Chola MS Flexi Health
  • Avail SI up to 25L
  • Medical Second Opinion
  • Compassionate Travel Cover
Chola MS Flexi Health
premium

Network hospitals

12000+

premium

Incurred claim ratio

94.5%

premium

Sum insured

Up to 5 Crore

premium

No. of Plans

1

premium

Solvency Ratio

2

premium

Pan India Presence

198+

Customized Health Insurance Plan for you.

Get upto 15% Online Discount*

Select Members You Want To Insure

Age of Eldest Member

Chola MS Flexi Health

Chola Flexi Health is an insurance plan that molds itself around your life. You can personalize your sum insured, premium payment mode, and tenure under the policy. The product also covers you for alternate treatments besides allopathy. Chola Flexi health insurance offers a wide range of sum-insured options up to INR 25 lac for self, spouse, children, dependent parents, dependent parents-in-law, and dependent siblings on an Individual Sum sum-insured basis. A family floater basis policy can be availed for Primary Insured, Spouse, and Children up to a maximum of 6 members. The plan is designed in a way to give customers better control over their insurance plan by providing additional coverage options like

  • Sum Insured Restoration
  • Recharge Benefit
  • Additional Sum Insured for claims due to Road Traffic Accident
  • Daily Care Benefit
  • Compassionate Travel
  • Repatriation of Mortal Remains and
  • Medical Second Opinion

The entry age for adults to purchase Chola MS flexi health is 18 years to 65 years, dependent children can be covered from as early as 3 months to 26 years.

Chola Flexi Health At A Glance

Plan Type Individual/Family Floater
Initial Waiting Period 30 Days
Sum Insured INR 1 to 25 La
Network Hospitals 10000+
No-claim Bonus Applicable, 10% to 50% of SI
Health Checkup Once in two claim-free years

 

Chola MS Flexi Health Specifications

To understand Chola MS Flexi Health Insurance in detail, take a look at the below table:

Entry Age

18 to 65 years

Policy Type

Individual and Family Health Insurance

Sum Insured

5 L | 7.5L | 10 L | 15 L | 20 L | 25 L

Initial Waiting Period*

30 Days Days

Renewability

Lifelong

Policy Term

1,2,3 Years

*Initial Waiting Period is the time period between the issuance of the policy and the time it starts actively. During this period, a policyholder has to wait to avail of the benefits offered under a health insurance plan.

Read more specifications in the brochure.

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Choose Your Chola MS Flexi Health

With wide coverage options available, Chola MS Flexi Health Insurance Plan allows you to choose your ideal coverage as per your family’s health requirements. Take a look at the coverage under every SI option available and choose your ideal coverage:

In-patient & Out-patient coverage

Room Rent

Covered

ICU Charges

Covered

Pre-Hospitalization

Covered

Post-Hospitalization

Covered

Domiciliary Hospitalization

Covered

Daycare Treatment

Covered

OPD Charges

Not Covered

Coverage Terms

COVID-19 Treatment

Covered

Cataract

Covered

No Claim Bonus

Covered

Automatic Restoration

Covered

Daily Hospital Cash

Covered

Organ Donor

Covered

Maternity Cover

Not Covered

New Born Baby Cover

Covered

Alternative Treatments

AYUSH Treatment

Covered

IVF Treatment

Not Covered

Modern Treatment

Not Covered

Emergency Coverage

Ambulance

Covered

Air Ambulance

Not Covered

Compassionate Travel

Covered

Global Coverage

Not Covered

Wellness Programmes

E-Consultation

Not Covered

Health Check-Up

Covered

Second Medical Opinion

Covered

Vaccination

Not Covered

Limitations

Co-payment

Covered

Sub-limits

Covered

What is Room Rent?

The room rent limit is the maximum bed charge you can claim if you are hospitalised. Common Room categories covered under room rent are all kinds of rooms including single, private and AC rooms (except suite).

What are ICU Charges?

It is a special hospital department where patients with serious medical conditions are treated.

What is Pre Hospitalization?

Medical expenses incurred before hospitalisation of the policyholder.

What is Post Hospitalization?

Medical expenses incurred after the discharge of the policyholder from the hospital.

What is Domiciliary Hospitalization?

Domiciliary hospitalization or home care treatments are the arrangements for an insured individual due to the unavailability of medical amenities in hospitals, or in a case where an insured member can not be admitted to the hospital due to an inability. The treatment should last equal to or more than 72 hours to get financial coverage.

What is Daycare Treatment?

Treatments that can be completed within 24 hours of hospitalization like blood dialysis, cataracts, etc.

What are OPD charges?

Covers the cost of doctor consultations and prescribed medical tests that may not require hospitalization. .

What is COVID-19 Treatment?

It includes the treatment cost for COVID-19 with a confirmative diagnosis from a government-approved centre.

What is Cataract Treatment?

A common eye condition in which your vision gets blurred due to cloudy formation in your eyes.

What is a No-Claim Bonus?

