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+91-44-3098-5300
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Certificate No.
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Policy No.
*
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you have entered is not correct format
BOB Account No.
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The policy number contains 17 digits and looks similar to 3368/12345678/000/00.
The Certificate of insurance(COI) number contains 23 digits and looks similar to 1234/00006547/4854/000/00.
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Policy Details
Name
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Members Covered
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Renewal Due Date
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Sum Insured
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Benefits of your plan
+
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Do you wish to increase your Health Insurance Cover by paying a small premium
No
Yes
Total Premium
{{ dt.MProp_TotalPremium | INR }}
Inclusive of GST
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Proceed
We can connect with you at
All your communication and policy documents will be henceforth sent to the below mentioned details.
Mobile Number
*
I hereby authorize Chola MS to contact me through Whatsapp
Email ID
Nominee Details.
Nominee Name
*
Nominee Relationship
Nominee Relationship
I hereby declare that I am a
Bank of Baroda
customer. I have read and agree to the product
terms and conditions
and give my consent to Chola MS representative to contact me.
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Proceed to Pay
Proceed to Pay1
Worried about the increased medical cost?
Choose Super Top Up Plan that enhances your Sum Insured.
Sum Assured
₹{{sp.SLOTTEXT1}}
₹ {{sp.STTOTPREMIUM_SLOT1}}
Select
✓
Sum Assured
₹{{sp.SLOTTEXT2}}
₹ {{sp.STTOTPREMIUM_SLOT2}}
Select
✓
Sum Assured
₹{{sp.SLOTTEXT3}}
₹ {{sp.STTOTPREMIUM_SLOT3}}
Select
✓
Sum Assured
₹{{sp.SLOTTEXT4}}
₹ {{sp.STTOTPREMIUM_SLOT4}}
Select
✓
Deductible
₹ {{sp.CERT_SI}}
Amount after which the insurance cover pays the claim
How does Super Top Up work?
Please find the illustration below
How does the plan work?
Claim Amount
(In the same policy year)
Base Plan
(Sum Insured - 3 Lakhs)
Super Top Up
(Sum Insured - 5 Lakhs)
Self Funding
3 Lakhs
3 Lakhs
NA
NA
5 Lakhs
3 Lakhs
2 Lakhs
(Remaining balance - 3 Lakhs)
NA
9 Lakhs
3 Lakhs
5 Lakhs
1 Lakh
Waiting period of 36 months for Pre-existing diseases will be applicable from the date of commencement of policy for Super Top up.
I understand that Super Top Up is available only for the proposer of the health insurance plan and agree to opt for it. I confirm that I am not suffering from any illness and not undergoing any treatments. I have read and agree to the product
terms and conditions
and give my consent to Chola MS representative to contact me.
Total Premium inclusive GST
₹ {{sp.FPREM}}
Premium BreakUp
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Premium breakup
Premium Details for Payment
×
{{sp.PLAN_NAME}} Premium
₹{{sp.NETPREMIUM}}
Super Top Up Premium
₹{{sp.STNETPREMIUM}}
Net Premium
₹{{sp.TOTALNETPREMIUM}}
GST (18%)
₹{{sp.TOTALGSTPREMIUM}}
Total Premium
₹{{sp.TOTALPREMIUM}}
Back
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Premium breakup
Premium Details for Payment
×
{{sp.PLAN_NAME}} Premium
₹{{sp.NETPREMIUM}}
Super Top Up Premium
₹{{sp.STNETPREMIUM}}
Net Premium
₹{{sp.TOTALNETPREMIUM}}
GST (18%)
₹{{sp.TOTALGSTPREMIUM}}
Total Premium
₹{{sp.TOTALPREMIUM}}
Terms And Conditions
Terms And Conditions
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