Chola MS General Insurance Company Limited

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About Chola MS General Insurance Company

Chola MS is a general insurer formed as a joint venture between Murugappa Group of India and Mitsui Sumitomo Insurance Company Limited of Japan. Both these companies are financial leaders in their respective segments. As such, they combine their expertise and offer a host of general insurance solutions in the form of Chola MS General Insurance Company. The company believes in trust, transparency, and technology and efficient customer service.

Key highlights of the Chola MS Company 

Gross Written Premium in FY 2020-21 Rs.43,882 million
Number of branches  132
Number of intermediaries  50,000+
Number of customers  89 lakh+
Number of advisors  8865+

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Awards and achievements of Chola MS General Insurance Company

Ever since it was established, Chola MS General Insurance Company has won various awards and accolades. Here’s a look at a few of them –

  • Best CSR Practice Award for contributions to CSR activities.
  • Economic Times Best Brands Awards 2020
  • Golden Peacock Award 2017 for efficient risk management 
  • Dream companies to Work For in 2017 in the private insurance segment awarded by Times Ascent 

Benefits of choosing Chola MS health insurance plans

If you choose health insurance plans offered by Chola MS General Insurance Company, you can enjoy the following benefits –

  • 24*7 call centre assistance to help you buy the plan or help you with your claims
  • A range of health insurance plans to cover all your medical needs
  • Transparency policy to ensure that you don’t suffer from any hidden charges
  • Attractive premium discounts to make the plans more affordable
  • Cashless claim settlements to make your claim experience hassle-free

Key features of Chola MS health Flexi Health insurance plans 

Health insurance plans offered by Chola MS General Insurance Company offer the following types of coverage features –

Type of coverage benefit Meaning 
Inpatient hospitalisation If you are hospitalised for 24 hours or more, the cost of such hospitalisation would be covered. Coverage would be allowed for room rent, ICU rent, nurse’s fee, doctor’s fee, treatment costs, etc.
Pre hospitalisation expenses The medical expenses that you incur before you are hospitalised are called pre-hospitalisation expenses. Such expenses are covered up to a specified duration 
Post hospitalisation expenses The medical costs that you incur after being discharged are called post hospitalisation expenses. Such expenses are also covered under Chola MS health insurance plans up to a specified period
Day care treatments Treatments wherein you are hospitalised only for a few hours are also covered by the plan
Ambulance expenses Chola MS health insurance plans cover the cost of ambulance if you hire one to be transported to the hospital 
Organ donor treatments If you are hospitalised and you need an organ transplant surgery, the cost of harvesting the organ from a donor would be covered under the policy
Domiciliary treatments Domiciliary treatments are those that you avail when you are hospitalised at your own home. If, due to unavoidable circumstances, you seek home hospitalisation, the plan would cover the costs incurred therein
Free health check-ups Chola MS health insurance plans also allow free preventive health check-ups after specified durations. This helps you monitor your health

 

Common exclusions in Chola MS health insurance plans

Though the health insurance plans offered by Chola MS General Insurance Company are quite comprehensive in their scope of coverage, they have specific exclusions. Coverage for such exclusions is not allowed. Some of the most common exclusions are as follows –

  • Pre-existing diseases are covered after their specified waiting period
  • Illnesses suffered within the first 30 days of buying the policy are excluded 
  • There is also a specific waiting period applicable for specific treatments like cataract, joint replacement surgeries, etc. This waiting period is for 2 years and during this period the specified illnesses are not covered
  • Suicidal death, attempted suicide or self-inflicted injuries
  • Accidental injuries due to participation in hazardous activities or criminal acts
  • Unproven or unscientific treatments
  • Cosmetic treatments
  • Venereal diseases and HIV/AIDS
  • Congenital defects
  • Claims arising due to war, terrorism, mutiny, rebellion, and the like
  • Nuclear radiation or ionisation 

List Features of Chola MS Flexi Health health insurance plans

Health insurance plans allow financial assistance in medical emergencies. They pay your medical bills so that you don’t face any financial hardships in an illness or injury. We, at PayBima offer one of the best health plan offered by Chola MS General Insurance Company. Here are the details of the plan –

Chola Flexi Health 

Chola Flexi Health is a flexible, yet, comprehensive health insurance plan that allows you to customise your coverage as per your needs. You can avail of a range of coverage benefits to ensure an all-round protection.

