not apply during policy renewal.
• Waiting Period for Listed Diseases: There's a waiting period of 2 years for the treatment of specific diseases mentioned in the policy.
• Pre-Existing Diseases (PED): Coverage for any pre-existing condition is not available until you've had continuous coverage for 36 months.
• Intentional Self-Injury or Suicide Attempt: The policy doesn't cover any injuries caused intentionally by oneself or any attempted suicide.
• War and Hostilities: Injuries or illnesses resulting from war, whether officially declared or not, are not covered.
• Vaccination or Inoculation: Unless it's part of a treatment after an animal bite, the policy does not cover routine vaccinations or inoculations.

Documents Required to Cholamandalam MS Flexi Health Insurance Plan

You will need the following documents to buy the Cholamandalam MS Flexi Health Insurance plan:

• Completed application form.
• Aadhar card
• Passport
• Voter ID
• Driving license
• Birth Certificate
• Submit passport-sized photos.
• In certain instances, health check-up reports may be necessary.
• Provide any additional documents requested by the insurance company.

How to Buy Cholamandalam MS Flexi Health Insurance?

To buy the Cholamandalam MS Flexi Health Insurance Plan, you need to follow the steps below:

• Step 1: Visit the InsuranceDekho website.
• Step 2: Click on "Health Insurance” in the “Insurance” tab at the top.
• Step 3: Choose "Cholamandalam MS" from the list of health insurance companies.
• Step 4: Pick the "Flexi Health Insurance" plan.
• Step 5: Read the policy document thoroughly.
• Step 6: Upload the necessary documents for verification.
• Step 7: Make the online payment for the medical insurance premium.
• Step 8: You will receive the policy document successfully through email.

Claim Process for Cholamandalam MS Flexi Health Insurance

Below are the ways to claim your Cholamandalam MS Flexi Health Insurance policy:

Cashless Claim

• Visit a hospital that partners with Chola MS.
• Provide information about your Flexi Health Insurance plan and any other necessary details.
• Fill out and submit the required documents.
• The insurance company will directly pay the hospital for your expenses.

Reimbursement Claim

• Choose a Chola MS network hospital.
• Pay for your medical bills at the selected hospital.
• Initiate a reimbursement claim on the insurance company's website.
• Fill out and submit the claim form for Cholamandalam MS Flexi Health Insurance with the necessary information.
• The insurance company will verify and refund your medical expenses.