For every claim-free year, insurance companies reward policyholders with an increase in the sum insured amount as a no-claim bonus or cumulative bonus on policy renewal. However, in the case of a claim, this bonus amount either lapses or is reduced by a certain percentage varying from one plan to the other.

What is Automatic Restoration?

It is a benefit in which an insurance company restores the amount of sum insured completely or up to a certain percentage after it gets fully exhausted in treatments. This restoration amount may vary from one plan to the other.

What is Daily Hospital Cash?

Daily hospital cash or Hospicash is a cash amount that you receive each day during the time of hospitalization to cover your non-medical expenses.

What is an Organ Donor Cover?

It is a cover that includes the cost of the procedure for removing the damaged or malfunctioning organs from the body. In most of the cases, the insurer pays for the hospitalization and transplant expenses for both the parties i.e. the donor and the receiver.

What is a Maternity Cover?

It refers to the cover that includes expenses for normal and c-section deliveries.

What is a New Born Baby Cover?

It takes care of the medical expenses that arise due to the hospitalisation of the newborn baby in case of any childbirth complications, medical challenges, and so on. Some of the common treatments that are covered under the newborn cover and these common treatments can vary from plan to plan:

  • Congenital anomaly (conditions since birth)
  • Acute condition
  • Chronic condition
  • Premature delivery
  • Birth asphyxia
  • Daycare treatment
What is AYUSH Treatment?

Refers to the cost of medicines and procedures used under AYUSH (Ayurveda, Yoga & Naturopathy, Unani, Siddha, and Homeopathy) treatment.

What is IVF Treatment?

In Vitro Fertilization (IVF) is a method of assisted reproductive technology. The common expenses incurred under IVF and infertility treatments are settled or reimbursed for:

  • Full infertility
  • No fertility
  • Infertility diagnosis
  • Infertility diagnosis and limited fertility treatment
  • Medication (which may or may not include fertility drug prescriptions)
What is a Modern Treatment?

Medical treatments that demand the use of modern technology and advanced machinery such as robotic surgeries, stem cell therapy, etc.

What is an Ambulance Cover?

An ambulance is used to move the patient from home to the hospital, transfer them to another hospital, and take them for different tests outside the hospital.

What is an Air Ambulance?

Air ambulances are specially prepared planes that transfer the patient from one place to another in case of a health emergency.

What is Compassionate Travel?

Refers to the travelling expenses of a family member who’s visiting the hospital to look after the patient when the policyholder gets admitted to a hospital outside his/her residential city.

What is Global Coverage?

Any kind of medical/health emergency when you are outside of India is covered for hospitalization expenses, modern and specific treatments, etc.

What is E-Consultation?

If a policy offers e-consultation it allows policyholders to connect with a doctor for medical consultation through video chat, audio call, or chatbot.

What is a Health Checkup?

A facility where the policyholder can avail of free health check-ups after fulfilling the company's eligibility criteria. In most cases, the insured member/s gets an annual health check-up cover.

What is a Second Medical Opinion?

If the policyholder wants, they may opt for a second medical opinion wherein the policyholder can consult another doctor within the company’s network of medical practitioners.

What is Vaccination cover?

Coverage against the expenses incurred on vaccinations of either the newborn baby, for an animal bite, etc is provided by the insurance companies.

What is Co-payment?

In the co-payment clause, policyholders have to pay a preset amount (either compulsorily or voluntarily) of the hospitalisation expense on their own and the insurer will pay the rest of the medical bill amount.

What is the Sub limit?

Sub limit is a condition in which the insurer will have to pay the medical expense up to a certain percentage and the remaining amount will have to be paid by the policyholder. For instance, if your policy covers room rent for upto 20% of the sum insured, but the expense of the same is more than 25%, you will have to pay the rest amount, i.e. 5%, for your room rent.

Benefits of Chola MS Flexi Health

Chola MS Flexi Health offers a multitude of features and benefits to its customers allowing them to customize the health plan as per their requirements:

  • Road Traffic Accident Benefit
    Chola MS flexi health insurance policy offers individuals with road traffic accident benefits for a sum insured value of INR 3 lac and above. The benefit provides individuals up to 25% of the sum insured to a maximum of Rs.3 lakhs once during the policy period for claims made due to road traffic accidents.
  • Compassionate Travel Benefit
    Individuals investing in Chola MS Flexi health insurance can avail of the compassionate travel benefit. The plan offers reimbursement of travel expenses up to a maximum of Rs.5000/- per policy year by air in case an immediate family member is admitted to the hospital for a life-threatening emergency medical condition.
  • Daily Care Benefit
    Individuals are provided with a daily benefit of INR 500 per day towards accompanying personal expenses, up to a maximum of 10 days per policy period.
  • Avail Medical Second Opinion
    If you are an individual who wants to avail a second medical opinion for various treatments the plan provides reimbursement of the cost of obtaining a specialist medical opinion up to a maximum of INR 25,000.
  • Tax Benefits
    All the premiums paid towards the Chola Flexi health plan will be eligible for tax benefits under the Income Tax Act of India.

