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Chola MS Family Health Insurance Policy
This is a family health insurance policy which covers medical expenses incurred by any member of the family due to hospitalisation.
Key Features
§ No medical check-up required
§ Get coverage before, during and after hospitalisation
§ No sub-limits (individual limits for coverage) on claims
What is covered?
§ Hospital room and boarding expenses
§ Doctor’s fees and nursing expenses
§ ICU charges, operation theatre charges, medicines, surgeon’s fees, prosthetics and other devices implanted internally, dressing charges
§ Organ transplantation costs
§ Allowance for nursing care done at home
§ Also covers 141 day care procedures which do not require 24-hours hospitalisation
§ Pre-hospitalisation charges (up to 60 days), Post-hospitalisation expenses (up to 90 days)
§ Emergency ambulance charges
§ Costs for anesthesia, oxygen, physical therapy, x-ray, laboratory and diagnostic charges, plaster casts etc.
§ Cost of organ donor (but not for the cost of the organ)
Additional Benefits
For a nominal increase in the premium you get reimbursed for:
§ General health check-up
§ Eye examination
§ Daily hospital cash allowance
Eligibility and Restrictions
|
|
Minimum |
Maximum |
|
Coverage Amount (in Rs.) |
2,00,000 |
5,00,000 |
|
Policy Term (in years) |
1 |
1 |
|
Entry Age (in years) |
- |
65 |
|
Renewable till Age (in years) |
- |
Lifetime |
Family floater policy will cover
§ An individual and/or his spouse
§ Dependent children
§ Dependent parents
Tax Benefits
Health Insurance premiums paid up to Rs. 15,000 in case of individuals and Rs 20,000 for senior citizens are allowed as a deduction from the taxable income each year under section 80D of the Income Tax Act.
Exclusions - What is not covered?
§ Treatments done within first 30 days of taking the policy
§ First year exclusion on cataract, hernia, piles, sinus, spondilitis, joint replacement, heart diseases, tumors etc
§ Pre-existing conditions for first 4 yrs
§ HIV, AIDS and related diseases
§ Hospitalisation due to war
§ Pregnancy-related illnesses
§ Vaccination, obesity and beauty treatments
§ Dental expenses
§ Cost of the organ for transplantation
