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Get Lowest Rates for Swasth Parivar Insurance Royale Plan

Mediclaim Plans starting @ Rs 250* / month

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Chola Swasth Parivar Insurance – Royale Plan

Chola MS General Insurance Company Limited (IRDA Reg. No. 123) is a strong partnership between Murugappa Group and Mitsui Sumitomo Insurance Group of Japan. Chola MS offers an extensive array of products that include Engineering, Health, Accident, Marine, Motor, Liability, Travel, Property as well as Rural insurance for individuals and corporates.

Chola Swasth Parivar Insurance is a wholesome insurance plan that provides insurance cover towards hospitalization costs for families on a floating sum insured basis and Personal Accident cover for your family members on individual Sum Insured basis. The premium for this policy is remarkably reasonable.

Chola MS

Cholamandalam MS Health Insurance Plans - Specification

  • Cholamandalam MS Critical Healthline Plan
  • Cholamandalam MS Family Healthline Insurance Plan
  • Cholamandalam MS Freedom Healthline Policy
  • Cholamandalam MS Swasth Parivar Pearl Policy
  • Cholamandalam MS Swasth Parivar Royale Policy
  • Cholamandalam MS Top Healthline Plan
  • Cholamandalam MS Value Healthline Policy
  • Highlights Chola Swasth Parivar Insurance – Royale Plan

    • Available in three variants – Plan 1 (SI-Rs.3 lakh), Plan 2 (SI-Rs.4 lakh), Plan 3 (SI-Rs.5 lakh)
    • Double Security- hospitalization cover on floater basis and personal accident coverage on individual basis
    • Pays for Pre and post hospitalization expenses for 30 and 60 days respectively.
    • Covers 141 daycare treatments that would otherwise require a minimum of 24 hrs hospitalization
    • No medical pre-policy medical checkup up to 55 years
    • Offers lifetime renewability option for continued coverage
    • Income Tax Benefit Under Section 80D of the Income Tax Act 1961

    Family Floater Plan

    Entry Age

    For children : 91 days

    Adults :

    Minimum : 18 years

    Maximum : 65 years

    Number of Members Covered

    Maximum Members : 4

    Maximum Adults : 2

    Maximum Children : 2

    Sum Insured

    3 lakh, 4 lakh, 5 lakh


    discount

    Family Discount

    Policy Periods Available

    Annual


    Pre-Policy Medical Check-up

    Above the age of 55 years

    Important Features

    PERSONAL ACCIDENT COVER
    Definition
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    PERSONAL ACCIDENT COVER

    You can claim as per the below table towards this benefit:

    Personal Accident Self
    Entry Age 60-80 years Rs. 10,00,000 Rs. 10,00,000
    Permanent Total Disablement Rs. 7,50,000 Rs. 10,00,000 Rs. 10,00,000
    Permanent Partial Disablement Rs. 3,75,000 Rs. 5,00,000 Rs. 5,00,000
    Personal Accident - Spouse
    Death Rs. 3,75,000 Rs. 5,00,000 Rs. 5,00,000
    Permanent Total Disablement Rs. 3,75,000 Rs. 5,00,000 Rs. 5,00,000
    Permanent Partial Disablement Rs. 1,87,000 Rs. 2,50,000 Rs. 2,50,000
    Personal Accident - Per Child (maximum two children)
    Death Rs. 1,50,000 Rs. 2,00,000 Rs. 2,00,000
    Permanent Total Disablement Rs. 1,50,000 Rs. 2,00,000 Rs. 2,00,000
    Permanent Partial Disablement Rs. 7,50,000 Rs. 1,00,000 Rs. 1,00,000
    DAY-CARE TREATMENTS
    Definition
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    Day Care Treatments

    Not just your hospitalization but your treatments taken in the day-care center are also well covered.

    The plan covers the expenses towards 141 day-care procedures that would otherwise require hospitalization of a minimum of 24 hours.

    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.

    Compensates for the Pre-Hospitalisation expenses for consultations, investigations and medicines incurred up to 30 days before Hospitalisation

    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.

    Compensates for the Post-Hospitalisation expenses for consultations, investigations and drugs incurred up to 60 days after discharge from Hospitalisation.

    Good to Have Benefits

    PORTABILITY
    Definition
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    PORTABILITY

    If you are currently insured with a different insurer and wish to switch to Bajaj Allianz Healthguard Family Floater Plan, you can do the same without losing your accrued benefits after the waiting periods.

    TAX BENEFITS
    Definition
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    TAX BENEFITS

    You can avail tax benefits for the premium amount paid towards this plan under Section 80D of the Income Tax Act,1961.

    SUM ASSURED ENHANCEMENT
    Definition
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    SUM ASSURED ENHANCEMENT

    You can apply for enhancement of Sum Insured at the time of renewal by submitting a new proposal form to the company.

    Emergency Ambulance
    Definition
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    Emergency Ambulance

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

    Payable as part of the in-patient expenses up to a maximum of sum insured.

    Value Adds

    Dental Coverage
    Definition
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    Dental Coverage

    Includes coverage for out-patient dental treatment expenses.

    Not applicable unless it required due to an accidental injury.

    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.

    1% of the sum insured limit towards the room rent & 2% of the sum insured limit towards the ICU charges.

    Co-Payment
    Definition
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    Co-Payment

    The fixed amount the policyholder has to pay for covered services when they get the service. When both insured and insurer pay part of the medical expenses, it is called as cost sharing. This is applicable based on the policy you choose.

    You will have to bear 10% of co-payment if you seek the treatment in any hospital outside the network. Similarly, 15% co-pay applies to every eligible claim.

    Sub-Limits
    Definition
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    Sub-Limits

    Includes the limits up to which specific conditions are covered under your policy. These limits are applicable for packaged treatments or some specific ailments listed in the policy.

    If the age of the policyholder or the eldest member on the policy is more than 61 years, you will have to bear the 20% co-payment charges at the time of claim.

    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.

    24 months waiting period for few listed conditions like any types of gastric or duodenal ulcers, Benign prostatic hypertrophy, Endometriosis, Fibromyoma, etc.

    Pre-existing
    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 48 months from the policy start date.

    Permanent Exclusions

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

    • Attempted suicide
    • Use of alcohol or drug
    • AIDS
    • Congenital diseases
    • Cosmetic, aesthetic or related treatment
    • Domiciliary Treatment
    • Pregnancy (other than ectopic pregnancy), childbirth and their consequences, including changes in chronic conditions as a result of pregnancy
    • Infertility and in vitro fertilization.
    • Hospitalization out of war, riot, strike and nuclear weapons

    The detailed list of what the policy does not cover is available in the policy wording.

    Review of Chola Swasth Parivar Insurance – Royale Plan

    Chola's Swasth Parivar Insurance – Royale Plan is offered on a family floater basis with an added advantage of a cover for the personal accident for the insured members. The health insurance plan includes 141 day-care procedures along with 30 & 60 days of pre and post hospitalization costs. However, a co-payment for every claim and a strict limit on the room rent & ICU charges along with the exclusion of other benefits like maternity cover and no claim bonus is a dampener.

    **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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