Chola MS Flexi Health

Chola Flexi Health Insurance: An Overview

Chola Flexi Health is an insurance plan that adapts to your life. You can personalize your sum insured, premium payment mode, and tenure under the policy. The product also covers alternate treatments besides allopathy.

Chola Flexi Health Insurance offers a wide range of sum insured options, up to INR 25 Lakh, for self, spouse, children, dependent parents, dependent parents-in-law, and dependent siblings on an individual sum insured basis. A family floater policy can be availed for the primary insured, spouse, and children, covering a maximum of 6 members.

The plan is designed 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
• Medical Second Opinion

The entry age for adults to purchase Chola MS Flexi Health is 18 to 65 years. Dependent children can be covered from as early as 3 months up to 26 years.

Chola Flexi Health at a Glance

Benefits of Chola MS Flexi Health

Chola MS Flexi Health offers various features and benefits to its customers, allowing them to customize the health plan to their requirements:

• Road Traffic Accident Benefit: The Chola MS Flexi Health Insurance policy offers individuals road traffic accident benefits for a sum insured of INR 3 Lakh and above. This benefit provides individuals up to 25% of the sum insured, to a maximum of INR 3 Lakh, 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 INR 5,000 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.
• Medical Second Opinion: If you want 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 premiums paid towards the Chola Flexi Health Plan will be eligible for tax benefits under Section 80D of the Income Tax Act, 1961.

Exclusions

Permanent Diseases or Health Conditions Not Covered

• Hospitalization due to war, riot, strike, or nuclear weapons
• Intentional self-injury
• AIDS
• Miscarriage and Abortion
• Congenital disease
• Infertility and in vitro fertilization

Diseases and Treatments Covered After a Specific Waiting Period

• 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 outlined below.

Cashless Claim Process

1. On hospitalization of self or a family member, the customer must inform the hospital that they are a Chola MS policyholder.
2. Submit your policy number, policy card, and a valid ID proof to the hospital administration.
3. Post verification of your documents, a pre-authorization form is filled and submitted to Chola MS Insurance.
4. The insurer will review the documents and proceed with verification.
5. Once verification is complete, Chola MS will settle the claim directly with the hospital.

Reimbursement Claim Process

1. On hospitalization in a non-network hospital for self or a family member, the customer must inform the insurer on the toll-free number 1800-208-9100 within 24 hours of hospitalization.
2. On discharge from the non-network hospital, the insured individual must pay the complete hospitalization bill and fill the pre-authorization reimbursement claim form and submit it to your nearest Chola MS branch along with the hospitalization documents.
3. Once the documents and form are verified, Chola MS will process the reimbursement claim as per your policy terms and conditions.

Premium Table for Chola MS Flexi Health Insurance

Below are the calculated premiums for Chola MS Flexi Health Insurance:

Adult 1

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

Adult 1+1

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

Adult 2+1

Calculated on a family floater basis for a 30-year-old male, 26-year-old female, and one child for a 2-year policy term with half-yearly premium payment.