ManipalCigna Prime Senior Policy: Key Benefits and Coverage
ManipalCigna Health Insurance ManipalCigna Health Insurance ★ 4.4

ManipalCigna Prime Senior Plan

The comprehensive ManipalCigna Prime Senior policy is specially design ...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 · 2,708 reviews
🏥 15,000+ hospitals
📊 1.76 solvency ratio
98% claim settlement

About ManipalCigna Prime Senior Plan

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

Senior citizens are often susceptible to various health conditions that require comprehensive medical care. Providing them with health insurance that offers optimum coverage can be highly beneficial. The ManipalCigna Prime Senior health plan is one such policy, available in two variants: Prime Senior ‘Classic’ and Prime Senior ‘Elite’.

ManipalCigna Health Insurance has designed the Prime Senior plan specifically for senior citizens, offering significant medical and financial benefits for elderly family members (parents, grandparents, and in-laws). Key features of this plan include coverage for preventive health check-ups, unlimited regular consultations, advanced treatments, and critical illness protection. The plan offers a convenient and simple issuance process with no pre-medical check-up, saving time and effort. Additionally, it provides lifelong renewability, automatic restoration of the sum insured up to 100%, cumulative bonuses, and relaxation of the co-payment clause.

The ManipalCigna Prime Senior health plan also includes enhanced control benefits, allowing policyholders to select additional benefits, optional covers, room rent options, and healthcare requirements for specific conditions. Furthermore, it offers organ donor coverage, reimbursing all expenses related to an organ transplant for the policyholder. The plan also provides a premium waiver benefit if a policyholder undergoes treatment for any listed critical illness or suffers a condition leading to death. This ensures that the proposed insured under a family floater or multi-individual plan continues to receive benefits even after the policyholder's demise.

Plan at a glance

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

Entry age
56 to 75 years
Plan type
Senior Citizen Health Insurance
Sum insured options
₹3 L, ₹5 L, ₹10 L, ₹20 L, ₹40 L, ₹50 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

  • Daily cash for shared accommodation
  • Air ambulance
  • Domestic second opinion
  • Unlimited 100% SI restoration

Cons

  • OPD cover
  • Maternity and newborn cover
  • Compassionate travel

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 Not covered
  • Covid-19 treatment Covered
  • Cataract Covered

Bonuses & restoration

  • No-claim bonus Covered
  • Automatic restoration of SI Not covered
  • Daily hospital cash Covered

Family & special care

  • Maternity cover Not covered
  • New-born baby cover Not covered
  • IVF treatment Not 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 Not covered
  • Vaccination Not covered

Conditions & global

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

Video reviews

Walkthroughs from the PolicyX team — pros, cons, real claim experiences and who should buy.

ManipalCigna Prime Senior Details

ManipalCigna Prime Senior Details

Welcome to PolicyX! In this video, we'll guide you through the Manipal Cigna Prime Senior Plan, covering plan types, policy terms, sum insured options, benefits, and more.

Benefits of ManipalCigna Prime Senior Health Insurance Plan

  • Room Rent Flexibility

    Policyholders can choose any room type as per their requirement (beyond eligibility) without proportionate deductions (e.g., doctor’s visits, nursing expenses).

  • Customization Flexibility

    Policyholders have the flexibility to choose room rent limits, deductible amounts, modify the co-payment clause, avoid sub-limits, and manage premiums.

  • Advanced Treatment Coverage

    The plan offers coverage for advanced/modern treatments without additional sub-limits.

  • Donor Expense Cover

    This plan covers organ donor expenses, including organ transplant, in-patient care, screening, complicated procedures, pre-hospitalization, and post-hospitalization.

  • Unlimited Sum Insured Restoration

    If the initial sum insured is exhausted, the Prime Senior plans offer unlimited restoration of the sum insured up to 100%.

  • Protection for the Whole Family

    This plan provides coverage for multiple relationships, including self, spouse, grandparents, grandchildren, children, parents, siblings, parents-in-law, uncle, aunt, nephew, niece, son-in-law, daughter-in-law, brother-in-law, and sister-in-law.

  • Tax Benefit

    All premiums paid towards the ManipalCigna Prime Senior Health Plan are eligible for tax benefits under Section 80D of the Income Tax Act.

Optional Cover Benefits

Additional optional benefits available with this plan are:

  • Any Room Upgrade

    You can select any room on an upgradation basis without proportionate deductions.

  • Unlimited 100% SI Restoration

    This optional cover is valid only with the Classic plan variant. It allows for 100% sum insured restoration multiple times for related or unrelated illnesses/injuries, applicable from the second claim onwards.

  • Pre-existing Waiting Period Reduction

    This optional coverage reduces the waiting period for any pre-existing disease to 90 days.

  • Premium Management

    Room limit for selective customers, leading to premium management, is only applicable for the Classic variant of this plan.

    Special coverage options for the Elite plan variant:

    • Air ambulance
    • Daily cash for shared accommodation
    • Unlimited 100% restoration of the sum insured
    • Domestic second opinion
    • Premium waiver benefit (in case of critical illness or death)

Read all the specifications and details related to the ManipalCigna Prime Senior health insurance policy below.

How to Claim ManipalCigna Prime Senior Health Plan?

To avail of claim settlement services, 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, then navigate to Raise a claim > Proceed to raise a claim.
  • For claim intimation, fill in the pre-authorized form on the official website with your date of birth and policy number, then ‘Submit’.
  • Individuals can call the toll-free number 1800-102-4462 or email [email protected] for claim settlement procedure information.
  • Reach out to PolicyX.com for further assistance.

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

  • Hospitalization due to war, riot, strike, and nuclear weapons
  • Intentional self-injury
  • AIDS
  • Miscarriage and abortion
  • Congenital disease
  • Infertility and in vitro fertilization

Who can buy this plan

Eligibility criteria pulled straight from the policy wording.

  • Entry age: 56 to 75 years
  • SI: 3 to 50 Lakhs
  • Policy term: 1/2/3 years
  • Initial waiting period: 30 days

Other features & benefits

  • Any room upgradation
  • Unlimited SI restoration
  • PEDs waiting period reduction
  • Domestic second opinion (Elite)

ManipalCigna Prime Senior Plan: FAQs

The 5 most-asked questions about ManipalCigna Prime Senior Plan, answered.

Senior citizens who are above the age of 55 years should buy this plan. This plan makes sure that they get optimum medical care during the most vulnerable stage of their life.
Yes, you can buy the plan from the company’s official website or PolicyX.com.
No, this plan has no exit age limit.
This plan has an add-on cover- ManipalCigna Health 360, and the specifications are: SHIELD: Coverage for listed Non-medical items up to base policy sum insured and Durable Medical Equipment up to a maximum of R 1 Lakh. OPD: Package 1- Get coverage for doctor consultations on a cashless basis within the OPD sum insured. Package 2- Get coverage for doctor consultations and prescribed diagnostics on a cashless basis within the OPD sum insured *The details subjected to add-on are taken from the policy schedule of ManipalCigna Prime Senior health plan
This plan has an automatic restoration benefit to SI under which your policy restores the amount of the sum insured upon exhaustion.

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Written and reviewed by

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

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