Chola Flexi Health Retail

Chola Flexi Health

Insurance is an indemnity Health cover which provides you cost effective method of protecting against unexpected health issues with more control over your health care, choice of services and choice of doctor.

Key Product features

Flexible Premium Payment options
Flexible Sum Insured options: Rs. 5 / 7.5 / 10 / 15 / 20 / 25 Lakhs
Location based premium rating
International Medical Second Opinion on payment of additional premium
Coverage on Individual and Family floater basis
Sum Insured Restoration upto 100%
Recharge Benefit
Additional Sum Insured for Road Traffic Accidents
Daily Cash Benefit for accompanying person expenses
Waiting period of only 36 months for Pre-existing conditions/Disease
Tax Exemption under Section 80D of Income Tax Act
Cashless facility at largest network hospitals
No Third Party Administrator. Direct Claim settlement
Lifelong Renewability

Policy Term:

One/Two/Three Years

Pre-Policy Health Checkup:

Applicable for persons above 50 years of age

Entry Age:

Adult – 18 to 65 Years
Children – 03 months to 26 years

Coverage Options:

Individual Cover
- Insured can avail cover for all family members (Self, Spouse, Children, Parents, Parents in Laws and Siblings) on Individual Sum Insured Basis.
- Each covered person will have an independent Sum Insured limit within the same policy.
Family Floater Cover
- Self, Spouse and Children upto a maximum of 6 members can be covered on Family Floater basis.
- Single Sum insured floats among the family members covered under the policy.
- Coverage of Self is mandatory

Product Benefits

Basic Cover
1	Hospitalisation Expenses	Covered
2	Pre-Hospitalisation Expenses	Upto 30 days
3	Post-Hospitalisation Expenses	Upto 60 days
4	Day Care Procedures	Covered
5	AYUSH Coverage	Covered
6	Domiciliary Hospitalisation Cover	Covered
7	Organ Donor Hospitalisation Expenses	Covered
8	Emergency Ambulance Expenses	upto 1% of SI subject to a maximum of Rs.2,000/- per hospitalisation
9	New born Baby Cover	Coverage from Day one subject to mother being covered under the policy for continuous 12 months from policy commencement date
Additional Covers (Over and above the basic Sum Insured)
1	Sum Insured Restoration for unrelated claims	Sum Insured Restoration upto 100% for unrelated claims in the event of exhaustion or insufficient Sum Insured & Cumulative Bonus. This benefit will not be applicable for claims due Road Traffic Accidents.
2	Recharge Benefit for related claims	Upto defined limits for related claims. (Hospitalisation for which claims have already been admitted under the policy). This benefit will not be applicable for claims due to Road Traffic Accidents.
3	Additional Sum Insured for claims due to Road Traffic Accident (RTA)	Upto 25% of SI subject to a maximum of Rs.3 lakhs once during the policy period. Restoration and Recharge benefit will not be applicable for claims due to Road Traffic Accidents.
4	Daily Care Benefit	Daily Benefit of Rs.500/- per day towards accompanying person expenses upto a maximum of 10 days per policy period. Payment of this benefit is subject to admissibility of claim under Base Cover
5	Compassionate Travel	Reimbursement of travel expenses upto Rs.5000/- by air incurred to visit the hospitalized insured by an immediate family member for a life threatening emergency medical condition. Payment of this benefit is subject to admissibility of claim under Base Cover
6	Repatriation of Mortal Remains	Upto Rs.3,000/- subject to an admissible claim under the policy Payment of this benefit is subject to admissibility of claim under Base Cover
7	Medical Second Opinion	Reimbursement of cost of obtaining Specialist Medical Opinion up to a maximum of Rs.25,000/- Payment of this benefit is subject to admissibility of claim under Base Cover

Recharge Benefit Limits
Sum Insured (in Rs.)	Recharge Benefit Limit
5 Lakhs	Rs.1,25,000/-
7.5/10/15Lakhs	Rs.1,50,000/-
20/25 Lakhs	Rs.2,00,000/-

Renewal Benefits:

Health Check up benefit limits
Cumulative Bonus	10% every claim free year upto a maximum of 50%
Reduction in Cumulative Bonus	10%
Health Checkup	Once in two claim free years upto defined limits
Sum Insured	Benefit Limit
Rs. 5 Lakhs	Rs.1000/-
Rs.7.5 / 10 Lakhs	Rs.2500/-
Rs.15/20 Lakhs	Rs.3000/-
Rs.25 Lakhs	Rs.3500/-

Important Waiting Periods:

Waiting Periods
30 Days Waiting Period	Applicable
2 Yr Waiting Period for listed illness	Applicable
Pre-existing Disease	36 Months

Premium based on Location:

Tier 1 Locations: Mumbai, Chennai, Bengaluru, Kolkotta, New Delhi, Gurgaon, Hyderabad, Ahmedabad\
Tier 2 Locations: Rest of India excluding Tier 1 Locations

Disclaimer of Flexi Health Retail

The General Insurance product is offered and underwritten by Cholamandalam MS General Insurance Company Limited. The General Insurance contract is between the Proposer and Cholamandalam MS General Insurance Company Limited.

IndusInd Bank Limited with its registered office at 2401, Gen Thimmayya Rd. (Cantonment), Pune-411001 is the Corporate Agent of Cholamandalam MS General Insurance Company Limited vide corporate agency license CA0001 and does not underwrite the risk or act as an insurer. Participation by the Bank's clients in the Insurance products is purely on a voluntary basis. The contract of Insurance is between Cholamandalam MS General Insurance and the Insured and not between the Bank and the Insured. Servicing of the policy and adjudication of claims is sole responsibility of Cholamandalam MS General Insurance Company Limited and IndusInd Bank cannot be held liable for the same. *T&C apply. Advertisement contains only an indication of the cover offered with Chola Comprehensive Travel Insurance Policy. For complete details on the benefits, coverage, terms & conditions and exclusions, do read the sales brochure, prospectus, policy wordings and Terms & conditions carefully before concluding sale. IRDAI Registration No. 123. Cholamandalam MS General Insurance Company Limited (A Joint Venture between Murugappa Group & Mitsui Sumitomo Insurance Company Ltd., Japan) Regd. Office: Dare House, 2, N.S.C Bose Road, Chennai - 600 001, India CIN: U66030TN2002PLC047977 | IRDA Regn. No.123 | UIN: CHOHLIP21007V022021 | CMS/HEALTH/FLEXI/E-BROCHURE/ENG/2373/APR/2020.Trade Logo displayed above belongs to CHOLAMANDALAM FINANCIAL HOLDINGS LIMITED (formerly TI Financial Holdings Limited) and Mitsui Sumitomo Insurance Company Limited and used by Chola MS under License. T: +91-44-4044 5400 | F: +91-44-4044 5500 | E: customercare@cholams.murugappa.com or Call (Toll Free): 1800 208 9100 or SMS “CHOLA STP” to 56677 | Visit us at: www.cholainsurance.com