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Premium Table for Chola MS Flexi Health Insurance

Below calculated are the premiums for Chola MS Flexi Health Insurance

Adult 1

Sum Insured 5 L 10 L 15 L 20 L 25 L
Premium (In Rs.) 3,074 3,880 4,364 4,790 5,172

*Calculated on an individual policy basis for a 26-year-old female (self) for 2 years policy term and a half-yearly premium payment term*

Adult 1+1

Sum Insured 5 L 10 L 15 L 20 L 25 L
Premium (In Rs.) 4,981 6,292 7,080 7,772 8,395

*Calculated on a family floater basis for a 30-year-old male and 26-year-old female for 2 years policy term and a half-yearly premium payment term*

Adult 2+1

Sum Insured 5 L 10 L 15 L 20 L 25 L
Premium (In Rs.) 6,060 7,655 8,614 9,456 10,214

Cholamandalam Flexi Health Plan Exclusions

Permanent Exclusions

Permanent diseases or health conditions that are not included under the Cholamandalam Flexi Health Plan are:

Hospitalization out of war, riot, strike, and nuclear weapons

Intentional self-injury

AIDS

Miscarriage, and Abortion

Congenital disease

Infertility and in vitro fertilization

Coverage after Waiting Period

Certain diseases and treatments are covered under this plan after a certain period. Read the details below:

Listed ailments after 2 Years

Pre-existing diseases after 36 Months

Claim Process of Chola MS Flexi Health

To avail of claim settlement services, the insured individual must follow the process given below.

Cashless Claim

  • On hospitalization of self or family member, customer must inform the hospital that they are a chola MS policyholder
  • Submit your policy number and show your policy card to the hospital administration along with a valid ID proof
  • Post verification of your documents a pre-authorized form is filled and submitted to Chola MS Insurance
  • The insurer will review the documents and proceed with the verification process
  • Once the verification process is completed Chola MS will settle the claim directly with the hospital

Reimbursement Claim Process

  • On hospitalization in a non-network hospital of self or a family member, the customer must inform the insurer the same on the toll-free number 1800-208-9100 within 24 hours of hospitalization
  • On discharge from the non-network hospital the insured individual must pay the complete hospitalization bill and fill the pre-authorized reimbursement claim settlement form and submit it to your nearest Chola MS branch along with the hospitalization documents
  • Once the verification of the documents and form is done Chola MS will pay the reimbursement claim as per your policy term and conditions.

Explore other Cholamandalam Health Insurance

To cater to the different medical needs of an individual & their family, Cholamandalam Health Insurance offers several Health Plans ranging from senior citizen plans to specialized plans for autistic children, to health insurance for cardiac patients, and many more.Take a look below to Cholamandalam Health Insurance plans explore more:

Individual and Family Health Insurance

Chola MS Flexi Health

Chola MS Flexi Health

Chola Flexi Health is an insurance plan that molds itself around your life. You can personalize your sum insured, premium payment mode, and tenure und...

Unique Features

  • Avail SI up to 25L
  • Medical Second Opinion
  • Compassionate Travel Cover

Chola MS Flexi Health (Pros)

Chola MS Flexi Health
  • New born baby cover
  • Ambulance cover
  • Recharge benefit

Chola MS Flexi Health (Cons)

Chola MS Flexi Health
  • Illegal activities
  • Alcoholism
  • Obesity and cosmetic procedures

Chola MS Flexi Health (Other Benefits)

Chola MS Flexi Health
  • Medical second opinion
  • Daily care benefit
  • AYUSH coverage

Chola MS Flexi Health (Eligibility Criteria)

Chola MS Flexi Health
  • Min entry age: 18 Years
  • Max entry age: 65 Years
  • Initial Waiting Period: 30 Days
  • Sum Insured: Up to 25 L

Cholamandalam MS Flexi Health Insurance: FAQs

1. What are the sub-limits mentioned under Chola MS Flexi Health Insurance?

There are certain sub-limits applicable to room rent and emergency road ambulance under the Chola MS Flexi Health Insurance as per the policy schedule.

2. What are the eligibility criteria for Chola MS Flexi Health?

The eligibility criteria under Chola MS Flexi Health Insurance are given below Adults - 18 to 65 years Dependent Children - 03 months to 26 years

3. What sum-insured options are available under the Chola MS Flexi Health Plan?

The Chola Flexi health insurance offers a wide range of sum insured options to its customers ranging from 2 to 25 Lacs and can be customized as per the requirements of the customer.

4. Does the plan offer medical coverage internationally?

No, customers can not avail of medical coverage internationally under Chola Flexi health insurance. The cover is only applicable in India.

5. How many people can be covered under Chola Flexi health insurance?

Under Chola Flexi Health Insurance relationships covered are mentioned below Self Spouse Children Dependent Parents Dependent Parents-in-law Depdent siblings

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Simran Kaur Vij

Written By: Simran Kaur Vij

Simran is an insurance expert with more than 3 years of experience in the industry. She may have all the answers to your insurance queries. With a background in Banking, she proactively helps her readers to stay on par with all the latest Insurance industry developments.

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