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Cholamandalam covid-19 coverage health insurance

Cholamandalam covid-19 coverage health insurance

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Cholamandalam covid-19 coverage - highlights

This Insurance is available to persons aged between 03 months and 65 years (Completed age) at the commencement date of this policy.
The Proposer should be minimum 18 years on the Commencement date of the policy.
Maximum entry age for Children would be 25 years (Completed Age)
Insured can avail cover for Self and his or her family members as follows: Spouse, Dependent Children upto 2 and Parents on Individual Sum Insured Basis.

Cholamandalam Health Insurance review

Chola Health Insurance sum insured
2 lacs − 25 lacs options available

Incurred Claims Ratio *
104.00%

Chola Health Insurance tenure options
1,2,3 years options available

Claims Settlement Ratio **
62.74%

List of network hospitals
10,000+ hospitals

Number of policies issued *
2,50,657

Maximum family floater coverage
Self, Spouse + 4 dependent children

Number of lives covered *
45,66,345

* As per IRDAI report for 2020-21 | ** As per NL25 data published on the Insurance Company website

Cholamandalam covid-19 coverage insurance review

Eligibility
Benefits
Claims
Exclusions

Eligibility for Cholamandalam covid-19 coverage health insurance

This Insurance is available to persons aged between 03 months and 65 years (Completed age) at the commencement date of this policy.
The Proposer should be minimum 18 years on the Commencement date of the policy.
Maximum entry age for Children would be 25 years (Completed Age)
Insured can avail cover for Self and his or her family members as follows: Spouse, Dependent Children upto 2 and Parents on Individual Sum Insured Basis.
Each covered person will have an independent Sum Insured limit within the same policy.
Only one policy shall be allowed for one Insured person.

Benefits for Cholamandalam covid-19 coverage health insurance

DAILY CASH BENEFIT:In consideration of payment of additional premium, it is hereby understood and agreed that this policy will pay a daily cash benefit as mentioned in the Policy Schedule provided,
a. The insured is hospitalized as an Inpatient for treatment of Novel Corona Virus (nCoV) (COVID-19 ) or b. In Quarantine for diagnosis or suspected of Novel Corona Virus (nCoV) (COVID-19 ) during the policy period
Specific condition applicable to Daily Cash Benefit:
i. The daily benefit shall be paid for every completed 24 hours of hospitalisation or quarantine upto a maximum of 15 days. ii. Prescription of Quarantine has to be done by authorized centers as declared by Union Health Ministry of India.
Specific Exclusions applicable to Daily Cash Benefit:
The policy does not cover any losses caused due to the following: 1. Self-Quarantine by the Insured 2. Quarantine advised by any unauthorized testing center 3. Quarantine/Isolation at any unauthorized center 4. Self-Isolation during lock-down 5. Any exclusion mentioned in the ‘General Exclusions’ section of this Policy.

Claims Procedure for Cholamandalam covid-19 coverage health insurance

The insured / claimant shall provide the Insurer with details of the claim to be paid listed below under claim documentation of the policy within 30 days from the date of discharge of the defined illness/ loss ofjob. Failure to furnish such details within such time as required shall not invalidate or reduce the claim, if the Insured person is able to satisfy the Company that is was not reasonably possible to do so within such time
The Insurer shall only make payment to the insured person or nominee whose name is mentioned in the Policy Schedule.

Documents to be submitted for claim:
Following documents are to be submitted for processing of the claim along with the duly filled & signed claim form by the insured / nominee in addition to the documents listed in the table:

Base Diagnosis Benefit	Diagnostic Test confirming the existence of Novel Corona Virus (nCoV) (COVID-19) from authorized centres as declared by Union Health Ministry of India
Daily Cash Benefit	Detailed discharge summary or Quarantine Report provided by the Hospital/Authorised Center
Loss of Job	1. Appointment Letter of the insured confirming his permanent Employment (and should not be under Probation period) 2. Past 6 Months Salary Slip 3. Certificate from the employer confirming the reason for Permanent dismissal or Temporary suspension

Exclusions under the Cholamandalam covid-19 coverage health insurance

The policy does not cover any losses caused due to the following:

Any condition for which the insured had signs or symptoms, and/or was diagnosed, and/or received medical advice/treatment within the waiting period./li>
Testing done in a centre other than the ones authorized in India
Any person who was tested positive for COVID-19 before commencement of the policy with us /who has had an episode of COVID-19in the past and fully cured.
Diagnosis and treatment outside India.
Any treatment taken on OPD basis
If the Insured has travelled outside India within last 3 months

FAQs for Cholamandalam covid-19 coverage health insurance for Covid19

What does this Cholamandalam covid-19 coverage Health Insurance policy Covers?

If at anytime during the policy period, the Insured Person contracts and is diagnosed with Novel Corona Virus (nCoV) (COVID-19), the Company shall pay a LumpSum benefit equal to 100% of the opted Sum Insured as mentioned in the Policy Schedule and as per General Conditions of this policy.

What does the Cholamandalam covid-19 coverage Health Insurance waiting period ?

The Company shall not be liable for any claim arising for Novel Corona Virus (nCoV) (COVID-19) within 16 days from the first policy commencement date with Us.

What does not cover under this Cholamandalam covid-19 coverage Health Insurance policy?

1.Any condition for which the insured had signs or symptoms, and/or was diagnosed, and/or received medical advice/treatment within the waiting period. 2. Testing done in a centre other than the ones authorized in India . 3.Any person who was tested positive for COVID-19 before commencement of the policy with us /who has had an episode of COVID-19in the past and fully cured

What is the entry and exit age under Cholamandalam covid-19 coverage Health Insurance policy?

This Insurance is available to persons aged between 03 months and 65 years (Completed age) at the commencement date of this policy.The Proposer should be minimum 18

What does Cholamandalam covid-19 coverage Health Insurance covid hospitalization covers?

means admission in a Hospital for a minimum period of 24 consecutive ‘In-patient Care’ hours except for specified procedures/ treatments, where such admission could be for a period of less than 24 consecutive hours.