Cholamandalam Health Insurance Insurance Company

Cholamandalam Health Insurance is a part of the Cholamandalam MS General Insurance Company, which is a collaboration of two companies namely, Chennai based Murugappa Group which is India's major industrial houses, and Japanese Insurance giant Mitsui Sumitomo Insurance Company. The Japanese Insurance giant is the third largest property insurance company in Japan.

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Highlights of Cholamandalam Health Insurance Company

Claim settlement ratio 94.5%
Policies Issued 20 Lakhs Lives covered
Cashless Network Hospitals 12000+
Average TAT for Cashless Approvals 60 minutes
Top Health Insurance Plans by Cholamandalam

Compare Top Health Plans from Cholamandalam Health Insurance Company

The Cholamandalam Health Insurance plans are designed to cover the insured against a wide array of medical and health emergencies. Below are some Cholamandalam Health Insurance plans sold by the company:

Flexi Health
Arogya Sanjeevani Policy
Chola Healthline
Features
Recharge
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Restore
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Pre-Policy Check-up
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Flexible Payment Option
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AYUSH
covered-check
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Individual/Family Floater
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covered-check
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Lifetime renewability
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covered-check
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Day Care Treatment
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covered-check
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Features
Recharge
Restore
Pre-Policy Check-up
Flexible Payment Option
AYUSH
Individual/Family Floater
Lifetime renewability
Day Care Treatment

Awards and accolades won by Cholamandalam Health Insurance company

Chola MS Health Insurance company has received numerous awards and accolades, some of which are mentioned below:

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The company received the 'Best Brands' Award' by The Economic Times in 2020.

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Cholamandalam group is the winner of 'Pride of Tamil Nadu Award' for General Insurance Category. 

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Received 'Best CSR Award' for the Cholamandalam Health Insurance' continuous contribution to CSR activities.

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Awarded with the title of 'Dream Companies to work for' in the private insurance sector in 2017 by Times Ascent.

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Winner of 'Golden Peacock Award 2017' for risk management by Institute of Directors.

Key Highlights of Cholamandalam Health Insurance Company

Key Features

Specifications

Network Hospitals Available

12000+

Waiting Period (Pre-existing Ailments)

3 years

Claims Settlement Ratio

94.5%

Policies Issued

20 Lakhs Lives covered

Covid-19 cover

Yes

Renewability

Lifelong

Features of Cholamandalam Health Insurance plans

Features

Meaning

In Patient Hospitalisation Expenses

It is called inpatient hospitalization when a patient is hospitalized for 24 hours or more. In such cases, the costs of hospitalization and the associated treatments are covered by the policy

Pre-hospitalization cover

The medical costs that the insured incurs before he/she is admitted to the hospital are covered under this benefit for a specific number of days depending on the plan

Post-hospitalization cover

Post-hospitalization costs are the medical expenses that the insured incurs after getting discharged from the hospital for a specific number of days after discharge

Day-care cover

Some medical procedures do not need 24-hour hospitalization. Such treatments are called daycare treatments and they are covered under the scope of the policy

Ambulance cover

For ambulance services to reach the hospital to admit the insured is covered up to specified limits

Domiciliary cover

When the insured receives treatment at home (hospitalized at home) because of the non-availability of hospital beds or if the person cannot be transferred to the hospital, it is called domiciliary hospitalization. Such hospitalization is covered under the plan

Organ donor cover

This benefit covers the costs incurred on the hospitalization of the donor donating an organ to the insured. The cost of harvesting the organ if you need an organ transplant surgery is covered under the plan

Free health check-ups

Chola MS health insurance plans allow free health check-ups regularly to ensure that you can monitor your health

Exclusions in Cholamandalam Health Insurance plans

Below are some common policy exclusions of Chola MS Health Insurance Plans. Most of the Chola MS health policies do not cover the below features:

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PED or Pre-existing conditions are covered after the specific waiting period.

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All Chola MS plans have a 30-day waiting period from the start of the policy during which illnesses are not covered, except accidental cases

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Criminal acts, illegal acts, hazardous acts, etc. are not covered

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Obesity-related treatments are not covered

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Cosmetic or plastic surgeries are not covered 

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Hazardous adventure sports are not covered

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Expenses due to conditions caused by the breaching of law are not covered 

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Claims due to war, civil commotion, nuclear perils, etc. are excluded.  

