Chola Healthline- Types, Features & Benefits

Updated: 08-09-2023 06:39:20 AM

The Cholamandalam General Insurance Company Limited is an investment and finance arm of the esteemed Murugappa group incorporated in 1978 and serving people since then. The Chola Healthline plan announced by the group is a comprehensive health policy which offers coverage for your family on personal as well as Sum Insured (SI) basis. It facilitates you to insure your spouse and minor children on Floater Sum Insured basis. It also has an option to cover your siblings, parents-in-law, and spouse too.

Types of Chola Healthline Plan

Cholamandalam also offers top-up Healthline plan for different needs of customers with Sum Insured (SI) plans included in all four of them:

• Freedom Healthline
• Value Healthline
• Enrich Healthline
• Privilege Healthline

Overview of Top-Up plans

1. Freedom Healthline Plan: It is recommended for customers who have to look after a growing family, and this plan covers your entire family in a comprehensive manner.
2. Value Healthline Plan: It is a simple value for money plan for customers looking for a good plan within budget.
3. Enrich Healthline Plan: Enrich Healthline plan is for customers who tend to fear for ever-increasing medical expenses of future. It covers you against increasing costs of medical services with increasing age.
4. Privilege Healthline Plan:  It is a most effective plan for customers looking for an everything inclusive health cover. It covers expenses of complete medical services including maternity and childbirth. It covers you against increasing costs of medical services with increasing age.

All four plans cover you, your spouse, dependent parents, dependent children, parents in law and siblings on an individual Sum Insured(SI)basis. It covers you, your partner and dependent children on floater SI scheme.

Features of the Healthline Plan 

Chola Healthline	Value Plan			Freedom Plan		Enrich Plan	Privilege Plan
Sum Insured (Lakhs)	2/3/5/7.5/10			3/5/7.5/10/15		3/5.0/7.5/10/15/20/25	5/7.5/10/15/20/25
Patient in hospitalization expenses	Covered			Covered		Covered	Covered
Day-care medication /treatment expenses	Covered			Covered		Covered	Covered
Pre –Hospitalization expenses	30 days			60 days		60days	60 days
Post- Hospitalization expenses	60 days			90 days		90 days	90 days
Domiciliary expenses per person per year	Max 7 days			Max 7 days		Max 7 days	Max 7 days
AYUSH coverage expenses	Covered			Covered		Covered	Covered
Organ donor expenses	Covered			Covered		Covered	Covered
Emergency Ambulance Expense	Rs1000			Rs2000		Rs2000	Rs5000
Maternity expenses (Up to 2 deliveries,3 renewals)	No			No		No	Up to 1 lakh per delivery
Newborn hospitalization expenses	No			No		No	Up to sum of insured Mother/Float Sum Insured
Based on Co-Payment
Co-payment for age up to 55 years	10% of claim insured			No		No	No
Based on the Sum Insured
Child hospitalization allowance per admission		No	Rs 500 for 7 days		No			No
Dental/Specs/Hearing Aids for an insured person		No	No		No			Rs 10000 every 2 years
Hospitalization Allowance (Min 10 days)		No	No		Rs 10000			Rs 10000
Double Sum Insured		No	No		For critical illness and accidents			For critical illness and accidents
Expert opinion for major critical illness		No	No		No			Rs 25000
Based on Policy Renewal Benefits Offered
Health Diagnosis Expenses		No	One time after 3 no- claim years.		One time after 2 no-claim years			One time after 2 no – claim years.
Cumulative Bonus		5% of the insured sum for every no-claim year. Max of 25 % of SI	5% of the insured sum for every no-claim year. Max of 50 % of SI		50% of the insured sum for every no-claim year. Max of 100 % of SI			5% of the insured sum for every no-claim year. Max of 50 % of SI
Deduction of Cumulative bonus if the claim made in following policy year		5 % of insured sum	5 % of insured sum		50 % of insured sum			5 % of insured sum

Advantages of Chola Healthline

(a) Benefits offered on Renewal of Policy

• Health Check-up of the insured person
• A cumulative bonus will be offered

(b) Benefits of selection of Lifelong renewal option for the policy term

• Discount will be provided for long-term policy purchase  12% for a 3-year policy and 6% for a 2-year policy

(c) Tax Benefits

• As per section 80D of Income Tax Act you are eligible to get a rebate of Rs 25000 when you insure yourself, spouse, dependent children, and Rs 30000 when you insure your parents above 60 years of age.

