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?

Absolutely. OneAssure provides end-to-end support for claims, renewals, and queries, ensuring a hassle-free experience throughout your policy tenure.

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?

To buy a policy, you need ID proof, address proof, and medical details. For claims, hospital bills, prescriptions, and discharge summaries are required.

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Compare Health Insurance Plans

Prohealth Prime Advantage Vs Arogya Sanjeevani

Insurance Plans Comparison

ManipalCigna ProHealth Prime Advantage vs Digit Arogya Sanjeevani

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...

ProHealth Prime Advantage

Get cashless outpatient cover of ₹20,000, ₹30,000 or ₹50,000 a year, restore the sum insured for later related or unrelated illnesses, and add a guaranteed 25% cumulative bonus each year up to 200%.

What Makes It Special:

ProHealth is designed for those who want comprehensive coverage without restrictions. It offers extensive coverage for modern treatments and innovative features.

Best For:

Not available

VS

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

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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Name

Phone Number

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Your Enquiry

Quick Decision Guide

ManipalCigna ProHealth Prime Advantage

Not available

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.

Insurance Plans Comparison

Detailed Features Comparison

Compare the key features of different health insurance plans

ProHealth Prime Advantage

Health Insurance Plan

Policy Wording

VS

Arogya Sanjeevani

Health Insurance Plan

Brochure

Policy Wording

Room Rent
ProHealth Prime Advantage Normal: Single Private AC Room ICU: Covered up to Sum Insured	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.

Advanced Treatments
ProHealth Prime Advantage Modern and advanced treatments covered up to Sum Insured	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.

Advanced Treatments

ProHealth Prime Advantage

Modern and advanced treatments covered up to Sum Insured

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.

ICU Charges
ProHealth Prime Advantage Information Unavailable	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.

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

Disease-wise sublimits
ProHealth Prime Advantage Information Unavailable	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.

Waiting Period
ProHealth Prime Advantage Initial Waiting Period: 30 Days Pre-existing Disease Waiting Period: 36 months for Sum Insured up to ₹5 lakhs 24 months for Sum Insured ₹7.5 lakhs and above Specific Disease/Procedure Waiting Period: 24 Months	Arogya Sanjeevani Information Unavailable

Cashless Healthcare Providers
ProHealth Prime Advantage Cashless hospitalization available at network hospitals	Arogya Sanjeevani Access to over 16,400 cashless network hospitals across India.

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

Daycare Treatment
ProHealth Prime Advantage Covered up to Sum Insured	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.

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

AYUSH Treatment
ProHealth Prime Advantage Covered up to Sum Insured	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.

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

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

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

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

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

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

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

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

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

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

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

Claim Settlement Ratio
ProHealth Prime Advantage Information Unavailable	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).

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

Insurance Plans Comparison

Detailed Features Comparison

Compare the key features of different health insurance plans

ProHealth Prime Advantage

Health Insurance Plan

Policy Wording

VS

Arogya Sanjeevani

Health Insurance Plan

Brochure

Policy Wording

Room Rent
ProHealth Prime Advantage Normal: Single Private AC Room ICU: Covered up to Sum Insured
VS VS
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.

Advanced Treatments
ProHealth Prime Advantage Modern and advanced treatments covered up to Sum Insured
VS VS
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.

ICU Charges
ProHealth Prime Advantage Information Unavailable
VS VS
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.

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

Disease-wise sublimits
ProHealth Prime Advantage Information Unavailable
VS VS
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.

Waiting Period
ProHealth Prime Advantage Initial Waiting Period: 30 Days Pre-existing Disease Waiting Period: 36 months for Sum Insured up to ₹5 lakhs 24 months for Sum Insured ₹7.5 lakhs and above Specific Disease/Procedure Waiting Period: 24 Months
VS VS
Arogya Sanjeevani Information Unavailable

Cashless Healthcare Providers
ProHealth Prime Advantage Cashless hospitalization available at network hospitals
VS VS
Arogya Sanjeevani Access to over 16,400 cashless network hospitals across India.

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

Daycare Treatment
ProHealth Prime Advantage Covered up to Sum Insured
VS VS
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.

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

AYUSH Treatment
ProHealth Prime Advantage Covered up to Sum Insured
VS VS
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.

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

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

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

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

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

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

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

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

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

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

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

Claim Settlement Ratio
ProHealth Prime Advantage Information Unavailable
VS VS
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).

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

Insurance Plans Comparison

Still Confused? Get Expert 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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From choosing the right policy to managing claims, every step is handled for you

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Pure advice, no unwanted calls, no unnecessary push

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Insurance Plans Comparison

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Secure against age-related medical costs
Tailored for seniors healthcare needs

Family Health Plan

One policy covers the entire family
High sum insured with cashless care
Multiple coverage options based on your family needs

Maternity Health Plan

Covers delivery, newborn care, and maternity expenses
Reduces financial stress of childbirth costs

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