ManipalCigna ProHealth Prime Protect Plan
ManipalCigna Health Insurance ManipalCigna Health Insurance ★ 4.4

ManipalCigna Prime Protect Plan

The plan allows you to safeguard all your family members under a singl ...Read More

Up to 1 Cr
Sum insured
1
No. of plans
77+
Pan India presence
98%
Claim settlement ratio
🛡️ IRDAI Approved
4.4/5 · 2,704 reviews
🏥 15,000+ hospitals
📊 1.76 solvency ratio
98% claim settlement

About ManipalCigna Prime Protect Plan

A quick read on what this ManipalCigna Health Insurance plan covers and why it might be a fit for you.

"Your Health Deserves Better!" Get safeguarded with a health plan that provides all-around healthcare facilitation.

ManipalCigna Prime Protect plan is a variant of the ManipalCigna ProHealth Prime health plan. The other two plan variants are Prime Advantage and Prime Active. Options are available for individual, multi-individual, and family floater plan types. The relationships covered under the Prime Protect insurance plan are:

For individual plans: Self, Spouse, Children, Father, Mother, Father-in-law, Mother-in-law, Son-in-law, Daughter-in-law, Grandparents, Grandchildren, Uncle, Aunt, Nephew, Niece, Brother, Sister.

For family floater plans: Self, spouse, children, and parents. A floater cover can insure a maximum of 2 adults and 3 children under a single policy.

The base coverage of the Prime Protect plan variant offers benefits such as in-patient, out-patient, pre and post-hospitalisation, modern treatment, road ambulance, donor expenses, air ambulance, bariatric surgery, daycare procedures, domiciliary treatment, daily cash benefit on shared room accommodation, AYUSH treatment, coverage enhancement with sum insured restoration, and others.

This section provides all the information you need about the eligibility criteria, waiting period, benefits, specifications, exclusions, and claim procedure for the ProHealth Prime Protect plan. Read further to know more.

Plan at a glance

Eligibility, sum insured options and policy mechanics — pulled straight from the policy wording.

Entry age
Minimum: Child - 91 days, Adult - 18 years; Maximum: No Limit
Plan type
Individual and Family Health Insurance
Sum insured options
₹3 L, ₹10 L, ₹20 L, ₹50 L, ₹80 L, ₹1 L
Waiting period
30 days
Renewability
Lifelong
Policy term
1, 2, 3 years

*Initial Waiting Period is the time period between the issuance of the policy and the time it starts actively. During this period, a policyholder has to wait to avail of the benefits offered under a health insurance plan.

Pros & cons

A quick honest summary — the strengths and the trade-offs.

Pros

  • In-patient hospitalisation
  • Daycare treatment
  • Domiciliary hospitalisation
  • Sum insured restoration
  • Organ donor cover

Cons

  • Adventure sport injuries
  • Cosmetic treatment
  • Alcoholism/drug abuse
  • Self-inflicted injury

What's covered

Every CMS-driven coverage flag from the plan wording — only items with a published value render below.

Hospitalization

  • Room rent Covered
  • ICU charges Covered
  • Pre-hospitalization Covered
  • Post-hospitalization Covered
  • Domiciliary hospitalization Covered
  • Day-care treatment Covered
  • OPD charges Covered
  • Covid-19 treatment Covered
  • Cataract Covered

Bonuses & restoration

  • No-claim bonus Covered
  • Automatic restoration of SI Covered
  • Daily hospital cash Covered

Family & special care

  • Maternity cover Covered
  • New-born baby cover Covered
  • IVF treatment Covered
  • AYUSH treatment Covered
  • Organ donor expenses Covered

Modern & preventive care

  • Modern treatment Covered
  • Road ambulance Covered
  • Air ambulance Covered
  • E-consultation Covered
  • Health check-up Covered
  • Second medical opinion Covered
  • Vaccination Covered

Conditions & global

  • Co-payment Not covered
  • Sub-limits Covered
  • Compassionate travel Not covered
  • Global coverage Covered

Benefits of Buying ManipalCigna ProHealth Prime Protect Plan

Read below to learn more details about the benefits of ManipalCigna Prime Protect health insurance plan:

  • Better Coverage

    This plan covers OPD expenses that do not necessarily require hospitalisation. Additionally, the insured is covered for medical and non-medical expenses with no deductions from the cover.

  • Better Control

    The policy's base Sum Insured can be restored up to 100% to avail listed healthcare even after exhausting the initial SI (restorable only after the second claim onwards). The Switch Off benefit allows the policyholder to temporarily inactivate their policy for 30 days if visiting abroad. If the insured is diagnosed with a critical illness or suffers an accidental death, there is a waiver of the renewal premium for 1 year. Policyholders also have the option to choose any room category, such as a suite, single/private room, or any other.

