Chola Hospital Cash Healthline (Revision)- Eligibility, Features & Exclusions

Published: 21-01-2019 12:14:37 PM

The Chola Hospital Cash Healthline (Revision) is a fixed daily allowance plan offered by Cholamandalam General Insurance Company Limited. For every completion of 24-hours hospitalization, coverage is provided for the miscellaneous expenses incurred. If you are hospitalized Intensive Care Unit (ICU), double allowance is provided on a daily basis. In case the hospitalization exceeds a period of 20 days, an additional lump sum benefit is provided under this Healthline plan. The Cholamandalam Chola Hospital Cash Healthline (Revision) Plan is a simple insurance plan that can be easily bought online as well as offline. Three plan variants viz. Plan A, Plan B, Plan C, Plan D, Plan E and Plan F are offered under this Hospital Cash Healthline Plan.

Eligibility Criteria

The Cholamandalam Health Insurance Company has set a few eligibility criteria that have to be met in order to purchase the plan. Below mentioned are the eligibility criteria to purchase Chola Hospital Cash Healthline (Revision):

Parameters	Details
Entry Age	Min: 18 years Max: 65 years
Entry Age for Children in Family Floater Plan	Min: 3 months Max: 36 years
Policy Tenure	1 year/ 2 years/ 3 years
Sum Assured	Rs. 1000 to Rs. 3000 per day
Policy Renewal Period	Lifetime Renewal

Features of Chola Hospital Cash Healthline (Revision)

• Daily cash benefit for every completion of 24 hours hospitalization based on the chosen plan variant
• Cashless claim and reimbursement facility available
• No medical checkup is required up to 55 years age of the insured
• Lifetime renewal option with a 30 days grace period
• For every claim free year, you can get a 5% No Claim Bonus (NCB) that can be extended up to 50% on the sum insured. In case of a claim, a 5% reduction will be applied to the sum insured

Points to Consider Before Purchasing the Hospital Cash Plan

• You need to check the claim settlement ratio of the financial provider offering hospital cash plans
• Select the plan that offers decent hospital cash allowance and other benefits like ICU hospitalization allowance and such
• Check for the bonuses, discounts, and other facilities offered by the insurer. Also, you must compare the features of hospital cash plan offered by different insurers online to choose the right insurer

How to File a Claim with Cholamandalam for Hospital Cash Healthline?

If the insured person is hospitalized in any of the network hospitals of Chola MS Insurance Company Limited, he/she need not pay any money to avail treatment up to total daily cash allowance as per the plan. However, this will be based on the terms and conditions of the Chola Health Insurance Company. The insured needs to approach the Third Party Administrator (TPA) desk of the network hospital and submit the necessary documents. The hospital will approach the Cholamandalam Health Insurance Company to get the authorization for 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 the treatment. On the other hand, if the insurance company accepts the request, the charges applicable for the treatment based on the sum assured under the plan will be settled by the insurer. Rejection of the claim request is only if the insured individual does not meet the eligibility criteria of the plan or does not provide the necessary original documents for the same.

Documents Required for Filing a Claim

If you have paid and settled the bills for the treatments defined under the policy coverage, you will be eligible to claim for reimbursement from the company. Depending on the terms and conditions mentioned in the policy documents, the insurer will process the claim and reimburse the medical expenses incurred by the insured up to the sum assured in the daily cash allowance plan. Below mentioned would be the documents to be submitted to make a reimbursement claim from Cholamandalam:

1. Duly filled and signed the claim form.
2. Doctor’s prescription advising for hospitalization.
3. Document of discharge from the hospital.
4. Receipt for the bills paid for the treatment.
5. Bills of the medicines bought for the treatment.
6. Consultation documents.
7. Final hospital bill.
8. All other supporting documents.

Exclusions under Cholamandalam Chola Hospital Cash Healthline (Revision)

No allowance will be provided in the incident mentioned below:

• Pre-existing conditions are not covered until 4 policy years
• All claims will be accepted only after 30 days from the policy inception
• Few diseases are excluded from policy coverage for the first 2 policy years like congenital diseases, piles, fistula, etc.
• Self-inflicted injuries are not covered
• Treatment related to AIDS and such is not covered

What Time is Required to Settle a Claim?

Cholamandalam General Insurance Company Limited is known to settle claims in a quick and hassle-free manner. The company settles claims in just 15 days from the date of claim request. The only condition for this is that you need to submit original documents and the reason for the claim must be genuine.

Renewal Process for Chola Hospital Cash Healthline (Revision)

Under this plan, policyholders can renew the plan till lifetime. For this, a grace period is allowed of 30 days from the date of expiry of previous policy.

Advantages of Chola Hospital Cash Healthline (Revision)

A free-look period of 15 days is offered with this plan.  In case you are unsatisfied with the policy’s terms and conditions, you can opt to return the policy within the 15 days. But, the only requirement for the same is that you should not have made any claims during this period.

1. For policy cancellation, you need to provide a notice 15 days prior to the cancellation. A part of the premium will be retained for the period for the period until which you were covered.
2. The cost of pre-health checkup is reimbursed up to 50% at the time of policy issuance.
3. A 5% discount is offered for the family of 2 members and more than 2 members, a discount of 10% of the sum insured is provided.
4. Under Section 80D of the Income Tax Act of India, you can get tax benefits for the premiums paid for self, spouse, parents and dependent children.
5. Sum insured in the plan can be enhanced during the time of policy renewal.
6. For ICU hospitalization double sum insured is offered.
7. Below mentioned are the daily allowance benefits offered under the plan:

Plan Variants	Sum Insured	Convalescence Benefit (after 20 days hospitalization)
Plan A	Rs. 1000 per day	Rs. 10,000
Plan B	Rs. 2000 per day	Rs. 15,000
Plan C	Rs. 3000 per day	Rs. 20,000

FAQs

Q1. If I am already suffering from a disease before buying the health insurance policy from Cholamandalam, will my expenses be reimbursed after policy purchase?

If you are suffering from any disease before purchasing the policy, it will be considered a pre-existing condition. Any expenses for pre-existing conditions will be covered only after four policy years.

Q2. If I am not an Indian citizen, but I live in India, can I avail this health insurance plan?

Yes. Chola MS Health Insurance offers coverage for foreigners residing in India. However, this coverage will be limited to the treatments taken within the boundaries of India.

Q3. Can I purchase more than one health insurance policies?

Yes. You can purchase more than one health insurance plans from Cholamandalam General Insurance Company Limited. In the case of each claim made, the assured sum of that particular plan will be offered to the insured individual.

Q4. What is Cashless Hospitalization?

In the incident of hospitalization due to the reasons specified in the policy documents, if you are hospitalized in any of the network hospitals of Chola General Insurance Company Limited, you can avail the cashless hospitalization facility. As per the cashless hospitalization facility, you need not pay anything while availing the treatment in the network hospitals. On completion of the procedures with the TPA of the hospital, the hospital authorities will communicate to the insurer, and if the request is verified and accepted, the insurer will settle all the bills.

Q5. How can I call Chola General Insurance Company Limited in case I need assistance regarding my Hospital Cash Plan?

You can send a written query to the registered office of Cholamandalam General Insurance Company Limited 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 General Insurance Company Limited.