Health insurance plans offered by Cholamandalam

Here are some of the top Cholamandalam Health Insurance Plans:

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Chola Healthline Insurance for Women

This Chola health insurance plan for women is designed to offer extensive coverage to the insured. The plan covers hospitalization costs during emergencies. Maternity coverage is also available under four of its variants. This plan is regarded as ideal for women because of its numerous benefits and features. This Cholamandalam mediclaim policy also offer compensation for newborn hospitalization costs. This is an ultimate savior plan to serve women at the time of health emergencies.
Entry age  - 90 days minimum and 65 years maximum age of entry
Key Features

  • Lifetime renewability option available.
  • Sum insured available between 1 Lakh -  25 Lakh rupees.
  • Wide coverage on medical costs.
  • Policy duration is for 1/2/3 years.
  • Plan available as family floater and individual policy types. 
  • Location discount of 10% available for women hailing from Tier 2 locations  depending on the premium amount.
  • Long policy term discount is also available 

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Chola MS Family Healthline Insurance

This Chola MS Group health insurance policy is available under the following plan types:

  • Standard plan 
  • Superior plan
  • Advanced plan

Basic features:
Min. entry age - 18 years (adults), 3 months (children)
Max. entry age - 65 years 
Medical test - is needed for people who are 55 years and above
Plan Basis - It is a family floater plan that covers self, spouse, and dependent children
Sum Assured
For standard plan - 2  lakh - 5 lakhs rupees
Superior plan - 4 lakh - 10 lakhs rupees
Advanced plan - 6 lakh - 12 lakhs rupees
Premium - generally depends on the age of the oldest family member to be insured as well as other factors like sum assured, insurance plan, members covered and so on.
Co-Payment -    10% discount on premiums 
 

Eligibility conditions

Entry Age

18 years (adults), 90 days (children)

Maximum entry age

65 years (adults), 26 years (children)

Sum Insured

INR 1 lakh – INR 25 lakh

Policy Term

1 year – 3 years

Pre-existing Diseases (PED) Waiting Period

up to 48 months

Number of family members covered

Self, spouse, dependent children, parents, in-laws, and siblings (depending on plan)

How to buy Cholamandalam Health Insurance Plan?

Go to the official portal of Cholamandalam Health Insurance. Go to “Health Insurance” and select your preferred plan. Answer a few questions about the policy seeker and submit.

Or visit the Paybima portal and select  Health Insurance from the options available.

1

Visit the Paybima homepage and click on the ‘Health Insurance’ tab in the dropdown menu.

2

Fill in your required details and request a callback.

3

A Paybima representative will help you buy the most suitable plan.

4

You may also reach us at 1800 267 67 67 from 10 AM to 7 PM, or

5

You can visit a Paybima branch near you.

The Process of Renewing Cholamandalam Health Insurance Policy

What is the Process for Filing a Claim for Cholamandalam Health Insurance Plan?

To File a Cholamandalam Health Insurance claim, the insured can use both cashless and reimbursement methods.

1
Cashless Claims

  • Call at the insurer's help desk at 1800-208-5544.
  • For emergency treatment call within 48 hours. 
  • For planned treatment call 72 hours before hospitalization.
  • Show policy card and valid photo id 
  • Submit Policy number, policyholder's name, hospitalization time and date, location, medical condition and contact details.
  • Get admission in a network hospital.
  • Collect and fill the Pre-Authorization form at the hospital helpdesk.
  • The form will be sent to the insurer for verification.
  • The insurer will do the Chola MS health insurance review to verify the required documents before approval.
  • The insurer will approve the bill according to company terms and conditions 

2
Reimbursement Claims

  • Inform the insurer by calling at 1800-208-5544 within the specified time (for planned hospitalization).
  • Once the treatment of the insured is over, make payment to the hospital directly. 
  • Collect all essential documents from the hospital such as reports, invoices, discharge summary etc.
  • File for the claim within 30 days of discharge by submitting a claim form duly filled and signed. 
  • Also, submit the original documents, treatment details and bills, reports etc.
  • FIR copy and MLC (for Road accident cases). 
  • Once approved, the insurer pays the compensation as per the terms and conditions of the policy.

Claim Settlement Ratio of Cholamandalam health insurance
The ratio of claims that are settled by an insurer during a policy year as against the complete claims that the insurer receives during the year is called Claim Settlement Ratio.

The claim settlement ratio of Cholamandalam health insurance for the financial year 2023-24 was 94.5%. 
 

Guaranteed Claim Support

When you buy or renew a health insurance plan from us, we guide at every step till your claim is settled.

Start your claim process with us to get our support

Review of Cholamandalam Health Insurance Company

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Chola MS health insurance offers a wide range of individual and family health plans to choose from making it an effective insurer. The family plans are especially beneficial as some of the plans cover your entire family including siblings to allow maximum coverage.
 

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Chola MS health plans cover a gamut of premium features and benefits making it comprehensive yet affordable for common people.
 

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Chola MS plans offer excellent customer service, impressive cover, and easy-on-pocket premium making them the most viable online health plans.
 

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