Given below are some of the salient features of Chola Flexi Health plan –

  • Sum insured restoration

You might suffer multiple claims in a policy year. If you do and if your sum insured is exhausted, the plan allows 100% restoration of the sum insured if the claims are unrelated in nature.

  • No pre-entrance health check-ups

If you are up to 50 years of age and you don’t have adverse medical conditions, you can easily buy the policy without the need of any pre-entrance health check-ups.

  • No claim bonus

For every year that you don’t make a claim in the policy, you are rewarded with 10% additional sum insured, free of cost. You can enjoy cumulative no claim bonus every successive year that you don’t make a claim and increase your sum insured by up to 50%.

  • Additional coverage for road traffic accidents

In the case of hospitalisation following a road traffic accident, you get an additional 25% of your sum insured, subject to a maximum of Rs.3 lakhs, as coverage.

  • Daily care benefit

Get daily cash allowance of Rs.500 per day of your hospitalisation towards the costs incurred for an accompanying person. The plan pays this benefit for a maximum of 10 days.

  • Second medical opinion

If you want a second opinion, we got you covered. Get reimbursement for up to Rs.25,000 for availing of a second medical opinion from a specialist.

Eligibility conditions

Entry age  Adults – 18 to 65 years

Children – 3 months to 26 years

Sum insured  Rs.1 lakh to Rs.25 lakhs
Policy term 1 year to 3 years
Premium payment frequency Single premium

Annual premium

Half-yearly premium

Quarterly premium

Monthly premium

Pre-existing waiting period  36 months

 

How can you buy Chola MS health insurance plans?

You can buy Chola Flexi Health insurance policy online in a very simple manner through PayBima’s PayBima.complatform. The process is as follows –

  • Go online and choose your plan

Start the process by visiting the website of PayBima and select ‘health insurance’.

  • Fill up your details

Provide all your the requested personal and medical details so that the premium can be calculated based on your coverage needs and eligibility. Enter in your name, sum insured, number of dependents, their gender, age, location PIN code, etc. Then provide your contact details so that our executives can get in touch with you and to get a personalised consultation, which will help you buy the policy easily.

  • Compare the available plans

Once you have provided all the details, a list containing of all the plan names and their features would be displayed. You can also find Chola Flexi Health plan in the list. Compare the plan with other leading health plans in the market. You can compare the coverage vis-à-vis the premium and choose the most suitable policy.

  • Fill in the online proposal form

After you have shortlisted the policy, provide your details in the online proposal form. Fill up the form completely and correctly and submit it.

  • Premium payment and policy issuance 

Once your medical reports are cleared, you just have to pPay the premium online and the policy would be issued instantly., incase of no adverse declarations about Medical history and Lifestyle habits in proposal form  

  • Medical screening

Based on your age, medical history, lifestyle habits and the coverage limit selected, you might have to undergo a pre-entrance medical check-up. Avail of the check-up at the insurer’s networked facility.

  • Premium payment and policy issuance 

Once your medical reports are cleared, you just have to pay the premium online and the policy would be issued instantly. 

How to renew Chola MS health insurance plans?

Besides the facility to buy Chola MS health insurance policy, PayBima also allows you the facility to renew the plan. Health insurance plans allow lifelong renewals. As such, if you renew the policy within the due date, you can enjoy non-stop coverage. 

Renewal of the policy is an online process wherein you would have to provide your policy number and other details. You can check the plan details on renewal and make changes if needed. When you pay the renewal premium online, the policy would be instantly renewed. For any help renewing your Chola MS health insurance policy, you can get in touch with PayBima at 1800 267 67 67 or by sending a mail at paybima.care@mahindra.com

How to file a claim for Chola MS health insurance plans?

Making a claim in your Chola MS health insurance plan is simple and can be done online through PayBima. The claim process is as follows –

  • Locating the network hospital and admission

If you want to avail of the cashless claim facility, you can locate the nearest networked hospital through the company’s website. Once you have located the hospital, get admitted to it by showing your health card and identity proof.