  • Value-added Covers

    Value-added covers provide unparalleled health support. Benefits include a domestic second opinion for up to 36 listed critical illnesses, annual health check-ups, and unlimited teleconsultations.

  • Optional Covers

    The ProHealth Prime Protect offers several optional coverage benefits, including non-medical expenses (up to SI), personal accident cover up to twice the plan's Sum Insured (up to INR 50 Lakh) as a lump sum payout for accidental death, disability, or permanent partial disability (PPD). Additionally, individuals can opt for a cumulative bonus booster, infertility treatment cover, a deductible option based on the aggregate of all claims in a policy year, and more.

  • Optional Packages

    These packages offer additional benefits if the base plan does not fully meet your healthcare needs, supporting your plan beyond its coverage limit. Optional packages with the ManipalCigna Prime Protect plan are:

    • **Enhance Package:**
      • Maternity expenses, newborn cover, 1-year vaccination charges, and necessary medical termination of pregnancy (covered up to two pregnancies in a lifetime, applicable at a rate of 10% SI on each delivery, up to INR 1 Lakh).
      • Newborn care covers delivery complications, post-partum health support, and the baby's healthcare up to 91 days from delivery.
      • Room accommodation benefits allow you to opt for any category of room, including private rooms or suites.
      • Health maintenance benefits cover doctor's fees, lab diagnostic tests, drugs and medications, dental treatments, and alternative medications up to a reimbursement limit of INR 3,000.
    • **Freedom Package (only applicable to Indian residents):**
      • Opt for the best rooms for comfort during hospitalisation and treatment.
      • Worldwide emergency hospitalisation with out-patient coverage allows the insured to receive out-patient treatment in emergency situations outside India.
    • **Assure Package (only with plan's SI 3, 4, 5 Lakhs):**
      • Get room category coverage up to 1% of the SI per day and up to 2% of the SI in case of ICU.
      • Modern, advanced treatments are covered up to 10% of the Sum Insured by your Prime Protect policy.
      • Customize coverage limits for certain illnesses beyond pre-decided sub-limits as per your requirement.

ManipalCigna Health Insurance Network Hospital List

ManipalCigna Health Insurance Network Hospitals are present in 31 states nationwide. With a wide network of hospitals, ManipalCigna Health Insurance ensures that you are medically secured, irrespective of the city you reside in.

Know More About Network Hospitals →

Inclusions & exclusions

What the plan pays for, and what it doesn't.

Exclusions

  • Hazardous/adventure sports
  • Nuclear wars, defensive attacks, etc.
  • Breach of the law
  • Alcoholism, drug, or substance abuse and cases arising due to the same
  • Unproven/experimental treatments
  • Suicidal actions or an attempt to commit suicide

Who can buy this plan

Eligibility criteria pulled straight from the policy wording.

  • Child Entry Age: 91 days: 25 Years; Adult Entry Age: 18 Years - No Limit; Sum Insured (SI): INR 3 Lakhs - 1 Crore; Waiting Period: 30 days

Other features & benefits

How to claim ManipalCigna Prime Protect?

To initiate a claim, the insured individual must follow the process below:

  • Visit the official website of ManipalCigna Health Insurance.
  • Click on the 'Claim' button on the header of the official website and navigate to Raise a Claim > Proceed to Raise a Claim.
  • For claim intimation, the official website has a pre-authorization form, which you can fill with your date of birth and policy number, then 'Submit'.
  • Individuals can call the toll-free number 1800-102-4462 or email their details to [email protected] to get information on their claim settlement procedure.
  • Reach out to PolicyX.com for further assistance.

Wrapping it up

ManipalCigna Prime Protect plan is a comprehensive health plan that offers extensive healthcare coverage. Its features—better coverage, better control, and better care—ensure the insured individual stays protected, both in terms of healthcare services and financial stability.

Want to know more? Contact our customer care executives on 1800 4200 269 or visit the official website of PolicyX.com.

ManipalCigna ProHealth Prime Protect Plan: FAQs

The 6 most-asked questions about ManipalCigna Prime Protect Plan, answered.

There is no maximum age limit for buying the plan for anyone.
The minimum to maximum sum insured option of this plan is INR 3 Lakhs to 1 Crore respectively.
You can either buy this plan from the official website of ManipalCigna General Insurance or you can reach out to PolicyX.com to purchase and get guidance throughout the buying, renewal and claim process.
Yes, read the following waiting period options of the plan for PEDs: The sum insured up to INR 5 Lakhs- 36 Months The sum insured of INR 7.5 Lakhs and above- 24 Months
The policyholder can switch off their health insurance for up to 30 days while travelling abroad and get a discount on the renewal premium.
All the premiums that policyholders have paid towards the ManipalCigna Prime Protect Plan are eligible for tax benefits under Section 80D of the Income Tax Act of India.

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PolicyX content is researched in-house and reviewed by an IRDAI-certified insurance specialist before publication.

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