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Manipalcigna Prime Advantage Plan vs Manipalcigna Prohealth Cash Plan

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Know More About Plans

Buying health insurance that provides 360-degree coverage against medical emergencies for you and your family is essential today. ManipalCigna ProHealth Prime Advantage is a plan that covers OPD expenses such as consultation, diagnosis, and pharmacy. Additionally, the plan offers the freedom to choose any room category during hospitalization, covers cashless non-medical expenses, and provides annual health check-ups from the first policy year, irrespective of previous claims.

The ManipalCigna Prime Advantage plan is a variant under the ManipalCigna ProHealth Prime health plans. The other two variants are Prime Protect and Prime Active.

Relationships covered:

For Individual plans: Self, Spouse, Children, Parents, Parents-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 ManipalCigna ProHealth Prime Advantage plan offers policyholders enhanced OPD coverage and zero deductions for non-medical expenses (e.g., nursing, consultation, diagnosis, drugs). Key features of this plan include:

  • Unlimited restoration of the sum insured, up to 100% of the base Sum Insured (SI).
  • Option to switch off the policy for up to 30 days while traveling abroad, with a discount on premium renewal.
  • One-year premium waiver if diagnosed with a critical illness or in case of accidental disability.
  • Freedom to choose any room category, including suites, during hospitalization.

Features of ManipalCigna ProHealth Prime Advantage Plan

This comprehensive health plan offers additional major benefits:

  • Better Care

    Annual health check-ups from the 1st policy year and wellness programs. Earn rewards up to 20% of the base premium on renewal by meeting pre-defined walking step limits.
  • Base Covers

    In-patient, out-patient, pre and post-hospitalization, modern treatment, road ambulance, donor expenses, air ambulance, bariatric surgery, daycare procedures, domiciliary treatment, daily cash benefit for shared room accommodation, AYUSH treatment, and more.
  • Value-Added Covers

    Enhanced health support including domestic second opinion for up to 36 critical illnesses, unlimited teleconsultations, up to 200% cumulative bonus on SI, switch-off premium benefits, and wellness tracking.
  • Optional Covers

    Benefits include coverage for non-medical expenses up to SI, personal accident cover (twice the plan's SI, up to INR 50 Lakh, for accidental death/disability/PPD), a deductible option (aggregate of all claims in a policy year), cumulative bonus booster, infertility treatment cover, and a critical illness add-on cover.
  • Optional Packages

    A bundle of additional benefits to extend support beyond the base plan's coverage. Options available with the Prime Advantage health plan:
Package options Coverage benefits
Enhance Maternity expenses, newborn cover, 1-year vaccination charges, necessary medical termination of pregnancy (covered up to two pregnancies in a lifetime, applicable at 10% SI on each delivery, up to INR 1 Lakh).
Newborn care coverage for delivery complications, post-partum health support, and baby's healthcare up to 91 days from delivery.
Freedom to opt for any room category, including suites or private rooms.
Freedom (for Indian residents only) Choice of best rooms for comfort during hospitalization and treatment.
Worldwide emergency hospitalization with out-patient coverage for emergency treatment outside India.
PLAN DETAILS

Manipalcigna Prime Advantage Plan


Manipalcigna Prohealth Cash Plan

Premium Including GST
Product Type Individual and Family Health Insurance Senior Citizen Health Insurance
Key Features
(Key features of the plan)
  • 360 Degree Family Coverage
  • Additional Wellness Programs
  • OPD Charges Covered
  • Daily hospital cash benefit
  • Worldwide cover option
  • Multiple discounts available
OPD Details
(In some policies, OPD (Out patient department) expenses are also covered.)
Covered -
Room Rent
(A limit of room rent cover during hospitalization if any)
Covered -
Domicillary Hospitalization
(It is the expenses incurred on treatment of the patient at home)
Covered -
Pre-hospitalization
(Expenses before the insured is hospitalized)
Covered -
Post-hospitalization
(Expenses after discharge from the hospital)
Covered -
Day Care Treatment Covered
(Day care treatments refers to the treatments that do not necessarily require 24hrs of hospitalization like MRI.)
Covered -
Hospital_network
(Number of Hospital Network in city)
15000 15000
Organ Donor Expenses
(Expenses incurred on organ donor in case of organ transplants)
Covered -
Hospital Daily Allowance
(Some plans offer daily allowance to take care of expenses like food, etc)
Covered -
Ambulance Charges
(Expenses incurred on ambulance charges)
Covered -
Maternity Benefits
(All Hospitalization cost covered at the time of pregnancy.)
Covered -
New Born Baby Covered
(Newborn babies can be covered under the insurance plan after a certain period)
Covered -
Health Checkup
(An added benefit of one time full health checkup of policy holder.)
Covered -
Sub Limit
(Sub-limit is a monetary capping that applies on specific diseases like cataract)
Available -
Co-pay
(Mentioned %, if any is to be borne by Insured and rest will be borne by insurer)
Not Available -
Plan Entry Age Children: 91 days to 25 years, Adults: 18 years to no limit Child: 91 days - 17 years, Adult: 18 - 65 years
Plan Premium Entry Age and S/A 12,640 3200
Plan Waiting Period 30 30
Plan Coverage In-patient hospitalization, AYUSH treatment, air ambulance, bariatric surgery, maternity & newborn cover, worldwide emergency hospitalization, OPD benefits. 60, 90, 180 days
Plan Sample Premium 12,640 NA
Plan Brochure Brochure URL Brochure URL
Policy Term 1/2/3 years 1, 2, 3 Years
ICU Charges Covered -
Covid-19 Treatment Covered -
Cataract Covered -
Automatic Restoration Covered -
Ayush Treatment Covered -
Modern Treatment Covered -
E Consultation Covered -
Air Ambulance Covered -
Global Coverage Covered -
Claim Ratio 98 98
Solvency Ratio 1.76 1.76

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