  • Pre-authorization claim form

For approval of your cashless claim, you need to fill and submit a pre-authorization claim form. The form is available both at the hospital and on the insurer’s website. Fill up the form stating the details of the claim. Submit the form at least 3-4 days before you are being hospitalised. In the case of emergencies, however, the form should be submitted within 24 hours of hospitalisation. 

  • Cashless approval and treatments

Based on the pre-authorization form, the insurer would give the approval for cashless claims. The hospital would, then, proceed with the treatments and the bills would be directly handled by the insurer.

  • Reimbursement claims

If you get admitted in a hospital that is not tied-up with the insurer, your claim would be settled on a reimbursement basis. In such cases you would have to bear the medical costs intimate the Claim to insurer before the planned admission, in case of emergencies you can intimate after the admission but before the discharge when you are hospitalised.  The bills are to be settled by you. After recovery the Hospital discharge, fill up the claim form and attach all the original bills, receipts and medical documents to the insurance company. The company would assess the claim and reimburse you for the costs that have been incurred.

You can also seek PayBima’s help for easy claim settlements. Just call up at 1800 267 67 67 or send an email to paybima.care@mahindra.com and we would help you with your claims.

For a successful claim settlement, the following documents would be needed –

  • Claim form, filled and signed
  • Identity proof of the insured
  • Doctor’s prescription advising hospitalisation
  • Pre-authorization form for cashless claims
  • Original medical bills, prescriptions, consultation notes and hospital reports for reimbursement claims
  • Bank account details for the payment of reimbursement claims

Review of Chola MS health insurance plans

Chola MS health insurance plans are quite comprehensive in their scope of coverage and competitively priced. Other highlights include the following –

  • On an average, the company has successfully settled 2.2 lakh claims a year
  • You can avail attractive premium discounts to make the plans affordable
  • The plans are available online and can be bought with the minimum of hassles
  • Chola MS General Insurance Company Limited is tied-up with leading hospitals across India allowing you to locate a network hospital for cashless treatments easily.

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FAQs

Do health insurance plans allow any tax benefit?

Yes, the premium that you pay for a health insurance policy is allowed as a deduction from your taxable income. The deduction is available under Section 80D of the Income Tax Act, 1961 and its limit is Rs.25,000. If you are a senior citizen, however, the limit would increase to Rs.50,000. If you also buy an independent policy for your parents, you can claim an additional deduction under Section 80D. The deduction limit would be Rs.25,000 or Rs.50,000 depending on the age of your parents.

Is there any add-on cover under Chola Flexi Health plan?

Yes, Chola Flexi Health plan allows an add-on cover for international count find International word in wordings second opinion. You can avail of international ?second opinions for illnesses or injuries and the cost of such consultations would be covered. Moreover, coverage is allowed internationally as well so that you can avail consultations from international doctors too. However, to avail of the benefit, an additional premium would be required.

Please recheck the add ons

Is the premium affected by where I stay?

Yes, the premium is rated based on your location. Premiums are higher for Tier 1 cities which include Chennai, Mumbai, Bengaluru, New Delhi, Kolkata, Hyderabad, Gurgaon, and Ahmedabad. For other cities, however, the premium is lower.

Can I get coverage for my whole family?

Yes, you can opt for a family floater policy and avail coverage for your whole family. Chola Flexi Health Family floater Plan allows coverage for up to 6 family members which includes self, spouse, and dependent children.

What is the coverage duration for pre and post hospitalisation expenses under Chola Flexi Health plan?

Pre hospitalisation expenses are covered for up to 30 days and post hospitalisation expenses are covered for up to 60 days under Chola Flexi Health Plan.

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Gayatri Prabhu, Head-Digital Business at Mahindra Insurance Brokers Limited (MIBL) is one those few digital leaders who has the width and depth that is required to execute an ROI driven holistic digital strategy. She cuts through the noise, identifies the critical levers and leads her team to successful execution of the defined strategy. Her core mantra to win new and retain existing customers is: understand the consumer behavior and craft experiences around it.

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