Your affordable choice, When it comes to a Group Health Insurance Plan
CholaMS Group Health Insurance
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Benefits
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Features
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Disclaimer
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Exclusions
CholaMS Group Health Insurance : Benefits
Inpatient Hospitalisation Expenses | Covered | |
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Room Charges | SI- Rs.3 Lakhs - Upto 1% of Sum Insured per day SI- Rs.5/7.5/10 Lakhs - Standard Single AC Room ICU-Actuals | |
Pre-hospitalization Expenses | 30 days | |
Post- hospitalization Expenses | 60 days | |
Day Care Procedures | 141 Procedures Covered | |
Ambulance Charges | upto Rs.2500/- per hospitalisation | |
Domiciliary Hospitalisation Cover | Upto 20% of Sum Insured | |
AYUSH Treatment | Inpatient Hospitalisation upto Sum Insured. Naturopathy is excluded from Scope of Cover | |
Accompanying Person Food Expenses | Rs.500/- per day of hospital stay for an admissible claim | |
Maternity Cover | Upto Rs.20,000/- per child for Normal Delivery & Caesarean Section. Pre & Post hospitalisation expenses are not covered | |
Renewal Benefit | ||
Health Check up Benefit | Upto Rs.2,000/- per family, once in every two continuous claim free years | |
Waiting Periods | ||
30 days | Applicable for Sickness/Illness. Nil for Accidents | |
12 months | Applicable for Specific listed illness | |
24 months | Applicable for Pre-existing Diseases/Condition | |
9 Months | Maternity Expenses covered after 9 months |
CholaMS Group Health Insurance : Features
- Individual and Family Floater Sum Insured Options
- Comprehensive cover for a family of 7 including parents
- Extended entry age till 70 years
- No Sublimits for named illness or daycare procedures
- Covers pre-existing illness just after two years
- Cashless facility at over 10000+ network hospitals
- No Third Party Administrator for health claims. All claims handled in house.
Cover Type | Family Floater Plans | Individual Plan | |
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Who can be covered | Self, Spouse and 3 dependent Children | Self, Spouse, 3 dependent Children and dependent Parents upto 2 | Self |
Sum Insured (SI) | Rs.3/5/7.5/10 lacs | ||
Policy Tenure | 1 Year | ||
Entry Age | Self + Spouse + Parents – 18 Yrs to 70 Yrs Children – 03 months to 26 Yrs | ||
Pre acceptance medical check up | Not required |
CholaMS Group Health Insurance : Disclaimer
Bank of Baroda is authorized by the Insurance Regulatory and Development Authority to act as a Corporate Agent from 01/04/2022 to 31/03/2025 for procuring or soliciting business of Life insurance, General insurance & Standalone Health insurance under Registration Code CA0004". Insurance is the subject matter of solicitation. For more details on risk factors, terms and conditions please read the sales read sales brochure carefully before concluding a sale. The purchase of Insurance products by Bank of Baroda customers is purely on a voluntary basis. The insurance products are underwritten by the respective insurance company. Bank of Baroda does not perform any insurance e-commerce activity on its website. The contract of insurance is between the insurer and the insured; and not between the Bank and the Insured.
CholaMS Group Health Insurance : Exclusions
(For complete list of exclusions, please refer to the master policy wordings available with Bank of Baroda)
- Treatment for Alcoholism, drug or substance abuse or any addictive condition and consequences thereof. Excl12
- Dietary supplements and substances that can be purchased without prescription, including but not limited to vitamins, minerals and organic substances unless prescribed by a medical practitioner as part of hospitalisation claim or day care procedure. Code – Excl14
- Refractive Error: Expenses related to the treatment for correction of eye sight due to refractive error less 7.5 dioptres. Code – Excl15
- Circumcision unless necessary for the treatment of an Illness not otherwise excluded in this Section, or required as a result of Accidental Bodily Injury.
- Pre- and post-hospitalisation expenses are not covered under Maternity benefit
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+91 79-66296009
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What is Cholamandalam MS Group Health Insurance?
Chola MS Group Health Insurance provides coverage for hospitalisation expenses for illness or injury on an indemnity basis. The policy is offered on a Family Floater basis, and cashless facility is available at a network of over 11,000 hospitals nationwide. Premium paid under the cholams group health insurance qualifies for tax exemption under Section 80D of the Insurance Act.
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Who is eligible for Cholamandalam MS Group Health Insurance?
Bank of Baroda account holder can avail of the Chola group health insurance plan. The policy term is one year from the commencement date, and there are multiple sum insured options to choose from.
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Can I add my family members to the group health insurance plan
Under the family floater option, dependents such as spouse, children (between 3 months to 26 years), and parents can be included in the Chola MS group health insurance policy . It is necessary to include dependents at the time of proposing for the policy, as midterm inclusion is not allowed except for newborn babies or newly married individuals. Eligibility for coverage extends to adults aged 18 to 70 years and children aged 3 months to 26 years.
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What is the claim process for Cholamandalam MS Group Health Insurance?
Claims shall be processed on Cashless or Reimbursement basis:
- Cashless process:
- Download the network hospital list from www.cholainsurance.com.
- Obtain pre-authorization 72 hours before planned admission or within 48 hours for emergencies.
- Reimbursement process:
- Notify us in writing, email (customercare@cholams.murugappa.com), or phone before admission for elective hospitalizations.
- Notify us within 2 days of admission or before discharge for emergency hospitalizations.
- Submit claim documents, including the filled and signed claim form, within 30 days of discharge/treatment completion.
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Is there a waiting period for pre-existing conditions under Cholamandalam MS Group Health Insurance?
Cholamandalam MS Group Health Insurance applies a 24-month waiting period for pre-existing conditions.