Family floater plan offered by Cholamandalam MS general insurance company to retail customers. The following discussion list a snapshot of the benefits, coverage, exclusions etc. Sum insured can be shared by all the family members.
Benefits
Chola MS Family Health Protection Insurance covers entire family against hospitalisation expenses. Single premium and single Sum Insured for entire family. Sum Insured floats over the entire family and can be claimed by any / all the family members.
Illustration: A family of say 4 members (2 adults and 2 Children) can buy a Chola MS Family Health protection policy for a Sum Insured of 4 Lakhs for a single premium of Rs 9826 (based on age of senior most family member). The family can claim the entire Sum Insured of Rs 4 Lakhs for any / all the members of the family within the policy period.
Term cover - valid for one year from date of inception
Entry age upto 45 yrs
No medical check up required
Renewal upto 69 yrs of age
No hidden Conditions / Clauses (No Sub-limits for diseases)
Sum Insured from Rs 2 L to Rs 5 L
No hassles of tracking renewals for different members
Coverage
Chola MS Family Health Protection Insurance covers entire family against hospitalisation expenses. The Insured / Family members on diagnosis with an illness and hospitalized for 24 hrs above are eligible to claim for the following expenses arising out of hospitalisation.
Hospitalisation
Rooms and Boarding charges
Doctor fees
ICU charges
Nursing Expenses
Surgeon Fees, OT charges
Medicines consumed on premises
Dressing , splints, casts
Implanted prosthetic devices during surgery
Organ transplantation costs
Pre-hospitalization expenses upto 60 days
Post-hospitalization expenses upto 90 days
Emergency Ambulance expenses
141 Day care expenses - Procedures not requiring 24 hrs of hospitalization
External Aids (related to hospitalized illness)
Hospital Daily Allowance
Home nursing care allowance
Exclusions
-
Any Illness diagnosed or diagnosable within 30 days of the effective date of the Policy Period will not be payable
- Cataracts, Benign Prostatic Hypertrophy, Hysterectomy for Menorrhagia or Fibromyoma, Hernia, Hydrocele, Fistula in anus, Piles, internal congenital disease, Sinusitis and related disorders. This exclusion shall cease to apply if the Policyholder has been covered under a Health Insurance policy with the Insurer for 1 full year
- Any expenses for Pre-Existing Conditions will not be payable as defined in the Policy, until 48 consecutive months of coverage for the Insured person have elapsed, since inception of the first Policy with the Insurer
- War, radioactivity, pregnancy and related illnesses, HIV and related conditions, travel expenses, vaccination, dental expenses, cosmetic treatment expenses, obesity, beauty treatment etc
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