(d) Premium Benefits

• Chola Healthline offers you insurance coverage policies ranging from Rs. 2-25 lakhs. Discount, as mentioned above, will be 6% for 2-year policy and 12% for 3-year policy. The policy covers dependent children of up to 26 years of age and adults from 18-65 years of age. Premium is inclusive of 18% service tax.

(e) Discount Benefits

• Discount of 10 percent will be granted if the insured person resides in Tier-2 locations.
• Tier 1 includes metropolitan cities like Mumbai, Ahmedabad, Chennai, Bengaluru, Kolkotta, New Delhi, Hyderabad, Gurgaon.
• Tier 2 locations include remaining parts of India excluding tier-1 locations.

Coverages under Chola Healthline

• Admission of Patient for more than 24 hours
• Medical Expenditure  up to 30/60 days before the patient is admitted
• The Medical Expenditure up to 60/90 days from the day of discharge.
• The officially listed 141 Day-Care Treatments requiring the patient to be admitted in the hospital for less than 24 hours
• Domiciliary Hospitalisation
• Coverage for AYUSH policy
• Expenses borne by Donor for organ transplantation
• Ambulance  Service Cost
• Maternity Expenses only under the Privilege Plan
• New Born Hospitalisation cost (Privilege Plan)

Also Check: Chola Hospital Cash Healthline (Revision)

Exclusions under Chola Healthline 

• Two Year Exclusion Rule: Cost of treatments of mentioned diseases within the start of first 2 years of policy will not be admissible: All types of Hernia, Hydrocele, Chronic Renal Failure, Joint Replacement of Surgery unless caused by accident. Congenial Internal Anomaly, Varicose veins and varicose ulcers, treatment on diseases of ears/tonsils/adenoids/paranasal sinuses/Deviated Nasal Septum, Stones in the urinary and biliary systems, Gastric or duodenal ulcers, Any type of benign Cyst/ Nodules/ Polpys/ Tumours/ Breast lumps, Intervertebral Disc Prolapse, and Degenerative disc disorders, Cataract, Benign Prostatic Hypertrophy, Myomectomy, Hysterectomy unless because of malignancy, Dilatation etc. Any Previously Existing Disease(PED), Policy benefits will not be given for any pre-existing medical condition as mentioned in the policy until 48 months consecutive months of coverage policy has elapsed, since starting of the policy with the company
• Non-Medical expenditure while a patient is hospitalized
• Inoculation or Vaccination unless forming a part of post-animal bite treatment
• If an insured person whether sane or insane breaching a law causing self-harm or attempting suicide
• War or results of war, Invasion, acts of foreign invaders, hostilities, Civil war, revolution, martial law, mutiny, Insurrection

Filing claims with Chola Healthline

If you are insured under the health insurance policies of Cholamandalam General Insurance Company Limited is hospitalized in any of the network hospitals, you need not pay any money for availing the treatment up to the sum insured. However, this will be based on the terms and conditions of the Chola Health Insurance Policies. You will have to approach the Third Party Administrator (TPA) desk of the network hospital and submit the necessary documents. The hospital will intimate Chola Health Insurance for the authorization of the treatment. If the insurance company denies the request, no coverage will be provided, and the insured will have to bear all the charges incurred during treatment. If the insurance company accepts the request, the charges applicable for the treatment based on the sum assured under the plan.

Renewal Process with Chola Healthline

For renewal, grace period of 30 days is allowed from the date of expiry previous policy. However policyholders cannot take benefits of claim during the grace period.

Surrender of Policy

Policyholders can cancel the policy by giving at least 15 days notice in written form. However, if the policy is canceled by the policyholders himself, company will retain a part of premium with itself for the period which policyholder was covered under the policy.

Also Check: Topup Healthline

FAQs

Q1. How is their network of cashless hospitals?

My parents stay in the village area and still their network is excellent. They have a good network in most areas of India.

Q2. How quickly they address a claim?

I had a good experience with them during the operation of my mother. Their service is pretty good without much hassle.

Q3. How good are they compared with other Insurance Companies?

It is a very old company and equally trustworthy as other companies.

Q4. How can I call Chola Health Insurance Company in case I need assistance regarding my health insurance plan?

You can send a written query to the registered office of Cholamandalam Health Insurance mentioned below:

Cholamandalam Investment and Finance Company Limited (Chola),
Dare House, 1st Floor,
No.2, N.S.C. Bose Road, Parrys,
Chennai – 600001

You can also call the insurance company on the toll-free number 1800-102-4565 between 9 am and 7 pm on the working days or send an SMS to 9500000312 for customer assistance from Cholamandalam Insurance Company.