Health Insurance August 4, 2021

Chola Tax Plus Healthline Plan protects individuals in a medical crisis by providing them coverage against hospitalization and non-hospitalization expenses. The plan also covers miscellaneous healthcare expenses such as diagnostic tests prescribed by medical practitioners. As the name suggests, this plan also helps individuals get full advantage of the income tax benefits under the Income Tax Act, 1961. Individuals can opt for this plan on an individual and family floater sum insured basis.

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Before we move to the next section, let’s check the key features of the plan mentioned below. 

  1. Flexible Sum Insured and Premium Options
  2. In-patient Hospitalization Coverage
  3. Day Care Procedures Cover
  4. Pre and Post-hospitalization Expenses Cover
  5. Ambulance Charges Cover
  6. OPD Expenses Cover
  7. Coverage Against Non-hospitalization Expenses
  8. No Medical Checkup for People up to 55 years
  9. A 15-day Free Look Period
  10. Lifetime Renewal Facility
  11. Tax Benefits under Section 80D of the Income Tax Act, 1961

Continue reading this page to understand the plan in detail.

Let’s Understand the Features and Benefits of Chola Tax Plus Healthline Plan in Detail

We have discussed the features of the Chola Tax Plus Healthline Plan extensively below.

Flexible Sum Insured Options

Chola Tax Plus Healthline Plan offers multiple hospitalization sum insured options to the policyholders – INR 1, INR 2, INR 3, INR 4 or INR 5 lakh.

Who Can Buy This Policy?

An individual can buy this policy for himself/herself, spouse and up to 3 children. Individuals can also cover their parents under the policy by using a separate proposal form.

What is the Minimum Premium Amount?

The premium amount under the plan depends on the sum insured and the number of insured members. Under the Chola Tax Plus Healthline Plan, there are multiple premium options – INR 10,000, INR 15,000, INR 20,000, INR 25,000, INR 30,000 and INR 40,000. You can choose a higher OPD or hospitalization sum insured under the same premium band according to your needs.

Hospitalization Expenses Coverage

In-patient Hospitalization

The policy will cover the following expenses if an insured member needs hospitalization of more than 24 hours for illness or accidental bodily injury up to the sum insured.

  1. Nursing charges and doctor’s fees
  2. Room charges up to 1% of the sum insured per day
  3. ICU room charges up to 2% of the sum insured per day
  4. Operation theatre charges, blood, oxygen, diagnostics, medicines, anesthesia, surgical appliances, prosthetic and other devices implanted internally during a procedure
  5. Hospitalization expenses of an organ donor (In case of an organ transplantation surgery)

Pre and Post-hospitalization Expenses

The insured person will also get coverage against the medical expenses incurred 60 days before hospitalization. You will be covered up to 5% of cover admissible for in-patient hospitalization expenses. The policy will cover the medical expenses incurred immediately after the discharge of the insured person for up to 90 days. Under the post-hospitalization expenses cover, the coverage amount can go up to INR 50,000.

Day Care Procedure Coverage

There are 141 listed day care procedures or treatments (Treatments that do not require a minimum 24-hour hospitalization) under the Tax Plus Healthline Plan. If an insured member is undergoing any of the listed procedures, the plan will cover the medical expenses up to the sum insured.

Ambulance Charges

If an insured person needs to be transferred to a nearby hospital via an ambulance, the policy will pay for the expenses incurred on the same (Up to INR 3,000 per hospitalization). The ambulance service should be offered by a healthcare or an ambulance service provider.

Non-hospitalization Expenses Cover

The policy from Chola MS also covers the following non-hospitalization expenses.

  1. Treatment of injury or illness incurred without hospitalization.
  2. Pre & Post-natal expenses
  3. Treatment of any pre-existing condition
  4. All dental treatments
  5. Allopathy treatment or any other system of Indian medicine (other than naturopathy)
  6. Costs of spectacles, contact lenses, hearing aids, prosthetic appliances, etc. (Supported by prescriptions of a Doctor or Medical Practitioner)

Coverage with Sub-limits

The policy also covers the expenses incurred on the following treatments with a sub-limit. To know more, check the below table.

Disease, Illness or ProcedureCoverage Amount
Cataract7.5% of the sum insured, up to INR 20,000 per eye
Hernia or Hydrocele10% of the sum insured, up to INR 30,000
Fistula in Anus, Anal Fissure, Piles10% of the sum insured, up to INR 30,000
Sinusitis10% of the sum insured, up to INR 30,000
Tonsils or Adenoids15% of the sum insured, up to INR 40,000
Knee and Joint Replacement Surgery50% co-payment applicable

Chola Tax Plus Healthline Plan Eligibility Criteria

You will need to fulfill the following conditions before purchasing the plan.

  1. Minimum Entry Age (For Policyholder and Spouse) – 18 years
  2. Maximum Entry Age (For Policyholder and Spouse) – 65 years
  3. Minimum Entry Age (For up to 3 Children) – 3 months
  4. Maximum Entry Age (For up to 3 Children) – 26 years
  5. Maximum Entry Age for Unmarried Female Child – below the age of 35 years
  6. Maximum Entry Age for Parents – 65 years

What is Not Covered Under the Plan?

Chola Tax Plus Healthline Plan will not cover the expenses incurred on the following.

  1. Circumcision unless necessary
  2. Intentional Self-injury or Attempted Suicide
  3. Sexually Transmitted Disease or Illness
  4. External Congenital Diseases or Illnesses
  5. Pre and Post-hospitalization Expenses of the Organ Donor
  6. Cost of Spectacles and Contact Lenses, Hearing Aids, Walkers, etc.
  7. Non-allopathic Treatments
  8. Domiciliary Treatments
  9. Medical Treatment for Childbirth
  10. Treatment taken Outside India
  11. Injuries arising due to War, Invasion, Act of a Foreign Enemy, etc.

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