Flexi health Supreme Health Insurance Plan
Overview
Cholamandalam MS General Insurance Company Ltd (Chola MS) is an Indian insurance firm and a joint venture between the Murugappa Group, an Indian conglomerate, and the Mitsui Sumitomo Insurance Group, a Japanese insurance company. The company's motto is 'T3'–'Trust, Transparency and Technology'. Chola MS was named the best insurance company in India for "In time Claims Settlement for the year 2011–12" in the Rashtriya Swasthya Bima Yojana scheme run by the Ministry of Labour and Employment, Government of India. IndusInd Bank offers Insurance for individuals as well as corporate customers in association with Chola MS.
Highlights For
Chola
Flexi health Supreme (Plus)
New Born Baby Cover
Restoration
Maternity Benefit
Vaccination Charges
Consumables cover
Features
Sub-limits
Restore Benefit/ Recharge/ Refill
If the sum insured is exhausted due to hospitalisation expenses of one or more members, there is an automatic restoration of the sum insured for related or unrelated ailments.
Health Check up
Free annual health check-up for all insured members according to the list of tests specfied in the policy document.
Ambulance
Transportation of the patient to the hospital and back home
Bariatric cover
Expenses related to obesity-related conditions such as high BP, sleep apnea, arthiritis asthma, etc.
Maternity Benefit
All expenses related to childbirth or legal medical termination of pregnancy, usually upto a specified limit.
Pre-Hospitalisation : 60 days
The amount of expenses incurred during this period prior to hospitalisation such as diagnostic tests, doctor fees, medicines, etc. for investigiation purpose are also payable by the insurer
Post Hospitalisation : 120 days
The amount of expenses incurred during this period after discharge from hospitalisation for the purpose of recovery such as follow-up tests, doctor fees, medicines, etc. are also payable by the insurer
Pre existing Disease cover : Pre-existing diseases covered after 36 months of renewal.
Coverage for all Pre-Existing Diseases covered after a certain specified waiting period with continuous renewal.
Waiting Period- Initial : 30 days for all illnesses except any accidents. 90 days initial waiting period for Critical illness
No claims are accepted within this period except due to accidents/ injury.
Waiting Period- Specific : 24 months
Listed specific illness
Waiting Period- PED : 36 months
No pre-existing ailment related claims are accepted within this period.
Room Rent : Upto Sum Insured
Room rent for in-patient hospitalisation
ICU Charges : Upto Sum Insured
Charges for ICU hospitalisation
Co pay : No
% of the claim that the policyholder needs to pay out-of-pocket
Restore Benefit/ Recharge/ Refill : Unlimited coverage. Each claim equals Base Sum Insured.
If the sum insured is exhausted due to hospitalisation expenses of one or more members, there is an automatic restoration of the sum insured for related or unrelated ailments.
Health Check up : Once every two claim-free years.
Free annual health check-up for all insured members according to the list of tests specfied in the policy document.
No Claim Bonus : Get a bonus of 10% for each claim-free year, up to 100% of sum insured.
% of the sum insured that rises every claim free year.
Video/telephone consultation : No
E-consultation with expert doctors empanelled with the insurer for a second opinion.
Domiciliary hospitalization : Upto Sum Insured
Home care treatment where there are no beds in the hospital or paitient is not in a condition to be moved to the hospital, This treatment is provided under the supervision of a registered medical practitioner.
Ambulance : Up to 1% of SI, max Rs. 2,000/- per hospitalization.
Transportation of the patient to the hospital and back home
Convalescence benefit : No
A specific fixed amount of money paid as a recovery benefit for extended hospitalisation.
Organ Donor : Upto Sum Insured
The costs for a surgical procedure of removal or damaged organ from the patient's body which could otherwise be fatal.
Bariatric cover : No
Expenses related to obesity-related conditions such as high BP, sleep apnea, arthiritis asthma, etc.
Daycare : Upto Sum Insured
Covers in-patient hospitalisation expenses where the stay is <24 hours under a specified list of treatments
AYUSH : Upto Sum Insured
Alternative treatment coverage such as ayurvedic, unani, sidha and homeopathy which leads to hospitalisation.
Congenital Coverage : Covered after specific waiting period.
Covers medical expenses related to diagnosis and treatment of heriditary and internal congenital ailments/ conditions/ traits that exist from birth.
Modern Treatments : No
All advanced treatment with upgrade in technology.
Health Management/ Wellness : Renewal discounts available on app download and tasks completion.
Benefits provided for staying fit and managing health
Maternity Benefit : Reimbursement up to Rs. 50,000/- per delivery. Newborn coverage up to Rs. 1 Lakh per delivery. 36-month waiting period for Maternity under Plus and Premiere Plan.
All expenses related to childbirth or legal medical termination of pregnancy, usually upto a specified limit.