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Mediclaim Plans starting @ Rs 350* / month

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Cholamandalam Enrich Healthline Policy

Cholamandalam MS General Insurance Company Limited is a joint venture between Murugappa Group and Mitsui Simutomo Insurance Company Ltd. The portfolio of insurance products include engineering, health, travel, motor, etc. for both health and corporates.

The Enrich Healthline plan is a total wellness cover that is designed for you and your family dependents. It covers you and your family's needs that come along with rising age in case of hospitalization.

Highlights of the Plan

  • Get a discount of 6% on 2-year policy and 12% on 3-year policy
  • The plan is available for 1, 2, 3 years
  • You can avail double coverage once your sum insured gets exhausted in the case of 14 critical illnesses or any accident
  • AYUSH treatment is also covered in addition to Allopathy
  • No co-payment needed for non-network hospitals
  • Child hospitalization allowance is provided per hospitalization at Rs. 500 per day for 7 days
  • You can also receive Rs. 10,000 as extended hospitalization allowance if you are hospitalized for minimum 10 days hospitalization

Scope of cover

Indivdual Plan

Entry Age

Adults :

Minimum : 18 years

Maximum : 65 years

Number of Members Covered

Maximum Members : 12

Maximum Adults : 8

Maximum Children : 4

Sum Insured

3/5/7.5/10 lakhs


discount

6% discount on premium for 2-year policy

12% discount on premium for 3-year policy

Policy Periods Available

1/2/3 years


Pre-Policy Medical Check-up

Not required up to age of 45 years

100% of the pre-policy health check-up cost will be reimbursed on issuance of policy

Scope of cover

Family Floater Plan

Entry Age

For children : below 3 month – 26 years

Adults : 5 Years

Minimum : 18 years

Maximum : 65 years

Number of Members Covered

Maximum Members : 6

Maximum Adults : 2

Maximum Children : 4

Sum Insured

3/5/7.5/10 lakhs


discount

6% discount on premium for 2-year policy

12% discount on premium for 3-year policy

Policy Periods Available

Annual, Quarterly, monthly


Pre-Policy Medical Check-up

Not required up to age of 45 years

100% of the pre-policy health check-up cost will be reimbursed on issuance of policy

Important Features

Day Care Treatments
Definition
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Day Care Treatments

Includes surgical processes conducted using local or general anaesthesia which requires less than 24 hours of hospitalization because of technological advancement in healthcare. Each company has a specific list of processes which are covered under this category.

Due to scientific advancement, some surgical procedures/treatments do not require you to be hospitalized for a minimum of 24 hours to raise a claim.

No-Claim Benefits
Definition
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No-Claim Benefits

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In this policy, if you don’t make any claim, then for every claim-free year, you earn a cumulative bonus of 5% on sum insured up to a maximum of 50%. In case of a clam, there is a 50% reduction in sum insured.

Organ Donor Cover
Definition
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Organ Donor Cover

Includes coverage for in-patient hospitalization expenses, offered to an organ donor for his/her treatment on harvesting an organ for the insured.

For expenses related to organ donation

Pre Hospitalization
Definition
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Pre Hospitalization

Medical expenses incurred immediately before the insured individual is hospitalized are covered under this benefit. Usually, expenses up to 30 to 90 days before hospitalization are covered under the policy only after the in-patient hospitalization claim is accepted by the insurance company.

The insurance company will compensate you for the medical expenses related to your hospitalization 60 days before the hospitalization.

Post Hospitalization
Definition
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Post Hospitalization

Medical expenses incurred immediately after the hospitalization are covered under this benefit.The coverage under this benefit would be available only for approved in-patient hospitalization claim is accepted by the insurance company. Usually, expenses up to 30 to 180 days post discharge are covered under the policy.

The insurance company will pay you for the medical expenses related to your hospitalization 90 days post hospitalization.

Good to Have Benefits

Health Check-up
Definition
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Health Check-up

Includes complimentary health check-up provided by the insurance companies for certain health insurance plans.

