Prime Advantage with 20K OPD vs Prime Protect Health Insurance Plan
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Prime Advantage with 20K OPD vs Prime Protect Health Insurance Plan 2024

Prime Advantage with 20K OPD Plan and Prime Protect Plan both come with a plethora of insurance solutions and a vast product portfolio. Both companies are well known for their all-inclusive plans that cover individuals as well as their families. The network hospitals under the umbrella of Prime Advantage with 20K OPD Plan are 14000+ Number Of Network Hospitals whereas Prime Protect Plan has 20800+ Number Of Network Hospitals of them. The companies provide benefits such as hospitalization, accidental care, daycare procedures, critical illness and senior citizen coverage, along with affordable premiums and high sum insured new age insurance plans.

PLAN DETAILS  ManipalCigna Health Insurance Company Limited

Prime Advantage with 20K OPD

 ManipalCigna Health Insurance Company Limited

Prime Protect

Premium Including GST
Sum Assured 5L, 7.5L, 10L, 12.5L, 15L, 20L, 25L, 30L, 40L, 50L & 1Cr 4L, 5L, 7.5L, 10L, 12.5L, 15L, 20L, 25L, 30L, 40L, 50L & 1Cr
Product Type Individual and Family Floater Individual and Family Floater
Key Features
(Key features of the plan)
OPD upto INR 20000
Guaranteed Bonus
Unlimited Tele-Consultation
Unlimited Restoration of 10 L
No Co-Pay
Health Check-up from 1st Year
Waives off one year renewal Policy Premium upon occurrence of Accidental Death or diagnosis of any of the listed Critical Illnesses
Guaranteed Bonus
Unlimited Tele-Consultation
Unlimited Restoration of 10 L
No Co-Pay
Health Check-up from 1st Year
Waives off one year renewal Policy Premium upon occurrence of Accidental Death or diagnosis of any of the listed Critical Illnesses
OPD Details
(In some policies, OPD (Out patient department) expenses are also covered.)
Upto Rs 20K/- NA (Optional)
EMI Option yes yes
Pre-acceptance Medical Check Up
(Whether a pre-acceptance check up is required or not to buy the policy)
Required Required
Room Rent
(A limit of room rent cover during hospitalization if any)
Single Private AC room Single Private AC room
Domicillary Hospitalization
(It is the expenses incurred on treatment of the patient at home)
Up to Rs 100000 Up to Rs 100000
Pre-hospitalization
(Expenses before the insured is hospitalized)
60 Days 60 Days
Post-hospitalization
(Expenses after discharge from the hospital)
180 Days 180 Days
Non-allopathic
(Expenses incurred on non-allopathic treatment)
Upto Rs 1000000 Upto Rs 1000000
Day Care Treatment Covered
(Day care treatments refers to the treatments that do not necessarily require 24hrs of hospitalization like MRI.)
Upto Rs 1000000 Upto Rs 1000000
Hospital_network
(Number of Hospital Network in city)
Organ Donor Expenses
(Expenses incurred on organ donor in case of organ transplants)
Upto Rs 1000000 Upto Rs 1000000
Hospital Daily Allowance
(Some plans offer daily allowance to take care of expenses like food, etc)
800/- day and Max 5,600 (These are only available on shared accomodation) 800/- day and Max 5,600 (These are only available on shared accomodation)
Pre-existing Coverage
(If the insured is having some existing diseases, that would be covered after particular time period)
24 Months 24 Months
Cumulative Bonus
(The amount by which your sum assured gets increased, if there is no claim.)
(Guaranteed) Rs 2.5L per year upto Rs 20L (Guaranteed) Rs 2.5L per year upto Rs 20L
Restoration Details
(Increase of Sum Insured for non-related illness if the original sum insured is exhausted)
Unlimited (on related and unrelated illness & on partial exhaution) Unlimited (on related and unrelated illness & on partial exhaution)
Ambulance Charges
(Expenses incurred on ambulance charges)
Upto 1000000 Upto 1000000
Worldwide Emergency
(The emergency medical assistance and cover against medical expenses while the customer is abroad)
NA NA
Maternity Benefits
(All Hospitalization cost covered at the time of pregnancy.)
Optional (Can be opted through enhance plus rider) Optional (Can be opted through enhance rider)
New Born Baby Covered
(Newborn babies can be covered under the insurance plan after a certain period)
Optional (Can be opted through enhance plus rider) Optional (Can be opted through enhance rider)
Health Checkup
(An added benefit of one time full health checkup of policy holder.)
Annually from 1st Year onwards Annually from 1st Year onwards
Non-allopathic Details
(Expenses incurred on non-allopathic treatment)
yes no
Vaccination
(Cover againts any medical expenses occurred in Vaccinations for certain diseases)
Not Available Not Available
Animal Bite
(Cover againts any medical expenses occurred due to any Animal Bite)
Not Applicable Not Applicable
Sub Limit
(Sub-limit is a monetary capping that applies on specific diseases like cataract)
Applicable Applicable
Co-pay
(Mentioned %, if any is to be borne by Insured and rest will be borne by insurer)
No Co-Pay No Co-Pay

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Reviewed By: Naval Goel

Naval Goel is the CEO & founder of PolicyX.com. Naval has an expertise in the insurance sector and has professional experience of more than a decade in the Industry and has worked in companies like AIG, New York doing valuation of insurance subsidiaries. He is also an Associate Member of the Indian Institute of Insurance, Pune. He has been authorized by IRDAI to act as a Principal Officer of PolicyX.com Insurance Web Aggregator.