How does OneAssure help me compare health insurance policies and choose the best plan?

OneAssure allows you to compare multiple health insurance policies side by side, analyzing coverage, premiums, hospital networks, and benefits to choose the most suitable plan for your needs.

What is the difference between cashless and reimbursement claims in health insurance policies?

Cashless claims let you get treatment at network hospitals without paying upfront, while reimbursement claims require you to pay first and get refunded later.

Does OneAssure provide expert guidance while selecting health insurance with maternity or newborn coverage?

Yes, OneAssure’s insurance experts guide you in selecting plans with maternity benefits, newborn cover, and short waiting periods for family planning needs.

How do co-payment clauses impact health insurance premiums and claim settlements?

Co-payment means you share a part of the claim cost. Opting for co-pay lowers your premium but increases your out-of-pocket expenses.

Which health insurance plan offers the best coverage for critical illnesses and pre-existing diseases?

Plans with comprehensive coverage, minimal waiting periods, and optional critical illness riders are ideal. OneAssure helps identify policies that best meet these requirements.

Can I compare waiting periods and sub-limits for hospitalisation expenses on OneAssure?

Yes, OneAssure’s comparison tool highlights waiting periods, sub-limits, and exclusions so you can choose a policy that maximizes benefits and minimizes restrictions.

What are room rent limits in health insurance, and how do they affect claims?

Room rent limits cap the daily room cost covered by your insurer. Choosing a plan without strict limits ensures higher claim payouts.

Does OneAssure assist with health insurance claims and renewals after I purchase a policy?

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How can I check if a health insurance plan covers daycare procedures and modern treatments?

OneAssure’s policy comparison clearly lists daycare and advanced treatment coverage, helping you pick a plan aligned with your healthcare needs.

What documents are needed to buy and claim a health insurance policy online via OneAssure?

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Compare Health Insurance Plans

Arogya Sanjeevani Vs Prohealth Accumulate

Insurance Plans Comparison

Digit Arogya Sanjeevani vs ManipalCigna ProHealth Accumulate

Make an informed decision with our detailed side-by-side comparison of top health insurance policies. Compare coverage, benefits, and premiums to find the perfect plan for your needs.

Make an informed decision with our detailed side-by-side comparison of top health insurance policies. Compare...

Arogya Sanjeevani

Cover hospitalisation with a 5% co-pay on every admissible claim, cap room rent at 2% of the sum insured up to ₹5,000 a day, and add a 5% cumulative bonus each claim-free year up to 50%.

What Makes It Special:

Arogya Sanjeevani is a Niva Bupa standard health plan with a sum insured of ₹1 lakh to ₹5 lakh, AYUSH and modern treatment cover, and a 15-day free-look period. It excludes maternity and carries a 5% co-payment on each claim. It provides in-patient hospitalisation cover on an individual or family...

Best For:

Buyers who want AYUSH and modern treatment cover
Buyers who do not need maternity or OPD cover
Families who want a floater with parents and children under one policy
Buyers who want basic in-patient cover at an affordable premium
First-time health insurance buyers

VS

ProHealth Accumulate

Carry forward a health maintenance benefit for outpatient and inpatient care, add 5% to any unused balance, and put up to half of it toward renewal premium, plus a guaranteed 5% cumulative bonus up to 200%.

What Makes It Special:

ProHealth focuses on providing essential health coverage at an affordable premium. It's designed for budget-conscious individuals who want reliable coverage.

Best For:

Not available

Insurance Plans Comparison

Get Personalized Advice

Our insurance experts are here to help you make the right choice. Get personalized recommendations based on your specific needs and budget.

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Quick Decision Guide

Digit Arogya Sanjeevani

Call 1860-500-8888 to confirm room rent limits and the current network before buying.
Confirm the waiting periods and any cataract sublimit on your policy schedule before buying.
The sum insured is capped at ₹5 lakh, so check whether it covers your expected treatment costs.
A 5% co-payment applies to each claim, so factor that into your out-of-pocket costs.
Maternity is excluded, so choose another plan if you need it.

