Chola Arogya Bima Health Insurance

Chola Arogya Bima Health Insurance is an exclusive policy for rural and semi-urban customers of the Central Bank of India that protects their finances in a medical emergency. Individuals can cover their families on a family floater sum insured basis. This policy from Chola Insurance is designed for those families where the maximum age of the member is not more than 75 years. Policyholders can also choose from multiple plan options according to their needs.

You can check out the highlights of the plan mentioned below to get an overview. 

1. Multiple Plan Options
2. Flexible Sum Insured Options
3. Hospitalization Expenses
4. No Pre-acceptance Medical Checkup
5. Newborn Baby Cover
6. Affordable Premium
7. A 15-day Free Look Period
8. A Grace Period of 30 days

Continue reading to know about the different features and benefits of the Chola Arogya Bima Health Insurance in detail.

Let’s Understand the Features and Benefits of Chola Arogya Bima Health Insurance

We have talked about the features and benefits of this plan for Central Bank of India customers in detail below. Do check.

Multiple Plan and Sum Insured Options

As mentioned in the introduction of the plan, policyholders can choose from multiple plans and sum insured options. To know more, check the below table.

What is the Policy Term?

The policy term stands for one year. You can renew it every year for a lifetime.

How Much Premium Amount Will You Need to Pay?

The premium amount per family will depend on the plan and sum insured option. You can get more information in the below table.

Note: The premium amounts mentioned above are exclusive of GST.

Hospitalization Expenses Cover

If an insured person suffers an illness or accidental bodily injuries during the policy term and needs hospitalization, the policy will reimburse the following hospitalization expenses.

1. Charges on room and boarding
2. Fees of Doctor
3. Intensive Care Unit
4. Nursing expenses
5. Surgical fees, operating theatre, anesthesia and oxygen and their administration
6. Physical therapy
7. Dressings, ordinary splints and plaster casts
8. Drugs and medicines consumed on the hospital premises (During hospitalization)
9. Miscellaneous medical costs such as laboratory, X-ray, diagnostic tests, etc.

The policy will cover the hospitalization expenses (where no surgical procedures are involved) according to the below table.

Note: The total amount payable for insured persons under the plan cannot exceed the sum insured.

Newborn Child Coverage

This policy also covers the expenses incurred on the treatment of newborn babies as in-patient hospitalization. The hospitalization period should not be less than 24 hours (after the delivery of the newborn child) during the policy term.

The coverage amount will be a part of the overall sum insured, and the newborn will be a part of the insured person’s family member until the expiry of the policy. Please check the following conditions related to the coverage facility.

1. The mother should be an insured person under the same policy. The insurer will treat the claim for such a newborn baby (during the policy term) as a claim filed by the mother.
2. The number of children already covered under the policy should be less than three.

Option to Increase the Sum Insured

Policyholders can also increase the sum insured at the time of renewal of the policy. After enhancement, the insurer will issue a new policy with an enhanced coverage amount.

Chola Arogya Bima Health Insurance Eligibility Criteria

Do check the important conditions of the plan mentioned below.

1. Minimum Age at Entry (For Adults) – 19 years
2. Maximum Age at Entry (For Adults) – 75 years
3. Minimum Age at Entry (For Children) – 1 Day
4. Maximum Age at Entry (For Children) – 18 years
5. There is no age limit on renewal.

What is Not Covered Under the Plan?

Chola Arogya Bima Health Insurance will not provide coverage in the following situations.

1. Diagnostic, X-ray, or lab examinations unrelated to the diagnosis and treatment of the illness or injury (For which the insured person is hospitalized)
2. External congenital diseases, defects or anomalies, etc.
3. Convalescence, mental disorders, general debility, run-down conditions, etc.
4. Intentional Self-injury
5. War, invasion, an act of foreign enemies, hostilities, etc.
6. Participation in any hazardous activities (Including but not limited to Scuba Diving, Motor Racing, Rock or Mountain Climbing, etc.)
7. Pregnancy, childbirth & their consequences, etc.
8. Use, misuse or abuse of alcohol, etc.
9. Vaccination, inoculation, cosmetic treatments (Unless necessary due to an injury, burns or cancer, etc.)
10. Durable medical equipment
11. Travel or transportation costs or expenses
12. Domiciliary Treatments (Treatments taken at home)
13. HIV AIDS and all related medical conditions
14. Costs on all medical treatments except allopathic
15. Treatment taken outside India
16. Circumcision unless necessary for the treatment of an illness
17.  Tubectomy, vasectomy, sex change or treatment