Quick Overview
Choosing a health insurer is not just about the price. It is also about how the insurer performs on core metrics and how the policy behaves during a hospitalisation.
Cholamandalam MS has been operating since 2001 and is a familiar name in general insurance.In this article, we break down its key metrics, health plans, premiums, and key policy limits, along with what’s covered vs. not covered.
About Cholamandalam MS Health Insurance
Cholamandalam MS is a private-sector general insurer in India. It is a joint venture between the Murugappa Group and Mitsui Sumitomo Insurance Company Limited (Japan), and registered with IRDAI under Registration No. 123.
It sells health insurance as part of its broader general insurance business and is largely distribution-led. In FY 2024-25, it reported issuing 16.30 million policies and certificates, and servicing 0.63 million claims. Cholamandalam MS has a pan-India presence with 198+ branches, 12,000+ hospitals, and 15,000+ garages. Its solvency ratio in FY 2024-25 was 2.18x versus the 1.5x IRDAI minimum, indicating a strong capital cushion for future claim payouts.
Key Metrics for Cholamandalam MS Health Insurance
- CSR: Lower than the industry average, meaning fewer claims are settled than the typical insurer.
- ICR: Slightly above the ideal 50–80% range; suggests balanced payouts and stability.
- Complaint Volume: Lower than the industry average, indicating smoother servicing.
- Network Hospitals: Strong and vast network; check if your preferred hospitals are covered.
- Business Volume: Significantly smaller than insurers like HDFC ERGO, Bajaj, and Care, but growing.
Plans Offered by Cholamandalam MS Health Insurance
Flexi Supreme
Flexi Supreme is Chola MS’s feature-packed, comprehensive plan. It is suitable for people looking for high sum insured options (up to ₹5 crores) and extended benefits.
- Comes in three variants: Basic, Plus, Premiere
- Room rent restrictions for lower sum insured options
- Maternity cover pays up to ₹50,000 per delivery (Plus) and up to ₹1 lakh per delivery (Premiere), after a 3-year waiting period
- Inbuilt benefits like unlimited restoration, worldwide hospital coverage, and worldwide personal accident cover
Flexi Health
Flexi Health is designed for people who want flexibility in how they structure the policy. It’s a simple, customizable plan rather than a “loaded” flagship.
- Offers 100% restoration for unrelated claims and a separate recharge bucket for related claims, depending on the sum insured
- Adds up to 25% extra cover for road-accident hospitalization, capped at ₹3 lakh, based on your sum insured.
- If you pay premiums for a Tier 2 location but get treated in a Tier 1 city, a 20% co-pay applies
- Optional Flexi OP Care add-on for cashless OPD benefits like doctor consultations and diagnostic tests
Chola Healthline
Chola Healthline is their classic family health insurance plan. The plan offers basic coverage.
- Comes in 4 variants: Value, Freedom, Enrich, Privilege
- Room rent restrictions apply as per the sum insured
- If you pay a premium for a Tier 2 location but get treated in a Tier 1 city, a 20 percent co-payment applies
- Domiciliary hospitalization cover is limited to a maximum of 7 days
- Privilege Healthline is the most feature-loaded option and offers benefits like maternity and newborn cover as well
Quick Note: Cholamandalam MS also offers other health insurance options like Chola Flexi Super Topup Insurance and Arogya Sanjeevani Policy.
Premiums of Cholamandalam MS Health Insurance Plans
Note: Premiums are for a profile seeking ₹15 lakh sum insured and residing in Delhi - 110010.
Contact Details for Cholamandalam MS Health Insurance
You can find the nearest Cholamandalam MS branch using their branch locator.
Cholamandalam Health Insurance: Inclusions and Exclusions
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Ditto’s Take on Cholamandalam Health Insurance
Cholamandalam MS looks like a financially stable insurer, and it has been operating for a long time. But based on the operational metrics, we would not treat Cholamandalam MS as a first-choice health insurer. Its CSR is quite low, which means a smaller number of claims are getting settled.
If you are still considering it, pick only after these two checks. First, confirm your preferred hospital is cashless. Second, read the “cost-to-you” clauses carefully, like room rent limits and co-payment rules. Remember that many attractive features sit in higher variants or require add-ons. So, our default recommendation is to first compare it against larger, more established insurers like HDFC ERGO, Care, and Aditya Birla.
Disclaimer: Cholamandalam MS is a non-partner insurer for Ditto, and this review is for educational and informational purposes only. All the data used in the article is taken from their publicly available data (disclosures, annual report, brochures, and policy application journey).
Frequently Asked Questions
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