ManipalCigna ProHealth Accumulate

Not available

Insurance Plans Comparison

Detailed Features Comparison

Compare the key features of different health insurance plans

Arogya Sanjeevani

Health Insurance Plan

Brochure

Policy Wording

VS

ProHealth Accumulate

Health Insurance Plan

Policy Wording

Room Rent
Arogya Sanjeevani Normal: Covered up to 2% of the sum insured, with a maximum limit of ₹5,000 per day. ICU: Covered up to 5% of the sum insured, with a maximum limit of ₹10,000 per day.	ProHealth Accumulate Normal: Single Private AC Room ICU: Up to Sum Insured

Advanced Treatments
Arogya Sanjeevani Uterine Artery Embolization and HIFU (High intensity focused ultrasound) Balloon Sinuplasty Deep Brain stimulation Oral chemotherapy Immunotherapy - Monoclonal Antibody to be given as injection Intra vitreal injections Robotic surgeries Stereotactic radio surgeries Bronchical Thermoplasty Vaporisation of the prostrate (Green laser treatment or holmium laser treatment) IONM - (Intra Operative Neuro Monitoring) Stem cell therapy: Hematopoietic stem cells for bone marrow transplant for haematological conditions to be covered up to 50% of sum insured.	ProHealth Accumulate Sum Insured below ₹5 Lakh: Covered up to 50% of Sum Insured Sum Insured ₹5 Lakh and above: Covered up to Sum Insured

Advanced Treatments

Arogya Sanjeevani

Uterine Artery Embolization and HIFU (High intensity focused ultrasound)
Balloon Sinuplasty
Deep Brain stimulation
Oral chemotherapy
Immunotherapy - Monoclonal Antibody to be given as injection
Intra vitreal injections
Robotic surgeries
Stereotactic radio surgeries
Bronchical Thermoplasty
Vaporisation of the prostrate (Green laser treatment or holmium laser treatment)
IONM - (Intra Operative Neuro Monitoring)
Stem cell therapy: Hematopoietic stem cells for bone marrow transplant for haematological conditions to be covered up to 50% of sum insured.

ProHealth Accumulate

Sum Insured below ₹5 Lakh: Covered up to 50% of Sum Insured

Sum Insured ₹5 Lakh and above: Covered up to Sum Insured

ICU Charges
Arogya Sanjeevani Covered as part of in-patient hospitalisation, up to the sum insured. Confirm any room or ICU limit on the policy schedule, or with 1860-500-8888.	ProHealth Accumulate Information Unavailable

Co-payment
Arogya Sanjeevani 5% co-payment is applicable to all claims, meaning the policyholder must bear 5% of the admissible claim amount.	ProHealth Accumulate Not mentioned

Disease-wise sublimits
Arogya Sanjeevani A cataract sublimit may apply. The standard product in other insurers’ versions caps cataract at 25% of the sum insured or ₹40,000, whichever is lower. Confirm Niva Bupa’s sublimits on the policy schedule, or with 1860-500-8888.	ProHealth Accumulate Information Unavailable

Waiting Period
Arogya Sanjeevani Information Unavailable	ProHealth Accumulate Initial Waiting Period: 30 Days Pre-existing Disease Waiting Period: Sum Insured up to ₹5 Lakh: 36 Months Sum Insured ₹7.5 Lakh and above: 24 Months Specific Disease/Procedure Waiting Period: 24 Months Bariatric Surgery Waiting Period: 36 Months Maternity & Infertility Waiting Period: 36 Months

Cashless Healthcare Providers
Arogya Sanjeevani Access to over 16,400 cashless network hospitals across India.	ProHealth Accumulate Not mentioned

Restoration Benefit
Arogya Sanjeevani Kindly refer to the policy wording.	ProHealth Accumulate Information Unavailable

Daycare Treatment
Arogya Sanjeevani Covers medical procedures requiring hospitalization for less than 24 hours, such as cataract surgery, chemotherapy, and dialysis, when conducted in a recognized hospital.	ProHealth Accumulate Covered up to Sum Insured

Cumulative Bonus
Arogya Sanjeevani Kindly refer to the policy wording.	ProHealth Accumulate Information Unavailable

AYUSH Treatment
Arogya Sanjeevani Covers Ayurveda, Yoga, Unani, Siddha, and Homeopathy (AYUSH) inpatient treatments up to the sum insured, provided the treatment is taken at an AYUSH-recognized hospital.	ProHealth Accumulate Covered up to Sum Insured

Consumable Cover
Arogya Sanjeevani Kindly refer to the policy wording. Confirm with Niva Bupa on 1860-500-8888.	ProHealth Accumulate Information Unavailable

