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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.

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

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

    Personal Accident Self
    Entry Age60-80 yearsRs. 10,00,000Rs. 10,00,000
    Permanent Total DisablementRs. 7,50,000Rs. 10,00,000Rs. 10,00,000
    Permanent Partial DisablementRs. 3,75,000Rs. 5,00,000Rs. 5,00,000
    Personal Accident - Spouse
    DeathRs. 3,75,000Rs. 5,00,000Rs. 5,00,000
    Permanent Total DisablementRs. 3,75,000Rs. 5,00,000Rs. 5,00,000
    Permanent Partial DisablementRs. 1,87,000Rs. 2,50,000Rs. 2,50,000
    Personal Accident - Per Child (maximum two children)
    DeathRs. 1,50,000Rs. 2,00,000Rs. 2,00,000
    Permanent Total DisablementRs. 1,50,000Rs. 2,00,000Rs. 2,00,000
    Permanent Partial DisablementRs. 7,50,000Rs. 1,00,000Rs. 1,00,000
    DAY-CARE TREATMENTS

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

      PRE- HOSPITALIZATION

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

        POST- HOSPITALIZATION

        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

          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

            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

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

                Emergency Ambulance

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

                  Value Adds

                  Dental Coverage

                  Not applicable unless it required due to an accidental injury.

                    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

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

                        Co-Payment

                        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

                          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

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

                              Specific Illnesses

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

                                Pre-existing

                                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 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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