Chola MS Individual Healthline Insurance – Coverage, Claim & Renewal

Updated: 05-09-2023 05:39:32 AM

Living in the pink of your health is a dream rarely realized. No matter how much we workout or how green our food plate becomes, we find ourselves a little or more sick every now and then. Now that’s one of the major side-effects of modern living. But we can make use of this modern living and protect at least the monetary side of our health with instruments like Chola MS Individual Healthline Insurance plan that aims to safeguard us from medical expenses that can’t be avoided.

What is Chola MS Individual Healthline Insurance?

Among the extensive range of insurance products, the Chola MS Individual Healthline Insurance is a comprehensive health insurance plan that covers inpatient hospitalization expenses along with the expenses related to it. It is designed to provivd you protection from financial burn in times when you are already facing health adversities.

Types of Chola MS Individual Healthline Insurance

Three plan variants provided under this plan based on the assured sum are:

• Standard Individual Healthline Insurance Policy – Sum Insured of Rs.3/4/5 lakh
• Superior Individual Healthline Insurance Policy – Sum Insured of Rs.3.5/4.5/5.5 lakh
• Advanced Individual Healthline Policy– Sum Insured of Rs.4.5/5.5/7.5/20 lakh

Eligibility Criteria

Any individual who falls in the age range of 18 – 65 years is eligibile for this health plan. For dependent children, the age category is finalized at 3 months – 26 years (boy) and 3 months – 35 years (girl).

What all Chola MS Individual Healthline Insurance plan covers?

• This health insurance policy covers the policyholders, their spouse, dependent children, dependent parents, as well as parents in law
• Outpatient Department (OPD) dental care treatment expenses, Ayurvedic treatment, Spectacle charges, Contact Lenses costs, charges for hearing aids, etc. are covered under this plan after waiting period of 3 continuous policy years
• You can avail coverage for a total of 141 daycare treatments under the Chola MS Individual Healthline Insurance Plan that requires hospitalization of less than 24 hours
• After the waiting period of 5 continuous policy years, maternity benefits are offered under this health insurance plan from Cholamandalam Health Insurance Company
• The expenses of organ donations are covered under this health insurance policy

 

Claim Process

If you are hospitalized in any of the network hospitals of Chola MS Insurance Company Limited, you do not have to pay any money to avail treatment up to the sum insured under the plan.

Simply approach the Third Party Administrator (TPA) desk of the network hospital of Cholamandalam Insurance Company and prove your health-card membership number. The hospital will contact Chola MS Insurance Company to validate the authorization for the treatment. As soon as authorization is received, you may start with the treatment while the bills arising from the treatment will be settled by the insurer.

If you are admitted to non-network hospitals of Chola MS, you can settle the bills by yourself and save the receipts of the payments. Once all the documents are submitted to the insurance provider, the company verifies the same and reimburses the charges incurred up to the sum insured. However, you will need to intimate the insurance company as soon as possible to avoid rejection of your claims.

Documents Required for a Reimbursement Claim

• Duly filled and signed claim form
• Doctor’s prescription advising hospitalization
• Discharge papers from the hospital
• Receipt of the bills paid for the treatment
• Bills of the medicines bought for the treatment
• Consultation documents
• Final hospital bill
• Any other supporting documents asked by the insurer

Cases where you can’t claim Chola MS Individual Healthline Insurance

As per the terms and conditions laid down under this plan, no coverage will be provided in the hospitalization of the insured individual due to the following reasons:

• Self-induced injury/ disease/ illness
• AIDS
• Mental illness
• Aesthetic treatment
• Cosmetic treatment
• In vitro fertilization
• Infertility
• Congenital diseases
• War or warlike situation
• Pregnancy
• Childbirth
• Dental surgery
• Abortion
• Miscarriage

How much time does it take to pay out a claim?

Chola MS Individual Healthline Insurance claims are settled within15 days from the date of your claim request. However, you need to submit the relevant and original documents for a quick and successful claim settlement.

Renewal Process of Chola MS Individual Healthline Insurance

As the policy offers lifetime renewal, there is no maximum policy ceasing age. This means you can reap the benefits of this plan for as long as you want. To renew your policy, make sure to intimate the process within the grace period provided under the policy consisting of 30 days from the date of expiry of the policy. Sum insured can be changed at the time of renewal subject to acceptance by the insurer.

Advantages of buying Chola MS Individual Healthline Insurance

The Cholamandalam Healthline policies cater to the unique requirements with different coverage, sum assured, and benefits. Below mentioned are the benefits of availing the Cholamandalam Chola MS Individual Healthline Insurance Plan:

• Every individual availing this facility can enjoy income tax benefits as per the Income Tax Act of India.
• You can avail a free-look period of 15 days that begins right after the inception of the policy in which you may cancel the policy if feeling unsatisfied by the same (subject to no claims made in this period)
• No medical checkup is required until the insured reaches 55 years of age
• Lifetime renewability of the policy is available with Cholamandalam Insurance Company
• You can avail up to 7.5% of the sum insured to claim for Ayurvedic treatment. However, you will need to pay a 20% co-payment to avail non-allopathic treatment.
• There is a provision of shared accommodation in this plan
• Option to get enrolled in Chola Wellness Health Alerts is available in which personalized reminders are sent to keep your health in check
• Sum insured can easily be enhanced if wished for, at the time of renewal of the policy
• A cooling off period is provided for 30 days for all claims except for accidental injuries is provided
• All pre-existing conditions are covered after the completion of 4 consecutive policy years

Features	Details
Claim Type (In-House or TPA)	In-House
Pre-Hospitalization	Yes, 60 days
Network Hospital Count	5000+
Post-Hospitalization	Yes, 90 days
Room Eligibility	AC, single room
Share Claim Payments	NA
Restoration of Cover	NA
No Claim Bonus	Yes, up to 50% of Sum Insured
Worldwide Coverage	No
Maternity Cover	Yes, for Superior & Advanced plans
Hospitalization at Home	Yes, for Superior & Advanced
Day Care Treatment	Yes, 141 centres
Non-Allopathic Treatment Coverage	Yes, Ayurvedic
Emergency Ambulance	Yes
Health Check-up	Yes

Also Read: Chola Healthline | Chola MS Family Healthline Insurance

FAQs

Q1. Can I purchase more than one health insurance policies?

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

Q2. Do I have to undergo medical check-up while purchasing a health insurance policy from Chola MS Healthline?

If you fall under the age of 55 years, you do not have to take any medical tests for purchasing the health insurance policies from Cholamandalam. However, in case you are above 55 years, you will have to take medical tests for applying for health insurance plans from Chola Health Insurance Company.