Initial Waiting Period
Arogya Sanjeevani 30 days from inception, except for accidents	ProHealth Accumulate Information Unavailable

Specific Waiting Period
Arogya Sanjeevani Kindly refer to the policy wording.	ProHealth Accumulate Information Unavailable

PED Waiting Period
Arogya Sanjeevani Up to 48 months under the IRDAI standard. Confirm on the policy schedule, or with 1860-500-8888.	ProHealth Accumulate Information Unavailable

Modern Treatment
Arogya Sanjeevani Covered up to 50% of the sum insured, including robotic surgery and oral chemotherapy (BankBazaar). Confirm the limit on the policy schedule.	ProHealth Accumulate Information Unavailable

Annual Health Checkup
Arogya Sanjeevani Kindly refer to the policy wording. Confirm with Niva Bupa on 1860-500-8888.	ProHealth Accumulate Information Unavailable

Pre-Hospitalisation
Arogya Sanjeevani Up to 30 days before admission under the IRDAI standard product. Confirm on the policy schedule, or with 1860-500-8888.	ProHealth Accumulate Information Unavailable

Post-Hospitalisation
Arogya Sanjeevani Up to 60 days after discharge under the IRDAI standard product. Confirm on the policy schedule, or with 1860-500-8888.	ProHealth Accumulate Information Unavailable

Outpatient Department Cover (OPD Expense)
Arogya Sanjeevani Not covered (not listed in the standard product’s benefits)	ProHealth Accumulate Information Unavailable

Deductible Option
Arogya Sanjeevani kindly refer to the policy wording.	ProHealth Accumulate Information Unavailable

Coverage Options
Arogya Sanjeevani Individual or family floater, within the ₹1 lakh to ₹5 lakh sum insured range	ProHealth Accumulate Information Unavailable

Claim Settlement Ratio
Arogya Sanjeevani Claim Settlement Ratio (CSR) of 93.3% as a three-year IRDAI weighted average, and 95.6% in recent quarterly company disclosures (Q1 FY 2026-27).	ProHealth Accumulate Information Unavailable

Maternity Cover
Arogya Sanjeevani Not covered. Maternity expenses are excluded.	ProHealth Accumulate Information Unavailable

Insurance Plans Comparison

Detailed Features Comparison

Compare the key features of different health insurance plans

Arogya Sanjeevani

Health Insurance Plan

Brochure

Policy Wording

VS

ProHealth Accumulate

Health Insurance Plan

Policy Wording

Room Rent
Arogya Sanjeevani Normal: Covered up to 2% of the sum insured, with a maximum limit of ₹5,000 per day. ICU: Covered up to 5% of the sum insured, with a maximum limit of ₹10,000 per day.
VS VS
ProHealth Accumulate Normal: Single Private AC Room ICU: Up to Sum Insured

Advanced Treatments
Arogya Sanjeevani Uterine Artery Embolization and HIFU (High intensity focused ultrasound) Balloon Sinuplasty Deep Brain stimulation Oral chemotherapy Immunotherapy - Monoclonal Antibody to be given as injection Intra vitreal injections Robotic surgeries Stereotactic radio surgeries Bronchical Thermoplasty Vaporisation of the prostrate (Green laser treatment or holmium laser treatment) IONM - (Intra Operative Neuro Monitoring) Stem cell therapy: Hematopoietic stem cells for bone marrow transplant for haematological conditions to be covered up to 50% of sum insured.
VS VS
ProHealth Accumulate Sum Insured below ₹5 Lakh: Covered up to 50% of Sum Insured Sum Insured ₹5 Lakh and above: Covered up to Sum Insured

ICU Charges
Arogya Sanjeevani Covered as part of in-patient hospitalisation, up to the sum insured. Confirm any room or ICU limit on the policy schedule, or with 1860-500-8888.
VS VS
ProHealth Accumulate Information Unavailable

Co-payment
Arogya Sanjeevani 5% co-payment is applicable to all claims, meaning the policyholder must bear 5% of the admissible claim amount.
VS VS
ProHealth Accumulate Not mentioned

Disease-wise sublimits
Arogya Sanjeevani A cataract sublimit may apply. The standard product in other insurers’ versions caps cataract at 25% of the sum insured or ₹40,000, whichever is lower. Confirm Niva Bupa’s sublimits on the policy schedule, or with 1860-500-8888.
VS VS
ProHealth Accumulate Information Unavailable