Expenses for health check-ups will be covered in 2 consecutive claim free years

Home Hospitalization/ Domiciliary Hospitalization
Definition
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Home Hospitalization/ Domiciliary Hospitalization

Includes coverage for expenses borne when active treatment is provided to the insured (especially older patients) by health care professionals in the patient's home.

You can avail treatment at home up to base sum assured if hospitalized for maximum 7 days continuously.

Non- Allopathic Treatment Expense Cover
Definition
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Non- Allopathic Treatment Expense Cover

Includes coverage for expenses on treatment which do not use allopathic methods like Aurveda, Homeopathy, etc. The terms and conditions are different for different policies. This benefit is also refered to as Ayush benefit or Alternative treatment by some the insurers.

Pays for expenses for in-patient treatment that is taken under Homeopathy, Ayurveda, Unani and Sidha.

Emergency Ambulance
Definition
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Emergency Ambulance

Includes coverage for expenses on ambulance for hospitalization of the insured.

This plan provides domestic road ambulance cover up to Rs. 2,000

CHILD HOSPITALIZATION COVER
Definition
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CHILD HOSPITALIZATION COVER

If an adult accompanies a child aged 18 years or less, the company will compensate Rs. 500 per day for 7 days.

EXTENDED HOSPITALIZATION ALLOWANCE
Definition
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EXTENDED HOSPITALIZATION ALLOWANCE

If you are hospitalized for 10 continuous days on individual sum insured basis, the company will pay you Rs. 10,000

Value Adds

Critical Illness Cover
Definition
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Critical Illness Cover

Includes additional coverage offered by some of the insurance companies to the insured upon diagnosis of any one of the listed critical illnesses. Read more.

You can get double sum insured amount in case of critical illness or accidents

FREE LOOK PERIOD
Definition
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FREE LOOK PERIOD

For any reason, should you decide not to proceed with the policy, you can return the same and request for a refund within 15 days from the date of receipt of the policy document.

Terms & Conditions

Room Rent / Room Category
Definition
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Room Rent / Room Category

Hospitals have a fixed tariff or rate chart for all rooms. Mediclaim depends on the amount of room rent limit specified in the policy document. The amount varies depending on the type of room category chosen.

Covers expenses incurred for hospitalization up to Single occupancy AC room.

Waiting Period

Cooling Off Period
Definition
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Cooling Off Period

The period begins right after commencement of the policy within which you cannot claim for any illness except claims related to accident. This period is not applicable for subsequent renewals.

A 30 days cooling off period for all claims except any arising out of accidental injuries.

Specific Illnesses
Definition
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Specific Illness

The ailments of specific severity listed in the policy document are included under this category.

The policy covers some specific diseases/treatments only after 24 months. These include Cataract, Arthritis, Hernia, Kidney Stone, and so forth.

Pre-Existing Illnesses
Definition
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Pre-Existing Illnesses

The ailments that the insured was already diagnosed with before taking the policy.

You can claim for any pre-existing conditions after 36 months from the policy start date.

Permanent Exclusions

The Plan will not cover any liabilities towards the treatments of following conditions-

  • Intentional self-injury
  • Mental illness
  • Cosmetic, aesthetic treatment
  • Dental surgery
  • AIDS
  • Pregnancy, childbirth, miscarriage, and abortion
  • Congenital disease
  • Infertility and in vitro fertilization.
  • Hospitalization out of war, riot, strike and nuclear weapons

Review of Cholamandalam Enrich Healthline Policy

The Enrich Healthline policy from Cholamandalam is takes care of rising healthcare costs. It provides additional benefits such as child hospitalization allowance and extended hospitalization allowance. You can also enjoy the AYUSH benefit if you plan on taking any other treatment apart from allopathic treatment.

**Reviews and ratings are based only on Benefits and Conditions. Things like Claim Settlement Ratio, Hospital Network have not been covered under product ratings. These are covered under Company ratings.

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