Waiting Period
Arogya Sanjeevani Information Unavailable
VS VS
ProHealth Accumulate Initial Waiting Period: 30 Days Pre-existing Disease Waiting Period: Sum Insured up to ₹5 Lakh: 36 Months Sum Insured ₹7.5 Lakh and above: 24 Months Specific Disease/Procedure Waiting Period: 24 Months Bariatric Surgery Waiting Period: 36 Months Maternity & Infertility Waiting Period: 36 Months

Cashless Healthcare Providers
Arogya Sanjeevani Access to over 16,400 cashless network hospitals across India.
VS VS
ProHealth Accumulate Not mentioned

Restoration Benefit
Arogya Sanjeevani Kindly refer to the policy wording.
VS VS
ProHealth Accumulate Information Unavailable

Daycare Treatment
Arogya Sanjeevani Covers medical procedures requiring hospitalization for less than 24 hours, such as cataract surgery, chemotherapy, and dialysis, when conducted in a recognized hospital.
VS VS
ProHealth Accumulate Covered up to Sum Insured

Cumulative Bonus
Arogya Sanjeevani Kindly refer to the policy wording.
VS VS
ProHealth Accumulate Information Unavailable

AYUSH Treatment
Arogya Sanjeevani Covers Ayurveda, Yoga, Unani, Siddha, and Homeopathy (AYUSH) inpatient treatments up to the sum insured, provided the treatment is taken at an AYUSH-recognized hospital.
VS VS
ProHealth Accumulate Covered up to Sum Insured

Consumable Cover
Arogya Sanjeevani Kindly refer to the policy wording. Confirm with Niva Bupa on 1860-500-8888.
VS VS
ProHealth Accumulate Information Unavailable

Initial Waiting Period
Arogya Sanjeevani 30 days from inception, except for accidents
VS VS
ProHealth Accumulate Information Unavailable

Specific Waiting Period
Arogya Sanjeevani Kindly refer to the policy wording.
VS VS
ProHealth Accumulate Information Unavailable

PED Waiting Period
Arogya Sanjeevani Up to 48 months under the IRDAI standard. Confirm on the policy schedule, or with 1860-500-8888.
VS VS
ProHealth Accumulate Information Unavailable

Modern Treatment
Arogya Sanjeevani Covered up to 50% of the sum insured, including robotic surgery and oral chemotherapy (BankBazaar). Confirm the limit on the policy schedule.
VS VS
ProHealth Accumulate Information Unavailable

Annual Health Checkup
Arogya Sanjeevani Kindly refer to the policy wording. Confirm with Niva Bupa on 1860-500-8888.
VS VS
ProHealth Accumulate Information Unavailable

Pre-Hospitalisation
Arogya Sanjeevani Up to 30 days before admission under the IRDAI standard product. Confirm on the policy schedule, or with 1860-500-8888.
VS VS
ProHealth Accumulate Information Unavailable

Post-Hospitalisation
Arogya Sanjeevani Up to 60 days after discharge under the IRDAI standard product. Confirm on the policy schedule, or with 1860-500-8888.
VS VS
ProHealth Accumulate Information Unavailable

Outpatient Department Cover (OPD Expense)
Arogya Sanjeevani Not covered (not listed in the standard product’s benefits)
VS VS
ProHealth Accumulate Information Unavailable

Deductible Option
Arogya Sanjeevani kindly refer to the policy wording.
VS VS
ProHealth Accumulate Information Unavailable

Coverage Options
Arogya Sanjeevani Individual or family floater, within the ₹1 lakh to ₹5 lakh sum insured range
VS VS
ProHealth Accumulate Information Unavailable

Claim Settlement Ratio
Arogya Sanjeevani Claim Settlement Ratio (CSR) of 93.3% as a three-year IRDAI weighted average, and 95.6% in recent quarterly company disclosures (Q1 FY 2026-27).
VS VS
ProHealth Accumulate Information Unavailable

Maternity Cover
Arogya Sanjeevani Not covered. Maternity expenses are excluded.
VS VS
ProHealth Accumulate Information Unavailable

Insurance Plans Comparison

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Covers delivery, newborn care, and maternity expenses
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